Spalding University Student MOA Template

Memorandum of Agreement

Complete this form for any student who will receive a payment through external funding (grants and contracts). The supervisor/Primary Investigator should complete the top section of this form and submit. The form will automatically be sent to the student for completion and submission to the Finance Office.
Primary Investigator/Project Director Section
Name of Primary Investigator/Project Director:*

First NameLast Name
Email of Primary Investigator/Project Director:*
example@example.com
Name of Student:*

First NameLast Name
Student Email: *
example@example.com
School or Program:*
Project Supervisor:
If different than PI/PD
Name of Funder and Funding Opportunity (if applicable):
Name of Grant Funded Spalding Project (Project Title):*
Grant/Contract Start Date:

MonthDayYear
Date
Grant/Contract End Date:

MonthDayYear
Date
Project Period Start Date:*

MonthDayYear
Date Student will start working.
Project Period End Date:*

MonthDayYear
Date Student work will end.
Project Description*
Description of Student's Responsibilities*
Total Compensation:*
Number of Installments of Compensation:*
i.e. how many payments will they receive during the project period?
Describe when payments will be disbursed:*
Typically, payments are disbursed during the last week of each month. For payments disbursed monthly, you can simply indicate "last week of each month." For payments that are disbursed less often (e.g. in December and June), please indicate the specific months.
Project Number:*
If you do not know the Project Number, contact Courtney Clayborn in the Finance Office before submitting. In cases where there is no project number, type 0000.
Supervisor Name (typed)
Supervisor Signature:*

Clear
Date*

MonthDayYear
Date
STOP: Submit this Form

A copy of this form will automatically be emailed to the student to complete and sign the following section.
Student Section
I understand that I will recieve compensation in the amount listed in the form above. Spalding will make equal installments during the last week of each month during the project period, in renumeration for the completion of project activities stated above.

I also understand that if I am terminated from this position or choose to break this contract for any reason, that no future payments of the stipend will be paid and I may be required to repay funds for time not worked.

Further, I affirm that I have consulted with the Spalding University Financial Aid Office and my department regarding any possible implications of this stipend on my student aid or current contract (e.g. Graduate Assistant).
Student's Mailing Address

Address

Street Address Line 2

CityState / Province

Zip Code
Student Name (typed)
Student Signature:

Clear
Date

MonthDayYear
Date
W9 Tax and Vendor Form

You must complete and SIGN a W9 tax form and vendor form, upload both completed documents and submission as a PDF. By submitting this form, I acknowledge there may be tax implications for receiving this funding and I will consult a tax professional to learn more.
You can download a blank W9 form here by copying and pasting the link. Once completed upload document as a PDF. ______________________________________________________________________________________ https://www2.spalding.edu/public/W9form.pdf

Upload completed W9 form here
Cancelof
Direct Deposit

Students are required to sign up for direct deposit by submitting their banking information here: https://selfservice.spalding.edu/Student/HumanResources/BankingInformation. Students who have already signed up for direct deposit, may use the link to review or update previously entered account information.
Have you completed the Direct Deposit using the link above?
Before you Submit

Double-check that you have completed all fields to the best of your ability and have completed and signed the form, and attached your signed W9 Tax Form.

This MOA cannot be processed without your tax form and all completed fields.
Signature

Clear
Should be Empty:

Memorandum of Agreement

Primary Investigator/Project Director Section

STOP: Submit this Form

Student Section

W9 Tax and Vendor Form

Direct Deposit