Date of selection.
Check the type of scholarship being awarded. A separate award form must be completed for each
type of scholarship.
Enter the code specifying a specific year and semester for entries in the Pennsylvania State
University Data Files.
Title of University/Internal scholarship, as applicable. (Use separate form for each
Record the designated budget and source code identifying the type of student aid. (Contact the
Office of Student Loans and Scholarships if you have any questions.)
For internal scholarships, the area Financial Officer will process a Request for Journal
Voucher to clear monies from the designated budget/source code and charge the specific
department budget of the area awarding the scholarship. Enter the budget to be charged.
Enter PSU-ID number used as the identifier for the selected person.
Enter the name of the recipient including first, middle, and LAST. (Last name should be all
Specify undergraduate or graduate, as applicable.
Enter the amount of aid for an entire year for the specified aid source and each recipient.
(Note: If entry is a revision of an original award, the dollar amounts recorded on this form
must be the total of the new award, not the net change. (See example in General Information
Distribute amount noted in (10), as appropriate, to each semester/session, including proper
codes. (Contact the Office of Student Loans and Scholarships if questions about what codes are
appropriate for the scholarship being awarded.)
Enter the exception code, if applicable:
B = non-degree and part time E = no registration require H = half-time registration
L = Less than half-time N = non-degree P = part-time
T = three quarter-time
Calculate and record the totals for the "Total Award" column and each "Semester Amount" column.
(The sum of the total "Semester Amounts" must equal the "Total Award.")
Signature of the individual authorized to certify the scholarship selection and to identify the
College, non University Park location or Special Program making the award.