More Information.
More details.Hide details.
  • Office of Student Activities Forms

Office of Student Activities

  • Print
  • Forms

    The forms listed below are to be used when depositing funds into an organization account, applying for funds for a student organization or individual student, or requesting a reimbursement.

    Affidavit for Lost Receipts
    This form is used when receipts have been lost or no itemized receipt was issued at the time a student organization member purchased items for the organization. This form requires the signature and stamp from a Notary Public. MSUM Business Services office in Owens Hall and Affinity Plus in the CMU has a Notary on staff.

    Deposit Form
    Used to deposit money into a student organization’s activity or local agency account.

    Gift Reconciliation
    The gift reconciliation form must be completed whenever student organizations have awarded gift cards, gift card like items, or gifts valued at $25 (or more) each, at an organization event or meeting. Recipients of the gift card(s) or gift(s) must sign the gift reconciliation form. (A Special Expense Form should precede the purchase of gift cards or "give away gifts.") Completed gift reconciliation forms must be submitted to the Activities Business Manager at the Office of Student Activities.

    Local Account Check Request
    Use this form when requesting a check from any 380xxx campus account to pay a business/vendor, or non-student for items purchased or services rendered.

    Purchase Requisition 
    Purchase requisitions are used to request a purchase order number (request to use organization monies) in order to obtain services or supplies from off-campus businesses. Purchase orders create a "promise to pay" between the organization and the business without having to pay out of pocket at the time of order or receipt. Before ordering from an off-campus business, ensure the business accepts purchase orders and please work with the Activities Business Manager as you work through the PO process. 

    Special Expense Request Form
    Student organizations must complete this form before they purchase apparel, food that will be shared with MSUM or state employees, or gift cards (any denomination) or items to give as a prize/gift at an organization event or function if the individual prize/gift is $25.00 value or more. A gift reconciliation form is frequently tied to the completion of this special expense form. Please contact the Activities Business Manager for further assistance in completing a special expense request form.

    Student Expense (Reimbursement) Report
    This form is used to request reimbursement for a MSUM student who has incurred allowable expenses on behalf of their recognized student organization. The student may only be reimbursed if the organization incurring the expense has a valid campus account and funds to cover the expense or part of the expense. An itemized receipt listing what was purchased and if applicable, special expense request forms and gift reconciliation forms, should be attached.

    Student Travel Authorization
    A Student Travel Authorization is required any time an MSUM student or group of students are traveling 35 miles or more outside the Moorhead/Fargo area for purposes related to academics or directly related to the mission and goals of a student organization. The student travel authorization must be completed whether travel is "in-state" (within the boundaries of Minnesota) or "out-state" (outside the boundaries of the state of Minnesota).

    Supplemental Funding Application
    A form used by recognized student organizations to request additional operating funds or special event funds for use during the current fiscal year. To request travel funds, see Travel Funding Application below. Upon completion of the form, please save it and submit electronically using the "SABC Supplemental & Travel Funding Request Submission Form" found under the Campus Links section of DragonCentral. You will need to log-in with your Star Id and Star ID password.

    Travel Funding Application
    A form used by recognized student organizations or individual MSUM students to request funding for travel. Travel expenses must be related to the mission and goals of a student organization or co-curricular in nature if an individual. Upon completion of the form, please save it and submit electronically using the "SABC Supplemental & Travel Funding Request Submission Form" found under the Campus Links section of DragonCentral. You will need to log-in with your Star Id and Star ID password.