• Office of Student Activities Forms

Office of Student Activities

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    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 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 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 or gifts valued at $25 (or more) each, at an organization event. Recipients of the gift card(s) or gifts 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 or 381xxx campus account. The check is to be requested 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, please check with the Activities Business Manager to obtain help working through the PO process. 

    Special Expense Request Form
    Student Organizations must complete this form before they purchase apparel or food that will be shared with MSUM or state employees or  gift cards(any denomination) or gift items to give as a prize or use for an organization event or function(if 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 (SER) 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.

    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 emergency or additional operating funds or special event funds for use during the current fiscal year.**(not used for travel funds) Note:  This form must be submitted via Dragon Central. Upon completion of the form, save it , go to Dragon Central log in using your Star ID and password. Click on Campus Links, click on SABC Supplemental & Travel Funding Request Submission Form. Click on the words 'create a new one' in the first paragraph. Follow the instructions listed.

    Travel Funding Application
    A form used by recognized MSUM student organizations or individual MSUM students, to request funding for travel outside of a 35 mile radius of Moorhead/Fargo. Travel expenses must be related to the mission and goals of a student organization or academic in nature if an individual. Note: This form must be submitted via Dragon Central. Upon completion of the form, save it, go to Dragon Central  log in using your Star ID and password. Click on Campus Links, click on SABC Supplemental & Travel Funding Request Submission Form. Click on the words 'create a new one' in the first paragraph. Follow the instructions listed.