Instructional Leadership, emphasis: K-12 School Leadership (MEd)
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Sponsored project participant certification


The purpose of this form is to document the non-compensatory nature of participant payments made to or on behalf of participants in a sponsored workshop, conference, seminar, symposia or other short term training or information sharing activity. Participant expenses are incurred solely to fulfill the goals of a specific sponsored project. Participant expenses usually are travel costs associated with attendance at the sponsored workshop, conference, seminar, symposia or other short-term training or information sharing activity.

Participants are not required to perform any services other than attending and being engaged in the sponsored event or activity. Participants may be trainees where the participant is the primary beneficiary of the sponsored activity rather than NAU or a third party.

Sponsored project participant certification form

This field is for validation purposes and should be left unchanged.

Project information

Principal Investigator (PI) name
MM slash DD slash YYYY

Participant information

Participant name
Address
Is participant a U.S. citizen, resident alien, or permanent resident?
If “No,” payment amount is greater than $100, and tax treaty benefits are claimed, individual must complete the Alien Data Collection Form and IRS Form 8233. See Comptroller policy 425 Non-Resident Alien Payments.
Is participant currently enrolled as a NAU student?

Certification

This payment is for payment or expense reimbursement to a participant in a sponsored project where no services (including research related services) are required as a condition of receiving payment in connection with the sponsored activity.
Office of Sponsored Projects contact
PI or designated signature authority
MM slash DD slash YYYY
Digital signature

Updated 08/21/2024