School Mentor Information And Stipend Request Form/form W-9 - Request For Taxpayer Identification Number And Certification

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Instructions for Completing the Stipend Paperwork
In order to receive your stipend for working with one of our student teachers
or interns this semester, you must complete the two attached forms and
return them to the Teacher Licensure Office. The stipend request and W9
must be completed in full (signature required on both forms and SSN
required on the W9) and returned as noted below. If you are not a US
citizen, please submit the W8BEN in lieu of the W9. Due to privacy
regulations these forms should not be sent via e-mail or fax. Please mail to
the following address:
Teacher Licensure Office
Liberty University
Box 710098, 1971 University Blvd.
Lynchburg, VA 24515
As soon as the stipend forms are received, an e-mail confirmation will be
sent to the e-mail on the stipend form. At the end of the semester, a
requisition will be submitted to Accounts Payable. The stipends will be
mailed from Accounts Payable to the resident address written on the W9
form. Please make sure you have answered all questions and have signed
both forms.
If you do not wish (or are not permitted) to receive the stipend for your
mentoring services, please make a note on the completed stipend
information form and mail it without the other documents. A signed W9 or
W8BEN is required in order to receive a stipend from Liberty University.
Nancy L. Hesse
Licensure Manager
School of Education
teacher@liberty.edu
(434) 582-2632

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