Community Development Work
U.S. Department of Housing
OMB Approval No. 2528-0175
Study Program
and Urban Development
(exp. 9/30/2010)
Student Budget Sheet
Office of University Partnerships
The information collection requirements contained in this notice of funding availability and application kit will be used to rate applications, determine
Eligibility, and establish grant amounts for the Community Development Work Study Program, (CDWSP). Total reporting burden for collection of this
information is estimated to average 1 hour. This includes time for reviewing instructions, searching existing data resources, gathering and maintaining
the data needed, completing and reviewing the collection of information. The information submitted in response to the notice of funding availability for
CDWSP is subject to the disclosure requirements of the Department of Housing and Urban Development Reform Act of 189 (Pub.L. 101-235, approved
December 15, 1989, U.S.C. 3545). The agency may not conduct or sponsor, and a person is not required to, a collection of information unless the
collection displays a valid control number.
___
Name of Institution of Higher Education
Date Submitted: _
YEAR ONE
YEAR TWO
Number of Students
TOTAL
CATEGORY
(Per Student)
(Per Student)
(Both years,
All students)
Non-
Non-
Non-
Resident
Resident
Resident
Resident
Resident
Resident
Administrative
Allowance
(Maximum = $1,000)
Work Stipend
(Maximum = $9,000)
Tuition, Fee and
Additional Support
(Maximum = $5,000)
Totals
Total requested per resident student for the two years combined: $ ___________
Total requested non resident student for the two years combined: $ ___________
The requested WORK STIPEND is based on the prevailing hourly rate of $ ________for initial entry positions
in the community and economic development field for graduate students multiplied by______ hours per
semester/quarter multiplied by semesters/quarters and if applicable, ______ hours during the summer for the yearly
per student total work stipend.
The request TUITION AND FEES per resident student for the two years combined: $ _________
The request TUITION AND FEES resident student for the two years combined: $ _________
To support the request above, a tuition and fee schedule is attached to this document:
Yes_____ No _____
ADDITIONAL SUPPORT may cover books and other educational supplies ($_________), travel expenses for the
students ($ _________), Professional association dues ($_________),
and other, i.e., computer diskettes _______ ____ ($___________).
Previous versions obsolete
form HUD 30015 (10/2002)
Submit and Original and three copies