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Hello, Students!

Please complete the following form to submit a reimbursement for approval. Please enter information on only one request at a time, and fill-in information as completely as possible. Incomplete information will be rejected as well as request submitted after the activity start date.   

 

 

Robinson Scholars Class Information

Riembursement Type

Please indicate the start and end date for your activity (mm/dd/yr).
      Start Date End Date
   

I certify that the activity information provided on this form is complete and correct. Deliberate falsification may subject me to immediate dismissal from consideration for the Robinson Leadership Program. You will receive an email confirmation with approval or dissaproval of the proposed activity.

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