Student Stipend Agreement Letter - OPERS Optional Exemption Form

Sep 15, 2026

Uploaded by Graffin

Student Stipend Agreement Letter outlines an undergraduate research team opportunity that includes stipend support, setting high ethical expectations and performance standards throughout each project semester. Stipend payments occur after the advisor approves period milestones, with due dates listed in Table 1. Table 2 summarizes student commitment and financial support, including stipend and allowances, and clarifies that stipends are not eligible for OPERS benefits. The document also includes an optional student OPERS membership exemption request with personal and employer authorization sections and OPERS office-use approval stamping.

LanguageEnglish

CategoryLetters

FormatPDF

Pages4

Reading Time2 min

AccessFree to download

Student Stipend Agreement Letter

Program expectations and stipend payment timing

Milestones and due dates (Table 1)

Commitment and financial support summary (Table 2)

Signature requirements and student information

Optional OPERS student exemption request

Employer authorization and OPERS office use only

Student Stipend Agreement Letter Sponsor: Project Title: Dear Banner Index: Account Code: Rocket Number: We are excited to offer you an undergraduate research educational opportunity on our team. This opportunity includes stipend support. We have very high expectations for participating students and we anticipate that participants will meet and even exceed those expectations. Expectations for each semester are outlined below: The entire time that you are involved in the project: You will adhere to the highest standard of ethics at all times. You will aim to produce the best quality effort possible within the time requirements specified in this offer letter. You will also contribute to the positive and supportive environment of the team. As explained in Table 1, your stipends will be paid after your advisor approves the corresponding milestones for that period. Table 1: Due dates and list of milestones that need to be approved by your advisor before you can receive the stipend. | Date | The following milestones have to be approved by your advisor before you can receive the stipend | Stipend Amount ($) | | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | Your commitment and the financial support you will receive from the project is summarized in Table 2. Table 2: Summary of commitment and the financial support you will receive from the project. | Semester and Year | | | | | --- | --- | --- | --- | | Estimated time commitment | | | | | Engagement | | | | | Stipend | | | | | Housing Allowance | | | | | Food Allowance | | | | | | | | | | | | | | | | | | | Please note that this is a stipend and is not eligible to receive OPERS benefits. Your signature indicates your commitment to meeting the requirements explained in this offer letter. Student Name Printed: Student Signature: Date Supervisor Name Printed: Supervisor Signature: Date REQUEST FOR: OPTIONAL EXEMPTION AS A STUDENT Ohio Public Employees Retirement System 277 East Town Street, Columbus, Ohio 43215-4642 1-800-222-PERS (7377) [www.opers.org](www.opers.org) | STEP 1: Personal Information and Student (to be completed by student) | | | | --- | --- | --- | | Social Security Number
|
Daytime Phone Number | | | Employee ID Number
First Name | | | | | | | | Last Name | | | | | | | | E-mail Address | | | | | | | | Name of School, College or University | | | | | | | | I have reviewed this form and I choose an optional exemption from membership in OPERS as a student working at the public school , college or university where I attend. I understand I must become a member of OPERS if my employment does not meet the proper requirements. I have made this election within 30 days of my employment date.
Today’s Date
Month Day Year
Student Signature
Do not type name

STEP 2: Employer Authorization (to be completed by employer contact with signature authority)
I certify this employee is a student
Employer contact with signature authority
enrolled and attending this school. I understand if this request is approved by OPERS, this form will be stamped “APPROVED”and returned to this school. After the school receives the approved exemption, provided the student meets all required criteria, no deductions will be taken from the student’s salary. Membership shall be established if this exemption is not approved or if employment does not meet the requirements of Ohio Revised Code Section 145.03.
Employee Employment Date

Today’s Date
Month Day Year
Employer Contact Signature
Do not type name | | | | DO NOT WRITE BELOW THIS LINE-FOR OPERS OFFICE USE ONLY | | | Date Rec’d Stamp “APPROVED” Stamp F-3 (Revised 04/2019)

FAQs

When will the student receive the stipend?

Stipends are paid after the advisor approves the corresponding milestones for that period, based on the due dates in Table 1.

What does the agreement require the student to do throughout the project?

The student must follow the highest ethical standards, produce the best quality effort within the specified time requirements, and contribute to a positive and supportive team environment.

Is the stipend eligible for OPERS benefits?

No. The letter states that it is a stipend and is not eligible to receive OPERS benefits, while also providing an optional OPERS membership exemption option for qualifying student employment.

Sep 15, 2026

Uploaded by Graffin