MSE Peer Mentor Reimbursement Request Form

Peer Mentors may submit receipts for reimbursement for coffee and a light snack purchased at meetings with their mentee(s).

The receipt must clearly show the date, location, and items purchased.
Mentors are required to include the mentor’s name, mentee(s) name(s) in the text box provided.
Each submission will be reviewed by the Peer Mentorship Program leaders and the Graduate Programs Manager.
Receipts should be submitted in a timely manner.
The reimbursement will be by check, issued by Boston University. Mentors will be contacted when the check is ready for pickup in the Division.

Questions? Please contact Christine Ritzkowski, Graduate Programs Manager, mse@bu.edu or 617-358-0351.

Mentor's Name*
First Last
Mentor's Email*
Name(s) of Mentor/Mentee(s)*
Mentor's Phone*
Receipts (pdf)*
Drop files here or

Accepted file types: pdf, jpg, Max. file size: 5 MB.
Please make sure that each receipt clearly shows the date, vendor, location, coffee/food purchased, AND write the mentee's name on the receipt. Thank you!