ROADS Professional Development Stipend Request Form

Please fill out this short form and upload a complete W9 form to receive a stipend check for the Artemis ROADS professional development workshop.

Information on Completing W9 Forms

NESSP must report stipends paid to the educator to the IRS. Please download a blank W9 form from the the IRS website:

W9 IRS Form

The following fields are required:

  • full name,
  • current address (where check will be mailed),
  • social security number,
  • signature, and
  • date.

Click or drag a file to this area to upload.
Form can be downloaded from IRS at Please make sure your form includes: a signature (do not just type it in use a digital pen or print and sign), your full name, your address, and your social security number. We cannot process incomplete W9s.