Office of Graduate Admissions Phone: 718-960-8777 Graduate TEACH Grant Application (2017-2018) 2007 Lehman Logos Shuster Hall, Room 150 Fax: 718-960-8712 Name ___________________________________________________________EMPLID: __________________________ 250 Bedford Park Blvd. West http://www.lehman.edu/lehman/grad-studies/ Phone: ________________________ Last 4 Digits of SS# ______________ Expected Graduation Date: ______________ Bronx, NY 10468 graduate.admissions@lehman.cuny.edu Indicate Your High-Need Subject Area . (13.0201) Bilingual Education . (13.1302) Elementary Education (grades 1-6) . (13.1210) Early Childhood Education (birth-grade 2) . (13.1330) Foreign Language Education (Spanish) . (13.1315) Literacy Studies . (13.1311) Mathematics Education . (13.1316) Science Education . (13.1015) Special Education: Early Childhood (birth-grade 2) . (13.1017) Special Education: Childhood (grades 1-6) . (13.1019) Special Education: Adolescent (grades 7-12) . (13.1401) TESOL I Understand That: 1. TEACH Grant is only available to students who are training to become certified teachers in a high-need subject field (see other side for Lehman College eligible programs) and who plan to teach in low-income (Title 1) schools. 2. I must enroll in courses and accumulate credits necessary for the completion of teacher certification in one of the above subject fields. 3. For each year that I wish to receive TEACH Grant funds, I must file a FAFSA (Free Application for Federal Student Aid). 4. Each year’s TEACH Grant award requires that I complete a new “Agreement to Serve” contract and completion of new TEACH Grant Entrance Counseling. 5. I must have an earned cumulative undergraduate and graduate GPA of at least 3.25 or submit proof of scoring at or above the 75th percentile on a national college admissions test. 6. Continued eligibility requires that I maintain a cumulative graduate GPA of 3.25 or submit proof of scoring at or above the 75th percentile on a national college admissions test. 7. I must complete a four (4) year service obligation, at a low income school, within eight (8) years of finishing teacher training. 8. Upon completion of each year of teaching service, it is my responsibility to submit to the Direct Loan Service Center documentation of such service. By signing this form, I certify that I have read this form and request that Lehman College determine my eligibility for TEACH Grant funds. If it is determined that I am TEACH Grant eligible, I further request that this grant be added to my financial aid award package. I understand that should I receive TEACH Grant funding and fail to complete the service obligation, all of my TEACH Grant funds will be converted into a Federal Direct Unsubsidized Stafford Loan, with interest accrued and capitalized from the date(s) of original disbursement(s). Once this grant is converted to a loan, it cannot be converted back to a grant. ____________________________________________________________________________________________ Student’s Signature Date Student’s Email Address SUBMIT COMPLETED APPLICATION TO THE GRADUATE ADMISSIONS OFFICE, SHUSTER HALL, ROOM 150 Check Lists *****This Side Is For Official Use Only***** Admissions Office 1. Has student been admitted to Graduate School? _____Yes ____No 2. What is the student’s teacher education subject area? _______________________________ 3. Have all academic transcripts received? _____Yes ____No List all schools: A) _______________________________________ UnderGrad ___or Grad___ B) _______________________________________ UnderGrad ___or Grad___ C) _______________________________________ UnderGrad ___or Grad___ D) _______________________________________ UnderGrad ___or Grad___ E) _______________________________________ UnderGrad ___or Grad___ Evaluation Check one and sign _____College Cumulative GPA: _________ _____National College Admissions Test, test name: ______________, Test score’s percentile _______ _____ Qualified current teacher or retired ______________________________ Reviewer’s signature and date Financial Aid Office Use Did student file a FAFSA? _____Yes ____No Did student complete ATS Contract/Entrance Counseling? _____Yes ____No What is the student’s pre T/G GPA? CUNYFirst Student Group Codes: TCHA: qualified via national admissions test TCHR: qualified via 3.25 GPA TCHG: qualifying retired or current teacher with NYS certification high need area