The Catholic University of America

Department of Education, The Catholic University of America (CUA)

Service Obligation Agreement for IDEA Scholarship Assistance

For Students Receiving Financial Assistance From IDEA Training Grants For Master's Level Training

This agreement is between the student named below (hereinafter "I" or "student") and the Department of Education of The Catholic University of America (CUA). The student is to be a recipient of a scholarship grant awarded by CUA under section 673 (20 U.S.C. § 1473) of the Individuals with Disabilities Education Act (IDEA)("the Program"). As an express condition for the receipt of these funds and participation in the program, the student agrees to the following:

A. Eligibility for Financial Assistance

In order to receive IDEA financial assistance I understand I must meet all of the following requirements:

1. Admission Requirements. I understand I must meet the minimum admission requirements for acceptance into the program. This includes obtaining a score on the Graduate Record Exam (GRE) or the Miller Analogies Test (MAT) established by CUA as a minimum acceptable score for admission as a candidate for a Master's degree, as well as meeting the other admission requirements set forth in the CUA Graduate Studies Announcements

2. Enrollment. I must be enrolled in a course of study at CUA in the Department of Education, leading to a degree, license, endorsement or certification related to special education, related services, or early intervention services ("Course of Study").

3. US Citizenship/Residency. I must satisfy the requirements for US citizenship or residency (34 CFR § 304.22(a)) before receiving financial assistance. These requirements are listed in Attachment A.

4. Conflict with Other Sources of Financial Assistance. I am prohibited from accepting educational allowances from other entities if doing so would conflict with my IDEA scholarship obligations.

5. Limit on IDEA Financial Assistance. The amount of IDEA financial assistance I am granted is limited to no more than the amount by which my cost of attendance at CUA exceeds the amount of grant assistance I receive for the same academic year under Title IV of the Higher Education Act. I give my consent for a representative of the CUA Department of Education to request any information from the University's Office of Student Financial Aid including the amount of grant assistance under Title IV, HEA I am receiving.

6. Certification of Eligibility for Federal Assistance. I must complete Certification of Eligibility for Federal Assistance in Certain Programs (ED form #80-0016). The completed form is attached to this agreement.

7. Satisfactory Academic Progress. I must maintain satisfactory progress in the Course of Study as determined by the CUA Department of Education in order to continue receiving IDEA financial assistance. I understand that if I receive two grades of 'C' for courses taken as part of the Course of Study, I will be subject to dismissal from the Program and that I will be dismissed from the Program if a third 'C' is obtained during the Course of Study. Once I am dismissed from the Program, I understand I will be liable for monetary repayment of scholarship assistance received up until that point in the program if I do not have the necessary credentials to work as a special education teacher or related service or early intervention provider, and thereby fulfill my Service Obligation.

B. Service Obligation

After completing my Course of Study, I will repay the financial assistance I received under IDEA by engaging in employment to provide special education, related services or early intervention services (the "Service Obligation"). Such employment must meet the requirements of 34 CFR § 304.23 and must be:

1. For the provision of special education or related services to children with disabilities or the provision of early intervention services to infants and toddlers with disabilities and their families;

2. For a period of at least two (2) years for every academic year (full-time equivalent) that I received scholarship assistance;

3. On a full time basis, or part time if it meets the conditions set forth in the last paragraph in this section B.

4. Provided in a position where the majority of children I serve are children receiving special education, related services, or early intervention services or provided in a position where I spend a majority of my time providing special education or related services to children with disabilities or early intervention services to infants and toddlers with disabilities.

Work in a general education setting will be considered to meet the service obligation if the individual's primary purpose for being in that setting is to provide IDEA services to children with disabilities.

I agree to complete the Service Obligation within the sum of the number of years of service required plus three (3) additional years after the date I complete the Course of Study for which the scholarship was awarded, in addition to any deferral which is allowed by The CUA Department of Education under 34 CFR §304.31(b). (pay back period)

If the work is part time, the student must accumulate enough part time work on a full time equivalent basis within the pay back period. For example, a student who received two years of financial assistance, has a four year Service Obligation. Working full time for two years, and half time for four, would mean the four year Service Obligation is paid back in seven years, (the sum of the number of years required plus three). I understand what constitutes "full time employment" will be determined by my future employer or the agencies I serve.

C. Cash Repayment Option

I may choose to satisfy my Service Obligation by paying the federal government back for the financial assistance I receive under the IDEA. If I do not meet the Service Obligation under this agreement, I will repay to the United States Secretary of Education the amount of scholarship assistance I received that is proportional to the Service Obligation not completed. These amounts shall be paid with accrued interest and any collection fees that may be applied.

D. Exit Agreement

Upon completion of the Course of Study, I shall sign a written certification before leaving CUA that identifies:

1. The number of years I must work to satisfy the Service Obligation;

2. The total amount of scholarship assistance I received that is subject to the work-or-repay provisions of this agreement;

3. The time period during which I must complete the Service Obligation; and

4. The information, as determined necessary by The CUA Department of Education, that I must provide at least annually so that the CUA Department of Education can determine my progress in meeting the Service Obligation under this agreement. Among the information to be requested will be my address, telephone number, and e-mail during the period of the Service Obligation; type and location of employment position; and the name of a contact person for my employer during the Service Obligation period.

E. Scholarship Informaton to Be Completed by CUA Department of Education

Grant #: ___________________________________

Project Director: ___________________________________

Anticipated Duration of Scholarship: ___________________________________

Anticipated Amount of Scholarship: ___________________________________

Academic Year: _________________

Tuition $_____________

Stipend $_____________

I have read Attachment A (Supplementary Information and Forms), provided the information requested of me in this Agreement and Attachment A to the IDEA personnel preparation Project Director (or designee), and agree to the requirements outlined above as a condition for accepting scholarship funds.

IN WITNESS WHEREOF, the parties have executed this Agreement on the day and year set forth below:

Student Name: ________________________________________

Student Signature: ________________________________________

Address: ________________________________________

________________________________________

Date: ________________________________________

Name and Address of Parents or Other Party who will always have an Address for you

______________________________________________________________________________
______________________________________________________________________________

CUA Dept. of Education Representative ______________________________________

Date:__________________________________

Attachment A

Supplementary Information and Forms for Service Agreement for Scholarship Grant Under IDEA

Student Responsibilities Prior to Receiving IDEA Assistance

In order to complete the written service agreement, a student who will receive financial assistance from an IDEA personnel preparation grant will first need to meet certain requirements. The Department of Education faculty member who is the Project Director for the IDEA grant from which the student will receive financial assistance can assist in the following, upon request.

1. Student must meet US citizenship or residency requirements list in the IDEA regulations at 34 CFR § 304.22(a). (See page 2).

2. If the student will be receiving financial assistance from another entity while receiving IDEA financial assistance, he/she must determine that there are no conflicts between the obligations of the IDEA financial assistance and the financial assistance provided by the other entity. Such conflicts are not permitted for persons who receive IDEA financial assistance. The Project Officer of the IDEA personnel preparation grant can help the student in making this determination, upon request.

3. Student must complete the Certification of Eligibility for Federal Assistance (US Form #80-0016), which can be found online .
4. If the student will be receiving grant assistance under Title IV of the Higher Education Act while also receiving IDEA assistance, he/she must provide the Department with documentation of the amount of Title IV grant aid he or she is receiving. Such documentation should be available from the office(s) which arranged for the provision of Title IV aid (e.g., the CUA Office of Student Financial Aid). The IDEA grant Project Director can assist in obtaining this information, upon request.

5. Student must enroll in a course of study within the Department of Education leading to a degree, license, endorsement or certification related to special education, related services, or early intervention services.

Department of Education faculty or staff will verify that the above requirements have been met prior to disbursement of IDEA financial assistance.


US Citizenship or Residency

In order to be eligible for financial assistance from an IDEA personnel preparation grant, a student must meet one of the conditions listed in 1-3 below:

(1) Be a citizen or national of the United States;

(2) Be a permanent resident of --

· Puerto Rico, the United States Virgin Islands, Guam, American Samoa, or the Commonwealth of the Northern Mariana Islands; or

· The Republic of the Marshall Islands, the Federated States of Micronesia, or the Republic of Palau (during the period in which these entities are eligible to receive an award under the program); or

(3) Provide evidence from the U.S. Immigration and Naturalization Service that he/she is-

· A lawful permanent resident of the United States; or

· In the United States for other than a temporary purpose with the intention of becoming a citizen or permanent resident.





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