Federal TEACH Grant Service Obligation Acknowledgement
Student Name:________________________________
ID#________________________________
One University Circle, Turlock, CA 95382
Telephone (209) 667-3336 Fax (209) 664-7064
csustan.edu/financialaid
Federal TEACH Grant
Service Obligation Acknowledgement
Dear Freshman/Sophomore Student,
We have confirmed your request and eligibility to receive the Teacher Education Assistance for College and Higher
Education (TEACH) Grant for the ______
term.
This Federal program provides funds to eligible students who agree to teach in a high-need field for at least four years at
an elementary school, secondary school, or educational service agency that serves students from low-income families. If
you do not complete your service obligation, all TEACH Grant funds you¡¯ve received will be converted to a Direct
Unsubsidized Loan that you will be required to repay with interest charged from the date the TEACH Grant was
disbursed.
For further consideration, please initial each area, sign and return this form to the Financial Aid & Scholarship Office.
1.______ I acknowledge that I plan on teaching at least four years, within eight years, in a high-need field at an
elementary school, secondary school, or educational service agency serving low income families.
2.______ I acknowledge that my service obligation begins after I complete, or otherwise cease to be enrolled in
the academic program for which I received TEACH Grant funds.
3._______I acknowledge that unless I receive a suspension of the eight-year period for completing my service
obligation or my service obligation has been discharged, I must initially confirm to the Department of Education
(FedLoan Servicing Center) in writing within 120 days after I have completed or otherwise ceased to be enrolled
in the program for which I received a TEACH Grant that:
? I am employed as a full-time teacher in accordance with the terms and conditions of the service
agreement; or
? I am not yet employed as a full-time teacher, but intend to meet the terms and conditions of my service
obligation as described in the service agreement.
4._______I acknowledge that after completing each of the four required school years of teaching service, I must
provide the Department of Education (FedLoan Servicing Center) with documentation of that teaching service by
submitting to them the completed and signed ¡°TEACH Grant Certification¡± form.
5._______I acknowledge that if I do not fulfill my service obligation within eight years after I complete or otherwise
cease to be enrolled in the program for which I received my TEACH Grant(s), all of the TEACH Grant funds I
received will be converted to a Federal Direct Unsubsidized Loan that I will be required to repay with interest
charged from the date of each TEACH Grant disbursement.
By signing below, I acknowledge that I fully understand the requirements of my teaching service obligation.
Student Signature
Date
................
................
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