New Mexico Higher Education Department

New Mexico Higher Education Department

New Mexico Teacher Loan Repayment Program (TLRP) 2019 APPLICATION (2 REOPENED)

The purpose of the Teacher Loan Repayment Program (TLRP) is to increase the number of teachers in designated high-need teacher positions in public schools through an educational loan repayment program. The program provides for repayment of the principal and reasonable interest accrued on loans obtained from the federal government for teacher education purposes.

Eligibility Requirements: High-need positions are considered to be filled by teachers that:

? Have an endorsement and currently teach bilingual education; ? Have an endorsement and currently teach early childhood education or special education; ? Have an endorsement and currently teach science, technology, engineering, mathematics or

career technical education courses; or ? Teach in a low performing school which serves a high percentage of economically disadvantaged

students (40% or more of the students receive free & reduced lunch).

In order to be eligible for this program you must meet the following requirements:

? Bona fide citizen of the United States; ? Bona fide New Mexico resident (12 consecutive months); ? Licensed New Mexico teacher; ? Have taught at least three years in New Mexico; ? Preference is given to graduates of New Mexico public post-secondary institutions; ? Teaching in one of the high-need teacher positions listed above (minority teachers filling a high

need position are given preference).

Decisions on funding will be made on a case-by-case basis.

Award Amounts: Awards will be determined by an applicant's overall reported educational debt at the time of application. *Recipients will be required to sign a contract committing to serve at an eligible employment site for a period of two (2) school years. Eligibility for funding will be reviewed on an annual basis and may be adjusted due to changes in annual income or changes in legislative funding. Payments will be made directly to your student loan provider on an annual basis upon submission of an Employment Verification Form (EVF) each year. Upon completion of the two-school year service commitment, you are eligible to reapply.

Application Process: Please Submit:

? Complete application; ? Letter from applicants' employer on district or school letterhead listing the applicants' current

teaching position; ? Copy of applicants' New Mexico teaching contract for at least three years; ? Copy of valid New Mexico teaching license; ? Copy of driver's license; ? Unofficial transcript(s); ? Proof of all loans/loan debt information listed in Section D.

The application and all supporting documents MUST be received by 5:00PM on October 10, 2019. Applications received after the deadline date/time will not be accepted under any circumstance. Faxed or emailed copies will NOT be accepted.

Please mail your application packet to the address listed below.

New Mexico Higher Education Department Financial Aid Division

2044 Galisteo Street, Suite 4 Santa Fe, NM 87505-2100

Please DO NOT staple any documents within your application packet. Please binder clip or rubber band the entire packet together.

New Mexico Higher Education Department

New Mexico Teacher Loan Repayment Program (TLRP) 2019 APPLICATION (2 REOPENED)

Section A: Applicant Information Complete ALL Sections

Full Name:

Permanent Address:

Last Street Address

First

M.I.

Apartment/Unit #

City

Contact Phone:

(

)

Last four digits of SS#

Work Phone:

State

(

)

ZIP Code

Date of Birth:

Email Address:

Previous name(s) under which records may be kept:

Gender: Male Female

NM Drivers License #:

Expiration:

Race: (Optional-strongly recommended): Black or African American White Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native Middle Eastern/North African Other Decline to Answer

Ethnicity: Hispanic or Latino Non-Hispanic or Latino Unknown or Decline to Answer Are you a New Mexico resident? Yes No If yes, when was residency established?

School District:

School District County:

Name of School:

Current Teaching Position:

List the month and year you were officially hired as a licensed teacher in New Mexico?

List the month and year you were officially hired as a licensed teacher within your current school?

Is this a Renewal Application?

Yes No

Are you employed full-time?

Yes No

Level: Pre-K

Elementary

Middle School

High School

Check all that apply for your current position:

*If you are endorsed to teach one of the following, but are not currently in the teaching position DO NOT check the box.

Current Bilingual Education

Current Technology Teacher

Current Career Technical Education

Teacher

Course Teacher

Current Early Childhood Education Teacher

Current Special Education Teacher

Current Gross Annual Salary:

Current Engineering Teacher

Current Science/Mathematics

Teacher

Currently teaching in a low performing school which services a high percentage of economically disadvantaged students (40% or more of students receiving free & reduced lunch)

List one personal reference with separate contact information who may be reached for your most current information if needed: Full Name:

Address:

Last Street Address

First

M.I.

City

State

ZIP Code

Primary Phone:

Relationship:

New Mexico Higher Education Department

New Mexico Teacher Loan Repayment Program (TLRP) 2019 APPLICATION (2 REOPENED)

Section B: Education

Undergraduate Education BA/BS (Specify Major): Name of Institution: Date of Graduation: Graduate Education Program: Name of Institution: Date of Graduation:

Please list all NMPED Licenses and Endorsements:

City/State: City/State:

Section C: Financial Obligations

Have you ever been obligated under the New Mexico Teacher Loan-for Service Program?

If yes, have you completed your service obligation (monetary or service repayment)?

Have you ever been obligated under the Federal Teacher Loan Forgiveness Program? If yes, what was the total forgiveness amount: $

Did you apply to the New Mexico Teacher Loan Repayment Program during the previous application cycle?

Have you participated in the New Mexico Teacher Loan Repayment Program in the past? Have you recently applied for the Federal Teacher Loan Forgiveness Program? Have you discharged your obligation under the programs mentioned above (New Mexico Teacher Loan For Service, Federal Teacher Loan Forgiveness, or other programs)? If no, when will your obligation be satisfied?

Date:

Program:

Have you ever defaulted upon an education loan, loan repayment obligation or scholarship program?

If yes, please explain:

Yes No Yes No Yes No Yes No Yes No Yes No Yes No N/A

Yes No

New Mexico Higher Education Department

New Mexico Teacher Loan Repayment Program (TLRP) 2019 APPLICATION (2 REOPENED)

Section D: Student Loan Debt/Proof of Debt

Loans eligible for repayment assistance are any loans for education obtained for tuition, educational expenses, or living expenses from a college, university, government, or commercial source. The loan repayment program offers assistance in repayment of educational loan debt in exchange for service. However, it is the participant's responsibility to make timely payments to lenders. Please list all of your eligible loans by priority, meaning the education loan you prefer to be paid first will be listed as #1.

Payments cannot be split between lenders. NMHED must be given a 60 day notification if there is a change of lender. NMHED can only change lenders in case of payoff or consolidation. It is the participant's responsibility to notify NMHED of a change in lender due to payoff or consolidation. Failure to notify NMHED will result in a delay of payment. If your educational loan is administered by a private lending company, the loan may not be eligible for loan repayment assistance. If there is insufficient space to list all loans, attach additional loan information. All balances MUST match current student loan statements to be eligible. Please ensure you have placed the Total Outstanding Balance at the bottom. Each statement MUST match the table below.

Priority #1 Lender/Servicer:

Outstanding balance:

Payment Mailing Address: Priority #2 Lender/Servicer:

Outstanding balance:

Payment Mailing Address: Priority #3 Lender/Servicer:

Outstanding balance:

Payment Mailing Address: Priority #4 Lender/Servicer:

Outstanding balance:

Payment Mailing Address: Priority #5 Lender/Servicer:

Outstanding balance:

Payment Mailing Address: Priority #6 Lender/Servicer:

Outstanding balance:

Payment Mailing Address: Priority #7 Lender/Servicer:

Outstanding balance:

Payment Mailing Address:

Total Outstanding Balance:

Please submit a current loan statement for every loan listed. Balances on sheet MUST MATCH current loan statement(s). Loan statement(s) date MUST be between May 2019-August 2019.

*Any and all loans consolidated with a spouse will not be considered.

New Mexico Higher Education Department

New Mexico Teacher Loan Repayment Program (TLRP) 2019 APPLICATION (2 REOPENED)

Section E: Applicant Certification

I understand my application packet will not be considered complete unless all sections within the application are complete and all documents are submitted as attachments:

Section A: Applicant Information Attach a copy of all current NMPED teaching licenses and endorsements. Attach copies of New Mexico teaching contracts for at least three years. Attach a copy of your driver's license. Attach a letter from your employer on district or school letterhead listing your current teaching position.

Section B: Education Information Attach your unofficial transcript(s).

Section C: Financial Obligations

Section D: Student Loan Debt/Proof of Debt Attach a copy of a current loan statements (May 2019-August 2019) for each loan listed in Section D.

Section E: Please be sure application packet is complete. Sign and date the application certification.

By signing below, I am certifying that I understand the original application must be received by 5:00PM on October 10, 2019. Faxed or emailed copies will not be accepted. Applications postmarked by October 10th but received by NMHED after the October 10th deadline will not be considered. I understand all sections MUST be completed in full for consideration.

I understand that all awards are subject to the availability of funds.

I understand that all awards paid to my student loan provider are considered non-taxable income according to the Internal Revenue Service.

I understand that if I am selected as a participant of the New Mexico TLRP, it is solely my responsibility to make timely monthly payments to my lender/servicer. NMHED is under no obligation to make monthly payments or payment arrangements with my education loan lender/servicer.

I understand that the TLRP program is committed to serving the teachers of New Mexico. If I am selected as a participant I agree to submit a signed contract of commitment to provide service in New Mexico at the site under which I have submitted this application for a minimum of two school years.

All of the attachments and the information provided for this application is true and completed to the best of my knowledge. If asked by the New Mexico Higher Education Department, I will provide proof of the information I have reported on this application.

I understand all information can and will be used in a legal capacity if necessary.

The TLRP is an extremely competitive program. Please ensure your packet is complete. Incomplete packets will not be reviewed for funding. I understand the Financial Aid Division will not release any information regarding the completion of my application packet. I understand once my application is received, no additional documents may be added to my application packet.

Signature

Date

New Mexico Higher Education Department Financial Aid Division

2044 Galisteo Street, Suite 4 Santa Fe, NM 87505-2100

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