Financial Aid Office Phone: 718-960-8545 Shuster Hall, Room 136 Fax: 718-960-8328 250 Bedford Park Blvd. West financial.aid@lehman.cuny.edu Bronx, NY 10468 2007 Lehman Logos Graduate TEACH Grant Renewal Application (2019-2020) Name ___________________________________________________________EMPLID: __________________________ Phone: ________________________ Last 4 Digits of SS# ______________ Expected Graduation Date: ______________ 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 . (13.1302) Art Teacher Education . (13.1305) English/Language Arts Teacher Program . (13.1307) Health Teacher Education I Understand That: 1. I must enroll for courses and accumulate credits necessary for teacher certification in one of the above subject fields. 2. I must file a new FAFSA and a new TEACH Grant Renewal Application for each year that I wish to receive TEACH Grant funds. 3. Each year of TEACH Grant participation requires that I complete a new TEACH Grant Entrance Counseling session and sign a new Agreement to Serve (ATS) contract. 4. Renewal of TEACH Grant funding requires that I maintain a cumulative Lehman College GPA of at least 3.25 or submit proof of scoring at or above the 75th percentile on a national college admissions test. 5. I must complete a four (4) year teacher service obligation, at a low-income (Title 1) school, within eight (8) years of finishing my teacher training. 6. 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 renew my TEACH Grant funding. If it is determined that I continue to be 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 Loan, with interest accrued and capitalized from the date(s) of original TEACH Grant disbursement(s). Once a TEACH Grant award converted to a loan, it cannot be converted back to a grant. ____________________________________________________________________________________________ YOUR SIGNATURE DATE YOUR EMAIL ADDRESS SUBMIT COMPLETED APPLICATION TO THE FINANCIAL AID OFFICE, Shuster Hall room 136