Office of Graduate Studies Phone: 718-960-8972 Shuster Hall, Room 279 graduate.studies@lehman.cuny.edu 250 Bedford Park Blvd. West Bronx, NY 10468 2007 Lehman Logos Graduate TEACH Grant Application (2020-2021) Name ___________________________________________________________EMPLID: __________________________ Phone: ________________________ Last 4 Digits of SS# ______________ Expected Graduation Date: ______________ Indicate Your High-Need Subject Area from the List Provided Program: ____________________________________________________ I Understand That: 1.TEACH Grant is only available to students who are training to become certified teachers in a high-need subject field (seeother 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 abovesubject fields. 3.For each year that I wish to receive TEACH Grant funds, I must file a FAFSA (Free Application for Federal StudentAid). 4.Each year’s TEACH Grant award requires that I complete a new “Agreement to Serve” contract and completion of newTEACH 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 orabove 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 abovethe 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 teachertraining. 8.Upon completion of each year of teaching service, it is my responsibility to submit to the Direct Loan Service Centerdocumentation 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 279 Check Lists *****This Side Is For Official Use Only***** Graduate Studies 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 TEACH GRANT HIGH NEED PROGRAMS & CODES IRP Codes Program Names 25929 Art Teacher, All Grades: (Undergraduate) 25953 Art Teacher, Visual Arts: (Graduate MA) 34575 Bilingual Extension-Special Education: ITI (Advanced Cert.) 25928 Bilingual Extension: Special Education, Intensive Teacher Institute (Advanced Cert.) 34574 Bilingual Extension-General Education: ITI (Advanced Cert.) 25940 Biology (Teacher Education) (Undergraduate) 25941 Chemistry (Teacher Education) (Undergraduate) 25780 Early Childhood Education - Minor to Masters (Graduate MSED) 25776 Early Childhood Education with Bilingual Extension - Minor to Masters Bilingual (Graduate MSED) 25800 Elementary Education, General - Childhood (Graduate MSED) 25803 English Education, Grades 7-12 (Graduate MSED) 27816 English Teacher, Grades 7-12 (Advanced Cert.) 25935 English Teacher, Grades 7-12 (Undergraduate) 32668 Geology (Teacher Education) (Undergraduate) 25951 Health Teacher, All Grades (Graduate MSED) 28063 Language Other Than English (Advanced Cert.) 36464 Literacy Teacher, Birth- Grade 6 and Special Education, Grades 1-6 (Dual Certification; Graduate MSED) 36931 Mathematics and Instruction, 7-12 (Graduate MA) 25939 Mathematics Teacher Education, Grades 7-12 (Undergraduate) 27817 Mathematics Teacher, Grades 7-12: Gifted Extension (Advanced Cert.) 25827 Mathematics Teacher, Grades 7-12: Math 5-9 (Graduate MSED) 25797 Minor to Master's Bilingual (Graduate MSED) 25942 Physics (Teacher Education) (Undergraduate) 25809 Reading Teacher, Birth-6: Literacy Studies (Graduate MSED) 25806 Reading Teacher, Grades 5-12 : Literacy Studies (Graduate MSED) 27818 Science Teacher, Grades 7-12 (Advanced Cert.) 25791 Science Teacher, Grades 7-12 (Graduate MSED) 33999 Spanish Teacher, Grades 7-12 (Graduate MA) 25938 Spanish Teacher, Grades 7-12 (Undergraduate) 35675 Special Education Teacher, Birth-Grade 2 (Advanced Cert.) 25815 Special Education Teacher, Birth-Grade 2 (Graduate MSED) 35676 Special Education Teacher, Grades 1-6 (Advanced Cert.) 25812 Special Education Teacher, Grades 1-6 (Graduate MSED) 35677 Special Education Teacher, Grades 7-12 (Advanced Cert.) 25829 Special Education Teacher, Grades 7-12 (Graduate MSED) 27026 Teaching English to Speakers of Other Languages (Advanced Cert.) 25784 Teaching English to Speakers of Other Languages (Graduate MSED)