NDE 36-002
Nebraska Department of Education
Office of Accreditation, Accountability, and Program Approval
Rev. 2/2021
Page 1
Enhancing Excellence in Teaching Program
Application for Funds 2021-2022 Award Year
For classes BEGINNING July 1, 2021 June 30, 2022
The Enhancing Excellence in Teaching Program (EETP) provides forgivable loans to teachers who are enrolled in
an eligible graduate program at an eligible Nebraska institution. Prior to completing this application, please
review the program information, including eligibility criteria, program requirements, and fund disbursements,
on the Nebraska Teacher Education web site at:
https://www.education.ne.gov/educatorprep/eetp-current-teachers/
This application may be completed on paper or online and printed. Save a copy of the completed application
for your records.
REQUIRED FIELDS
APPLICANT INFORMATION
Are you a prior EETP award recipient?
Yes
No
Last Name, First Name MI
Street Address/PO Box
City
State
Zip +4
Phone
Email: To be used for EETP award messages beginning in June (max of 2)
Other Last Name(s) used for Certification
To look-up your assigned NDE Staff ID click here or enter https://dc2.education.ne.gov/tc_lookup/ into your browser.
EMPLOYMENT INFORMATION for 2020-21 school year
School District/System
School Building/School
Street Address/PO Box City. State Zip Code
I, as administrator or designated representative of the school district, school, or Educational Service Unit
provided above, verify that the applicant is employed as a teacher by the school district or school provided
above.
Signature of Administrator or a Designated Representative and Title
Date
If signed by a Designated Representative please print their Name and Title
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NDE 36-002
Nebraska Department of Education
Office of Accreditation, Accountability, and Program Approval
Rev. 2/2021
Page 2
GRADUATE PROGRAM INFORMATION
Institution
Student ID #
Anticipated Completion Date (MM-YY)
Please indicate the qualifying category that applies to the graduate program in which you are enrolled.
Categories 1, 3, 4 and 5 require the completion of a graduate degree program.
Administrative degrees are not eligible.
1. Shortage Area. Graduate degree program in a shortage area, as determined by the Nebraska
Department of Education, at the time of the current award period.
Shortage Area Program
2. Shortage Area. Certificate Endorsement graduate program in a shortage area, as determined by the
Nebraska Department of Education, at the time of the current award period.
Shortage Area Endorsement
3. Curriculum and Instruction. Graduate degree program resulting in a degree in curriculum and
instruction.
4. Advanced Degree. Graduate degree program in the subject area for which a teaching endorsement is
already held.
Current Endorsement Held
5. Endorsement Requested by School Administrator. Graduate degree program for a teaching
endorsement, not considered a shortage area, as requested by the administrator of the school district,
school, or Educational Service Unit at which you are employed.
A statement, signed by the administrator of the school district, school, or Educational Service Unit at
which you are employed, which provides support that the graduate degree program in which you are
enrolled will result in a teaching endorsement that will be beneficial to the students of the school
district or school must be submitted with this application.
Endorsement Requested
FINANCIAL REQUEST
Enhancing Excellence in Education Program awards may be applied for on an annual basis in an amount of not more
than $175 per credit hour, up to a maximum of $3000 for 18 credit hours. Eligible coursework includes classes that
have been identified by the institution in which you are enrolled as part of your graduate program and that begin
during the award period (July 1, 2021 June 30, 2022).
Please indicate the number of credit hours for which you are requesting EETP funds.
$
The Total Amount Requested field will automatically populate by
multiplying the number of credit hours (maximum of 18) by
$175. The maximum award will be $3000.
Number of Credit Hours
X $175 =
Total Amount Requested
0
NDE 36-002
Nebraska Department of Education
Office of Accreditation, Accountability, and Program Approval
Rev. 2/2021
Page 3
APPLICANT SIGNATURE
I hereby attest that the information on this application and any related documents is true, complete and
accurate. I acknowledge that if my application is approved, I must enter into a contract with the Nebraska
Department of Education prior to receiving any funds. I certify that I intend to complete the eligible graduate
program on which my eligibility for this award is based and maintain certification and employment as a full-
time teacher in Nebraska for the time period equal to the number of years required for award forgiveness. If I
fail to meet the requirements of award forgiveness pursuant to Section 79-8,137.04 R.R.S., the award becomes a
loan and I agree to repay the loan in accordance with the laws and regulations of the Excellence in Teaching
Act.
United States Citizenship Attestation
For the purpose of complying with Neb. Rev. Stat. §§4-108 through 4-113, I attest as follows (choose one):
I am a citizen of the United States.
I am a qualified alien under the Federal Immigration and Nationality Act, my immigration status and
alien number are as follows:
and I agree to provide a copy of my USCIS documentation upon request.
I hereby attest that my response and the information provided on this form and any related
application for public benefits are true, complete, and accurate and I understand that this information
may be used to verify my lawful presence in the United States.
Signature of Applicant
Date
The completed application and all supporting documentation are to be submitted to the designated contact person at the
institution in which you are enrolled per instructions on their EETP information page accessed from the EETP Application
Information webpage at:
https://www.education.ne.gov/educatorprep/eetp-current-teachers/enhancing-excellence-in-teaching-program-application-page/
Applications submitted for consideration of an EETP loan will undergo an initial review by the institution in which you are
enrolled and will then be forwarded to the Nebraska Department of Education (NDE) for final review and approval.
INSTITUTION USE ONLY
I, as program chair or designated representative of the graduate program at the institution above, verify that the
applicant is a resident Nebraska student pursuant to Section 79-8,133 R.R.S. and is officially enrolled in the
institution and graduate program above as evidenced by the attached Program of Study.
Signature of Teacher Education Program Chair or a Designated Representative
Date
Print Name and Title
It is the policy of the Nebraska Department of Education not to discriminate on the basis of gender,
disability, race, color, religion, marital status, age, or national origin or genetic information in its educational
programs, administration policies, employment or other agency programs.
This application is a public record.
NDE USE ONLY
Approved:
Yes No
Reviewer:
Reason for Denial:
Date:
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