II. Return Information
A full set of completed, original application materials is required in order to be
considered to receive grant funds. Mail your complete set of original documents to:
Santa Barbara County Education Office
ATTN: Credentials Services
PO Box 6307
Santa Barbara, CA 93160-6307
Originals required: Scanned, faxed, or photocopied documents will not be
considered.
III. Statement of Commitment
By signing this statement, I attest under penalty of perjury that I am the individual
named on the attached application. Further, I attest to the best of my
understanding that I meet all requirements for receipt of Local Solutions Grant
funds and agree to adhere to all conditions as described in the enclosed
information.
Applicant Full Legal Name: __________________________________________________
Applicant Signature: _________________________________________________________
Today’s Date: _______________________
Authorizing Legislation Information
Section 39: Article 16. Teacher Recruitment, Retention, and Support Grant Programs
44416
(2) (A) A teacher participant who receives a teacher service scholarship, signing bonus, or student debt payment shall
agree to teach at a school within the jurisdiction of the grant recipient and work as an education specialist serving a
caseload of pupils who receive special education services in a special education setting for four years, and the teacher
participant shall have five years to meet that obligation.(B) A teacher participant who fails to complete the service
obligation described in subparagraph (A) shall reimburse the sponsoring grant recipient the amount of grant funding
received as a teacher service scholarship, signing bonus, or student debt payment. The amount to be reimbursed shall
be adjusted proportionately to reflect the service provided if the teacher participant taught at least one year, but less
than the required four years, at the sponsoring grant recipient.(C) If a teacher participant is unable to complete a school
year of teaching, that school year may still be counted toward the required four complete school years if any of the
following occur:(i) The teacher participant has completed at least one-half of the school year.(ii) The employer deems
the teacher participant to have fulfilled his or her contractual requirements for the school year for the purposes of salary
increases, probationary or permanent status, and retirement.(iii) The teacher participant was not able to teach due to
the financial circumstances of the sponsoring grant recipient, including a decision to not reelect the employee for the
next succeeding school year.(iv) The teacher participant has a condition covered under the federal Family and Medical
Leave Act of 1993 (29 U.S.C. Sec. 2061 et seq.) or similar state law.(v) The teacher participant was called or ordered to
active duty status for more than 30 days as a member of a reserve component of the Armed Forces of the United States.
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