TEACH Grant Appeal Form Award Year 2020-2021
P0209102020
Page 1 of 1
In order to be reviewed for 2020-2021 TEACH Grant eligibility, the student must disclose the type of high needs content area that
the student plans on commiting to teaching at the time of graduation.
High needs content area:
_______________________________________
Additional information (if applicable):
_____________________________________________________
____________________________________________________________
State in which the student plans on teaching upon degree completion:
Master of Ed: Early Childhood and Early Childhood Special Ed (IR/Non-IR)
Master of Ed: Elementary Ed and Special Ed (IR/Non-IR)
Master of Ed: Secondary Ed (IR/Non-IR)
Master of Ed: Secondary Ed with Emphasis in Humanities (IR/Non-IR)
Master of Ed: Secondary Ed with Emphasis in STEM (IR/Non-IR)
Master of Ed: Secondary Humanity Ed (NV ARL)
Master of Ed: Secondary STEM Ed (NV ARL)
____________________________
Offic
ial Use Only
C
ollege of Education Representative Name: _________________________________
Decision:
_
_
(N
ote:
t
his
is
not
t
he SS
C
,
SSM, or RDO)
College of
E
ducation
R
epresentative
Signature:
_________________________________
Date: __________________________
Comments/Notes:
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Student Acknowledgement (Do not complete until the box above has been completed):
The high needs content area and state in which I plan on teaching upon degree completion listed on this form accurately represents
my plans at the time of graduation. I have read the comments provided by the College of Education representative in the box above
and agree to the terms specified to satisfy the TEACH Grant requirements. I am aware that if I do not satisfy the TEACH Grant
requirements, the grant will be permanently converted into an unsubsidized loan with interest that I will have to repay.
My signature below represents my agreement to this statement.
Student Signature:
____________________________________________
Date: ___________________________________
Student Name: _____________________________________________ GCU Student Number: _________________________
The following programs are subject to 2020-2021 TEACH Grant eligibility based on the federal high needs content
area that the student commits to teaching in upon degree completion. Please check the student’s program of study:
B.S. Early Childhood Ed and Early Childhood Special Ed
B.S. Elementary Ed and Special Ed
* Signing electronically via Adobe is acceptable
* Adding stamped date via Adobe is acceptable
