United States Department of Education
ELLevate! Scholarship Recipient’s Obligation Requirements – Tier 3 Participant
(Repay Clause)
Note: Please initial by each point, indicating that you ‘agree and will comply’ and then sign at the end on
the signature line. (Texas Woman’s University hereafter referred to as the “University.”)
As a recipient of ELLevate! Grant money, I affirm that:
1. _____ I understand that if I do not fulfill my contractual obligations to the University as herein agreed (i.e.
maintaining a 3.0 GPA, maintaining a grade of “B” or better in all graduate coursework, completion of
the approved course plan), the University reserves the right to withdraw my ELLevate! Grant support
(scholarship and/or book money) and award the money to another student.
2. _____ I understand that requirements and policies of the University as described in the Graduate School
Catalog and the Student Handbook apply. When I register for a course, I accept responsibility for
adhering to the University requirements.
3. _____ I understand that I will register for and successfully complete the 3 graduate courses, and the full
Graduate Program if selected, on which ELLevate! Grant funding is based, and that any changes made
to the course plan must be approved by the grant director.
4. ______ I understand that any unapproved changes to the course plan will result in: (a) forfeiture of future
ELLevate! Grant funding, and (b) re-payment by me to the University of any ELLevate! Grant funding that
I previously received, including stipends and reimbursements.
5. _____ I understand that any equipment and/or materials purchased with ELLevate! stipend funds will be
my property upon successful completion of the program.
6. _____ I understand that I must be an employee of Denton or Braswell High School in Denton ISD to
participate in ELLevate!
7. _____ I understand that I must secure written authorization from parents and school administrators for any
audio/videotaping and/or pictures that I may take of children in conjunction with graduate coursework
and forward copies of authorizations secured to the school district’s corresponding department.
8. _____ I understand that I will provide pertinent information (contact information and school assignment
changes, etc.) from the date of my admission to ELLevate! to up to 3 years from my program completion
as per sponsoring agency requirements.
9. _____ I understand that I will provide aggregated academic achievement data of my students from the
date of my admission to ELLevate! to up to 3 years from my program completion as per sponsoring
agency requirements, if still employed by a participating Denton ISD school.
10. _____ I understand that I have a contractual obligation to pay back the ELLevate! Grant funding
received IF I do not fulfill expectations set forth in this document.
________________________________________________________
Grant Recipient’s Printed Name
________________________________________________________ ________________________________
Grant Recipient’s Signature Date
________________________________________________________ ________________________________
Director of ELLevate! Date
ELLevate! Office
College of Professional Education PO Box 425769 Denton, TX 76204
Tel. (940) 898-2214 or 2217 Fax (940) 898-2962
www.twu.edu/ellevate ellevate@twu.edu
