Student ID
ELMS use only
THE UNIVERSITY OF N ORTH C AROLINA WILMINGTON
Educating Language Minority Students – Participant Agreement
Last Name:
First Name:
Middle Name:
Development Offering
In-service (choose all that apply)
Pre-service (choose only Tier-1)
Tier 1: ESL Add-on License
Tier 1: ESL Add-on License
Tier 2: EDN 507: ESL Topics for non-ESL Teachers
Tier 3: 10-hour online module (self-paced)
Terms and Conditions
This Agreement sets forth the expectations, terms and conditions between the student and the University of North
Carolina Wilmington (UNCW), specifically the Educating Language Minority Students Project (ELMSP). The ELMSP is
a grant funded project to provide professional development for inservice and preservice content area teachers so
that these teachers will be better prepared to improve academic outcomes for English learners (ELs). The ELMSP
will provide funding for tuition, fees and books for participants. In return participants are required to maintain
collaboration and participation with the ELMSP research team through the term of the grant, to meet all class
requirements and maintain good standing academically (3.0 G.P.A.)
The conditions for the provision of tuition, fees, and books (where noted) are stated below. Please read through
the statements, check each, and sign your name on page two, indicating that you have read, understand, and
agree to these terms and conditions. You must satisfy all requirements stated within this agreement in order to
remain in the ELMS project and to keep the tuition, fees, and books paid for by the project. If these
requirements are not met, your participation in the project will cease and you must refund to the ELMSP any
tuition, fees, and books received.
Timeframe of your participation and description of your stipend
(check all to qualify)
Your participation in the project as a student is for the period from the date of your signature to this
agreement until the completion of the grant, August 31, 2016. For preservice and inservice participants
in the ESL add-on licensure program (Tier 1), the ELMSP will pay for up to six (6) ESL concentration
courses, which must be completed by the end of the grant, August 31, 2016. For inservice participants in
the Tier 2 option (3-credit hour course), ELMSP will pay for one course, including books, and inservice
teachers may qualify for a stipend based on availability of funds. For inservice teachers in the Tier 3 option
(10-hour Online Module), the ELMSP will pay all fees associated with this online course. Participating
teachers may qualify for a stipend based on availability of funds. All monetary support from ELMSP is
contingent upon the availability and continuation of funds. Your initial participation does not include any
assurance, obligation, or guarantee of subsequent participation. No promises of future participation have
been made.
Your participation in the project is only funded by the tuition, and fees you receive for any course(s) you
enroll and complete that are part of the ESL academic concentration. There are no benefits associated
with your participation in this project beyond receipt of tuition and fees.
Unless specifically stated above, the participation period begins after you have signed this agreement and
on the first day of your attendance at an ELMSP eligible class.
Conditions required for participation in the project and your receipt of tuition, fees, and books:
(check all to qualify)
If you are a preservice teacher, you must remain enrolled as a full time student during the fall and spring
semester of the academic year, perform all your classroom and research responsibilities related to the
ELMSP (remain in contact with the grant researchers, including, but not limited to providing an updated
working email address) and remain in good standing academically (3.0 GPA minimum). If you are an
inservice teacher, you must complete your ELMSP course(s), maintain good standing academically
throughout the course(s) (3.0 GPA minimum) and maintain collaboration with the research team through
the term of the grant until August 31, 2016. Inservice teachers will make themselves available to
participate in research related to the ELMS project, including, but not limited to: allowing the project to
conduct classroom observations, facilitating the gathering of student data and responding to surveys.
However, the ELMS project will take into consideration teachers’ individual circumstances when
requesting research participation.
You agree to remain enrolled in a course or courses of study and to maintain participation as outlined in
the course(s’) syllabus.
Rules governing performance issues or early termination of your participation in the program:
(check all to qualify)
If you are unable to complete your coursework, research responsibilities or maintain the academic GPA
requirements, you will be placed on a one semester probation period. If you fail to improve your
performance as required by the probation, you will be terminated from participation in the program. In
the event of extraordinary circumstances or difficulties, you may be allowed to take an incomplete in a
course. Failure to complete the course after the incomplete grade will result in termination from
participation in the program. If you are terminated from the project, you will be responsible for
repayment of any tuition, fees, stipend and books you have received up to that date to the University of
North Carolina Wilmington.
I have read, understand and agree to all of the terms and conditions of this assistantship agreement and accept
the offer. I understand that the department in which the assistantship is offered and the program in which I am
enrolled as a student may have additional requirements or expectations.
_________________________________
Student Signature
________________________
BANNER (Student) ID
if applicable
_________________________________
ELMSP Approval
Date
Date
This agreement is not approved without ELMSP signature
Revised: 12/02/2013