Noyce Fast Track Scholarship Promissory Note - The College of ...

Colorado State University-Pueblo’s Noyce Mathematics Scholars Program (NOY02) 

Fast Track Scholarship Agreement and Promissory Note 

(Forgivable Loan) Terms and Conditions 

As required by the National Science Foundation, Directorate for Education and Human Resources, 

Division of Undergraduate Education 

DIRECTIONS: Students selected to receive a Noyce Fast Track Scholarship must read the General Terms, the 

Agreement and the Promissory Note, and provide the required information and signature. A notarized copy 

of this Agreement and Promissory Note is to be retained by the scholarship recipient and the original 

notarized form is to be sent by the recipient to Janet Nichols, Noyce Mathematics Scholars Program 

Coordinator, Department of Mathematics, Colorado State University, 2200 Bonforte Blvd., Pueblo, CO 

81001. 

SECTION I: Recipient Section 

Recipient Information 

Please print neatly or type 

1.Last Name First Name MI 2. PID Number 3. Social Security 

Number 

4. Permanent Address 5. Home Telephone 6. Date of Birth 

(MM/DD/YYYY) 

( ) 

City State Zip Code 7. E-mail address 8. Driver’s License 

Number 

(list state abbreviation 

first) 

9. Secondary Contacts: You must provide two secondary contacts with different addresses who will know how 

to contact you in the future. The first reference should be a parent (if living) or other relative. This 

information will be used to contact recipient during the teaching or repayment periods, if necessary. 

A. B. 

Name 

Permanent Address 

City, State, Zip Code 

Area 

Code/Telephone 

Relationship to 

Borrower 

Last Revised March 10, 2012 Page 1 of 9

SECTION II: Terms and Conditions 

A. Purpose of the Noyce Scholars Program – the Recipient’s Service Obligation 

In recognition of the critical correlation between teacher quality, including mastery of content knowledge, and 

student achievement, the National Science Foundation’s Robert Noyce Scholarship Program, named for a 

pioneer of semiconductor development and founder of the semiconductor industry, seeks to encourage 

talented mathematics, science, and engineering students and current science, technology, engineering, or 

mathematics (STEM) professionals to pursue teaching careers. Grants to institutions of higher education 

provide funds for scholarships and stipends for STEM students and professionals who commit to teaching in 

high-need school districts. The National Science Foundation awarded funds (DUE 1136426) to CSU-Pueblo’s 

Noyce Scholars Program to provide such awards to individuals seeking secondary teaching licensure in 

mathematics at Colorado State University-Pueblo. 

Consistent with the requirements for funding provided by the National Science Foundation (NSF), a recipient 

accepts a Noyce Scholars Fast Track Scholarship with the understanding that it carries with it a service 

obligation. More specifically, in exchange for a one-year fast track scholarship, the recipient agrees to teach in 

a “high-need local educational agency” (see definition in Section IID below) for two years upon completion of 

the secondary mathematics licensure program at CSU-Pueblo. The recipient understands that the period of 

time for which he or she receives scholarship support will be determined in comparison to full-time enrollment 

(12 credits or more during an academic semester and 6 credits or more during a summer seemster) in the 

teacher preparation program. Similarly, the recipient understands that the period of time he or she must 

teach in a high-need public school will be determined in comparison to what the school district considers to be 

teaching on a full-time basis. Full-time basis does not include summer sessions or, for those school districts 

that operate year-round programs, optional intersession periods. The total service obligation must be 

completed within eight (8) years after completion of the licensure program at CSU-Pueblo. 

CSU-Pueblo is committed to meeting the needs of high need educational agencies throughout southeastern 

Colorado, and prefers that all individuals who receive support from its Noyce Scholars Program complete their 

licensure program requirements at CSU-Pueblo and fulfill their service obligation in the region. However, the 

program recognizes that there are times when an individual’s needs are not able to be met at this institution 

for unforeseen reasons and for those that are beyond the control of CSU-Pueblo. Accordingly, the Noyce 

Scholars Program at CSU-Pueblo has chosen to not penalize students who receive support from the program 

and thereafter transfer to another accredited institution to complete a licensure program in secondary 

mathematics that has been reviewed and approved by CSU-Pueblo’s Noyce Scholars Program. Any such 

individual is required to complete the terms and conditions stated in Section IIC below, and failure to do so will 

result in the obligation stated in Section IIE (Repayment) and Section IV (Promissory Note). 

B. Scholarship Award - Maximum and Minimum 

The maximum amount of a fast track scholarship award to any individual is $18,000. The specific amount of 

each scholarship is based on the actual cost of attendance for that individual, as determined by CSU-Pueblo’s 

Office of Financial Aid, for a maximum of two academic (spring or fall) semesters and two summer semesters 

of continuous enrollment. Each semester of support after the first semester is dependent on the student 

maintaining good academic progress as defined in the award letter provided to each particular student. Each 

student will be informed of his or her maximum award possible when he or she is initially offered the 

scholarship by CSU-Pueblo’s Noyce Scholars Program. 


C. Recipient’s Retention of Scholarship for Meeting the Service Obligation 

The recipient will not be required to repay to CSU-Pueblo the scholarship provided with funds under the NSF 

Grant Award (DUE 1136426) if CSU-Pueblo’s Noyce Scholars Program determines that (1) the recipient meets 

the academic requirements of the program for which the Noyce funds were awarded and (2) the recipient has 

fulfilled his or her service obligation. 

To determine that the recipient has met the service obligation, CSU-Pueblo’s Noyce Scholars Program must 

receive information to confirm that the recipient, within eight (8) years of completing a secondary 

mathematics licensure program approved by CSU-Pueblo’s Noyce Scholars program, has taught in a high-need 

local education agency for the required number of years. Scholarship recipients who receive Noyce support 

from CSU-Pueblo for exactly one (summer or academic) semester or for one summer semester and one 

academic semester are required to teach at least one year in a high need school district. Scholarship recipients 

who receive Noyce support for a full academic year (two academic semesters) are required to teach at least 

two years in a high need school district, regardless of the number of summer semesters for which he or she 

receives Noyce support. 

So that CSU-Pueblo’s Noyce Scholars Program may obtain the information it needs to make these 

determinations, the recipient agrees to have the school district in which he or she has taught provide CSU- 

Pueblo’s Noyce Scholars Program such information as the program may require in order to confirm that: 

1. The school in which the recipient has taught is “high-need” as defined in the “Definition of High-Need 

Local Education Agency” below, and 

2. The recipient taught on a full-time basis. 

Upon completion of an approved secondary mathematics licensure program, CSU-Pueblo’s Noyce Scholars Program 

will provide the recipient written guidance that explains the information that the recipient must have the school(s) 

provide to CSU-Pueblo’s Noyce Scholars Program and the date or dates that this information is due. 

[NOTE: To prevent an award recipient becoming liable for repaying the scholarship because of a school 

district’s delay in forwarding the required employment information to CSU-Pueblo’s Noyce Scholars Program, 

the program will also accept employment information directly from the recipient. In this case, within eight (8) 

years of completion of a secondary mathematics licensure program approved by CSU-Pueblo’s Noyce Scholars 

program, the recipient must submit to the program (1) a notarized statement that he or she has asked the 

district(s) to provide the needed information and the date(s) this request was made, and (2) a copy of the 

personal and employment information each school has been asked to submit. When a recipient chooses this 

option, CSU-Pueblo’s Noyce Scholars Program‘s determination that he or she is meeting the service obligation 

is only provisional. Until each school provides the information, the recipient retains a continuing responsibility 

to work to get each school to submit the information as soon as possible.] 

D. Definition of High-Need Local Educational Agency 

Service must be completed within 8 years after completion of the program for which the scholarship was 

awarded and must be performed in a high-need local educational agency as defined in the FY 2011 National 

Science Foundation solicitation for Noyce Scholarship Grants. Service must be started within twenty four (24) 

months after completion of the program for which the scholarship was awarded or the scholarship converts to 

a loan that must be repaid, unless the recipient qualifies for discharge (Section II G) or deferment (Section IV 

E). For the purposes of this agreement, a “high-need local education agency” is a local educational agency that 

serves an elementary or a secondary school located in an area in which one or more of the following 

conditions is met at the time of the recipient’s initial employment: 

1) a high percentage of individuals from families with incomes below the poverty line; 

2) a high percentage of secondary school teachers not teaching in the content area in which the 

teachers were trained to teach; or 

3) a high teacher turnover rate. 


E. Repayment for Failure to Meet Academic Requirements or Service Obligation 

The Noyce award will be considered a loan that must be repaid with interest* according to the terms of this 

Note (a) if the recipient fails to satisfy the academic requirements of the academic program for which the 

Noyce funds were awarded; or (b) if the recipient fails to complete the service requirement, or (c) if the 

recipient does not receive a waiver or suspension of the service obligation (Section II G), or (d) if the recipient 

fails to provide adequate documentation for a deferment (as described in Section IV E), or (e) in the event that 

the recipient transfers to a secondary mathematics licensure program that has been approved by CSU-Pueblo’s 

Noyce Scholars program at another accredited institution and fails to complete his/her licensure program 

within 24 months. 

If the recipient does not fulfill his or her service obligation within eight (8) years by teaching the required 

number of years in a high-need local educational agency (see Section IIC), the recipient becomes obligated to 

fully repay the scholarship. If the recipient withdraws from CSU-Pueblo prior to completion of its secondary 

mathematics licensure program, or transfers to another accredited institution and withdraws from that 

institution prior to completion of the secondary mathematics licensure program that has been approved by 

CSU-Pueblo’s Noyce Scholars program, or fails to meet the other academic requirements of the scholarship, 

the recipient becomes obligated to start repayment of the scholarship within six (6) months after his or her 

withdrawal from CSU-Pueblo or the other accredited institution. 

The recipient has twenty-four (24) months following completion of the CSU-Pueblo Teacher Education 

Program in mathematics to begin teaching in a high-need school or else repayment of the scholarship will 

start, unless the recipient receives a waiver or suspension of service obligation (Section IIG) or the recipient 

qualifies for a deferment (Section IV E). 

If upon completion of the secondary mathematics licensure program from CSU-Pueblo and obtaining a 

teaching license, the recipient teaches in a high-need local educational agency for a period that is less than the 

period of his or her service obligation, the recipient becomes responsible for repayment of the percentage of 

the period for which the service obligation was not fulfilled. 

Example: An individual receives a scholarship in the total amount of $18,000 for one summer and two 

academic semesters of support while completing the secondary mathematics licensure program at CSU – 

Pueblo. The individual works in a high-need local educational agency for one full school year. The 

individual then moves and takes a teaching position in a school district that is not high-need. If the 

individual remains in the district that is not high-need, then eight (8) years after completion of the 

secondary mathematics licensure program, the individual has fulfilled one-half (1/2) of his or her service 

obligation and so must repay one-half (1/2) of the scholarship, or $9,000. 

Until the recipient either satisfies the service obligation or repays the scholarship, the recipient agrees to 

provide CSU-Pueblo a current home address and telephone address, an e-mail address, and a current work 

address and telephone number, as well as other needed identifying information, as requested by CSU-Pueblo. 

In addition, the recipient understands that CSU-Pueblo and the high-need school district are or will be using 

the recipient’s Social Security number so that CSU-Pueblo (or CSU-Pueblo’s contracted agent) can, if necessary, 

secure payment of these amounts from the recipient if he or she fails to meet the service obligation or 

academic requirements. 

*Interest on the amount of the scholarship is applied as specified in the provisions of part B or D of Title IV of 

the Higher Education Act of 1965. See Section IVC. 


F. Default 

If within twenty-four (24) months of ceasing to be enrolled at CSU – Pueblo or an approved secondary 

mathematics licensure program at another accredited institution or within eight (8) years of completion of a 

secondary mathematics licensure program approved by CSU-Pueblo’s Noyce Scholars Program, the recipient 

fails to provide CSU-Pueblo’s Noyce Scholars Program with contact information stated above (Section II E) or 

evidence to discharge the required payment (Section II G) as requested by CSU-Pueblo’s Noyce Scholars 

Program, the loan will be determined in default. In the event of failure to make monthly loan payments for a 

period that last 90 days or more, the loan will be determined in default. If the loan is in default, the entire 

unpaid indebtedness may become immediately due and payable. CSU-Pueblo may disclose that the borrower 

has defaulted, along with other relevant information, to credit bureau organizations, collection agencies and 

the federal government. In the event of default and if the loan is referred to a private collection agency, the 

recipient is responsible to pay collection agency fees in addition to the principal balance until the entire loan is 

paid in full. Under default, the recipient will lose all rights to cancellation or loan forgiveness. 

All repaid scholarship funds, including the applicable interest (see Section IV C) and late fees (see Section IV 

A2), less grantee administrative costs associated with collection of the repayment not to exceed 5% of the 

forfeited amount, will be returned to the United States Treasury. 

G. Discharge of a Required Repayment 

CSU-Pueblo will waive or suspend an obligation to repay the scholarship of a recipient who has died, or who is 

not employable as a teacher due to a documented and physician verified permanent physical or mental 

disability or some other extraordinary circumstance that arises through no fault of the recipient and which 

CSU – Pueblo’s Noyce Scholars Program, in consultation with NSF, considers compelling. (See Section IV F of 

Promissory Note.) 

Upon receipt of acceptable documentation and approval of the discharge request, CSU-Pueblo will return to 

the recipient, or for a discharge of death, the recipient’s estate, those payments received after the date of 

eligibility requirements for the discharge were met and prior to the date of the discharge was approved. CSU- 

Pueblo also returns any payments received after the date the discharge was approved. 

H. Exit Conference 

Before the recipient withdraws from CSU-Pueblo, CSU-Pueblo’s Noyce Scholars Program will provide the 

recipient an opportunity to review fully the terms and conditions of this scholarship. 


SECTION III: Scholarship Agreement 

A) I verify that I am enrolled full time in a program of study at CSU-Pueblo leading to a license as a 

secondary education mathematics teacher, AND I understand that this support will end if I cease to be 

enrolled at CSU-Pueblo. 

B) I verify that I am U.S. Citizen or permanent resident alien. 

C) I understand that one of the requirements of continued Noyce support is maintaining satisfactory 

academic progress as this is defined in my CSU-Pueblo Noyce Scholars award letter. 

D) I understand that my CSU-Pueblo Noyce Scholars scholarship might affect other financial aid awards, 

and it is up to me to verify this by checking with the CSU-Pueblo Financial Aid Office. 

E) I agree to achieve teacher licensure in secondary mathematics education AND gain direct teaching 

experience in a local educational agency that serves an elementary or a secondary school located in 

an area in which one or more of the following conditions is met at the time of my initial employment: 

1) a high percentage of individuals from families with incomes below the poverty line; 

2) a high percentage of secondary school teachers not teaching in the content area in which the 

teachers were trained to teach; or 

3) a high teacher turnover rate. 

F) I agree to work full-time in an eligible school district for a minimum of two years if I receive Noyce 

support during two academic semesters (regardless of the number of summer semesters of Noyce 

support received), or to work full-time in an eligible school district for a minimum of one year if I 

receive Noyce support for either exactly one (summer or academic) semester or for one summer 

semester and one academic semester. I understand this service obligation must be completed within 

eight (8) years of completion of the secondary mathematics licensure program at CSU-Pueblo. 

If I am unable to find full-time employment, but do find part time employment (½ time or greater) in 

an eligible school district, I agree to work proportionally longer to meet my service obligation. For 

example, if I have a service obligation of 2 years and I work ½ time at an eligible school district, I will 

have a service obligation of 4 years at ½ time employment. 

G) I agree to provide CSU-Pueblo’s Noyce Scholars Program with written evidence of compliance with the 

above requirements, AND to notify CSU-Pueblo at such times as I am not in compliance with any of the 

requirements. 

H) I agree to inform CSU-Pueblo’s Noyce Scholars Program promptly in writing or electronically of any 

change in my name, permanent address or other personal information disclosed in the Recipient 

Section (Section I) of this agreement, AND if my employment in a high-need school district ceases prior 

to fulfilling the required service obligation of the scholarship. 

I) I give permission to CSU-Pueblo’s Noyce Scholars Program to release this information to the National 

Science Foundation, if required, AND I give CSU – Pueblo permission to publicize my Noyce Scholars 

Award and post my photograph. 


SECTION IV: Promissory Note 

I understand that the NoyceFast Track Scholarship is a forgivable loan if I meet the service obligation and 

academic requirements outlined in Section II and III. 

I agree that if I fail to meet the conditions described in Section II “Terms and Conditions” or Section III 

“Scholarship Agreement”, or if I have ceased to pursue a course of study in secondary mathematics education 

approved by CSU – Pueblo’s Noyce Scholars Program, I will repay either the full amount of the scholarship 

received or a prorated amount according to the fraction of teaching employment obligation not completed. 

A. Repayment 

1. I agree to begin repaying my Noyce scholarship beginning thirty-one (31) days after failing to meet any 

of the requirements for which the Noyce funds were awarded. These requirements include: 

a. Maintaining enrollment with good academic standing as defined in the Noyce Scholars Award 

Letter (attached hereto); 

b. Completion of a secondary mathematics licensure program approved by CSU – Pueblo’s Noyce 

Scholars Program at CSU-Pueblo or another accredited institution as discussed in Section II (a); 

c. Applying for and receiving a secondary teachers license in mathematics; 

d. Successful participation in all semi-annual and annual submission of 

demographic/employment/education related survey information associated with CSU-Pueblo’s 

Noyce Scholars Program; 

e. Meeting the service obligation of completing 2 years of teaching in an eligible high-need school 

district for one full year of Noyce Scholars support within eight (8) years of completing the 

secondary mathematics licensure program at CSU-Pueblo. 

I will be expected to begin repaying my Noyce scholarship beginning thirty-one (31) days after 

declaring that I do not intend to fulfill the service requirement; or beginning six (6) months after CSU- 

Pueblo has determined that I have ceased to be enrolled in a mathematics secondary teacher 

education program. 

2. I agree to make monthly payments to the billing agent of CSU-Pueblo which cover the outstanding 

principal and interest (See Section II E), according to a schedule established by the billing agent, which 

calls for complete repayment within five (5) years after I enter repayment status (except as provided in 

Section IV B and C below). 

If I fail to make any monthly payment as required by the schedule established by the billing agent, my 

loan will be subject to late fee of $2.00 per month. If my failure to make scheduled monthly payments 

persists for a period of 90 days, the billing agent, without further notice, may accelerate the balance of 

the outstanding principal due, and I promise to pay such amount. 

It is further my understanding that if I do not make the monthly payments as required by the schedule 

by the billing agent, that collection efforts may commence, including notification of credit bureaus 

concerning my default and litigation, similar to the collection efforts which are used by lenders and 

guarantee agencies in the guaranteed student loan program. 

B. Loan Cancellation (Service Credit) 

To cancel a one year Noyce Scholars Fast Track Scholarship award, I understand that under this Note I am 

required to complete two years of service as a mathematics teacher in a high-need school district that 

meets one or more of the criteria identified in Section II and Section III. 

If I do not satisfy the academic requirements of the program for which CSU-Pueblo’s Noyce Scholars 

Program funds were awarded, I will not be eligible for the loan cancellation benefit. 


C. Interest 

Interest on this loan shall accrue from the beginning of the repayment period. My fixed interest rate is 5%. 

D. Billing Service 

Should I enter into repayment of the Noyce funds, the billing agent for the CSU – Pueblo will be ECSI. CSU- 

Pueblo reserves the right to change the billing agent as needed. In the event that the billing agent is 

changed, I will be notified of the new billing agent by CSU-Pueblo’s Noyce Scholars Program. 

E. Deferment 

I understand that I will not be considered in violation of the repayment schedule during the time that I am: 

1. Enrolled as a full time student at CSU – Pueblo AND enrolled in the secondary teacher education 

program in mathematics; or 

2. Teaching in a qualified high-need school district while meeting service obligation; or 

3. Serving, not in excess of three (3) years, on active duty as a member of the armed services of the 

United States; or 

4. Temporarily disabled, for a period not to exceed three (3) years, as established by sworn affidavit of a 

qualified physician; or 

5. Unable to secure employment for a period not to exceed twelve (12) months by reason of the care 

required by a spouse who is disabled; or 

6. Seeking and unable to find employment as a science or mathematics teacher in a high-need school 

district for a single period not to exceed twenty four (24) months; or 

7. Enrolling in a secondary mathematics licensure program approved by CSU-Pueblo’s Noyce Scholars 

Program to start no later than the third academic semester after a transfer to another accredited 

institution. 

During the time I qualify for any of the exceptions described Section IV E, I need not make the scholarship 

repayments described in described in Section IV A. In order to qualify for any of these exceptions, I must 

promptly notify CSU-Pueblo’s Noyce Mathematics Scholars Program of my claim and provide supporting 

documentation acceptable to CSU – Pueblo’s Noyce Scholars Program. 

The billing agent shall extend the five-year scholarship repayment period described in Section IV A by a 

period equal to the length of time I meet any of the conditions in Section IV E. 

F. Discharge of a Required Repayment 

I understand that the Noyce Scholars Program shall waive my repayment obligation if it determines that: 

1. On the basis of the sworn affidavit of a qualified physician, I am unable to work as a secondary teacher 

because of an impairment or disability that is expected to continue indefinitely or result in death; 

2. On the basis of a death certificate or other evidence conclusive under Colorado law, my death has 

occurred; or 

3. Documented circumstances have occurred which CSU – Pueblo’s Noyce Scholars Program, in 

consultation with NSF, considers as a compelling reason to excuse repayment. 

G. General 


1. I agree to advise CSU – Pueblo’s Noyce Scholars Program in writing of any change in name, address, or 

deferment status as described in Section IV E. 

2. I understand that I may appeal any determination made by CSU – Pueblo’s Noyce Scholars Program 

that I am not in compliance with any of the requirements of the program, and that appeals must be 

made in writing to CSU – Pueblo’s Noyce Scholars Program within 60 days of receipt of communication 

that I am in non-compliance. 

3. I understand that I must be enrolled full time in a secondary mathematics teacher education program 

at the CSU – Pueblo and if I transfer to another college, I am no longer eligible for the scholarship and 

will need to start repayment of any scholarship funds received to that point unless I meet cancellation 

or deferment requirements stated in Section IV B, E, or F. 

4. I understand that I must maintain satisfactory academic progress as determined by CSU – Pueblo’s 

Noyce Scholars Program, and that scholarship support will end if I do not make satisfactory progress 

during any term of my enrollment. 

5. I understand that if I am more than 90 days past due with payments towards my loan that CSU-Pueblo 

will withhold all services (such as transcript requests or course registration) until my delinquent 

(late)/defaulted loan account has been brought current and/or paid in full. 

6. I understand that if I fail to pay my loan as agreed, my loan will be assigned to a collection agency, and 

may be accelerated (loan balance due and payable IN ITS ENTIRETY); and I will be required to pay all 

collection, court, and attorney’s fees if my loan becomes, or continues to be, past due. 

I attest that I have read and understand my repayment responsibilities and the options available to me. I 

understand that this is a loan that must be repaid, with accrued interest, if I fail to meet the service 

obligation or any other of the requirements listed in the sections above. My signature below certifies that I 

have read and agree to my commitments presented in the terms and conditions (Section II), the scholarship 

agreement (Section III), and the promissory note (Section IV). 

Print Full Name Signature Date 

STATE OF COLORADO ) 

) ss 

COUNTY OF PUEBLO ) 

Subscribed and affirmed or sworn before me by 

this day of , 20 . 

(student) 

________________________ _ ____________________________ 

NOTARY PUBLIC 

My Commission expires

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