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Isabella Brooke Knightly and Austin Gamez-Knightly

Isabella Brooke Knightly and Austin Gamez-Knightly
In Memory of my Loving Husband, William F. Knightly Jr. Murdered by ILLEGAL Palliative Care at a Nashua, NH Hospital

Tuesday, April 27, 2010

Master of Social Work Program Agreement

Master of Social Work Program Agreement
Title IV-E Internship Program
NH DHHS Division for Children, Youth and Families
UNH Department of Social Work
, Grantee/Student
The Department of Health and Human Services, Division for Children, Youth and Families (DCYF), hereafter referred to as the Agency; the University of New Hampshire Department of Social Work, hereafter referred to as Department; and , hereafter referred to as Grantee/Student, do hereby make and enter into this mutual agreement as specified below:
I. The Agency agrees to:
A. Contract with the University of New Hampshire (UNH), Title IV-E grant, to pay the tuition for said Grantee/Student who is currently enrolled in the Master of Social Work Program at UNH, and has enough credits to be a senior.
B. Contract with the University of New Hampshire (UNH) to pay all mandatory fees (i.e. registration costs) imposed on students by UNH.
C. Contract with the University of New Hampshire (UNH) to pay a minimal stipend to the Grantee/Student if the Grantee/Student is a full-time student. This stipend may be used to purchase books, materials, and other necessities required to complete the program.
D. Coordinate, assist and/or arrange practica for the Grantee/Student within a child welfare related agency.
E. If the Grantee/Student is currently employed by the Agency, allow said Grantee/Student to work a “flex time” schedule that will allow attendance to classes and practica as required if during normal work hours of the Agency (8:00 AM-4:30 PM).
F. The DCYF Title IV-E Grant will not support other costs associated with the completion of the program including travel costs to and from classrooms and/or practica.
G. Notify the Grantee/Student of employment opportunities within the Agency that are deemed appropriate and for which the Grantee/Student meets the minimum job qualifications as required by the NH Department of Personnel.
II. The Grantee/Student Agrees to:
A. Participate in the Master of Social Work program and curriculum prescribed by the UNH Department of Social Work, subject to approval by the School’s faculty advisor.
B. Participate in the required courses as outlined for the Child Welfare Program within the Department of Social Work.
C. Refund to the Agency, the previously granted tuition, as well as all mandatory fees and stipends if said Grantee/Student:
a. Fails to complete the course(s), or
b. Receives a grade of C or less in the course(s), or a C+ for a Masters Level
D. Complete a service time commitment to the Agency of one-year full-time employment for each equivalent year of tuition and/or stipend assistance.
E. Grantee/Students that are not current employees of the Agency agree to accept employment within the Agency, if and when offered, in any of its district offices throughout the state when a vacancy is available.
F. Refund the entire amount of tuition and stipends, including an administrative fee of 10% of the total cost expended by the Agency if said Grantee/Student does not accept employment within the Agency or leaves said employment prior to the agreed amount of time stated in Section II, D.
G. No refund will be required if there is not employment opportunity within six (6) months of the Student’s completion of the Program or if the Agency does not hire the student within six (6) months.
H. The Grantee/Student agrees prior to program practicum to adhere to, submit to, and to sign in agreement:
a. That they possess a valid driver’s license, have reliable transportaton and liability insurance
b. A criminal records check
I. DCYF ethics policy:
a. Confidentiality policy
It is important to note that all stipends are dependent on a year-to-date Federal IV-E contract. Therefore it cannot be guaranteed that DCYF will finance your entire academic program.
DCYF Director or Designee
Chair of the Dept. of Social Work/ Designee


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