For Information, contact Marisa Aguirre - email - maguirre@hprec.com 

Are you currently enrolled in a graduate level (Master's, EdS, or Doctoral) counseling, psychology, or social work program that will result in school-based licensure (partnering universities are ENMU, NMHU, NMSU, UNM,  and WNMU only).
To determine if you are eligible for EOP tuition reimbursement/loan repayment, please complete this short survey. The turnaround time for eligibility determination is usually within two to three weeks.
For more information, please visit our website:
www.nmeop.com

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* 1. First and Last Name

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* 2. Email

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* 3. EOP University Partner

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* 4. I confirm that my graduate program will result in licensure to become a school-based behavioral health provider.

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* 5. Please provide the name and email of the university contact who can confirm your program enrollment and status. This is someone who is  familiar with the NMPED EOP project that supports the increase of school-based behavioral health providers. (This is not the records/registrar department).

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* 6. Please provide the following regarding your graduate program that will result in school-based licensure 
-Name of Master's, EdS, or Doctoral Level Program
-Date of Initial Enrollment in Program
-Expected Date of Graduation -- (please provide all information, to avoid a delay in the review of your eligibility)

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* 7. I understand that a requirement of the EOP tuition reimbursement/loan repayment is a university practicum/internship placement in an EOP approved high-need district/charter. Please note that the following districts are not part of the grant funding - Albuquerque Public Schools, Farmington Municipal Schools, Las Cruces Public Schools, and Santa Fe Public Schools.

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* 8. Please describe your graduate level school-based practicums and internships. Include the program requirements, your status and LEA placement(s).

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* 9. Are you currently employed in a New Mexico LEA (school district or charter school)?  If so, please provide the start date, name of LEA, and job title. If not, please state n/a.

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* 10. Secondary email (optional)

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* 11. Mobile phone (optional)

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* 12. Please upload your most current transcript. This will assist with the review of your eligibility. This does not have to be an official transcript, however, if you qualify for the EOP, you will need to have an official transcript sent to High Plains REC.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 13. Do you have any other information to share or any questions?

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* 14. I understand that I will be contacted, by email, regarding the status of my eligibility within three weeks. 

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