Moa Scholarship 6r1m1w

MEMORANDUM OF AGREEMENT KNOW ALL MEN BY THESE PRESENTS: This agreement entered into by and between: The HONORABLE ANTONIO L. TINIO, ACT Teachers Party-List Representative, duly elected and holding office under and by virtue of the laws of the Republic of the Philippines, with office address at Room 618 South Wing, House of Representative, Batasan Hills, Quezon City, Philippines, hereinafter referred to as the “FIRST PARTY” -andThe PANGASINAN STATE UNIVERSITY, a state university created and existing under Philippine law, with principal address at Lingayen, Pangasinan and represented by its President, VICTORIANO C. ESTIRA, Ed. D., herein referred to as the “SECOND PARTY” WITNESSETH that: WHEREAS, the FIRST PARTY, in its continuing concern for and commitment to an educational system responsive to the needs of the country for progress and social development, would like to provide scholarship grants to poor and deserving students enrolled in BACCALAUREATE, Masteral and Doctorate, offered by the SECOND PARTY; WHEREAS, the SECOND PARTY desires to help and provide educational opportunities to economically challenged but deserving students; WHEREAS, through the efforts and representation of the FIRST PARTY, an appropriation in the amount of ONE HUNDRED SIXTY-FIVE THOUSAND PESOS (PHP 165,000.00) covering financial assistance to the SECOND PARTY to provide scholarship grants to poor and deserving students has been included in the FIRST PARTY’s Priority Development Assistance Fund (PDAF) as reflected in the Special Allotment Release Order (SARO) BM B-G-11-T-000001670 released last June 28, 2010. WHEREAS, an active partnership between the FIRST PARTY and the SECOND PARTY is needed for the effective implementation of the Financial Assistance Program for Undergraduate and Graduate Students in Pangasinan State University or herein referred as the SCHOLARSHIP PROGRAM; NOW THEREFORE, for and in consideration of the above premises, the parties have agreed on the scholarship program under the following and conditions: A. OBLIGATIONS OF THE FIRST PARTY: 1. Provide the Scholarship Fund in the amount of ONE HUNDRED SIXTY-FIVE THOUSAND PESOS (PhP165,000.00) for the implementation of this Scholarship Program for the two (2) school : 2nd Semester of academic year 2011-2012 and 1st Semester of academic year 2012-2013. The fund allocation per school term shall be FIVE THOUSAND PESOS (Php5,000) per scholar/beneficiary for MA or Ph.D. and for Baccalaureate. Page 1 of 4

2. Provide scholarship to four (4) students for MA or Ph.D. and twelve (12) students for Baccalaureate courses for the 2nd semester of academic year of 2011-2012 and 1st semester of academic year 2012-2013, plus another one (1) student for Baccalaureate course for the 2nd semester, academic year 2011-2012 only. 3. Evaluate and select scholars to the SECOND PARTY. 4. Recommend another applicant in lieu of a grantee who is unable to continue his/her scholarship, and/or recommend applicant(s) to fill in the unavailed slot(s). B. OBLIGATIONS OF THE SECOND PARTY 1. Take charge of the ment of the scholarship grant through the Office for Scholarship and Student Affairs office. 2. Accept and process applicants for scholarship endorsed in writing by the FIRST PARTY. 3. Inform the FIRST PARTY of any vacancy should the grantee be unable to continue his/her scholarship. 4. Furnish the FIRST PARTY a periodic narrative and financial report on the expenses incurred and the operational status of the Scholarship program; and 5. Ensure the efficient istration of the Scholarship Program. QUALIFICATIONS AND REQUIREMENTS FOR GRANTEES A .Baccalaureate 1. Must come from a poor family. 2. Must have ed the School’s ission Test (if any). 3. Must carry the regular load prescribed by the curriculum. 4. Must all academic subjects. 5. Must be of good moral character and must not have been subjected to disciplinary action by the school due to misconduct or misbehavior committed by him individually; and 6. Must not be a recipient of any other scholarship. 7. Grantees are encouraged to student organizations of their choice and participate in extra-curricular activities to enhance their all-rounded development and increase their social awareness. 8. Priority shall be given to students with strong social commitment and involvement in socio-cultural activities and to the sons and daughters of full-time community and sectoral organizers, workers, peasants, indigenous peoples. The urban poor and fisherfolks. For this purpose, an endorsement letter from their parent’s organization shall be required. Page 2 of 4

B . Masteral and Doctoral Degree 1. Must be public or private school teacher. 2. Must not be a recipient of any other scholarship grant. 3. Must be currently enrolled in any master’s or doctoral program 4. Must be enrolled in second semester SY 2011-2012. 5. Must submit a completed application form 6. Certification of employment for his/her school. 7. Must provide a copy of PSU registration form from 2nd Semester, SY 2011-2012. 8. Submit 2 copies of 2x2 ID picture 9. Endorsement letter from ACT coordinator in their area or from ACT Teachers Regional Coordinator for Central Luzon C. RECISSION/CANCELLATION OF GRANT: In order for a GRANTEE to be retained in the scholarship program, he/she must: a. Have no failing grade in any of the academic subjects. b. Not drop any subject without a valid reason and without prior approval of the SECOND PARTY ; and c. Should the SECOND PARTY subject the grantee to any disciplinary action, the SECOND PARTY together with a representative of the FIRST PARTY shall decide if the merits of the case should warrant the termination of the scholarship. d. Failure on the part of the grantee to meet the abovementioned guidelines will be sufficient ground for terminating the assistance. IN WITNESS WHEREOF, the parties have hereto set their hands and affixed their signatures on this document the _________ day of __________ 2011 in the City of _____________, Philippines.

FIRST PARTY by:

SECOND PARTY by:

REP. ANTONIO L. TINIO ACT Teachers Party

VICTORIANO C. ESTIRA, Ed. D. President Pangasinan State University

Witnesses: ________________________________________ _______________________________________ ACKNOWLEDGMENT Page 3 of 4

Republic of the Philippines) Municipality of Lingayen ) S.S. Province of Pangasinan ) Before me, a Notary Public for and in _______________________________, Philippines, this day of ___________________________________ personally appeared the following: Name REP. ANTONIO L. TINIO

Identification

Date/Place of Issue

Congress ID C871

July 1, 2010

DR. VICTORIANO C. ESTIRA _________________________ ___________________________ known to me and to me known to be the same persons who executed the foregoing instrument and who acknowledged to me that the same is their free and voluntary act and deed and of the entities they respectively represent in this instance. WITNESS MY HAND AND SEAL, on the date and at the place first above written.

Notary Public Doc. No. ___________ Page No. ___________ Book No. __________ Series of 2011

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