Attachment ASchool TechnologyDiane L. Wolfe202004-06-04T14:05:00Z2008-04-01T17:56:00Z2008-04-01T17:56:00Z13141790County of Albemarle144210011.0000

APPENDIX C3Attachment AFile: GCLA PIEDMONT REGIONAL EDUCATION PROGRAM (PREP)TUITION REIMBURSEMENT

AGREEMENT TO REPAY IN EVENT OF DEFAULTAs a recipient of

endorsement, certification and re-certification tuition reimbursement, I, the undersigned affirm that I have read and understand the conditions of this program of the PREP Joint Board of Control. I, furthermore, today appear before a Notary Public, affixing my signature to this document as my promise to abide by all the conditions stipulated in the policy. I particularly acknowledge my obligations as a recipient of this employment benefit. That is, I hereby promise to continue productive employment with PREP for at least

one year, beyond the year in which I

am reimbursed

by PREP. If however, I for any reason opt to terminate my employment with PREP before completing my employment obligation, I promise to repay

one year of graduate tuition paid on my behalf by the PREP Joint Board of Control within forty-eight months of ending my employment. Further, I agree if I default on this agreement that the PREP Joint Board of Control may seek reimbursement through any court of proper jurisdiction in Albemarle County. I agree that I will pay all costs and attorney’s fees associated with any litigation to enforce this agreement. Finally, I understand that there are no provisions in this program or agreement for waiver of the obligation of repayment in the event of my default. ___________________________________Signature of PREP employee receivingGraduate School tuition reimbursement

NOTARY PUBLIC CERTIFICATION:Commonwealth of VirginiaCounty of _________________________I, as a Notary Public of the said Commonwealth and County, do hereby certify that_______________________________ personally appeared before me and acknowledgedthe due execution of the foregoing instrument.Witness my hand and seal the _______ day of _______________, _______.My Commission Expires ____________________._____________________________________Signature of Notary