You must have this formed signed with original signatures. Please contact Dr. Joe Kortz when you are ready to sign this agreement. He will bring or send the W-9 form as well. W-9 form.

Sam Houston State University

Huntsville, Texas

Agreement for Teacher Monitor Contractual Services

This agreement, between Sam Houston State University, hereinafter referred to as the University, and __________________, hereinafter referred to as the Contractor, is entered into on the date signed below.

Now therefore, in consideration of the mutual undertaking herein contained, the parties agree as follows:

1. The services to be performed by the Contractor for the University shall consist of

• maintain file of students in the program
• monitor student progress - evaluating students present academic level and directing them in appropriate remedial lessons
• maintain confidentiality of student records
• maintain accurate record of lesson monitoring

2. After the total and satisfactory completion of services outlined in Paragraph 1 above, the University agrees to make payment to the Contractor at a rate not to exceed 30 hours @ $50.00/ 45 minutes session. The Contractor will be required to complete and sign the University’s proper payment forms before payment will be made. After satisfactory completion of the work covered under this agreement and receipt of properly completed forms, The University will tender payment within approximately forty-five (45) days.* The University and the Contractor retain the unilateral right to terminate with advance notice the services of the Contractor at any time during the agreement period.
   * Contractor must submit all completed forms only at conclusion of tutorial period, and no later than May 31st of the current academic school year.

3. In the event that this work is being done on a grant project, it is mutually understood that this agreement will be in force and have effect only upon the conditions that the grant or contract is awarded to the University, and that both the University and Contractor shall abide by the terms and conditions set forth in the grant or contract documents, and that this agreement may be declared null and void by the University if the granting agency, for any reason, withdraws the financial support from the University.

4. By accepting this agreement, the Contractor certifies that dual compensation is not involved (i.e., the individual may not receive compensation from his/her regular employer and the retaining grantee or subgrantee for work performed during a single period of time even though the services performed benefit both).

5. All right, duties, and obligation under this contract are subject to the laws of the State of Texas. In case of conflict, dispute, disagreement, or interpretation of this contract, the laws of the State of Texas shall control.

In Witness whereof, the parties have executed this instrument the ________ day of ___________ 20 _____.

Contractor Sam Houston State University

_______________________ ________________________

_______________________ ________________________

Date Date

Contractors Federal I.S. No. or Social Security No. __________________________________

Dean/Director or Designee

_______________________________________ __________________

Date