Get Ws/4771_ws Obligated Service Agreement - Dhmh - Dhmh Maryland

This guide provides a detailed overview of how to accurately complete the Ws/4771_WS Obligated Service Agreement as part of the Maryland Department of Health and Mental Hygiene's Work-Study/Release Program. Follow these steps to ensure a successful submission of your agreement.

Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to access the Obligated Service Agreement form and open it in the designated editor.
2. Begin by entering your full name in the designated field to identify yourself as the employee participating in the Work-Study/Release Program.
3. Provide the date when you are completing the form in the date field. This helps in tracking your application timeline.
4. Ensure you understand your obligations regarding maintaining a minimum grade point average of a C or higher and continuing employment with DHMH following the completion of your educational program.
5. Read through the repayment conditions outlined in the agreement, including details about cash repayment for any service hours not completed.
6. For work study/release hours, use the timekeeping conversion chart provided in the document to calculate your obligated service hour repayment required for the semester or course you are completing.
7. Fill in the total work study/release hours per week and the number of weeks covered, as these will determine your repayment obligations.
8. Review the payment structure closely, as it specifies how work study hours translate to cash repayment, ensuring you comply with all guidelines.
9. Once all necessary fields are filled out, sign and date the agreement at the bottom. Ensure that your supervisor also provides their name, signature, and the date.
10. After completing your form, you can save the changes, download it for your records, print a physical copy, or share it as needed.

Complete your Ws/4771_WS Obligated Service Agreement online today to ensure your participation in the Work-Study/Release Program!