Laserfiche WebLink
<br />V. Raqulrad Slgnaturas <br /> <br />I certify that the information provided on this form is true and accurate to the best of my knowledge. I <br />understand that prior to any grant award, the applicant must compiy with all application and program <br />requirements of the Public Safety Partnership and Community Policing Act of 1'994 and other requirements of <br />Federal law, <br /> <br />Law Enforcement Executive's Signature: <br /> <br />Date: <br /> <br />(signature a/person named in Secn'on /I of this/arm) <br /> <br />Government Executive's Signature: <br /> <br />-. <br /> <br />Date: <br /> <br />(signa~ure ofpe.rson named in Section /I oj/his form) <br /> <br />School Official's Signature: <br /> <br />Date: <br /> <br />(signature o/person named in Section III under Partner Information) <br /> <br />Vl Application Submission Instructions <br /> <br />Please return I original and 2 copies of all application materials that are being submitted with this request for <br />funding, This includes: <br />. the Application Form; <br />. the Community Policing Infonnation Worksheet (for first time COPS Applicants); <br />. the Budget Information forms; <br />. Assurances; <br />. Certifications; <br />. a written Retention Plan; <br />. the Memorandum of Understanding; <br />. the COPS in Schools Narrative Infonnation; and <br />. an)' additional information (example: additional infonnation questionaire for certain police agencies) that <br />is required, <br /> <br />______ COPS In Schools <br /> <br />Application Form <br /> <br />I5l <br />