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<br />COPS hi Schools - Additional Partnor Pago <br />(To be used if there is more than one partnering agency) <br /> <br />Please use this form if you are applying for funding under the COPS in Schools grant program and are <br />partnering with more than one school or school district. As a reminder, you must designate one school <br />official as the school representative under this grant program. However, you may partner with <br />numerous schools or school districts. If you are partnering with more than one school or school district you <br />must provide the following information for each school or school district. This form must be signed by both <br />the law enforcement executive and the school official and returned at the time of application. <br /> <br />Name of Additional Partner Agency or School District: <br /> <br />School Official Name: <br />Address:--." ,. <br />City: <br />State: <br />Phone: <br /> <br />Title: <br /> <br />, <br /> <br />Zip 'Code: <br />Fax: <br /> <br />Law Enforcement Executive's Signature: <br /> <br />Date: <br /> <br />(signature of the official named in Section II of this application) <br /> <br />School Official's Signature: <br /> <br />Date: <br /> <br />(signature a/person named in Section 1/1 under Partner Information) <br /> <br />l,oJ.JI(J 4/"" ."'1 .'UJlI <br />fC.l:~r..J' <br /> <br />.. COPS hi Schools <br /> <br />AppfIC8tbn form <br /> <br />[:J <br />