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<br />v. Roqulrod Signaturos <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 comply 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 o/person named in Seen'on /I of this/arm) <br /> <br />Government Executive's Signature: <br /> <br />". <br /> <br />Date: <br /> <br />(signal,ure ofp~rson named in Section II of this/arm) <br /> <br />School Official's Signature: <br /> <br />Date: <br /> <br />(signature o/person named in Section /II under Partner Information) <br /> <br />VL ApplicaUOn 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 Information 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 Information; and <br />. any additional information (example: additional information questionaire for certain police agencies) that <br />is required. <br /> <br />III COPS In Schools <br /> <br />AppDcation Form <br /> <br />o <br />