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<br />Total number of new officers requested for 1995: Full. Time 2 Part. Time 0 <br />Date(s) by which you would like to hire the officer(s): October 1 , 1995 <br /> <br />Current authorized sworn force strength (as of May I, 1995): 53 <br /> <br />Current actual sworn force strength and funded vacancies (as of May 1,1995): 52 <br /> <br />To assist the COPS Office in planning, how many additional officers would you like to have supponed by the <br />COPS Office in each of the following calendar years: <br /> <br /> Full.Time Part-Time <br />1996: 2 0 <br />1997: 2 0 <br />1998: 2 0 <br />1999: <br />2000: <br /> <br />Are you requesting a waiver of the local match requirement based upon extraordinary localliscal bardsblp? <br /> <br />[J Yes <br /> <br />. EI No <br /> <br />If yes, anach a one page l)'pewrinen description of the extraordinary <br />local fiscal hardship upon which you are basing your request for a <br />waiver. <br /> <br />/ cerrifylnallhelnlormOlionprovlded onlhislorm is Il'Ve ond oCClUo/elo lhe best olmy knowledge. Jocknow/edge /Iuzt Ihe <br />Assllro"".. and CerlijicaliOfIJ SlIbmlued In cOlllltcllon with Ihe applicant's prior COPS AHE..4D or COPS FAST applicalion <br />rrmain inforct. J IlMtrslaru! lMI prior 10 any granJ award. the applicant mwI comply wilh 01/ application and prograM <br />requireMents a/the Public Saltl)' Pa,.lrwrship and C mmllniry Policinl Act of J~9" and other reqllirements offederal/ow. <br /> <br />Law Enforcement Executive's Signature: ~ Oat:: ~- }~ - <15 <br />(slgnalllre 0 s n me on Ihe fronr 0 I is form) <br /> <br />Government Executive's Signature: <br /> <br /> <br />~- 2'-\ - q 5 <br /> <br />*Return this form, 2 copies and any additional <br />information postmarked by August 31, 1995 to: <br /> <br />COPS Universal Hiring Program <br />U. S, Department of Justice <br />1100 Vermont Avenue, N.W. <br />Washington, DC 20530 <br /> <br />* Faxed copies willl:iJlI. be accepted. <br /> <br />Page 1 <br />