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<br />APPLICATION FOR <br /> <br />OMS Approval No. 03U-OO~) <br /> <br />FEDERAL ASSISTANCE' 2. OATE SUBMITTED Ar- t Identlfter <br />t. TVPE 0' SUBMISSION: J. OAT! RECEIVED BY STATE Stale Applicallon Identlflel <br />Appllca/lon Preapplicalion <br />o Con,trucllon o eon,lluCllon <br /> 4. DATE RECEIVED BY FEDERAL AGENCY Fooe'alldenlifler ~ <br />o Non.Con5t/uclion o Non.conslruclion <br />I. A'PlICANT INFORMA nON . <br />Leqal Name Oloenlzellonel Unil: <br />Marm IIJ,vll City, county. Slale, and lip code) Name and telephone number of the person to be conleCled on maller, InvolVing <br /> thl, applicallon laNs srsa COO6) <br />6 EMPLOYER IDENTlFICAnON NUMBER (EIN): 7, TVPE OF APPLICANT: lan/ar apprOPfliJ/a lallar In box} 0 <br /> A. Slale H. Independenl School 0151. <br /> B County I. State Coni/oiled Inshtullon of HICJher LearnlnCJ <br />I. TYPE OF APPLICATION: C. MUnicipal J Pnvate UnlVel5lty <br /> D. Township K. Indian T II be <br /> o New o Continua lion o ReviSion E. InlerSlate L. IndiVidual <br />If ReVISion. enter appropllale lelter(s) in box(e,), 0 0 F. Inle/munlClpal M Proll! Organlzallon <br /> a Speclel Dislricl N. Olher (S~IIy) ..- <br />A Increase Award B. Decrease Award C Increa58 Duration <br />Q Decrcase Qurallon Othet Isp~tfy): I. NAME OF FEDERAL AOENCY: GOVernor's Office <br /> Crimi na 1 Justice Division <br /> P.O. Box '12~2B, Austin, 'Texas78711 <br />to. CATALOQ OF FEDERAL DOMESTIC I I .1 I I II. DESCRIPTIVE Tln.E OF APPLICANT'S PROJECT: <br />ASSISTANCE NUMBER: <br />TITLE. <br />12. AREAS AFFECTED BV PROJECT (Cllles, counll6S. Hates, e/c)' <br />1J. PROPOSED PROJECT: I~. CONGRESSIONAL DiSTRICTS OF: <br />Slart Dale Ending Dale a. Applicant b Project <br />15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12J72 PROCESS? <br />a Federal $ .00 a. YES THIS PREAPPLlCATIONlAPPLlCATlON WAS MADE AVAILABLE TO THE <br /> STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON <br />b. Applicanl $ .00 DATE <br />C SIal\! S .00 <br /> , b NO 0 PROGRAM IS NOT COVERED BY EO 12372 <br />d Local S .00 <br /> 0 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW <br />c Olher S .00 . <br /> , <br />1 Program Incomo S .00 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL OEm <br />I) TOT^L S .00 DYes If .Yes.. allach an explanahon. o No <br /> .' <br />11 TO THE BEST OF MY KNOWLEOOE AND BELIEF. ALL DATA iN THIS APPLlCATlON,l'REAPPLlCATION ARE TRUE AND CORRECT. THE DocUMENT HAS BEEN DULY <br />AUTHORIZED BV THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPL Y WITH THE ATTACHED ASSURANCES IF THE ASSiSTANCE is AWARDED <br />J r Vpud Name 01 Aulhorlled Represenlalive b Title c Telephone numbel <br />d SUlnJlure 01 Aulhorlled Representallve e Dale ')IQned <br />PIiJVIUUS EOlllons NOI USdble Slandard Form J24 ::lEV I d!l. <br /> <br />CJD-l <br /> <br />P'esc!lbed by 01A8 ,-'f ~,,)I .~ I ;l <br />