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DESIGNATION OF GRANT OFFICIALS <br />CJD rules require that three persons be designated to the positions of Authorized Official, Project Direct( <br />and Financial Officer for the purposes of administering a grant. The Project Director and the Financ- <br />Officer may not be the same person but, under extenuating circumstances, one person may otherwise fill <br />two positions. In accordance with the criteria and definition of responsibilities set forth in the Grant <br />Application and Administration Guldelines governing submission of this application, the following <br />designations are made: <br />APPLICANT: <br />PROJECT TITLE: <br />❑ Mr. ❑Ms. ❑ Mr. ❑Ms. <br />Project Director (Type or Print) Financial Officer (type or Print) <br />Title and Agency <br />Organization's Address (Street or P. 0. Box) <br />City. Zip <br />Telephone Number <br />Fax Number <br />'ride and Agency <br />Organization's Address (Street or P. 0. Box) <br />i <br />City Zip <br />Telephone Number <br />Fax Number / <br />❑ Mr. ❑Ms. <br />Authorized Official (Type or Print) <br />Title and Agency <br />Organization's Address (Street or P. 0. Box) <br />City Zip <br />i <br />! Telephone Number <br />Fax Number <br />a <br />