1. PROJECT APPLICATION
      1. TAPS Number
      2. DOE USE ONLY
      3. CERTIFICATION
  2. Instructions for Completion of DOE 100A

________________________________________________
ATTACHMENT B
FLORIDA DEPARTMENT OF EDUCATION
PROJECT APPLICATION
TAPS Number
4A516
Please return to:
Florida Department of Education
Bureau of Grants Management
Room 332 Turlington Building
325 West Gaines Street
Tallahassee, Florida 32399-0400
Telephone: (850) 245-0496
Suncom:
A
)
Program Name:
Better Educated Students and Teachers (BEST)
Teaching Salary Career Ladder Pilot Program
DOE USE ONLY
Date Received
B) Name and Address of Eligible Applicant:
Project Number (DOE Assigned)
C
)
Total Funds Requested:
DOE USE ONLY
Total Approved Project:
$
D
)
Applicant Contact Information
Contact Name:
Mailing Address:
Telephone Number:
SunCom Number:
Fax Number:
E-mail Address:
CERTIFICATION
I, __________________________ (
Please Type Name)
do hereby certify that all facts, figures, and representations made in this
application are true, correct, and consistent with the statement of general assurances and specific programmatic assurances for this
e of
ate and
nation date of
ization
E)
Signature District Superintendent
DOE 100A
Revised 01/03
Page 1 of 2
Jim Horne, Commissioner

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Instructions for Completion of DOE 100A
A.
?
If not pre-printed, enter name of the program for which funds are requested.
B.
?
Enter name and mailing address of eligible applicant. The applicant is the public or non-public
entity receiving funds to carry out the purpose of the project.
C.
?
Enter the total amount of funds requested for this project.
D.
?
Enter requested information for the applicant’s contact person. This is the person responsible for
responding to all questions regarding information included in this application.
E.
?
The original signature of the District Superintendent is required.
•
?
Note:
Applications signed by officials other than the District Superintendent must have a letter
signed by the Superintendent, or documentation citing action of the governing body delegating
authority to the person to sign on behalf of said official. Attach the letter or documentation to the
DOE 100A when the application is submitted.
DOE 100A
Revised 01/03
Page 2 of 2
Jim Horne, Commissioner

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