Certification: ___________________________ ______________ ____________________________________ Typed Agency Name Agency Number Typed Name and Title of Authorized Official (Agency Head) I certify that the agency will adhere to each of the assurances contained in this set of Assurances for Participation in the Emergency Notification Service Program. __________________________________ ________________ _________________________ Signature (must be original) Date Area Code / Telephone Number Return original with project application to: Office of Grants Management, Florida Department of Education, 325 W. Gaines Street (Room 332), Tallahassee, Florida 32399-0400
Allowed
Adobe Portable Document Format (.pdf) - application/pdf