IX d. Administration: I affirm that I have read the entire application and am familiar with all of its contents, that the application was prepared by a direct school employee, that all answers, statements, and other matters are true, and that the course will be conducted in accordance with the Vehicle and Traffic Law, Education Law, and current State Education Department Guidelines governing the conduct of NYS-DTSE. Signature (blue ink) of Superintendent (public school or BOCES), Central Office Administrator (private school), or Administrator of the college Note: This administrator must be of an appropriate level to sign an agreement/contract between his/her agency and the New York State Education Department. Signature: ____________________________________________ Date: Print Name: Administrative Certification #: Title: Send an original copy of this form to: New York State Education Department Career & Technical Education Office Driver & Traffic Safety Education Team Room 315 EB
IX d. Administration: I affirm that I have read the entire application and am familiar with all of its contents, that the application was prepared by a direct school employee, that all answers, statements, and other matters are true, and that the course will be conducted in accordance with the Vehicle and Traffic Law, Education Law, and current State Education Department Guidelines governing the conduct of NYS-DTSE. Signature (blue ink) of Superintendent (public school or BOCES), Central Office Administrator (private school), or Administrator of the college Note: This administrator must be of an appropriate level to sign an agreement/contract between his/her agency and the New York State Education Department. Signature: ____________________________________________ Date: Print Name: Administrative Certification #: Title: Send an original copy of this form to: New York State Education Department Career & Technical Education Office Driver & Traffic Safety Education Team Room 315 EB