MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION STANDARD CONTRACT FORM AND APPLICATION FOR PROGRAM GRANTS PART I GENERAL – A. APPLICANT: District Code: ADDRESS: TELEPHONE: ( ) B. APPLICATION FOR PROGRAM FUNDING AMOUNT FUND PROGRAM NAME PROJECT DURATION REQUESTED CODE FY2019 FEDERAL/STATE COMPETITIVE GRANT FROM TO – administered by the ADULT & COMMUNITY LEARNING SERVICES 494/538 Workplace Education Planning Grants Phase II Upon Approval 6/30/19 – C. I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS CORRECT AND COMPLETE; THAT THE APPLICANT AGENCY HAS AUTHORIZED ME, AS ITS REPRESENTATIVE, TO FILE THIS APPLICATION; AND THAT I UNDERSTAND THAT FOR ANY FUNDS RECEIVED THROUGH THIS APPLICATION THE AGENCY AGREES TO COMPLY WITH ALL APPLICABLE STATE AND FEDERAL GRANT REQUIREMENTS COVERING BOTH THE PROGRAMMATIC AND FISCAL ADMINISTRATION OF GRANT FUNDS. AUTHORIZED SIGNATORY: TITLE: TYPED NAME: DATE: DATE DUE: October 19, 2018 Proposals must be received at the Department by 3:00 p.m. on the date due. Proposals must be emailed to mailbox
MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION STANDARD CONTRACT FORM AND APPLICATION FOR PROGRAM GRANTS PART I – GENERAL A. APPLICANT: District Code: ADDRESS: TELEPHONE: ( ) B. APPLICATION FOR PROGRAM FUNDING FUND CODE PROGRAM NAME PROJECT DURATION AMOUNT REQUESTED FY2019 FEDERAL/STATE – COMPETITIVE GRANT administered by the ADULT & COMMUNITY LEARNING SERVICES FROM TO 494/538 Workplace Education Planning Grants – Phase II Upon Approval 6/30/19 C. I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS CORRECT AND COMPLETE; THAT THE APPLICANT AGENCY HAS AUTHORIZED ME, AS ITS REPRESENTATIVE, TO FILE THIS APPLICATION; AND THAT I UNDERSTAND THAT FOR ANY FUNDS RECEIVED THROUGH THIS APPLICATION THE AGENCY AGREES TO COMPLY WITH ALL APPLICABLE STATE AND FEDERAL GRANT REQUIREMENTS COVERING BOTH THE PROGRAMMATIC AND FISCAL ADMINISTRATION OF GRANT FUNDS. AUTHORIZED SIGNATORY: TITLE: TYPED NAME: DATE: DATE DUE: October 19, 2018 Proposals must be received at the Department by 3:00 p.m. on the date due. Proposals must be emailed to mailbox
phaseii-parti-signature.docx