INTERNET SAFETY FOR APPLICANT PUBLIC LIBRARIES PROGRAM YEAR As the duly authorized representative of the applicant public library, I hereby certify that (check only one of the following boxes) A. The applicant library has complied with the requirements of Section 9134(f)(1) of the Library Services and Technology Act. B. The requirements of Section 9134 (f) of the Library Services and Technology Act do not apply to the applicant library because no funds made available under the LSTA program will be used to purchase computers used to access the Internet or to pay for direct costs associated with accessing the Internet for a Public library or public elementary school or secondary school library that does not receive discounted E-Rate services under the Communications Act of 1934 as amended. Signature of Authorized Representative Printed Name of Authorized Representative Title of Authorized Representative Date Name of Applicant Library/Program
INTERNET SAFETY FOR APPLICANT PUBLIC LIBRARIES PROGRAM YEAR As the duly authorized representative of the applicant public library, I hereby certify that (check only one of the following boxes) A. The applicant library has complied with the requirements of Section 9134(f)(1) of the Library Services and Technology Act. B. The requirements of Section 9134 (f) of the Library Services and Technology Act do not apply to the applicant library because no funds made available under the LSTA program will be used to purchase computers used to access the Internet or to pay for direct costs associated with accessing the Internet for a Public library or public elementary school or secondary school library that does not receive discounted E-Rate services under the Communications Act of 1934 as amended. Signature of Authorized Representative Printed Name of Authorized Representative Title of Authorized Representative Date Name of Applicant Library/Program
2011Guide20100105Shud.docx