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SECTION C. CERTIFICATION <br />I do hereby certify that all facts, figures and representation made in this application are <br />true and correct. Furthermore, all applicable statutes, regulations and procedures for <br />program compliance and fiscal control shall be implemented to insure proper <br />accountability of any grant funds awarded. I further certify that the funds requested in <br />this application shall not supplant funds that would otherwise be used for the purpose <br />set forth in this application. The filing of this application has been authorized by the <br />Grant Applicant and I have been duly authorized to act as the representative of the <br />Grant Applicant in connection with this application. <br />INDIAN RIVER COUNTY <br />DORI SLOSBERG DRIVER EDUCATION SAFETY ACT <br />GRANT PROGRAM <br />SECTION A. APPLICANT INFORMATION <br />Identify the agency or organization and official who is authorized to execute any grant <br />related documents: <br />1. Applicant Name: School District of Indian River County <br />2. Address: arnn V7+h c+roof <br />Vero Beach, Florida 32960 <br />3. Telephone Number: 772 564-3209 Fax: 772 564-3077 <br />4. Authorized Official: Pam Dampier <br />5. Fiscal Officer: Mr. Carter Morrison <br />6. Program Director: Dr. Peggy Jones <br />7. Federal Identification Number: 59600673 <br />8. Status: Public School X <br />Non -Public School <br />SECTION B. PROGRAM INFORMATION <br />1. Program Name: Drivers Education <br />2. Program Type: Curriculum <br />3. Total program budget (attach copy of proposed program budget) <br />4. Amount of grant funds requested: 48,000.00 <br />5. List other and/or potential funding sources for the program and any matching <br />requirements for such funds: <br />Funding Source: Amount: <br />6. Estimated number of students to be served: <br />7. Cost per participant: Amount of funds requested divided by estimated number of <br />��students served: 560 per student --(approximately 45 students) <br />272 <br />