Border Security Council Report - Office of the Governor - Rick Perry

III. Application for State Assistance
1. Name of Program/ Assistance: 2. Applicant Status:
City
County
Tribal
State
3. Start Date: 4. End Date:
5. Applicant Information
a. Legal Name of Applicant Organization (as
it appears on the BSET Application Form
B-1):
Form B-
(05/08)
b. Name & Telephone Number of Grant
Performance Officer:
c. Mailing Address: d. Physical Address (if different from Mailing
Address):
6. EMPLOYER IDENTIFICATION NUMBER / TAX ID #
7. ESTIMATED EXPENSES:
a. Salary & Benefits (from line ___ Budget Form B-4) $0.00
b. Travel & Training Expenses (from line ___ Budget Form B-4) $
c. Equipment & Technology (from line ___ Budget Form B-4) $
d. Operating Expenses (from line ___ Budget Form B-4) 0.00
e. Total Expenses (7a + 7b + 7c + 7d) $
8. CERTIFICATION: I certify that to the best of my knowledge and belief this application and its
attachments are true and correct.
a. Typed Name of Authorized Official:
b. Title of Authorized Official:
c. Original Signature of Authorized Official:
d. Date Signed:
Appendix D: BSET Grant Guidance and Application Kit