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