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6. Exclusive Representatives You must provide a copy of this application to any exclusive <br /> representative (union) certified under M.S. 179A.12 to represent employees who provide the <br /> service or program affected by the application. <br /> Are the employees of any applicant agency who provide the service or program affected by <br /> the application represented by an exclusive representative (union)? <br /> Yes No <br /> If you answer "yes" to this question, indicate which applicant agencies have exclusive <br /> representatives and to which exclusive representatives you are sending a copy of this <br /> application. Attach an additional page if necessary. <br /> 7. Commitment Identify the minimum length of time you are committed to implementing the model <br /> once it has been developed. <br /> 5 years <br /> This application is submitted to the Board of Government Innovation and Cooperation pursuant to M.S. <br /> 465.798. To the best of my (our) knowledge, the information contained in this application is accurate and <br /> complete. I (we) understand that, if this application is funded, the Board may require the grantees to repay <br /> all or a portion of the grant if the proposal is not implemented according to the terms of the grant contract. <br /> (Signature) (Title) (Date) <br /> (Signature) (Title) (Date) <br /> (Signature) (Title) (Date) <br /> (Signature) (Title) (Date) <br /> (Signature) (Title) (Date) <br /> (The cover page must be signed by the senior elected or administrative official of each applicant agency.) <br />