11-09-1994 Council Agenda - Laserfiche WebLink

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10/28/94 10:10 NW YOUTH & FAMILY SERVICES a 484 4538 NO.316 005 6. Exclusive Representatives You must provide a copy of this application to any exclusive representative (union) certified under M.S. 179A.12 to represent employees, who provide the service or program affected by the application. Are the employees of any applicant agency who provide the service or program affected by the application represented by an exclusive representative (union)? Yes No If you answer "yes" to this question, indicate which applicant agencies have exclusive representatives and to which exclusive representatives you are sending a copy of' this application. Attach an additional page if necessary. 7. Commitment Identify the minimum length of time you are committed to providing a fully - integrated service or program. years This application is submitted to the Board of Government Innovation and Cooperation pursuant to M.S. 465.801. To the best of our knowledge, the information contained in this application is accurate and complete. We understand that, if this application is funded, the Board may require the grantees to repay all or a portion of the grant if the proposal is not implemented according to the terms of the grant contract. (Signature) (Signature) (signature) (Signature) (Title) mile) (Title) (Ttto) (Date) (Hale) (Date) (Pam) (Signature) (7We) (Date) (The cover page must be signed by the senior elected or administrative official of each applicant agency.) Page 32