Alamance County Arts Council - Grassroots Arts Program

Subgrant Application Form

FY 2006-07 Page 4 of 4

Certification

We understand that failure to respond to any of the above items may adversely affect the consideration of this application. We certify that we are committed to the completion of the proposed project in compliance with legal requirements and granting procedures. We certify that the information contained in this application, including attachments and supporting materials, is true and correct to the best of our knowledge.

Name and Position of Authorizing Official

Signature of Authorizing Official Date

Signature of Contact Person Date