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    Note:
  • Carefully read and follow the directions to complete the form and generate a PDF version that can be attached to the final application. All narrative responses and PDF appendices must be submitted as one application.
  • If the application is submitted by a consortium or if the proposed partnership includes more than one institution of higher education (IHE), the applicant will generate multiple Appendix E documents.

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Administrative Approval from the Authorized Administrator of the Applicant (IHE)
By signing below, I affirm that:
  1. I have thoroughly read all portions of this application.
  2. All statements and data contained in this application are accurate.
  3. If awarded an Integrated Program Implementation/Expansion Grant, the IHE agrees to participation in the activities described as well as the timelines and budgets included in the responses to criterion 1-7 in Section III of this application.



Administrative Approval the Authorized Administrator of the new California Community College Partner (if applicable)
By signing below, I affirm that:
  1. I have thoroughly read all portions of this application.
  2. All statements and data contained in this application are accurate.
  3. If awarded an Integrated Program Implementation/Expansion Grant, the IHE agrees to participation in the activities described as well as the timelines and budgets included in the responses to criterion 1-7 in Section III of this application.