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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. A separate Appendix E must be provided for all partners in the grant. Signed MOUs are not an acceptable substitution for a signed Appendix E.

Administrative Approval from the Superintendent/Charter School Principal of the Applicant Local Education Agency (LEA)

It is expected that if the application represents a consortium, the superintendent/charter school principal from each LEA partner will sign an agreement, including partner LEAs within a county office of education.

By signing below, I affirm that:

  1. I have thoroughly read and agree to all portions of this application.
  2. All statements and data contained in this application are accurate.
  3. If awarded a School Counselor Residency Capacity Grant, the LEA agrees to participation in the capacity building activities described as well as the timelines and budgets included in the responses to criterion 1-7 in Section II of this application.




Administrative Approval from an Authorized Administrator of the Applicant’s IHE Partner(s)

It is expected that if the application represents a consortium, the superintendent/charter school principal from each LEA partner will sign an agreement, including partner LEAs within a county office of education.

By signing below, I affirm that:

  1. I have thoroughly read and agree to all portions of this application.
  2. All statements and data contained in this application are accurate.
  3. If awarded a School Counselor Residency Capacity Grant, the IHE agrees to participation in the capacity building activities described as well as the timelines and budgets included in the responses to criterion 1-7 in Section II of this application.