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<br />,... ' <br /> <br />FLORIDA DEPARTMENT OF JUVENILE JUSTICE <br />Combination Grant Application <br />Technical Review Checklist <br /> <br />. Jt'- <br /> <br />J ITEM Appendix <br /> (if applicable) <br /> Completed Grant Application (one signed original and six copies) <br /> Signed Certification on Page 2 <br /> Signed Disallowed Expenditures (Section L, Page 18) <br /> Signed Certification of Assurances (Pages 19 & 20) <br /> Local Criteria (if applicable) Appendix A <br /> Written and Signed Collaborative Agreement Appendix B <br /> Copy of compliance monitoring and/or site visit report (required only <br /> if applicant is currently receiving funding or has received funding within Appendix C <br /> the last three years from the Department of Juvenile Justice). Do not in- <br /> clude confidential or identifying information on juveniles. <br /> A description of the agency or organization (for non-governmental Appendix D <br /> agencies or organizations) <br /> A copy of the agency or organization's current operating budget (for Appendix E <br /> non-governmental agencies or organizations) <br /> A list of the agency or organization's board of directors (for non-gov- <br /> ernmental agencies or organizations) for private not-for-profit, or list of Appendix F <br /> corporate officers for private for-profit organizations <br /> Copies of program-related position descriptions and minimum Appendix G <br /> requirements (education, experience) <br /> Copy of the agency or organization's current secular-based (non- <br /> religious) 501(c)(3) Internal Revenue Service designation (for non- Appendix H <br /> governmental agencies or organizations) <br /> <br />22/CG <br />