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Additional Partner Page <br />Please use this form if you are applying for funding under the COPS in Schools grant program and you are <br />partnering with more than one school or school district. As a reminder, you must designate one school official <br />as the school representative under this grant program; however, you may partner with numerous schools or <br />school districts. If you are partnering with more than one school or school district, you must provide the attached <br />information for each school or school district. This form must be signed by both the school official and the law <br />enforcement executive and returned at the time of application. <br />Name of Partner Agency or School District: San Lor <br />School Official Name: Janis Duran Title: Superintendent <br />Address: 15510 Usher Street <br />City: San Lorenzo State: CA Zip Code: 94580 <br />Telephone: (510) 317-4690 Fax: (510 278-3048 <br />arc w ~.~GU~ <br />(Signature of School Official) <br />(Signature of Law Enforcement Executive) <br />Date: y ~- ~ ~~ <br />Date: ~ ~`~ O/ <br />Updated: Febuary 16, 2001 <br />e02010931 <br />COPS in Schools Application Form s <br />