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8 <br /> Attend an-d/&conduct minimum two night tilTle*S at belt Initiatives. ..... <br /> • Conduct/provide support for a minimum of 3 presentations using the DWI Simulator <br /> • Conduct/provide support for a minimum of 2 presentations using the Convincer <br /> Attend the NCGHSP Traffic Safety Conference <br /> ................ ........................—-—-------- ......... .............. <br /> AGENCY AUTHORIZING SIGNATURE <br /> I have read and accept terms and conditions of the grant funding and attached the Grant Agreement. The information <br /> supplied in this application is true to the best of my knowledge. <br /> ....................................I........................................................... ................................................... <br /> Name: PIN Date: !Oct 1, 2018 1 <br /> ............ ................................................. ............ ................................................................................................. .................................................................................................... ........................................................................................................................................... ............................... <br /> 1 Note--:—. ........... ........... ............**"*.......................................*.............. ..............................................*..... ......... ............. ............*............... ............................................ <br /> 1. Submitting grant application is not a guarantee of grant being approved. <br /> 2. <br /> Once form has been submitted, it cannot be changed unless it has a status of'Return <br /> ........................................................................................................................ ...................................................... ........................... .................................................................................................................................................................................................................................................................................................. <br /> ................ <br /> Version 1.0 Page 6 of 6 <br />