By my typed signature, I certify that the information I have provided in this application is true and accurate to the best of my knowledge. I agree that if I am awarded a grant from this program, I will utilize these funds only for the purpose that was outlined in the application that I submitted to the Endowment Committee. I also give the Endowment Committee persmission to have the information submitted in this application to be reviewed by the committee members and give permisssion to the Endowment Committee to publicity acknowledge me as a grant recipient, should a grant be awarded to me. *