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Faith Based and Preschool Program

Request for 4C Funds for Voluntary Certification

Contact Information
Voluntary Certification Objective
Tell us in which area your program is requesting funds
Amount of Request
Requests cannot exceed $5,000.
Description of Request
No file selected
In-Kind Match Responsibility
No file selected
Improvement Project Budget
No file selected
Agreement

By submitting this application, I affirm that the facts set forth are true and complete. I understand that if I am awarded my request for special funding, I have six months to notify 4C that I have fulfilled my responsibilities of fund matching and have been visited by the Bureau of Child Care to verify Voluntary Certification Program achievement. I understand the intent of funding is participation on Paths to QUALITYTM within one month of achieving all applicable Voluntary Certifications. I understand that if these expectations are unmet, I will be responsible for repayment of the funded amount to 4C of Southern Indiana, Inc.


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