Cloverland Electric Cooperative and Cloverland Cares reserve the right to request additional information, if needed. Please note that previous funding does not guarantee future funding.
I represent that I am authorized by the named organization to make this application on its behalf and to make the assertions in this certification and to bind the organization accordingly.
I attest to the truthfulness of the information contained in this application plus attachments and authorize the release of information with regard to the organization. Any persons contacted will be held harmless with respect to any information they may give. I understand that the Cloverland Cares board has the right to fully audit the use of the grant at any time. I also understand that Cloverland Cares and Cloverland Electric Cooperative may use this application, if approved, for publicity and promotional purposes.