Statement of Assurances
Statement
of Assurances
Applicants
Initial Board of Trustees
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Our signatures below attest to the full compliance with all of the requirements of Article 56 of the Education Law, including, but not limited to, the following:
We the undersigned hereby certify that all of the information provided herein is true and accurate, to the best of our knowledge. We understand that if any of the information contained herein is found to have been deliberately misrepresented, that may constitute sufficient grounds for the refusal or revocation of a charter. We further certify that we will comply with all of the assurances set forth herein, and respectfully request the issuance of a charter.
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
INITIAL BOARD OF TRUSTEES
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
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Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
___________________________________________
Notary Public
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Print/Type Name
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Signature
Sworn to before me this _____ day of _______________ 20__
___________________________________________
Notary Public