Part V Priority III Preliminary Application第五部分第三优先的初步应用

Priority One and Emergency ProjectsPart I: Applicant Infor__tionA. School Administrative Unit: ____

FY 2013 Application School Revolving Renovation Fund Division of School Facilities Priority One and Emergency Projects Part I: Applicant Infor__tion A.School Administrative Unit: _____________________________________________ B.SAU Address: _______________________________________________________ _______________________________________________________ _______________________________________________________ C.School Name: _______________________________________________________ D.Project Contact Name and Title: _________________________________________ _________________________________________ E.Project Contact Phone: (207) ___________________________________________ F.Project contact E-__il Address: _________________________________________ Ihereby __rtify that the infor__tion contained herein is accurate and true to the best of my knowledge. ___________________________________________________________________ __ Superintendent’s SignatureDate Submit hardcopy of completed application by 5p.m. September 28, 2012 to: __ine Department of Education School Facilities Servi__s -SRRF 23 State House Station Augusta, ME 04333-0023 For assistan__ contact: Ann Pinnette Phone: (207) 624-6885 Fax: (207) 624-6841 E__il: ann.pinnette@__ine.gov Check one box only.Submit aseparate application for Part II: Type of Application: each individual project. 1