Attachment 3 - Statement of Assurances - Required.docx
DOCX document 3 MB Posted
- Attached to
- CTE Revitalization Grant 2025-2027 RFA
- Solicitation number
- S-58100-00016940
- Issued by
- Oregon
About this file
This document is a Statement of Assurances form required as part of the Oregon Department of Education's Career and Technical Education (CTE) Revitalization Grant 2025-2027 Request for Applications. Each participating school must complete and submit one form, signed by both an authorized agent of the school district, charter school, or Educational Service District and the appropriate CTE regional coordinator. The form establishes compliance certifications for eligible recipients, requiring schools to assure adherence to state regulations and policies, commit to carrying out the proposed project as described in the application, cooperate with other participating districts on required reporting to ODE, and acknowledge that violations of rules or laws may result in sanctions including reduction, revocation, or repayment of grant funds. The statement explicitly prohibits capital improvement expenditures and vehicle purchases under the grant due to the short timeline and current uncertainty within the grant cycle.
The Statement of Assurances form requires signatures from both the authorized agent representing the school or district and the CTE regional coordinator, recognizing that coordinators are integral to supporting CTE Program of Study creation and growth. The form collects basic school contact information including the school name, district or ESD affiliation, address, phone, and email. By executing this assurance, participating schools confirm that application information is accurate, that filing is duly authorized by the governing body, and that the organization will comply with all general assurance requirements. This form serves as a critical compliance mechanism ensuring that all grant recipients understand and accept the conditions associated with the 2025-2027 funding cycle.
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RFA S-58100-000169440 - ODE CTE REVIT 25-27 ATT. 3 — Statement of Assurances Statement of Assurances (Required)
STATEMENT OF ASSURANCES FOR ELIGIBLE RECIPIENTS
Participating School Information Each participating school identified on Attachment 3 must complete one Statement of Assurances form.
Please print or type and duplicate as necessary.
School Contact Name:
School Name:
School District or Education Service District (“ESD”):
Address:
City/State/Zip:
Phone:
Email:
2025-2027 Statement of Assurances
· The district, school, charter school or ESD assures and certifies compliance with the regulations, policies, and requirements as they relate to the acceptance and use of state funds for programs included in this application.
· The district, school, charter school or ESD agrees to carry out the project as proposed in the application.
· The district, school, charter school or ESD will cooperate with any other participating districts to submit all required reports to the Oregon Department of Education as outlined in the RFA.
· Violations of the rules or laws may result in sanctions which may include but are not limited to reduction, revocation, or repayment of the grant award.
· The Authorized Agent certifies that to the best of their knowledge, the information in this application is correct, that the filing of this application is duly authorized by the governing body of this organization or institution, and that the organization or institution will comply with the general statement of assurances.
Required Prohibition:
Capital improvement expenditures and vehicle purchases are not allowed under this grant. This limitation is due to the short timeline and uncertainty within the current grant cycle.
Print Name of Authorized Agent
| Signature of Authorized Agent |
| Date |
Engagement with CTE Coordinators
Because the heart of CTE Revitalization is the health and vitality of CTE programs, and because CTE regional coordinators and direct recipient coordinators and/or their designees are an integral part of supporting CTE POS creation and growth, we require a signature from the appropriate coordinator as part of the assurance process. The coordinator will help with critical aspects of the work directly related to the CTE POS. This work complements, but does not duplicate, the roles and responsibilities of the authorized agent.
Print Name of CTE Regional Coordinator
| Signature of CTE Regional Coordinator |
| Date |
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