Attachment 3 - Statement of Assurances - Required.pdf
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- Attached to
- CTE Revitalization Grant 2025-2027 RFA
- Solicitation number
- S-58100-00016940
- Issued by
- Oregon
About this file
This is a Statement of Assurances form required by the Oregon Department of Education (ODE) for the CTE Revitalization Grant 2025-2027 RFA (RFA S-58100-000169440). Eligible applicants include Oregon public school districts, Education Service Districts (ESDs), and public charter schools seeking to develop, expand, and enhance Career and Technical Education (CTE) Programs of Study aligned with high-skill, high-wage, and in-demand occupations. Each participating school must complete and submit one Statement of Assurances form, which requires the school contact information, school name, school district or ESD affiliation, and address details. The form covers a 2025-2027 funding period and requires signatures from both an authorized agent of the district, school, charter school, or ESD and the appropriate CTE regional coordinator or designee.
The Statement of Assurances certifies compliance with all applicable regulations, policies, and state funding requirements; commits to carrying out the proposed project; and obligates participating organizations to cooperate with other districts and submit all required reports to ODE as outlined in the RFA. A critical prohibition explicitly stated in the assurances restricts capital improvement expenditures and vehicle purchases under this grant due to the short timeline and uncertainty within the current grant cycle. The document emphasizes that violations of rules or laws may result in sanctions including reduction, revocation, or repayment of the grant award. CTE regional coordinators and direct recipient coordinators are integral to the program and must engage in supporting CTE Program of Study creation and growth, with their participation formally documented through signatures on the assurance form.
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Text version
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.
RFA S-58100-000169440 - ODE CTE REVIT 25-27 ATT. 3 — Statement of Assurances
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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