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U.S. Department of Justicr- 1 Of ice of Community OriTnted Policing Services COPS Universal Hiring Program OFFICER HIRING REQUEST FOR COPS AHEAD AND COPS FAST GRANTEES Yes, we are interested in participating in the COPS Universal Hiring Program. We understand that COPS Universal Hiring Program hiring grants provide a maximum federal contribution of 75% of the salary and benefits of each officer over three years, up to a cap of $75,000 per officer, with the federal share decreasing from year to year. Applicant Organization's Legal Name: CITY OF t·10SC0\4, IDAHO Executive Information: Law Enforcement Executive's Name: Wi 11 i am F. Brown, Jr. Title: Chief Agency Name: _ _JtUJ'ioJ...sucñoòwóPo"-lwiôc<..\o: eõD e pöa÷røt:!.!.! mùen Address: _ l_l_G E a_s_ t 4_t_h _s_t_r_e_e_t _ City onw State: Zip Code: 83843 Telephone: _ 2 FAX: 0 8 4 _ Law Enforcement Agency EIN Number (Assigned by the IRS): _ Law Enforcement Agency ORI Number (Assigned by FBI for UCR Reporting): _ Government Executive's Name: u_s Title : ülayor Name of Government Entity: _ t.]_yMoNf OOS!::: C _ Address: • City _ State: Zip Code: _ _ Telephone: F AX: _ .:.20Ć8::!..-ć8Ĉ8ĉ2_ 0Ċ2ċ0Č------ General Information: Type of Police Agency: V Municipal 0 Sheriff 0 County Police 0 Indian Tribal 0 Other: _ 0 State Page 1 95-68 ---PAGE BREAK--- Total number of new officers requested for 1995: Full-Time _ _ Part-Time _ _ _ Date(s) by which you would like to hire the officer(s): As soan as pass i bl e Current authorized sworn force strength (as ofMay 1, 1995): _ _ Current actual sworn force strength and funded vacancies (as ofMay I, 1995): To assist the COPS Office in planning, how. many additional officers would you like to have supported by the COPS Office in each of the following calendar years: Full-Time Part-Time 1996: 2 0\ 1997: 2 0 1998: 2 0 1999: 2 0 2000: 2 0 Are you requesting a waiver of the local match requirement based upon extraordinary local fiscal hardship? 0 Yes a:t" No If yes, attach a one page typewritten description of the extraordinary local fiscal hardship upon which you are basing your request for a waiver. I certify that the information provided on this form is true and accurate to the best of my knowledge. I acknowledge that the Assurances and Certifications submitted in conIction with the· applicant's prior COPS AHEAD or COPS FAST application remain in force. I understand that prior to any grant award. the applicant must comply with all application and program requirements of the Public Safety Partnership and Communi Policing A of 1994 pnd other requirements of federal law. Law Enforcement Executive's Signature: ait d- · Date: 7 D/95 (signature of person name on the front of this form) . ' Government Exdcutive's Signature: Date: (signature of person r.amed on the front of this form) Return this form, and any additional information that is required postmarked by August 31, 1995. To this address: COPS Universal Hiring Program U.S. Department of Justice llOO Vermont Avenue, N.W. Washington, DC 20530 *Faxed copies wi/1/YQI be accepted. Page2 i