PAGE 2                                                                                                                                                                                                                                WEEB 1

        CONSORTIUM VERIFICATION FORM
Electronic versions available on website

 

 

 

Each of the undersigned certifies that they will participate in this project, that the specified obligations and responsibilities in this project will be met, and that the project will be administered by the public agency or corporation designated.

 

 

                                                                                                  ADMINISTERING ORGANIZATION

 

Organization’s Name

 

Sitka School District

 

Project Director’s Name

Sue McWilliams

Project Title

 

An Educational Plan for Foxwood School Forest

Telephone Area/No

(222) 333-4444

 

 

                                                                                               PARTICIPATING ORGANIZATION(S)

 

 Organization’s Name

Leaning Experience and Activities in Forestry (LEAF)

 

Telephone Area/No.

(715) 346-4907

Address (Street, City, State, Zip)

110 College of Natural Resources, UW-Stevens Point,
800 Reserve Street, Stevens Point WI 54481

Supplying 1/3 or More of the Total Match?
(If yes, then CEO must sign.)
o Yes                                   No

Name and Title

Jeremy Solin, WI School Forest Education Specialist

 

Signature

Ø Jeremy Solin

Date Signed
12/19/2006

 Organization’s Name

Wisconsin Department of Natural Resources: Sitka Service Station

 

Telephone Area/No.
(608) 222-9999

Address (Street, City, State, Zip)

1515 Forest Lane, Sitka WI 55555

Supplying 1/3 or More of the Total Match?
(If yes, then CEO must sign.)
o Yes                                    No

Name and Title

Joe Maple, DNR Forester

 

Signature

Ø Joe Maple

Date Signed
12/20/2006

 Organization’s Name

 

Telephone Area/No.

Address (Street, City, State, Zip)

 

Supplying 1/3 or More of the Total Match?
(If yes, then CEO must sign.)
o Yes                                   o  No

Name and Title

 

Signature

Ø

 

Date Signed

 Organization’s Name

 

 

Telephone Area/No.

Address (Street, City, State, Zip)

 

Supplying 1/3 or More of the Total Match?
(If yes, then CEO must sign.)
o Yes                                   o No

Name and Title

 

Signature

Ø

Date Signed

 

Use a duplicate of this form if there are more than four participating organizations.