Annual Renewal of Funding General InformationGrant Title Request Submitted By Extension Department DeanSelect...Katherin Brandt, Interim Dean of NursingDr. Alice Mecom, Dean of Communications & LanguagesMichael Garabedian, Dean of Library & Instructional SupportDr. Vann Priest, Dean of Mathematics, Science & EngineeringGita Runkle, Dean of BusinessGita Runkle, Dean of Arts and Cultural ProgramsMark Yokoyama, Dean of Public SafetyMike Slavich, Dean of Career & Technical Education / Instructional OperationsDr. Adam Westman, Dean of Behavioral & Social SciencesLisa Chavez, Dean of CounselingHeba Griffith, Dean of Student Support ServicesDr. Earic Dixon-Peters, VP Student ServicesDr. Don Miller, VP Academic AffairsYolanda Emerson, Dean Educational CentersNedra Brown, Dean of Kinesiology, Dance & AthleticsAlicia Kruizenga, Dean Student AffairsCecilia Rocha, Dean of Student Equity & AchievementTina Kuperman, VP Human ResourcesDirector/Coordinator Extension Grant InformationGrant Programi.e. Title V, TRIO, MESA, RISE, Basic Skills, etc.) Award # Funding Source Federal State City Foundation Other Agency/Foundation Name Total Amount FundedDuration of Funding Board Acceptance Date Month Day Year Renewal Funding InformationCurrent Year of Granti.e. 1 of 5 or Year 1 of 5 Years Amount of Renewal FundingIf this is the final year of funding, do you plan to reapply? Yes No If no, why not?If yes, have you notified the Grants Office? Yes No Additional Information or CommentsPlease use the space below to provide any additional information To trigger the review process, please accept the statement, sign, and save the form. The Grant Development Department will review and contact you shortly with further instructions.SIGNATURE OF SUBMITTIERAccept Statement I agreeBy checking the box in this section of this Rio Hondo Launch Pad online document I, (1) acknowledge that I have followed the policies and procedures of the Office of Grant Development and Management to the best of my ability to complete this form, and (2) certify that the information I have provided on this form is complete and accurate to the best of my knowledge; and (3) I acknowledge that by checking the box in this section it is a representative act of my sole signature and not that of any other individual.Signature of Submittier Grant Development Department Use Only(Required) Grant Launch Pad ReviewedSIGNATURE OF DEAN: By applying my electronic signature in this section of this Rio Hondo Launch Pad online document I, (1) acknowledge that I am aware, permit and support the activities described in this form by the submitter, and (2) I acknowledge that the activities described in this form are both in alignment with the goals and objectives of this institution, and in alignment with the departmental goals and program(s), and; (3) I approve this submission for further pursuit of Grant Funding by continuing further with the policies and procedures of the Office of Grant Development and Management.SIGNATURE OF DIRECTOR OF GRANT DEVELOPMENT AND MANAGEMENT: By applying my electronic signature in this section of this Rio Hondo Launch Pad online document I, Michaela Brehm (1) acknowledge that I have enforced the policies and procedures of the Office of Grant Development and Management to the best of my ability to assist in completion this form with the submitter, and (2) certify that the information I have added to, edited, enhanced, or provided on this form is complete and accurate to the best of my knowledge.