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Application Signature Page <br />Instructions -The local CEO and Local Board Chair must sign and date this form. Electronic <br />signatures are permitted for the PY 23-25 application. <br />By signing the application below, the local CEO and Local Board Chair request subsequent <br />designation of the Local Area and recertification of the Local Board. Additionally, they agree to <br />abide by the Local Area assurances included in this application. <br />Local Workforce Development Board Chair Local Chief Elected Official <br />Signature Signature <br />Name Name <br />Title Title <br />Date Date <br />Page 10 of 10 <br />EXHIBIT 1