All information provided will be kept confidential. All applications received will become the property of North Country Rural Development Coalition (NRDC). I (We) hereby apply for assistance from NRDC. I (We)certify that the above statements are true, accurate, and complete to the best of my (our) knowledge and belief. False statements made knowingly by the applicant will disqualify the applicant from participating in the program. I (We) hereby consent to and authorize NRDC to obtain verification of information required for compliance with the regulations of the VRP program.