I hereby declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I understand that if the information given by me is proved false/not true, my application will be rejected and no funds will be dispered.
I do hereby acknowledge and agree to maintain employment with the City of Atlanta for a period of no less than five years following the dismbursement of any financial support provided by the Atlanta Fire Rescue Foundation. If I resign, retire or separate from the employment of the Atlanta Fire Rescue Department withing those five years, I must reimburse the Atlanta Fire Rescue Foundation the full amount of the gift within in 90 days of my separation date.