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By submitting this application, I acknowledge that, to the best of my knowledge all information provided in this application is accurate and complete. I understand that Darkness to Light will review the information provided in this application and notify the organization named on the application if distinction as Partner in Prevention is awarded.

Darkness to Light reserves the right to request information needed to verify the accuracy of the information provided and may periodically audit an organization for compliance with the guidelines associated with the Partner in Prevention program at any time upon reasonable notice.

If awarded, the Partner in Prevention distinction remains in effect for a period of 12 months unless otherwise terminated. An annual application is required to maintain the distinction.

Nothing in this application, the Partner in Prevention program, or in the use of the emblem itself, shall confer any endorsement or approval of the Organization's services by Darkness to Light. The program and associated emblem is intended only to convey that the Organization has met training standards.

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* 1. Acknowledgement of the above statement:

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