1. The job title of each employee;

2. The date of hire of each employee;

3. The primary job location for each employee. As used in this subsection “primary job location” means the location where the employee performs a minimum of 50% of their work duties;

4. The hours worked by each employee in the last year. If the employee has been employed less than one year and the position was in existence prior to the hiring of the employee, include the hours allocated to this position prior to the hiring of this employee. If the position has existed for less than a year the number of hours for the position when extrapolating existing hours to an annualized basis, e.,g. 600 hours for 6 months is a 1,200 hour annualized position. In no case shall one employee, or one job position, if more than one person held the same job position (e.g. one employee left the firm and was replaced with another employee) account for more than 1,750 hours annually; and

5. A certification by the Authorized Applicant Representative that as of the date the Application is signed each employee listed is still working for the Applicant at approximately the FTE Employee hours listed in the Application, their primary job location is in the county where the Eligible Facility is located, and the Direct Jobs and Supporting Jobs will be maintained for at least 24 months following the Attainment Date.

1. The job title of each employee that will be hired;

2. The estimated date of hire of each employee;

3. An estimate of annual hours of employment for that employee; and

4. A certification that the Applicant has a good faith intention to hire employees for the job positions as listed, approximately when listed, agrees and understands that each employee must be primarily employed in the county where the Eligible Facility is located and must be maintained for at least 24 months following the Attainment Date.

1. Date of purchase;

2. Amount and proof of purchase, e.,g. invoice;

3. Description of item and use; and

4. A certification that as of the date the Application is signed this portion of the Investment is still owned by the Applicant, located in the county where the Eligible Facility is located, and that the Investment will be owned by the Applicant and maintained in the county for at least 24 months after the Attainment Date.

1. Estimated date of purchase;

2. Estimated amount of purchase and written basis for the estimate, e.g. invoices, purchase orders or vendor materials;

3. Description of item and use; and

4. A certification that the Investment will be made by the Applicant and located in the county where the Eligible Facility is located, and that the Investment will be owned by the Applicant and maintained in the county for at least 24 months after the Attainment Date.