Attachment 5

Sample Letter of Commitment from Board of Directors or Equivalent

Official

HIV Provider Education Guidelines Program

RFA #09-0005

Date

Tracy Hatton

Office of the Medical Director

NYSDOH/AIDS Institute

90 Church Street, 13th Floor

New York, NY 10037

Dear Ms. Hatton:

The Board of Directors (or Equivalent Official) of (Applicant Organization) has reviewed and approved the enclosed application to the New York State Department of Health AIDS Institute for funding under the solicitation “HIV Provider Education Guidelines Program.”

The Board (or Equivalent Official) is committed to providing the related services and certifies that program staff are qualified, appropriately trained and have sufficient agency resources to effectively implement the program.

The Board (or Equivalent Official attests that the organization meets the following eligibility requirement (please check the box):

q The organization is a not-for-profit 501c(3) organization or academic institution

Sincerely,

Board Chairperson (or Equivalent Official)