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• Organization has a published anti -discrimination policy — KCPHD is part of Kittitas <br />County and the county has a published personnel policy manual that specifically states <br />the employer has an anti -discrimination policy. <br />6. Specify grant amount requested including a breakdown of how it will be used and what <br />specifically it will fund, including staff, if applicable. <br />Personnel Costs <br />$11,887 <br />Survey Printing Supplies <br />$75 <br />Survey Incentives <br />$100 <br />Strategy Campaign <br />Survey <br />Materials <br />$1,200 <br />Total Cost <br />13,262 <br />7. Please describe the timeline of your project/initiative or idea. <br />TASK <br />DELIVERABLE <br />FUNDING CRITERIA <br />Task 1: Coordinate with CWU Public <br />Deliverable: Pre and Post <br />Impact to community can be <br />Health Program to create pre and post <br />Survey <br />measured or evaluated. <br />assessment to gather information about <br />target audience (parent/guardians) to <br />assess, barriers, behavior, attitudes, and <br />beliefs around the HPV Vaccine. <br />Task 2: Coordinate with schools, parent <br />i <br />Deliverable: Number of <br />Impact to community can be <br />groups, and medical providers to <br />locations promoting <br />measured or evaluated. <br />distribute surveys within community. <br />survey within county. <br />Task 3: Work with CWU to compile <br />Deliverable: Survey <br />.................. <br />Results could be replicated. <br />survey data into report, which identifies <br />I report. <br />top two issues/barriers for KCPHD to <br />address. <br />Task 4: Based on survey, create a <br />Deliverable: Work plan <br />Increasing rates of HPV <br />community plan to implement policy <br />based on strategies <br />vaccination. <br />development, community mobilization, <br />identified via survey <br />or informing and educational campaign to <br />results. <br />increase HPV Vaccine rates. <br />Task 5: Provide post survey and compile <br />Deliverable: Post survey <br />Impact to community can be <br />results after implementation of the above. <br />report. <br />measured or evaluated. <br />