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liRe IteFR Ihuilget; <br />I(iu itas 9",dge' 1010' " :lOJ,i '''Ri~ <br />D8!!iGfi~'iaR BwdtIet <br />DIAI!(ri:; <br />ialaFies ~ <br />Yenetit!!i ~ <br />~oo~s & 'e~iGe!!i ~,-wg <br />:J:etal giF8Gt 'asts; ~ <br />INDIAI!c;J; <br />QI"8Fi:lead $1,01i <br />:J:otall="R~ing p,ggg <br />Statement of Work I n formation (To be com pIe ed~l!!!e 30 20 1& ~ <br />Task <br />Number Task/Activity /Oesc ription Oeliverables/Outcomes <br />Gaal PREVENT YOUTH FROM IN/TIA TING TOBACCO AND NICOTINE USE <br />Objective 1.1-Enhance community participation <br />in youth tobacco prevention and control <br />PZlrticlpure In quarterly (~:,g[onal P2rtCH:'( ronferf'm p <br />(tills to discuss 'Nork plan progress and neL\lork <br />with regional partners <br />PrJrtncr with ~(hool districts :.:ind 10(fll puhlic i1e?llth <br />to address tobacco and c (lgLlrette u~olge <br />Wor'" WIU, schcni di:::,tnct 'J..'.Jchers, str:ltf <br />;:tnd admin;sl ration on tOQClCCO <br />2ducatlcfl, e clg.nettes/1japmg ,Jnd <br />currenI trends, in order to inClude <br />>?Iectronic cigarettes into :-;chcol policy <br />Coordil1atr~ (~AI\lS a'jse~.'lment!i with ~HJS Jrld <br />prevention coalitions in at :ea~t four commun:tles <br />Detf'mllf~e J CANS wer,= rionp:n ihe <br />pasl, icncJ data to the GCHIJ <br />Traill yOJtt'l to ,:olluucl C.c\'i\JS dsseSSrrlp.lll <br />,!S(:lg adult F',\J.rJ(~'J ,11;(1 ,hp "H·'lW to" <br />PowerPoint <br />Complete 20-3D new C,"\NS Asses,)lllpnt~ <br />and retiJrn d.,ti3 ro GCHD <br />WOI~ with 1~2 tobacco relalicrs to <br />RpLluce the number \.)f wb(1[cC) <br />,JclvertiSetllent~ dl:,pI3V~d In Lhe <br />bU51i1E:'SS <br />r!:-1'jl' l' p,jlctn~2r blr1.l1 d(1I.~-~' -;Jlgl) <br />displayed aT the cash rCiliSICf <br />A:'i'-,I<;t thE-' I(IJIJtr, to: <br />Ci Sh,-lrp lAi\lS finllln~s witil.=it if.ast <br />1 2 eily Council BDdid ~)f Hedlth or <br />other group or eiecLcd officials <br />(J RecogniZ\~ otJbtanciing LobilCCO <br />retdliel \ and share C~NS findif'gs <br />Attendance at rneetings and <br />conterence cails GCHO WII! <br />mJintJin Jtrendanc12 document <br />Documentalion using reporting <br />[2rnplale proVl(ied b', GCHD <br />Youth Tobacco Interagency Agreement -Kittitas Amendment#2 <br />10/28/16 <br />Due <br />Date/Time <br />Frame <br />6/30/2016 <br />6(30/2016 <br />9/29/2015 <br />6130/20 1 6 <br />- <br />Payment <br />Information and/or <br />Amount <br />Reimbursement for <br />actu"1 expenditures, <br />(lot to exc~ed total <br />funding <br />consid e(ation <br />Page 7