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Affiliation Agreement
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2017
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04. April
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2017-04-18 10:00 AM - Commissioners' Agenda
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Affiliation Agreement
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Last modified
6/13/2018 12:01:28 PM
Creation date
6/13/2018 12:01:00 PM
Metadata
Fields
Template:
Meeting
Date
4/18/2017
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
n
Item
Request to Approve an Affiliation Agreement between the University of Washington School of Public Health and the Kittitas County Public Health Department
Order
14
Placement
Consent Agenda
Row ID
36014
Type
Agreement
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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />Agenda Date 4/ J8/1~ 03/15/2017 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: School of Public Health University of Washington <br />Period Begin Date: March 1,2017 I I Period End Date: rvtt{)~~ <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />I J J1)] b <br />The School of Public Health University of Washington allows the Kittitas County Public Health <br />Department to be a training site which is committed to training health care professionals, to provide <br />desirable practicum experiences and facilities for School's students. <br />Recommendation for Board of Health and Board of Health Review on <br />rl~-;-;" f\ ..if <br />Department Head Signature~, Administrator Date:--ti7 <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROV D AS TO FORM: c: <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />In-Kind $ <br />Explain <br />~ <br />Grant/Contract Review Page 1
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