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Today's Date <br />08/17/2017 <br />Fund/Department <br />116-Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Agenda Date <br />Contract/Grant Information <br />Contract /Grant Agency: Heritage University Department of Nursing <br />qJlqll-r <br />Period Begin Date: Upon execution I I Period End Date: Three years from signature <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The agreement between Heritage University Department of Nursing is to establish a training site to have <br />BSN students participate in their clinical learning experience at a training site. The agreement sets forth <br />the duties and responsibilities ofthe training site (KCPHD) with respect to the clinical learning <br />experience. <br />Recommendation for Board of Health and Board of Health Review on <br />fig~ Department Head Signature: , Administrator Date: /0(3 / (I J <br />e 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 />Grant/Contract Review Page 1