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Kittitas County <br />Review Form <br />Grants & Contract Agreement ~ 8+ <br />Today's Date Agenda Date 'EJ\Jif/)0 04/24/2018 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency : PSA between Kittitas County and Heather Carballo-Depydt, MSNEd, RN, RYT <br />Period Begin Date: June 20, 2018 I I Period End Date: June 20, 2 o 18 <br />Total Grant/Contract Amount: $500.00 <br />Grant/Contract Number: <br />Contract/Grant Summary : <br />The PSA between Kittitas County and Heather Carballo-Depydt, MSNEd, RN, RYT is to allow the <br />contractor to perform the following training "Mitigating Secondary Trauma and Burnout in the <br />Workplace: A Trauma Informed Approach" on June 20, 2018 from 10:00am -12:00pm at the Putnam <br />Centennial Center. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatur ~i\:) , Administrator Date :~l'i) <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FO M: <br />ice Date <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ State Funds$ Federal Funds$ <br />Percentage County Funds Matching Funds$ CFDA# <br />Grant/Contract Review Page 1