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Fully Executed DSHS Contract
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2025-07-15 10:00 AM - Commissioners' Agenda
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Fully Executed DSHS Contract
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Last modified
8/6/2025 10:22:58 AM
Creation date
8/6/2025 10:22:24 AM
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Meeting
Date
7/15/2025
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
Item
Request to Approve Public Health Director Signature on the DSHS/DVR School to Work Direct Service Pilot Contract
Order
17
Placement
Consent Agenda
Row ID
133196
Type
Contract
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6 <br />Special Terms and Conditions <br />Deliverables. The Contractor shall demonstrate completion of activities for payment through the <br />following reporting methods. Submissions should be written in language that directly addresses the <br />Student and shall continue for 90 days beyond the Student's stabilization, or until DVR case closure <br />The Contractor shall submit the required Monthly Progress Report to the assigned DVR Vocational <br />Rehabilitation Counselor for each Student who is served by this Contract. <br />a. Student Guide <br />(1) The Contractor shall submit a copy of the Student Guide to the Student's Team at the <br />end of each month demonstrating the progress of the Student's transition year via <br />completion of the Monthly Progress Reports section located on the front page and the <br />back of the Student Guide. <br />(2) The Contractor shall submit Exhibit F - School-to-Work Billing Checklist to the DVR <br />Counselor upon completion of payment points for each Student as demonstrated in the <br />Student Guide. <br />(3) Contractor shall submit a minimum of three (3) School-to-Work Billing Checklists for all <br />payment points for each Student. <br />(4) The Student Guide is a living document that comprises the following activities: <br />(a) lntake - Signed SDOP & Roles and Responsibilities of the Student's Team. <br />Roles and Responsibilities of the Student's Team will include; <br />(A) Team member's role <br />(B) Team member's contact information including name, email, and phone. <br />(C) Team member's responsibility to the Student. <br />(b) Assessment - Employment Goal is established, demonstrating how it was reached, either <br />through Job Foundation executive summary and job recommendation or assessment. <br />(c) Job Seeker Tools - Such as Resume, Cover Letter, Video, PowerPoint, Portfolio, etc. <br />(d) Job Offer - Documentation/Details of a Job Offer as stated in Section 5 - Statement of <br />Work. <br />(e) Employment Verification - Documentation/Details of a Job Start as stated in Section 5 - <br />Statement of Work. <br />(f) Stabilization - Stabilization Report.as stated in Section 5 - Statement of Work. <br />b. Data Sharing and Reporting - DVR is tracking the progress and success of the School{o-Work <br />program to ensure the program is available to all Students who meet eligibility requirements across <br />the state. ln order to accomplish this, the Contractor must submit Exhibit D - School-to-Work <br />Student Data. <br />(a) Exhibit D incorporates the following required data elements <br />i. Number of Students identified as eligible for School-to-Work in county or counties <br />served. lf the Contractor coordinates services for more than one county, the Contractor <br />DSHS Central Contract Services <br />6017CF County Program Agreement (10-31-2017) Page 10
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