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Fully Executed DSHS Contract
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07. July
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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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Name of Student (optional)Month and Year Reporting County <br />Describe the student's journey and success* in school to work: <br />rt Success may be, for example: Job Placements, movement towards community employment, <br />personal challenges the student was able to overcome, or getting connected to valuable <br />community resources. <br />250 words minimum or summary with a link to a video. <br />Exhibit E must be submitted one (1) time per county served to the DVR Schoolto-Work <br />Transition Program Manager by June 30th. <br />Jlrt <br />flflt DeDartmcnt of strial <br />& fieahh s€rvices <br />Division of Vocational Rehabilitation <br />Ttansfotmlng Ilves Exhibit E: School-to-Work Success Story <br />This form is not valid without the following signed documents: <br />. DVR's Personal lnformation Release form: <br />DSHS 16-178, Personal lnformation Release (wa.qov); and <br />. DSHS's Photo Release form: DSHS 16-235. Photo Release <br />Exhibit E: Schoolto-Work Success Story <br />DSHS 16-278 (0512024) <br />(wa.qov) <br />Page I of 1
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