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Kittitas Countyft <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />03/15/2017 <br />Fund/Department <br />116 -Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Agency: School of Public Health University of Washington <br />Period Begin Date: March 1, 2017 1 1 Period End Date: <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <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 <br />Department Head Signature: <br />Board of Health Review on <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ <br />State Funds $ <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />In -Kind $ <br />Explain <br />Grant/Contract Review Page 1 <br />