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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />02/27/2018 <br />Fund/Department <br />116 -Public Health <br />-fk:yzs3-4- <br />Contract/Grant Information <br />Contract /Grant Agency: Central Washington Family Medicine Residency Program Letter of Agreement <br />Period Begin Date: November 21, 2018 Period End Date: November 21, 2023 <br />Total Grant/Contract Amount: $None_ <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Program Letter of Agreement is established to allow residents of the Central Washington Family <br />Medicine Residency Program to rotate through the health department. The agreement establishes the <br />responsibilities of the health department and supervising staff to provide a learning environment <br />conducive to educating residents about public health. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signature: <br />Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED A5 TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office <br />Signature of Board of Health member <br />I <br />Financial Information <br />Date <br />Date <br />Total Amount $ <br />State Funds $ <br />Federal Funds $ <br />Percentage County Funds <br />Matching Funds $ <br />CFDA# <br />Grant/Contract Review Page 1 <br />