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<br />Close Window <br /> <br />Wellness and Fitness Program <br />. 1. What will your program offer during the grant year? (select one) <br /> <br />If you answered other above, please specify <br />, 2. Does your department currently offer this activity? <br />.3. Do you offer incentives for participating in this activity? <br />'4. Will this activity be mandatory? <br /> <br />Close Window <br /> <br />Budget Item <br /> <br />"Item <br /> <br />Please provide further description of the item <br />selected above or If you selected other <br />above, please specify. <br /> <br />Select Object Class <br /> <br />If you selected "Other" above, please specify: <br /> <br />" Number of units <br /> <br />" Cost per unit <br /> <br />Close Window <br /> <br />Entry <br /> <br />Contractual <br /> <br />Initial Physical Exam <br /> <br />No <br />Yes <br />Yes <br /> <br />54 (Whole number only) <br />$ 1064 (VVI1ole dollar amounts only) <br /> <br />Wellness and Fitness Program <br />, 1. What will your program offer during the grant year? (select one) <br /> <br />If you answered other above, please specify <br />'2. Does your department currently offer this activity? <br />, 3. Do you offer incentives for participating in this activity? <br />'4. Will this activity be mandatory? <br /> <br />Close Window <br /> <br />Budget Item <br /> <br />"Item <br /> <br />Please provide further description of the item <br />selected above or If you selected other <br />above, please specify. <br /> <br />Select Object Class <br /> <br />If you selected "Other" above, please specify: <br /> <br />" Number of units <br /> <br />"Cost per unit <br /> <br />Immunizations <br /> <br />Contractual <br /> <br />54 (Whole number only) <br /> <br />Job Related Immunization Program <br /> <br />No <br />Yes <br />Yes <br /> <br />$439 (\I\rI1oledoliaramountsonly) <br />