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<br />CIote Window <br /> <br />Wellness and Fitness Program <br />, 1. What will your program offer during the grant year? (select one) <br /> <br />Periodic Physical ExamlHealth Screening <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 />CIos& 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 WiIIòow <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 />No <br />Yes <br />Yes <br /> <br />Fitness Assessments and Counseling <br /> <br />Jackson Strenght Evaluation Package <br /> <br />Equipment <br /> <br />1 (Whole number only) <br />$ 3654 (Whole dollar amounts only) <br /> <br />Fitness Assessments and Counseling <br /> <br />V-Grip Barw/ Link <br /> <br />Equipment <br /> <br />1 (Whole number only) <br />$ 60 (Whole dollar amounts only) <br /> <br />Fitness Assessments and Counseling <br /> <br />Jamar Hydrofic Grip Tester <br /> <br />Equipment <br /> <br />1 (\M1ole number only) <br />