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7 <br /> AGREEMENT Between Orange County Health Department <br /> and Orange Chatham Comprehensive Health Services, Inc. <br /> October 1, 1992 through September 30, 1993 . <br /> Attachment B <br /> Report Format <br /> KELLOGG <br /> COMMUNITY BASED PUBLIC HEALTH <br /> FOR THE QUARTER <br /> INCLUDING MONTHS OF <br /> PART I: General Information <br /> Coalition Name: <br /> Coordinating and Fiscal Agency: <br /> Coalition Membership: (First Report only; Report Changes <br /> Thereafter) <br /> Coalition Activities: <br /> Include: 1) Meetings, 2) Synopsis of agenda, interactions <br /> with other agencies in county, officials, etc. <br /> 3) student activity in coalition and regardless <br /> of student origin, 4) talks given by coalition <br /> members on behalf of project, etc. <br /> PART II: Coalition Goal Status <br /> Include a listing of coalition/project goals and comments on <br /> progress toward each goal achievement and assistance, if any, <br /> needed to eliminate barrier. <br /> PART III: Progress Toward of Activity Which Contributes to Kellogg <br /> Foundation Goals <br /> A. Assessment of public's state of health and health needs. <br /> B. Assurance that these needs are met. <br /> C. Leadership and policy development to improve community <br /> health. <br /> D. Team building among academic, public health, local health <br /> and human service agencies, and users of services. <br /> E. Model development for public health practice. <br /> F. Narrowing gaps in health status among ethnic, age and <br /> gender based groups. <br /> PART IV: Expense Report <br /> Total <br /> Line Item Budget Quarter Total Year to Date <br />