Local public health units in North Dakota implemented school-based HPV vaccination clinics to increase HPV vaccination rates. The North Dakota Immunization and Cancer Coalition funded mini-grants to local public health units to conduct school-based HPV vaccination clinics for age eligible children. Original grants were $5,000-$7,000. School-located HPV vaccination clinics are now self-sustaining and funded by local public health units billing insurance for administration fees. Evaluation data from the IIS show that HPV completion rates for one county in ND were: Year 1: 13.1%; Year 3: 50.4%; Today: 62.28% .