C-ITA Hard Exit Documentation: Note: Need Proof of Global Exclusion Last Name, First Name (Insert) State ID (Insert #) Exclusion Documentation X Supplemental Information: Last Name, First Name (Insert) State ID (Insert #) Supplemental Information O Credentials/Certificate Received: Last Name, First Name (Insert) State ID (Insert #) Credential P Make sure that the credential tab below is completed Note: Performance Measures Last Name, First Name (Insert) State ID (Insert #) Measurable Skill Gain P Make sure that the Measurable Skills Gain tab below is completed Note: Miscellaneous Document: To use only if does not fit under any of the other categories above. Note: Last Name, First Name (Insert) State ID (Insert #) Miscellaneous (Insert what it is) – O-Misc. This is a Southwestern Area Workforce Development Board Form and cannot be changed/ revised without prior approval. Updated Effective Date 7/3/2018
C-ITA Hard Exit Documentation: Note: Need Proof of Global Exclusion Last Name, First Name (Insert) State ID (Insert #) Exclusion Documentation X Supplemental Information: Last Name, First Name (Insert) State ID (Insert #) Supplemental Information O Credentials/Certificate Received: Last Name, First Name (Insert) State ID (Insert #) Credential P Note: Make sure that the credential tab below is completed Performance Measures Last Name, First Name (Insert) State ID (Insert #) Measurable Skill Gain P Note: Make sure that the Measurable Skills Gain tab below is completed Miscellaneous Document: Note: To use only if does not fit under any of the other categories above. Last Name, First Name (Insert) State ID (Insert #) Miscellaneous – (Insert what it is) O-Misc. This is a Southwestern Area Workforce Development Board Form and cannot be changed/ revised without prior approval. Updated Effective Date 7/3/2018