Vocational Goal: Required information: To be Completed by the Employment Specialist (ES) Client Name: Report Date: Month of Service: Referral Date: Referring VRC: CRP/Agency: Employment Specialist(s): Job Coach(es): Purpose of Service: Note: This report is to be used for all Employment Provider Services, with the following exceptions: For Community Based Situational Assessment (CBSA) and Assessment to Hire (ATH) use the CBSA and ATH Multi-use form. For Discovering Personal Genius (DPG) services use the DPG Staging Record, including cover sheet. Services Provided Fees Number of hours provided Job Placement Assistance $35/hour Job Development Job Search Assistance $35/hour Job Seeking Skills Instruction $35/hour Labor Market Survey $35/hour Job Analysis Job Readiness Training $35/hour Job Skills Training $30/hour Transitional Employment Training (Psychosocial Clubhouse) Customized Employment $35/hour Technical Assistance Services $35/hour Business Consultation Assessment Discovering Personal Genius $35/hour $30/hour Situational Assessment/ Assessment to Hire
Vocational Goal: Required information: To be Completed by the Employment Specialist (ES) Client Name: Report Date: Month of Service: Referral Date: Referring VRC: CRP/Agency: Employment Specialist(s): Job Coach(es): Purpose of Service: Note: This report is to be used for all Employment Provider Services, with the following exceptions: For Community Based Situational Assessment (CBSA) and Assessment to Hire (ATH) use the CBSA and ATH Multi-use form. For Discovering Personal Genius (DPG) services use the DPG Staging Record, including cover sheet. Services Provided Fees Number of hours provided Job Placement Assistance Job Development $35/hour Job Search Assistance Job Seeking Skills Instruction $35/hour Labor Market Survey $35/hour Job Analysis $35/hour Job Readiness Training Job Skills Training $35/hour Transitional Employment Training (Psychosocial Clubhouse) $30/hour Customized Employment $35/hour Technical Assistance Services Business Consultation $35/hour Assessment Discovering Personal Genius $35/hour Situational Assessment/ Assessment to Hire $30/hour
Progress%20Report%20for%20Employment%20Provider%20Services%202-14-17.docx