Job Coach met with Individual to review interview skills. Individual participated in a mock interview with Job Coaches Supervisor. Job Coach reviewed MEB 10/05/17 1:00 2:00 10 1 5, 7 Face/Face the results with Individual. He EJD did well with questions. Needed to take some time before answering to make answer was complete. He asked questions of Interviewer. FIELD ENTRY TYPE INFORMATION Enter the date that the service took place. Date will DATE FIELD DATE also auto-populate the Job Task Section. MM/DD/YY (REQUIRED FIELD) Enter the time that the actual service started, not the TIME FIELD START TIME scheduled start time. AM/PM (REQUIRED FIELD) Enter the time that the actual service ended, not the TIME FIELD END TIME scheduled end time. AM/PM (REQUIRED FIELD) Field is calculated based on information entered in the UNITS NON-EDITABLE report form. Providers may not edit this field. Enter the SAM Level if VR Counselor or VR Contractor SAM LEVEL DROP DOWN has authorized SAM Level for the service. Enter the number of Individuals that received the service. If an Individual service enter “1” if a Group # INDIVIDUALS DROP DOWN service enter a number between “2” and “4.” (REQUIRED FIELD) Enter the number of the Task, as defined in previous table, associated with the purpose of the meeting, e.g. TASK TEXT Ohio Means Jobs registration. If multiple Tasks are worked on during the meeting enter the number of all Tasks separated by commas. Enter the method of contact, options include: Email Face/Face CONTACT TYPE DROP DOWN Internet Telephone Text Other Enter a brief description of the contact. Information should include who was present, what was reviewed, CONTACTS & ACTIVITY REPORT TEXT any homework assignments, date/time of next meeting, etc. Enter the initials of the Provider Staff who provided STAFF INITIALS TEXT direct service to the Individual on the date.
10/05/17 1:00 2:00 10 1 5, 7 Face/Face Job Coach met with Individual to review interview skills. Individual participated in a mock interview with Job Coaches Supervisor. Job Coach reviewed the results with Individual. He did well with questions. Needed to take some time before answering to make answer was complete. He asked questions of Interviewer. MEB EJD FIELD ENTRY TYPE INFORMATION DATE DATE FIELD MM/DD/YY Enter the date that the service took place. Date will also auto-populate the Job Task Section. (REQUIRED FIELD) START TIME TIME FIELD AM/PM Enter the time that the actual service started, not the scheduled start time. (REQUIRED FIELD) END TIME TIME FIELD AM/PM Enter the time that the actual service ended, not the scheduled end time. (REQUIRED FIELD) UNITS NON-EDITABLE Field is calculated based on information entered in the report form. Providers may not edit this field. SAM LEVEL DROP DOWN Enter the SAM Level if VR Counselor or VR Contractor has authorized SAM Level for the service. # INDIVIDUALS DROP DOWN Enter the number of Individuals that received the service. If an Individual service enter “1” if a Group service enter a number between “2” and “4.” (REQUIRED FIELD) TASK TEXT Enter the number of the Task, as defined in previous table, associated with the purpose of the meeting, e.g. Ohio Means Jobs registration. If multiple Tasks are worked on during the meeting enter the number of all Tasks separated by commas. CONTACT TYPE DROP DOWN Enter the method of contact, options include: Email Face/Face Internet Telephone Text Other CONTACTS & ACTIVITY REPORT TEXT Enter a brief description of the contact. Information should include who was present, what was reviewed, any homework assignments, date/time of next meeting, etc. STAFF INITIALS TEXT Enter the initials of the Provider Staff who provided direct service to the Individual on the date.
VR%20Forms%20Instructions%20Examples.docx