Page of DIVISION OF VOCATIONAL REHABILITATION (DVR) COMMUNITY REHABILITATION PROGRAM (CRP) AFP NUMBER PRE-EMPLOYMENT TRANSITION SERVICES (PRE-ETS) Service Delivery Outcome Plan: Pre-ETS Job Exploration DVR CUSTOMER CRP CONTRACTOR CRP REPRESENTATIVE’S NAME SERVICE DELIVERY DATES STAFFING INTERVALS From: To: NUMBER EXPECTED OUTCOME PARTY RESPONSIBLE PURCHASE AND PAYMENT CRITERIA COST ($) Pre-Employment Transition Services Job Exploration activities MAXIMUM OUTCOME FEE: $ are designed to help students discover and explore career Fee per hour is $72.00 for up to hours. interests. Outcome fee paid to Contractor upon receipt of invoice and outcomes achieved as described in Specific areas of interest identified in collaboration with the CRP the Service Delivery Outcome Report (SDOR). DVR VRC and the student’s school-based transition goals: Student Fee is based on direct student activities, and VRC Enter interest area 1. does not include report writing time. interest area 2. SDOR must be written directly to the student, Enter interest area and provided to both the student and DVR 3. VRC. Specific CRP services may include: Report must include: Career, personality, values, learning styles, interest CRP Provider representative name inventories, etc. Dates and hours of all activities Vocational and person-centered planning Evidence of student skill gains in identified Exploring jobs’ ‘dream training areas Steps in setting career and educational goals Specific recommendations for further Connecting current school studies with employment student exploration and experience Helping students identify skill sets and strengths Travel time at a fixed rate of $35 per hour in $ quarter-hour increments if service delivery Student First Specific Job Exploration activities with occurs more than fifty (50) miles from the Name include: contractor’s nearest staffed office location. Enter activity 1. Enter activity 2. Enter activity 3. Student Student will participate in all Job Exploration activities, and will attend all scheduled meetings. CUSTOMER / GUARDIAN SIGNATURE DATE IL SIGNATURE DATE DVR SIGNATURE DATE TOTAL $ Signature by each party indicates agreement to the contents of this plan.
DIVISION OF VOCATIONAL REHABILITATION (DVR) COMMUNITY REHABILITATION PROGRAM (CRP) PRE-EMPLOYMENT TRANSITION SERVICES (PRE-ETS) Service Delivery Outcome Plan: Pre-ETS Job Exploration Page of AFP NUMBER DVR CUSTOMER CRP CONTRACTOR CRP REPRESENTATIVE’S NAME SERVICE DELIVERY DATES From: To: STAFFING INTERVALS NUMBER EXPECTED OUTCOME PARTY RESPONSIBLE PURCHASE AND PAYMENT CRITERIA COST ($) Pre-Employment Transition Services Job Exploration activities are designed to help students discover and explore career interests. MAXIMUM OUTCOME FEE: Fee per hour is $72.00 for up to hours. Outcome fee paid to Contractor upon receipt of invoice and outcomes achieved as described in the Service Delivery Outcome Report (SDOR). Fee is based on direct student activities, and does not include report writing time. SDOR must be written directly to the student, and provided to both the student and DVR VRC. Report must include: CRP Provider representative name Dates and hours of all activities Evidence of student skill gains in identified training areas Specific recommendations for further student exploration and experience $ Specific areas of interest identified in collaboration with the DVR VRC and the student’s school-based transition goals: 1. Enter interest area 2. interest area 3. Enter interest area Specific CRP services may include: Career, personality, values, learning styles, interest inventories, etc. Vocational and person-centered planning Exploring ‘dream jobs’ Steps in setting career and educational goals Connecting current school studies with employment Helping students identify skill sets and strengths CRP Student VRC Travel time at a fixed rate of $35 per hour in quarter-hour increments if service delivery occurs more than fifty (50) miles from the contractor’s nearest staffed office location. $ Specific Job Exploration activities with Student First Name include: 1. Enter activity 2. Enter activity 3. Enter activity Student will participate in all Job Exploration activities, and will attend all scheduled meetings. Student CUSTOMER / GUARDIAN SIGNATURE DATE IL SIGNATURE DATE DVR SIGNATURE DATE TOTAL $ Signature by each party indicates agreement to the contents of this plan.
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