Exhibit_C_-_Pre-ETS_Workshop_Attendance_Sheet.docx

DOCX document 24 KB Posted

Attached to
Master Agreement AZ|CTR056118
Contract number
CTR056118
Issued by
Arizona

About this file

This document is an Attendance Sheet for Pre-Employment Transition Services (Pre-ETS) from the Rehabilitation Services Administration, likely located in Arizona based on the RSA email domain (azdes.gov). The form is designed to track participation in vocational rehabilitation workshops for students with disabilities, with space to record student names, dates of birth, and authorization details from state rehabilitation offices.

The attendance sheet covers five key Pre-ETS service categories: Job-Exploration Counseling, Work-Based Learning Experience, Counseling on Post-Secondary Education, Workplace-Readiness Skills Training, and Instruction on Self-Advocacy. Workshop details include service date, start and end times, service location, contracted vendor, and presenter information. The document appears to be a standardized tracking mechanism for transition services, with instructions to send completed rosters to RSATransition@azdes.gov after workshop completion, indicating a structured approach to documenting vocational support services for students with disabilities.

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Text version

PRE-EMPLOYMENT TRANSITION SERVICES

REHABILITATION SERVICES ADMINISTRATION

ATTENDANCE SHEET

Service Date: Start Time: End Time: e.g., 9:00 am Service Location:

Contracted Vendor: Presenter:

|_| Job-Exploration Counseling |_| Work-Based Learning Experience |_| Counseling on Post-Secondary Education |_| Workplace-Readiness Skills Training |_| Instruction on Self-Advocacy

Subtopic (Required): _________________________________________________________________ Service/Activity Participant(s) Students: please initial below to signify attendance.

Student Name

(PLEASE TYPE OR PRINT LEGIBLY)

Date of Birth

Pre-ETS Authorization Received from RSA Transition
Pre-ETS Authorization Received from Local VR Office

One roster per workshop session. Please send to RSATransition@azdes.gov after the completion of all workshop sessions under a specific Pre-ET service category. Revised June 2018

File details come from the government source that posted it. Updated .