Exhibit_C_-_Pre-ETS_Workshop_Attendance_Sheet.docx

DOCX document 24 KB Posted

Attached to
Master Agreement AZ|CTR056097
Contract number
CTR056097
Issued by
Arizona

About this file

This document is an attendance sheet for Pre-Employment Transition Services (Pre-ETS) issued by the Rehabilitation Services Administration (RSA), likely in Arizona based on the reference email domain @azdes.gov. The form is designed to track participant attendance for various pre-employment transition service workshops and activities, with spaces to record student information, service type, and specific transition service categories.

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. Each workshop session requires documentation of student name, date of birth, and Pre-ETS authorization from both the RSA Transition and Local VR Office. The form is intended to be completed and submitted to RSATransition@azdes.gov after workshop completion, with the version noted as revised in June 2018.

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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 .