Exhibit_C_-_Pre-ETS_Workshop_Attendance_Sheet.docx
DOCX document 24 KB Posted
- Attached to
- Master Agreement AZ|CTR056077
- Contract number
- CTR056077
- 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, likely in Arizona based on the email domain (azdes.gov). The form is designed to track participant attendance for vocational rehabilitation workshops and services, with spaces for recording service details such as date, time, location, and contracted vendor information.
The document outlines five specific 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. Participants are required to provide their name, date of birth, and Pre-ETS authorization details from the Rehabilitation Services Administration (RSA) and local Vocational Rehabilitation (VR) office. The completed roster is to be submitted to RSATransition@azdes.gov after workshop completion, with the form revised in June 2018 to standardize tracking of transition services for individuals 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 .