Exhibit_C_-_Pre-ETS_Workshop_Attendance_Sheet.docx
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- Attached to
- Master Agreement AZ|CTR056120
- Contract number
- CTR056120
- 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 associated with the Arizona Department of Economic Security (AZDES). The form is designed to track participant attendance for various pre-employment transition services and workshops, with instructions for completion and submission to RSATransition@azdes.gov.
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. The attendance sheet requires participants to provide their name, date of birth, and Pre-ETS authorization details from both the Rehabilitation Services Administration (RSA) and local Vocational Rehabilitation (VR) office. The form was revised in June 2018 and is intended to be used as a roster for documenting workshop session participation across these transition service areas.
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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 .