Exhibit_C_-_Pre-ETS_Workshop_Attendance_Sheet.docx
DOCX document 24 KB Posted
- Attached to
- Master Agreement AZ|CTR056116
- Contract number
- CTR056116
- Issued by
- Arizona
About this file
This document is an Attendance Sheet for Pre-Employment Transition Services (Pre-ETS) from the Rehabilitation Services Administration. The document appears to be specific to Arizona, as indicated by the RSA Transition email address (RSATransition@azdes.gov), which suggests involvement of the Arizona Department of Economic Security. The form is designed to track workshop attendance for pre-employment services targeting transitional students with disabilities.
The attendance sheet outlines five key pre-employment transition service categories: Job-Exploration Counseling, Work-Based Learning Experience, Counseling on Post-Secondary Education, Workplace-Readiness Skills Training, and Instruction on Self-Advocacy. The document requires participant tracking, including student names, dates of birth, and authorizations received from Rehabilitation Services Administration (RSA) and local Vocational Rehabilitation (VR) offices. The form was revised in June 2018 and is intended to be completed and submitted after each workshop session, documenting the specific pre-employment transition service category provided.
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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 .