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 .