Exhibit_F_-_Progress_Report.pdf

Exhibit F PROGRESS REPORT Small Business Consultation

Reporting Month and Year:

Service Start Date in the Month:

Service End Date in the Month:

Contractor Company Name:

Contractor Representative’s Name:

VR Client Name:

VR Counselor Name:

RSA Authorization #:

Total Hours on Authorization for SBC:

☐Pre-Service Consultation ☐Self-Employment Assessment

☐Client Business Plan Consultation and Follow Up Consultation ☐Business Plan Development

☐Consultation to RSA Staff

Hours Used During Reporting Month:

Total Hours Spent:

Total Hours Remaining:

1. VR CLIENT AND CONTRACTOR MEETING DATES

Enter VR Client’s actual hours of attendance for the reporting month:

Date 1 2 3 4 5 6 7 8 9 10 11

Start Time

End Time

Hours

Date 12 13 14 15 16 17 18 19 20 21 22

Start Time

End Time

Hours

Date 23 24 25 26 27 28 29 30 31

Start Time

End Time

Hours

2. SERVICE OBJECTIVES

Describe activities and services provided during this reporting period.

☐ Self-Employment Assessment: Provide complete details on assessment of client’s self-employment strengths and weaknesses:

☐ Business Plan Consultation: Provide complete details regarding review of client’s Business Plan

Outline, review of client’s proposed business plan, on guidance and recommendations including assisting client with making improvements to the proposed business plan:

☐ Business Plan Development*: Provide complete details on activities performed in developing and writing the self-employment business plan with client:

☐ Business Plan Implementation Follow Up Consultation: Provide complete details on activities performed in assisting the client with the business plan implementation and follow up:

Describe specific skills/knowledge VR Client acquired:

Describe VR Client progress and/or challenges/barriers/difficulties:

Names of Contractor Representative(s) Providing Service during reporting month:

Signature of Contractor Representative: Date: