MONTHLY JOB DEVELOPMENT REPORT
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Vocational and Educational
Services for Individuals with Disabilities (VESID)
Special Education and Vocational
Rehabilitation Services
Consumer:
VESID ID #:
VESID Counselor:
Month / Year:
A. List employer contacts made during the month and the results of the contacts:
. . . . . . . . . Contact . . . . . . . . . . . . . . . . . . . Results
B. If not placed:
- What employers / industries will be contacted?
- Whar are the barriers to job placement?
C. If placed:
- Employer:
- Job Title and Job Duties:
- Date Started:
- Hourly rate of pay and hours of work per week:
D. Other Comments:
Signed:
Date:
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