Supported Employment (S.e.): Sample Reports And Forms Page 3

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Supported Employment (S.E.):
Sample Reports and Forms
Sample #2:
(daily or weekly)
Month: June 2014
Date:
Contacts
Activity and Results
Assisted client to identify organizations that hire for lobby attendants.
(in-office, phone call
Discussed possible pros and cons of each company that is hiring in order
etc.)
6/5/14
In-office meeting
to help determine which would be a good fit for him. Based on our
research client choose to submit applications with XXX, YYY and NNN.
Assisted him to complete and submit applications
6/ 10/14
Calls to employers
Called XXX and YYY to follow up on client’s application.
XXX indicated
will review application and get back to me. Left message for YYY
6/12/14
Employer site visit
Dropped by NNN company, introduced self- to HR manager, and
explained supported employment, advocated for interview. HR
manager to discuss with supervisor.
6/18/14
Employer site visit
Dropped by YYY—no one available to meet with me
and call to client
Updated client on activities. He will be out of town for a few days so will
follow up with all three employers next week.
6/23/14
Follow up phone
XXX indicated they have more qualified applications to interview. Left
calls with employers
another message with YYY. HR Dept. at NNN arranged meeting with
unit supervisor on 6/25.
6/25/14
Meeting with
Met with NNN unit supervisor explained supported employment,
employer and call to
advantages, incentives etc. Arranged interview for lobby attendant on
client
6/28/14
Call to client—will meet 6/27/14 to prepare for interview,
6/27/14
In office meeting
Interview prep:
familiarized client with NNN environment and
with client
company expectations and priorities, discussed possible questions
unique to this company etc.
6/28/14
Interview
Took client to interview. Client did well. Again discussed pros of hiring
client with employer. Employer will notify when a decision is made.

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