Person Centered Employment Plan Form Page 22
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29Pathway to
Sample Employment
Employment Action
Person
Action
Employment
Questions
responsible for
Date
action
Sample 2
1. How much money
1. Job coach assistance.
will you need to
2. Supported
make to meet your
employment
living expenses?
3. Supported
2. How much money
employment follow
will you need to
along.
things you want?
4.
3. Do you want to try a
5.
different type of job?
4. If you could have any
job, what would it
be?
5. What interests you
about your dream
job?
6. Are there jobs that
you don’t want to
do?
7. Is there anything that
worries you about
getting a new job?
Sample 3
1. Do you want to learn
1. Set up prevocational
a new skill
services.
2. Do you want to learn
2.
about new jobs?
3.
3. What is your greatest
4.
fear when you think
about working?
4. What motivates you?
22
Person Centered Employment Plan
REV 6/2014
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