Form Ddd-1402b - Group Supported Employment Services - Six-Month Report Page 2

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ARIZONA DEPARTMENT OF ECONOMIC SECURITY
DDD-1402BFORFF (6-17) Page 2
Division of Developmental Disabilities (DDD)
Group Supported Employment Services - SIX-MONTH REPORT
LIST CURRENT JOB SITES AND TYPE OF JOBS
JOB SITE
TYPE OF WORK
GROUP SIZE
JOB SITE CODE
CONTINUATION SHEET:
LIST ANY JOB SITES THAT MIGHT BE IN JEOPARDY DURING THE NEXT 6 MONTHS
LIST ANY EMPLOYMENT SITES THAT ARE BEING DEVELOPED & THE TYPE OF JOBS THAT WILL BE OFFERED
JOB SITE/EMPLOYER
WORK TO BE DONE
WHERE IS IT LOCATED
GROUP SIZE
CONTINUATION SHEET:

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