Form Ddd-1402b - Group Supported Employment Services - Six-Month Report Page 6

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ARIZONA DEPARTMENT OF ECONOMIC SECURITY

DDD-1402BFORFF (6-17) Page 6

Division of Developmental Disabilities (DDD)

Group Supported Employment Services - SIX-MONTH REPORT

EMPLOYMENT SITES BEING DEVELOPED (CONTINUATION PAGE)

JOB SITE/EMPLOYER

WORK TO BE DONE

WHERE IS IT LOCATED

GROUP SIZE

CONTINUATION SHEET:

Routing: Original - Employment Program Specialist

Equal Opportunity Employer/Program • Under Titles VI and VII of the Civil Rights Act of 1964, and the Americans with Disabilities Act of 1990 (ADA), Section 504

of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, the Department prohibits discrimination in admissions, programs, services, activities, or

employment based on race, color, religion, sex, national origin, age, and disability. The Department must make a reasonable accommodation to allow a person with

a disability to take part in a program, service or activity. For example, this means if necessary, the Department must provide sign language interpreters for people

who are deaf, a wheelchair accessible location, or enlarged print materials. It also means that the Department will take any other reasonable action that allows you

to take part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you will not be able to understand or take

part in a program or activity because of your disability, please let us know of your disability needs in advance if at all possible. To request this document in alternative

format or for further information about this policy, contact the Division of Developmental Disabilities ADA Coordinator at (602) 542-6825; TTY/TDD Services: 7-1-1.