Participant Placement

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Describe the optimal workplace environment and conditions for this Participant.

How will you implement job placement strategies identified? Optimal Environment/Conditions

Job Placement Plan

Purpose

This report describes how you and the Participant will work together to implement job placement strategies you've identified for Placement and Retention.

Job Placement Track: Track 1 Track 2 Track 3

Participant’s Name:

VR Counselor’s Name:

Contractor’s Name/Company:

IPE Employment Goal:

Participant’s desired number of hours per week:

Strategies

Describe the specific strategies for placing this Participant in Competitive Integrated Employment, including, but not limited, to: Method of employer contact and engagement for this Participant: Describe if/ how the Participant would like their disability to be disclosed to employer.

Employment Options LLC

100-184694 ODHS 1709 (03/2023)

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See attached Disclosure Plan (IPS providers only)

Participant Signed Release: Yes No (IPS providers only) Participation Expectations

What will be the expectations for this Participant’s engagement in the job placement process? Describe how you and the Participant will work together to implement Job Placement strategies you’ve identified. Activity Independent?

Assisted? Notes

1. I A

2. I A

3. I A

Communication

Describe strategy and plan for communication/contacts with the Participant and team during job search:

Most effective way to communicate with:

Participant:

Provider (if applicable):

Retention Planning

Requires long term supports: Yes No

Long term support funding agency:

Additional Comments:

100-184694 ODHS 1709 (03/2023)

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I, accept these services and strategies, as agreed upon, by my contracted Job Developer.

VR Counselor Signature Date

Contractor Signature Date

Participant Signature Date

100-184694 ODHS 1709 (03/2023)

Contact this candidate