"Job Placement Plan Checklist" - Nevada

Job Placement Plan Checklist is a legal document that was released by the Nevada Department of Employment, Training and Rehabilitation - a government authority operating within Nevada.

Form Details:

  • Released on November 1, 2018;
  • The latest edition currently provided by the Nevada Department of Employment, Training and Rehabilitation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Nevada Department of Employment, Training and Rehabilitation.

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Download "Job Placement Plan Checklist" - Nevada

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State of Nevada Bureau of Vocational Rehabilitation
Job Placement Plan Checklist
Job Developers will discuss with and assist the participant/representative to determine job search
activities he/she can realistically do and which activities he/she needs assistance with. The Job
Developer will work with the participant to complete the checklist. This discussion and tool should
be used to determine the responsibilities and actions of the Job Developer and participant when
completing the Job Placement Plan.
Participant Name:
Employment Specialist:
Case ID#:
Employment Specialist Contact Information:
Participant Contact Information:
Rehabilitation Counselor:
Contractor:
Counselor Contact Information:
Contractor Contact Information:
☐ I can fill out and submit applications for jobs on my own or using a master application
Applications:
☐ I can fill out and submit applications for jobs with the assistance of the job developer
☐ I can and will fill out and submit applications on my own, but would also like the job developer to
fill out and submit some applications for me
☐ I need the job developer to fill out and submit applications for me
☐ Other (specify)
☐ I can talk to friends, neighbors, teachers, parents or other people I know to ask them if they know
Job Search:
of any jobs that might be good for me
☐ I can look for job openings on the internet, in the newspaper or on job boards
☐ I need the job developer to help me look for job openings on the internet, in the newspaper or on
job boards
☐ I can find my own job leads but would also like the job developer to provide me leads
☐ I need the job developer to find job leads for me
☐ I can go to places of business or call employers and ask them if they have any job openings
☐ I need the job developer to go with me to places of business or call employers and ask them if
they have any job openings
☐ I need the job developer to go to places of business or call employers and ask them if they have
any job openings
☐ I can independently keep a log of job search activities, places I’ve applied etc.
☐ I can keep a log of job search activities if the job developer helps me to organize it
☐ I need someone else to organize and track my job search for me
☐ I would like the job developer to call employers to see if they will interview or meet with me
☐ I would like the job developer to meet with me regularly to help me organize my job search such
as helping me decide where to apply each week, when to call an employer, when to write a thank
you note etc.
☐ Other (specify)
☐ I can read about a company on the internet or talk to people who know about the company (such
Interviews:
as employees) so I will know what is important to them before I interview
1
November 2018
State of Nevada Bureau of Vocational Rehabilitation
Job Placement Plan Checklist
Job Developers will discuss with and assist the participant/representative to determine job search
activities he/she can realistically do and which activities he/she needs assistance with. The Job
Developer will work with the participant to complete the checklist. This discussion and tool should
be used to determine the responsibilities and actions of the Job Developer and participant when
completing the Job Placement Plan.
Participant Name:
Employment Specialist:
Case ID#:
Employment Specialist Contact Information:
Participant Contact Information:
Rehabilitation Counselor:
Contractor:
Counselor Contact Information:
Contractor Contact Information:
☐ I can fill out and submit applications for jobs on my own or using a master application
Applications:
☐ I can fill out and submit applications for jobs with the assistance of the job developer
☐ I can and will fill out and submit applications on my own, but would also like the job developer to
fill out and submit some applications for me
☐ I need the job developer to fill out and submit applications for me
☐ Other (specify)
☐ I can talk to friends, neighbors, teachers, parents or other people I know to ask them if they know
Job Search:
of any jobs that might be good for me
☐ I can look for job openings on the internet, in the newspaper or on job boards
☐ I need the job developer to help me look for job openings on the internet, in the newspaper or on
job boards
☐ I can find my own job leads but would also like the job developer to provide me leads
☐ I need the job developer to find job leads for me
☐ I can go to places of business or call employers and ask them if they have any job openings
☐ I need the job developer to go with me to places of business or call employers and ask them if
they have any job openings
☐ I need the job developer to go to places of business or call employers and ask them if they have
any job openings
☐ I can independently keep a log of job search activities, places I’ve applied etc.
☐ I can keep a log of job search activities if the job developer helps me to organize it
☐ I need someone else to organize and track my job search for me
☐ I would like the job developer to call employers to see if they will interview or meet with me
☐ I would like the job developer to meet with me regularly to help me organize my job search such
as helping me decide where to apply each week, when to call an employer, when to write a thank
you note etc.
☐ Other (specify)
☐ I can read about a company on the internet or talk to people who know about the company (such
Interviews:
as employees) so I will know what is important to them before I interview
1
November 2018
State of Nevada Bureau of Vocational Rehabilitation
Job Placement Plan Checklist
☐ I need the job developer to read about a company on the internet or talk to people who know
about the company (such as employees) so I will know what is important to them before I interview
☐ I can take the bus or have a vehicle or another way to get to interviews
☐ I need the job developer to take me to interviews
☐ I can interview by myself
☐ I need assistance during interviews
☐ Other (specify):
☐ I can send a thank you note on my own
Follow up with employers:
☐ I need the job developer to help me write and send a thank you note
☐ I can call an employer about the status of my application on my own
☐ I need the job developer to call the employer about the status of my application
☐ I can call the interviewer about the status of the hiring decision
☐ I need the job developer to call the interviewer and ask about the status of the hiring decision
Other job search activities I can do (specify):
Other job search activities I would like the job developer to assist me with:
Participant/Representative Signature
Date:
Job Developer Signature
Date:
Please submit the completed form to the Business Development Team at businessdevelopment@detr.nv.gov
*Required – this form must be submitted with the Job Placement Plan.
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November 2018
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