"Job Placement Plan" - Nevada

Job Placement Plan 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" - Nevada

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State of Nevada Bureau of Vocational Rehabilitation
Job Placement Plan
Participant Name:
Contractor Name:
Case ID#:
Contractor Company:
Participant Contact Information:
Contractor Contact Information:
Rehabilitation Counselor:
Employment Specialist:
Counselor Phone:
Employment Specialist Contact Information:
Counselor Email:
Vocational Goal or Area of Focus:
General location (area of town, bus route etc.):
Type of Work:
☐Full time
☐Part Time
☐Day Shift
☐Night Shift ☐Swing Shift ☐ Any Shift
☐Either
☐Special Considerations:
☐Must have benefits ☐Benefits not required
Lowest Acceptable Wage: $
Desired Wage: $
Activities to avoid:
Describe how the participant and Job Developer will work together; method of communication,
Job Developer Actions/Responsibilities:
how often, when, and where will you meet:
Discuss with the participant their skills, strengths, abilities, and achievements in relation to their
employment goal:
Employment barriers, resources, and strategies to address (including criminal background and
social security impacts):
Accommodations needed, if any (JAWS, Dragon, extra breaks, etc.) and how they will be addressed:
Transportation Plan (bus, own vehicle, need someone to transport):
Other limitations or impediments to employment (medication side effects, medical conditions, drug
use, etc.):
Describe networking organizations and activities you and/or the participant will utilize:
Describe how you will work with the participant to approach employers that hire for positions that
match the participant’s employment goal:
Number of employer contacts per week and initial list to contact:
1
November 2018
State of Nevada Bureau of Vocational Rehabilitation
Job Placement Plan
Participant Name:
Contractor Name:
Case ID#:
Contractor Company:
Participant Contact Information:
Contractor Contact Information:
Rehabilitation Counselor:
Employment Specialist:
Counselor Phone:
Employment Specialist Contact Information:
Counselor Email:
Vocational Goal or Area of Focus:
General location (area of town, bus route etc.):
Type of Work:
☐Full time
☐Part Time
☐Day Shift
☐Night Shift ☐Swing Shift ☐ Any Shift
☐Either
☐Special Considerations:
☐Must have benefits ☐Benefits not required
Lowest Acceptable Wage: $
Desired Wage: $
Activities to avoid:
Describe how the participant and Job Developer will work together; method of communication,
Job Developer Actions/Responsibilities:
how often, when, and where will you meet:
Discuss with the participant their skills, strengths, abilities, and achievements in relation to their
employment goal:
Employment barriers, resources, and strategies to address (including criminal background and
social security impacts):
Accommodations needed, if any (JAWS, Dragon, extra breaks, etc.) and how they will be addressed:
Transportation Plan (bus, own vehicle, need someone to transport):
Other limitations or impediments to employment (medication side effects, medical conditions, drug
use, etc.):
Describe networking organizations and activities you and/or the participant will utilize:
Describe how you will work with the participant to approach employers that hire for positions that
match the participant’s employment goal:
Number of employer contacts per week and initial list to contact:
1
November 2018
State of Nevada Bureau of Vocational Rehabilitation
Job Placement Plan
Describe your plan for contacting employers in the participant’s field of interest and advocating on
behalf of the participant: Explain how the Job Developer and the participant will address disability
disclosure to the employer, if applicable:
Explain how will you assist the participant in researching employers in preparation for completing
applications or interviews:
List the number of job leads and times per week they will be provided to the participant:
List the number of times per week you will provide hands on assistance completing applications:
List the number of applications/resumes you will submit per week on behalf of the participant:
Describe how you will follow up with employers on previously submitted applications/resumes:
Describe how you will work with the employer and participant to set up informational interviews
or phone calls:
Describe how you will assist the participant with preparation for interviews with specific
employers:
Describe your plan for accompanying the participant to interviews:
Describe how will you contact employers after interviews to advocate for the participant:
Initial plan for on the job support once employment is obtained:
2
November 2018
State of Nevada Bureau of Vocational Rehabilitation
Job Placement Plan
Participant Responsibilities:
Show up on time to meet with Job Developer at specified place
Please initial next to each of the following to acknowledge that you understand and accept each responsibility.
Inform Job Developer of employers and positions I would like the Job Developer to pursue on
my behalf
Inform Job Developer, in advance, of times I will not be available to submit applications or
attend interviews (for example: if I am going out of town)
Maintain constant contact with Job Developer, to provide and receive updates on job
placement activities
Check email, voicemail and texts daily for communication from Job Developer or employer
and will respond in a timely manner
Inform Job Developer, as soon as reasonably possible, when employers contact me directly
Show up early, well-groomed and prepared for all interviews
Send employers Thank You Notes after interviews
Networking; ask family, friends and other people I know if they know of any jobs that would
be good for me
Maintain a log of places applied, dates applied, and employer contact information
Will complete tasks assigned by Job Developer that pertain to my job search such as:
researching employers, following up and completing applications, etc.
Maintain appropriate behavior during all stages of job search and employment
Participant/Representative Signature:
Date:
Job Developer Signature:
Date:
Rehabilitation Counselor Signature:
Date:
The Job Placement Plan must be completed and submitted to BVR within seven business days after the Placement Plan
Meeting. Please submit the completed form to the Business Development Team at businessdevelopment@detr.nv.gov
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November 2018
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