Nevada Rehabilitation Division -- Job Developer/Counselor Meetings --June 2014 –Sample Monthly Job Placement Reports
SAMPLE #1: JOB DEVELOPMENT MONTHLY REPORT
Does not have to follow this format but must contain these elements: What, when, who, where, results, issues
Participant’s Name: John Doe
Case ID#: xxxxx
Vocational Goal: Customer Service, Retail
Counselor’s Name:
Date of Report: July 5, 2014
Reporting Period: June 2014 (specify calendar month or 30-day period)
Substantial JD activities by time period (daily or weekly) --
Week of June 1, 2014: Met with John to review job search progress and discuss potential places to
apply. He does not want to work in a large retail department store and is focusing his job search on
small or specialized businesses. I have a contact at The Craft Store. His goal is customer service but
he’s also artistic so I thought this might be a good fit. John thought this was a great idea and I gave him
the store manager’s name and fax number so he can fax his resume. I also suggested he go to the
Outlet Mall and observe various stores’ operations. He followed through and submitted applications at
several stores he thought would be a good fit.
Week of June 8: Called my contact at The Craft Store. She indicated she will review John’s resume. I
also called John and provided him with job leads for retail customer service positions at The Book Store
and The Pet Store. I went to the Outlet Mall where John had submitted applications and followed up
with several managers. The Cooking Supply Store indicated they would consider calling John for an
interview.
Week of June 15: P/C from John. Jobs at The Book Store and The Pet Store were already filled (Pet
Store will keep his app on file) but John has an interview at The Craft Store this Friday.
Week of June 22: John called and said the interview went well and the job won’t require him to do any
heavy lifting. He should hear something by the end of next week. Provided him another job lead for
The Toy Store. He must go down and apply in person. I called The Cooking Supply Store to follow up as
they have not called him for an interview yet. The manager arranged interview for next week.
Week of June 29: Met with John after his interview at The Cooking Supply Store. He reported interview
was o.k., but he really prefers The Craft Store job. Called my contact at The Craft Store. The manager
has been out of the office so decision won’t be made until next week.
Issues that arose this month or remain unresolved (health, behavior, transportation, child care, etc.):
No issues this month
Past issues that have improved or been resolved:
John’s attitude is much better this month. He’s been more proactive in his job search and has
developed more confidence.
Nevada Rehabilitation Division -- Job Developer/Counselor Meetings --June 2014 –Sample Monthly Job Placement Reports
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SAMPLE #2: JOB DEVELOPMENT MONTHLY REPORT
Does not have to follow this format but needs to contain these elements: What, when, who, where, results, issues
Participant’s Name: John Doe
Case ID#: xxxxx
Vocational Goal: Customer Service, Retail
Counselor’s Name:
Date of Report: July. 5, 2014
Reporting Period: June 2014 (specify calendar month or 30-day period)
Substantial Job Development activities by time period (daily or weekly) --
Date Client Contact
6/2/14 In-office Met, reviewed job search progress. Recommended John go to Outlet Mall and
Meeting submit applications at stores he thinks would be a good match.
Discussed other places that might be a good job match. John liked the idea of
customer service at The Craft Store because he is very artistic. Provided him
name and fax # of my contact so John can fax his resume.
6/3/14 Phone call from He went to Outlet Mall and submitted 5 applications. Also faxed his resume to
John The Craft Store.
6/4/14 Called my contact at The Craft Store—she will review John’s resume.
6/9/14 JD went to Outlet Mall to follow up on John’s applications. The manager at The
Cooking Supply Store indicated she will call John to schedule an interview.
6/10/14 Phone call to Updated him on Craft Store and Cooking Supply Store.
John Provided job leads –
The Pet Store – customer service
The Book Store – customer service
6/16/14 Phone call from Has interview this week at The Craft Store
John Pet Store and Book Store jobs were filled
He has not heard from Cooking Supply Store yet
6/17/14 JD called Cooking Supply Store. Interview arranged early next week.
6/24/14 In-office John felt interview at Craft Store went well. Job won’t require any heavy lifting.
meeting Will find out next week. Interviewed at Cooking Supply Store yesterday, but
prefers the Craft Store job.
Provided job lead for sales clerk/customer service rep. at The Toy Store.
Must apply in person.
Issues that arose this month or remain unresolved (health, behavior, transportation, child care, etc.):
None to report
Past issues that have improved or been resolved: John’s been much better about staying in contact
with me this month. His confidence is also improving.
Nevada Rehabilitation Division -- Job Developer/Counselor Meetings --June 2014 –Sample Monthly Job Placement Reports
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SAMPLE #3: JOB DEVELOPMENT MONTHLY REPORT
Does not have to follow this format but must contain these elements: What, when, who, where, results, issues
Participant’s Name: John Doe Case ID#: xxxxx Vocational Goal: Customer Service, Retail
Counselor’s Name: Job Developer’s Name:
Date of Report: July 5, 2014
Reporting Period: June 2014 (specify calendar month or 30-day period)
JD Activity Week 1 Week 2 Week 3 Week 4
Applications and John faxed resume to JD’s JD faxed resume to The
Resumes contact at the Craft store Toy Store – cust. serv. but
and submitted 5 applications may include some bicycle
at the Outlet Mall. assembly. John OK with
it, but will check with
counselor. John will need
to submit application in
person.
Interviews John interviewed at
Cooking Supply Store—
but he prefers the Craft
Interview at Craft Store Store. John felt interview
there went well. No
heavy lifting and is a
good match. Should hear
back next wk.
Employers JD called mgr. at The Craft JD went to Outlet Mall JD Called Cooking Supply JD called Craft store. Still
Contacted Store – discussed job -- and followed up with the Store—arranged interview making a decision.
good fit – combines 5 managers-- Cooking for next week
customer service with Supply Store indicated
interest in art. They will they will consider
interview next week interviewing John
Job Leads provided The Craft Store The Book Store – cust. Book Store (filled)
by J.D. serv. Pet Store (will keep app.
The Pet Store – cust. serv. on file)
Provided to John: Toy
store—
Phone calls with 2- to provide leads and 1-to discuss filled position
client update on employer at Book and Pet stores and
contact and discuss next week’s interview at
upcoming interview at Cooking Supply Store
Craft Store
Mtgs with client 1- reviewed job search
progress and explored 1—discuss interviews and
potential places of how he wants to proceed
employment. Suggested he
go to Outlet Mall and
submit applications.
Issues that developed this month or remain unresolved (health, behavior, transportation, child care, etc.): No
stand out issues
Past issues that have improved or been resolved: John’s self-confidence is improving and not as anxious when
contacting employers.
