Employability Skill(s) Training NEW MEXICO DIVISION OF VOCATIONAL REHABILITATION Job Developer Form 2.0 Participant Name: Client ID #: Please list the date in which each domain was Assisted/Supported/Trained/Coached/Mentored/Discussed Assistance Date General Topic Self – Assessment of skills (personal, traits, transferable skills, functional skills) Disclosing Disability (when, how, etc.) Communications with Employers (letters, emails, phone, in-person contacts) Appearance Related to Employment Resume Development and Employment Applications Developing Work History & Working with References Create and Customize Resumes for Positions Identify and Address Potential Work History Barriers (Terminations , gaps in employment) Dealing with Criminal History & background checks Employment applications (completing, analysis, etc.) Job Researching and Job Searching Research Labor Market & Matching Skills and Jobs Networking, Identification of Potential Employers and Employment contacts. Job Searching (Internet, newspapers, Work source, workforce employers) Interviewing Interview Skills (preparing, answering questions, personal presentations, etc.) Pre-Employment Testing (drug testing, proficiency, background, physical etc.) Salary, Benefits and ADA/Accommodations Negotiations Assistance Date Assistance Date Assistance Date Professional Etiquette (professional dress, hygiene, and behaviors) Employment Plan/Goals IPE Goal: ☐ Full Time (Hours____) ☐ Part Time (Hours____) ☐ Weekdays ☐ Weekends ☐ Split Shift ☐ Daytime Only ☐ Evening Only Supplemental Documentation Resume (if checked in referral by VRC, mandatory): Cover letter (if checked in referral by VRC, mandatory): Pocket resume (if checked in referral by VRC, mandatory): NM DWS Registration (if checked in referral by VRC, mandatory): Work Key Assessment (if checked in referral by VRC, mandatory): Reference list (if checked in referral by VRC, mandatory): Completed: Yes ☐ Completed: Yes ☐ Completed: Yes ☐ Completed: Yes ☐ Completed: Yes ☐ Completed: Yes ☐ N/A ☐ N/A ☐ N/A ☐ N/A ☐ N/A ☐ N/A ☐ Job Developer Comments: Working Together ________ (initial) Job Developer will contact Participant at least weekly ________ (initial) Participant will contact Job Developer at least weekly Job Developer Signature & Date: Participant Signature & Date: Phase 2: Please submit Form 2.0 with Authorization when billing, please verify that form is complete. Please submit all VRC requested documents with this form to receive payment. This phase will not be paid until all required documentation is submitted.