Out-of-School Name of Participant: Sacramento Employment & Training Agency
------INDIVIDUAL EMPLOYMENT PLAN (Individual Service Strategy) ------
======
Academic Skills Level and Goal:
School Drop Out: Yes or No
High School Diploma: Yes or No
High School Equivalency: Yes or No
GED: Yes or No
GED Prep Class:
Date:
HiSET: Yes or No
HISET Prep Class:
Date:
Academic Goal:
Short-Term Academic Goal:
Long-Term Academic Goals:
======
ACADEMIC ASSESSMENTS & RESULTS: CASAS
Reading (Pre-Test):
Basic Skills Deficient: Yes or No or N/A (Disability)
Score:
EFL:
Math (Pre-Test):
Basic Skills Deficient: Yes or No
Score:
EFL:
Requires Remediation (pick the lowest score): Yes or No
Math: Yes or No or
Reading: Yes or No
======
Career Exploration tool used:
Interest Profiler Results:
Career Pathway Choice: ______
Indicate the category career choice falls
(WEX): (check all that apply):
___Administrative and Support Services
___Construction/Clean Energy
___Healthcare Services (Life Sciences)
___Information and Communication Technology
___Installation, Maintenance and Repair
___Agriculture, Food and Hospitality
___Transportation and Production
Other: ______
Employment Goal:
Short Term Employment/Educational Goal:
Long-Tern Employment/Educational Goal:
Post-Secondary: Yes or No
Advanced Training: Yes or No
Military: Yes or No
Apprenticeship Program: Yes or No
Occupational Skills Training: Yes or No
======
WORK RELATED SKILLS:
======
BARRIERS:
======
SUPPORTIVE SERVICES NEEDS:
======
GOALS:
a. Short Term:
b. Long Term (check required performance measures):
___ Placement in EMP/Training/Education (Q2 Post-exit)
___ Placement in EMP/Training/Education (Q4)
___ Median Earnings
___ Credential Rate
___ Measurable Skills Gain
======
Planned Service / WIOA Program Elements. Check the Appropriate activity (*Required Activity):
___*Alternative Secondary School
___*Paid and Unpaid Work Experience
___*Leadership Development Opportunities
___Labor Market/Employment Information
___Supportive Services
___Adult Mentoring
___Comprehensive Guidance and Counseling
___Occupational Skills Training
___Financial Literacy Education
___Entrepreneurial Skills Training
___Post-Secondary Education and Training
___Education offered concurrently with workforce preparation activities and training
___*Follow-Up Services
Participant Concurrence
· I have participated in the preparation of this Individual Service Strategy IEP (ISS)
· I understand and agree with IEP (ISS) program elements established for my participation in the program
· I agree to participate in program activities as assigned by my case manager to achieve program objectives
· I understand WIOA is not an entitlement program, and this ISS does not guarantee receipt of any services
· I understand that this IEP (ISS) and/or information in it may be released to appropriate WIOA and School personnel
· I understand that I have the right to obtain a copy of my IEP (ISS) at any time.
______
Participant Signature Age at Program Participation
______
Date
______
Case Manager Signature
______
Date SETA 7/1/2016 BH
IEP (ISS) must be reviewed Bi-monthly for WIOA Participants
Case Manager must initial and date upon review
Monthly review: ______
Monthly review: ______
Monthly review: ______
Monthly review: ______
Monthly review: ______
Monthly review: ______