Field Mentoring Checklist for Job Development

Date: ______Employment specialist: ______

(Employment specialist & supervisor should complete together.)

I. Review of follow up from last field mentoring.

______

______

II. Goal (ES & Supervisor complete together before going out)

Today we will focus on refining or developing the following skill(s):

______

  1. Activities (ES & Supervisor complete together before going out)

1. Employer: ______Client in mind: ______

Will supervisor facilitate the meeting (modeling for ES) or will ES lead the

conversation? ______

Purpose of contact:

Introduction of ES, Learn about the business, Advocate for client,

Provide info about SE program, Continued contact to strengthen

relationship with employer, Other: ______

Preparation for visit:

questions for employer have been developed

research on company has been completed

ES or supervisor is prepared to talk about client strengths/fit for employer

ES or supervisor has prepared opening remark

other: ______

We will know we are successful if: ______

______

2. Employer: ______Client in mind: ______

Will supervisor facilitate the meeting (modeling for ES) or will ES lead the

conversation? ______

Purpose of contact:

Introduction of ES, Learn about the business, Advocate for client,

Provide info about SE program, Continued contact to strengthen

relationship with employer, Other: ______

Preparation for visit:

questions for employer have been developed

research on company has been completed

ES or supervisor is prepared to talk about client strengths/fit for employer

ES or supervisor has prepared opening remark

other: ______

We will know we are successful if: ______

______

3. Employer: ______Client in mind: ______

Will supervisor facilitate the meeting (modeling for ES) or will ES lead the

conversation? ______

Purpose of contact:

Introduction of ES, Learn about the business, Advocate for client,

Provide info about SE program, Continued contact to strengthen

relationship with employer, Other: ______

Preparation for visit:

questions for employer have been developed

research on company has been completed

ES or supervisor is prepared to talk about client strengths/fit for employer

ES or supervisor has prepared opening remark

other: ______

We will know we are successful if: ______

______

(Use additional pages, as needed)

  1. Feedback (ES & Supervisor complete together at end of field mentoring)
  1. Strengths observed during field mentoring:
  1. Obstacles encountered:
  1. Could alternative interventions/approaches have been u\sed?

We role played the following alternatives:

  1. What did the supervisor learn from the ES?
  1. Plan for Follow-up

(Remember to complete employer contact log for these visits)

Next date for field mentoring: ______