Rev. 7/17/17

FY 20182ndQuarter Program Report – Due January 10th

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Rev. 7/17/17

HSHT Site (County):
Report Written By (Name of HSHT Staff):

Section 1) Student Information Section

a)Total Number of Students Served During the Quarter
b)Total Number of Students Enrolled Year-to-Date

Section 2) Vocational Rehabilitation Involvement

a)Number of Students Referred to VR in FY17 (i.e. since July 1)
b)Number of Students Receiving Pre-Employment Transition Services without an IEP
c)Number of Students Currently in Application Status with VR
d)Number of Students Accepted for VR Services in FY17 (i.e. since July 1)
e)Number of VR Eligible Students with an Individualized Plan for Employment (IPE)

Section 3) Guideposts for Success

  1. Indicate all School-Based Preparatory Experiences Provided During the Quarter

Career Assessment
School Course Counseling
Date(s) of Event / Brief Description (please keep each to 2-3 sentences or bullet points)
  1. Indicate all Career Preparation and Work-Based Experiences Provided During the Quarter:

Exposure to Post-Secondary Education
Industry Site Visits
Job Shadowing
Work Readiness Skill Development
Internships
Entrepreneurship Activities
Date(s) of Event / Brief Description (please keep each description to 2-3 sentences or bullets)
  1. Indicate all Youth Development and Leadership Experiences Provided During the Quarter:

Adult Mentoring
Peer to Peer Mentoring
Self Advocacy Training
Community Service/Volunteerism/Service Learning
Disability History, Rights, & Responsibilities
HSHT Leadership Roles
Date(s) of Event / Brief Description (please keep each description to 2-3 sentences or bullets)
  1. Indicate all Connecting Activities Provided During the Quarter:

Mental & Physical Health Services
Transportation
Tutoring
Post-Program Supports
Assistive Technology
Community Orientation & Mobility Training
Financial Planning including Benefits Planning
Date(s) of Event / Brief Description (please keep each description to 2-3 sentences or bullets)
  1. Indicate all Family Involvement Activitiesand Supports Provided During the Quarter:

Educational and Resource Information
Participated in Appropriate Program Activities
Other Family Outreach
Date(s) of Event / Brief Description (please keep each description to 2-3 sentences or bullets)
  1. Indicate allCommunication Skills Activities Provided During the Quarter:

Speech, Essay, and Research Trainings/Competitions
Journaling and Writing Assignment Related to HSHT Activities
Formal and Informal Presentations Related to HSHT Activities
Electronic, Technology, and Social Media Etiquette
Career-Based Communication Training
Project Based Learning
Service Learning
Soft Skills Training
Date(s) of Event / Brief Description (please keep each description to 2-3 sentences or bullets)

Section 4) Program Partners

Provide a list of business & industry partners which have been developed during the quarter and/or who provided a HSHT experience (i.e. tour, guest speaker, job shadowing)

Business/Partner Name / Experience Provided / # of Students Attended

Section 5) Program Narrative

  1. Provide an Outline of Projected Events for the Upcoming Quarter:
  1. What types of industries fit the interests/needs of your students?
  1. How is this information being used to provide workshops, industry tours, and career experience opportunities?
  2. Provide the Dates of any Business Advisory Council Meetings Which Occurred During the Quarter, List of Attendees Including Business/Organization, and a Summary of Meeting Results:
  1. Describe Program Sustainability Efforts from this Quarter (grant applications/awards, volunteer recruitment, professional development, community partnerships, etc.):

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Section 6) Career Experiences – If a student has more than one career experience during the year, list each experience separately.

Student First Name & Last Initial / Type of Experience* / Primary Industry of Career Experience / Business Name and City / Hourly Wage or Stipend / Indicate if Paid by: HSHT, VR, Employer, Career Source, Other / Total Hours of Experience / From DEAM Relationship (Y/N)

*Types of Career Experiences: Internship (paid or unpaid), Job Shadow, Volunteer, School-Based Enterprise, Career-Based Exploration, Summer/Seasonal Camp Employment, Career Certification, Paid Employment

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