PROJECT STAY INDIVIDUAL EDUCATION AND TRAINING PLAN (IETP)

1. NAME:___________________________________  DATE OF BIRTH:_______________





2. THESE BARRIERS TO EMPLOYMENT SEEM TO EXIST IN YOUR SITUATION:



                     ___ ADJUDICATED DELINQUENT



                     ___ ALCOHOL/DRUG ABUSE



                     ___ DROPPED OUT OF SCHOOL



                     ___ EXCESSIVE ABSENCE FROM SCHOOL



                     ___ LIMITED ENGLISH PROFICIENCY



                     ___ LOW BASIC ACADEMIC SKILLS



                     ___ NON-GOAL DIRECTED



                     ___ TEENAGE PARENT





3. WE PLAN TO PROVIDE THESE EDUCATIONAL SERVICES FOR YOU:



                     ___ BASIC SKILLS INSTRUCTION AND ACCELERATION



                     ___ DAILY ATTENDANCE CHECKING



                     ___ HIGH SCHOOL CREDITS





4. WE PLAN TO PROVIDE THESE VOCATIONAL SERVICES FOR YOU:



                     ___ COUNSELING



                     ___ WORK INTERESTS ASSESSMENT



                     ___ JOB SKILLS CLASS



                     ___ VOCATIONAL TRAINING



                     ___ TRYOUT EMPLOYMENT





5. COMMENTS:_________________________________________________________________



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