Client Name:
|Youth Name: | |SYVPI ID #: | |ISP Date: | |
|(Last Name, First Name, MI) | | | | | |
|Current Situation: Lacks work history. |Immediate Goal: Start employment experience. |Long Term Goal: Establish Work History. | |
|OUTCOME for all Tasks/Actions & Milestones: |Youth demonstrates work-readiness skills by completing employment training activities. |
|TASK / ACTION |Date Completed |(Corresponding) MILESTONE / GOAL |Date Completed |Target Date |
| |mm/dd/yy | |mm/dd/yy |mm/dd/yy |
|Youth starts internship/group project at [ORGANIZATION]. | |Youth successfully completes subsidized employment training by fulfilling training | | |
| | |agreement requirements (with at least 80% attendance) and not dropping the program. | | |
|Youth & Employment Specialist meet to review Final Performance Evaluation form. | |Youth receives positive performance evaluation regarding working relationships at | | |
| | |training site. | | |
|SWYFS & C-WEST only – Youth attends class. | |SWYFS & C-WEST |
| | |only – Youth |
| | |earns a 1.0 |
| | |City Campus |
| | |C-WEST or 0.5 |
| | |Seattle Public |
| | |Schools’ |
| | |credit. |
|What/who: | | |
|What/who: | | |
|What/who: | | |
REQUIRED SIGNATURES:
|Youth Name: | |Signature: | |Date: | |
|(please print) | | | | | |
| | | | | | |
|Employment Specialist: | |Signature: | |Date: | |
|(please print) | | | | | |
| | | | | | |
|Employment Specialist’s Supervisor| | | | | |
|Name: | |Signature: | |Date: | |
|(please print) | | | | | |
Updated 06.04.2015– Individual Service Plan
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