L&S Consulting Referral Form
Referral and other information received is protected and is maintained as confidential and private. Job coaching is available evenings, weekends, & days.
Name: (counselor name, not name of client/consumer)
Employee Development Services- community based
Employment Supports/Job Coaching for short term job supports
Job Seeking Skills Training
Postsecondary Supports (Remedial training or services)
Pre-ETS Job Exploration Counseling Services
Pre-ETS Post Secondary Educational Counseling
Pre-ETS Independent Living Services OR Soft Skills Training
Pre-ETS Public Transportation Training
Pre-ETS Instruction on self-advocacy
Pre-ETS Informational Interview
Pre-ETS Job Shadow
Pre-ETS Service Learning
Pre-ETS Work Experience- Services
Pre-ETS Work Experience-Wages
Desired start date:
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