CAREER PLAN
Individual Education/Employment Plan

Name  ______________________________     SS#: _________________
Address_____________________________     Phone:________________
Date of Birth ____________________                 (Age): ________________
Reading Level:       7.8      Math Level:  5.1             Test used:   TABE  

Educational level (circle one) 6 7 8 9 10 11 12 other:

High School diploma GED            
College degree________

WORK HISTORY: (or resume attached_________)

Volunteer experience and other skills:

MAIN LIFE GOAL:   live happily with the same man
EMPLOYMENT GOAL(S): help older people and/or disables children

Steps to be completed: 

Support services needed: _____  Transportation:  ________  Child Care:  _______ Other: _______

Instructor/Counselor:     M. Teumim                      Date:  2/9/99

Revised by:  _______________________                Date: ________