Dss Form 30254 - Monthly Nytd Services Tracking Form - South Carolina Department Of Social Services

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South Carolina Department of Social Services
MONTHLY NYTD SERVICES TRACKING FORM
Youth’s Name:
DOB:
Youth’s Placement Provider:
Date of Services:
Name of Person Completing this Form:
Telephone: (
)
E-Mail:
Today’s Date:
Independent Living Needs Assessment
n
n
n
n
Casey Life Skills
/
/ 20
PATTY
/
/ 20
n
n
Other:
Service Provided By:
Academic Support (Elementary through High School)
n
n
n
n
Tutoring
School Sponsored Field Trips
n
n
n
n
Senior Expenses
Summer School
n
n
n
n
Graduate Awards
GED Prep
n
n
n
n
Study Skills/Literacy Training
Governor’s School Expenses
n
n
n
n
Academic Counseling
Application for Adult Education
n
n
n
n
Books/Supplies for Specialized Classes
Scholar’s Programs Recommended by School
n
n
Other:
Service Provided By:
Post-Secondary Educational Support (College or Vocational Training)
n
n
n
n
Counseling About College
Tutoring
n
n
n
n
SAT/ACT Prep Classes
Non ETV College Coursework
n
n
n
n
Non ETV Vocational Coursework
College Campus Visits
n
n
n
n
Pre College Expenses (Applications)
Assistance in Applications for ETV
n
n
n
n
Workshops on Educational Choices
Transport to College Goal Sunday
n
n
Assistance and Information about Financial Aid, Scholarships and Loans
n
n
Other:
Service Provided By:
Career Preparation
n
n
n
n
Assistance in Completing Job Applications
Job Referrals
n
n
n
n
Assistance in Resume Writing
Job Shadowing
n
n
n
n
Social Skills Training Related to Employment
Career Exploration and Planning
n
n
n
n
Identifying Potential Employers
Use of Career Resource Libraries
n
n
Job Readiness Courses
n
n
Assistance with Online, Media, and In Person Job Searches
n
n
Assistance in Understanding Employee Benefits Coverage
n
n
Other:
Service Provided By:
DSS Form 30254 (JUL 16) Edition of MAR 11 is obsolete.

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