Individual Career Development Plan
Goodwill Industries of Wayne and Holmes Counties
Consumer
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Career Goal
Case Manager
Objective 1 - Issue to be Evaluated
Objective 1 - How is this Evaluated? (Methods Used)
Objective 1 - Measurement (Technique Used)
Objective 1 - Assistive Technology Required
Objective 1 - Who is Involved? (People Responsible)
Objective 1 - Time Frame to Accomplish
Objective 2 - Issue to be Evaluated
Objective 2 - How is this Evaluated? (Methods Used)
Objective 2 - Measurement (Technique Used)
Objective 2 - Assistive Technology Required
Objective 2 - Who is Involved? (People Responsible)
Objective 2 - Time Frame to Accomplish
Objective 3 - Issue to be Evaluated
Objective 3 - How is this Evaluated? (Methods Used)
Objective 3 - Measurement (Technique Used)
Objective 3 - Assistive Technology Required
Objective 3 - Who is Involved? (People Responsible)
Objective 3 - Time Frame to Accomplish
Objective 4 - Issue to be Evaluated
Objective 4 - How is this Evaluated? (Methods Used)
Objective 4 - Measurement (Technique Used)
Objective 4 - Assistive Technology Required
Objective 4 - Who is Involved? (People Responsible)
Objective 4 - Time Frame to Accomplish
Objective 5 - Issue to be Evaluated
Objective 5 - How is this Evaluated? (Methods Used)
Objective 5 - Measurement (Technique Used)
Objective 5 - Assistive Technology Required
Objective 5 - Who is Involved? (People Responsible)
Objective 5 - Time Frame to Accomplish
Objective 6 - Issue to be Evaluated
Objective 6 - How is this Evaluated? (Methods Used)
Objective 6 - Measurement (Technique Used)
Objective 6 - Assistive Technology Required
Objective 6 - Who is Involved? (People Responsible)
Objective 6 - Time Frame to Accomplish
Objective 7 - Issue to be Evaluated
Objective 7 - How is this Evaluated? (Methods Used)
Objective 7 - Measurement (Technique Used)
Objective 7 - Assistive Technology Required
Objective 7 - Who is Involved? (People Responsible)
Objective 7 - Time Frame to Accomplish
Objective 8 - Issue to be Evaluated
Objective 8 - How is this Evaluated? (Methods Used)
Objective 8 - Measurement (Technique Used)
Objective 8 - Assistive Technology Required
Objective 8 - Who is Involved? (People Responsible)
Objective 8 - Time Frame to Accomplish
Objective 9 - Issue to be Evaluated
Objective 9 - How is this Evaluated? (Methods Used)
Objective 9 - Measurement (Technique Used)
Objective 9 - Assistive Technology Required
Objective 9 - Who is Involved? (People Responsible)
Objective 9 - Time Frame to Accomplish
Objective 10 - Issue to be Evaluated
Objective 10 - How is this Evaluated? (Methods Used)
Objective 10 - Measurement (Technique Used)
Objective 10 - Assistive Technology Required
Objective 10 - Who is Involved? (People Responsible)
Objective 10 - Time Frame to Accomplish
Objective 11 - Issue to be Evaluated
Objective 11 - How is this Evaluated? (Methods Used)
Objective 11 - Measurement (Technique Used)
Objective 11 - Assistive Technology Required
Objective 11 - Who is Involved? (People Responsible)
Objective 11 - Time Frame to Accomplish
Objective 12 - Issue to be Evaluated
Objective 12 - How is this Evaluated? (Methods Used)
Objective 12 - Measurement (Technique Used)
Objective 12 - Assistive Technology Required
Objective 12 - Who is Involved? (People Responsible)
Objective 12 - Time Frame to Accomplish
Objective 13 - Issue to be Evaluated
Objective 13 - How is this Evaluated? (Methods Used)
Objective 13 - Measurement (Technique Used)
Objective 13 - Assistive Technology Required
Objective 13 - Who is Involved? (People Responsible)
Objective 13 - Time Frame to Accomplish
Objective 14 - Issue to be Evaluated
Objective 14 - How is this Evaluated? (Methods Used)
Objective 14 - Measurement (Technique Used)
Objective 14 - Assistive Technology Required
Objective 14 - Who is Involved? (People Responsible)
Objective 14 - Time Frame to Accomplish
Objective 15 - Issue to be Evaluated
Objective 15 - How is this Evaluated? (Methods Used)
Objective 15 - Measurement (Technique Used)
Objective 15 - Assistive Technology Required
Objective 15 - Who is Involved? (People Responsible)
Objective 15 - Time Frame to Accomplish
Objective 16 - Issue to be Evaluated
Objective 16 - How is this Evaluated? (Methods Used)
Objective 16 - Measurement (Technique Used)
Objective 16 - Assistive Technology Required
Objective 16 - Who is Involved? (People Responsible)
Objective 16 - Time Frame to Accomplish
Objective 17 - Issue to be Evaluated
Objective 17 - How is this Evaluated? (Methods Used)
Objective 17 - Measurement (Technique Used)
Objective 17 - Assistive Technology Required
Objective 17 - Who is Involved? (People Responsible)
Objective 17 - Time Frame to Accomplish
Objective 18 - Issue to be Evaluated
Objective 18 - How is this Evaluated? (Methods Used)
Objective 18 - Measurement (Technique Used)
Objective 18 - Assistive Technology Required
Objective 18 - Who is Involved? (People Responsible)
Objective 18 - Time Frame to Accomplish
Objective 19 - Issue to be Evaluated
Objective 19 - How is this Evaluated? (Methods Used)
Objective 19 - Measurement (Technique Used)
Objective 19 - Assistive Technology Required
Objective 19 - Who is Involved? (People Responsible)
Objective 19 - Time Frame to Accomplish
Objective 20 - Issue to be Evaluated
Objective 20 - How is this Evaluated? (Methods Used)
Objective 20 - Measurement (Technique Used)
Objective 20 - Assistive Technology Required
Objective 20 - Who is Involved? (People Responsible)
Objective 20 - Time Frame to Accomplish
Consumer Signature
Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Consumer Name
Case Manager Signature
Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Case Manager Name
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