<p> Career Pathways Student Report Year 3 (2013-2014) Please send completed electronic forms to KayLynn Hamilton at [email protected].</p><p>Agency Name: </p><p>Student Identifier: </p><p>Hours Enrolled: EFL Gains: Pre: Post: </p><p>How was this student referred to your program? (e.g., PA CareerLink®, CTC, employer, CAP) </p><p>Career Pathway Goal (employment/postsecondary): </p><p>Focus Sector first identified Choose a Focus Sector **Please Specify Target Occupation: </p><p>Did student change to a different Focus Sector or Target Occupation during the course of Career Pathways instruction, guidance, exploration, or support?</p><p>YES NO </p><p>If yes, please identify new Focus Sector: Choose a Focus Sector OR new Target Occupation: </p><p>If yes, explain why change was made (e.g., student realized wages for target occupation at entry level was insufficient)</p><p>Did student achieve Career Pathways goal?</p><p>Postsecondary YES (note name of school and program) </p><p>NO (note progress toward goal completion) </p><p>Employment YES (note type of employment) </p><p>NO (note progress toward goal completion) </p><p>1 Career Pathways Student Report Year 3 (2013-2014) Please send completed electronic forms to KayLynn Hamilton at [email protected]. Did student achieve NRS Goals? Obtain GED Gain Employment Retain Employment Enter Postsecondary</p><p>Career Awareness Activities </p><p>O*NET: Frequency: PA Career Guide: Frequency: PA CareerLink®: Frequency: </p><p>WIN: Frequency: Integrating Career Awareness: Frequency: Other (Please identify) </p><p>Additional Career Awareness Activities (e.g., curriculum, job-shadowing, internships, college-for-a-day) </p><p>Activity Facilitator Follow-up Activity Frequency of Activity (e.g., teacher, case manager)</p><p>Credentials Earned</p><p>Adult Secondary Diploma Work Readiness Certificate (specify level) </p><p>Other (describe) </p><p>Partner & Referral Information</p><p>Was student referred to PA CareerLink® by you or your agency? YES NO </p><p>Please describe services and collaboration with PA CareerLink® regarding student: </p><p>Please identify additional referrals made for student? (Check all that apply)</p><p>Department of Public Welfare Veteran’s Administration Employment Agency</p><p>Housing Authority Community Action Agency Health Services</p><p>Office of Vocational Rehabilitation Faith-based Organization Trade Adjustment</p><p>2 Career Pathways Student Report Year 3 (2013-2014) Please send completed electronic forms to KayLynn Hamilton at [email protected]. Legal Services Counseling Services Social Security Administration</p><p>Family Services Refugee Services Energy Services</p><p>United Way Neighborhood Center Other </p><p>What types of supports and resources were provided to student to encourage or facilitate a transition to postsecondary educational programs (e.g., technical programs, local colleges): </p><p>Student postsecondary funding source:</p><p>Individual Training Account (ITA): Special WIA Funding (e.g., OJT, TANF Youth Work Experience) EARN Individual Training Account (ITA): Trade Adjustment Assistance (TAA) Dislocated Workers Veterans OVR Individual Training Account (ITA): Other Adults</p><p>Please describe any other information highlighting career pathways-specific interventions and outcomes provided for student:</p><p>3</p>