Job Coach Note – Job Connection LLC

Job Coach Time Sheet / Note

Date

Job Coach Name

Client Name

Emloyment Consultant

Employer

Job Coach Start Time

Job Coach End Time

Mileage if Authorized: Start Odometer

End Odometer

Client Start Time

Client End Time

Did the client arrive at work on time:

Yes No

Was the client dressed appropriately:

Yes No

Did the client need prompting to get started:

Yes No

Did client take breaks and return on time:

Yes No

Give an overview of the time spent with the client:

Job Coach Email