You are on page 1of 3

DOL-118 (New 6/06

)

Career Development Plan
General Information
Social Security Number First Name, M.I., Last Name

Job Search Interviewing Employer
Resume and Cover Letter
Assistance Skills Skills Research
needed? Education/Trainin Career Counseling/Career Other
g Change (specify):
What job skills do you currently have?

What equipment can you operate (i.e., office, industrial, manufacturing, etc.)?

What language(s) can you speak fluently? What language(s) can you write fluently?

Professional designations, certificates, licenses
List the Type of Professional Designation, Certificate, or License Date Current?
Obtained
Yes No
Yes No
Yes No
Yes No

Computer skills
W Excel Projec Publis Acces Outloo PowerPo Intern
ord t her s k int et
Indicate current
Beginning
skill level, if any.
Intermedi
()
ate
Advanced
List other computer software/programming skills.

Education/Training - Record most recent first
Area of Study, Major / Dates Attended Degree,
Minor Diploma,
Facility
From To Certificate
Earned

Additional Considerations
Have you experienced difficulty in finding or keeping employment? Yes No If yes, what
specific problems or challenges have you experienced?

How long have you been seeking desired employment without success?
What particular lack of skills or knowledge, if any, do you feel is limiting your job prospects?

Are you willing and able to relocate in order to accept a job? Yes No
If training is available and you are approved to attend, can you foresee any monetary or other
reason you would be unable to complete the training? Yes No If yes, explain.

List hobbies and areas of interest.

The remainder will be completed by a Connecticut Department of Labor Career
Development Specialist
Program Career/ Vocational Date Date
Participation/Resources Assessments Scheduled Completed
Resource
WIA TAA
Room
Veterans’ Wagner-
Services Peyser
Contact ERS representative
ERS to ensure client completed
his/her appointment.
Outplacement Other:
agency Verified contact information is accurate
in CTWBS
Employment and Training Goals
Occupational goal Target wage

Needed to Training Resume Enhanced interviewing or job search skills
achieve Other (specify other barriers to address):
occupational
goal:
If barriers are listed, what actions are suggested to address them? During what timeframe?

RECOMMENDATIONS FOR ACHIEVING EMPLOYMENT GOAL
Workshops/Seminars
Resume Interviewing Internet Word Processing/ Computer
Basics Techniques Skills
Resume Job Search Education Other:
Advanced Strategies Exploration
Older Worker Budget/Finance Job Search Club Other:
Personal Other:
Ex-Offender Development Entrepreneurial/Busi
ness
Timeframe for attending/general notes:

Education/Training
Recommended Not recommended Additional evaluation needed
Date referred to Possible funding options: WIA TAA Other:
training

Specific recommendations for selecting and comparing training programs

Name of facility where training is expected to occur
Type of remedial training needed, if any Anticipated dates of attendance
From To
Program of study or on-the-job training subject matter Anticipated dates of attendance
From To
Job Search
Timeframe to conduct job search

Specific recommendations for job search

Notes

Signatures

Client Date
Career Development
Specialist Date