by requirements for the degree of (Education) - NCRTM

FOR
BIItGET
AlUUSl',xUilxr PROGP&I FOI bU-i,FALLY PdiTAR1)lil) AT
()CCUPATI()NAI.
,July l, to dune 30,
cooperative agreement is in existence letween the Department of
A
md Social Services, Division of Vocational Rehabilitation and tle
leMth
iii
tI. GII SCi t(X)I,
the purpose of obtaining
for
matching "fthi&' in' 'order to expand services to the mentally retarded.
Feddr%il
submission of this form to the Division of Vocational Rehabilitation at
The
beginning of each academic year will update the budgets used for matding
the
purposes.
Name of Local School Board
N.ne of Teacher-Counselor (or other personnel)
Address" lome
School
Length of School Program (}lonths)
Salary (Total)
Distribution of Time and Salary"
Activity
Vocational Rehabilitation
1..
. ccial Education
S
3. Otler
Daily Time Schedule of Teacher=Counselor"
Period Vocational Rehabilitation Time
[ilsc reverse side- £or dld.[t.ibna-ggt--etai-ls-o£--ad{iviti;);
cc" Bureau for iandicapped C]fildren
RS Li- 2
V
2/70
Time .Sala.ry*
O.
Special Education Time
To compute the amount of salary chargeable to eacl actiyity,
a
the percentage, of thne spent, on each activiW by he total sailary,
mltiply
otmt of salary chargeable to Vocational Rehabilita.tion. activity, is the
"l'te
tlat should appear o Fore VRBt.i-3.
uuotmt