Contact Information

Contact Us

Thank you for visiting Career Counseling Services and considering our services for yourself or a loved one. We look forward to speaking with you, learning more about your individual needs and providing you with excellent services.

Please feel free to call 512-917-7693 should you have any questions. If you prefer to e-mail us, simply fill out the form below and we will get back to you promptly.

Career Counseling Services
A Division of Educational & Assessment Services, Inc.

P.O. Box 28358
Austin, TX 78755

Phone: 512-917-7693

E-mail: info@career-counseling.org

Following your referral or inquiry, we will contact you to arrange an appointment or services. A letter of confirmation and map will follow. We look forward to helping each person make the best career choices for life success.

First Name

Last Name

Address

City

State

Zip Code

E-mail

Phone

Alternate Phone

Date of Interview

Bold = Required Field

Vocational Evaluation for

Vocational Assessment for 2 days

Personal, Social Adjustment Training

Job Placement

Counseling

Job Coach

Vocational Adjustment Training

Reported Disability:

Reason for Referral:

Services Requested:

Jobs previously discussed with the client:

Permission to Disclose Information (TRC517)

Social evaluation

Copies of relevant case notes (including initial contact)

Transcripts/other school-related information

Progress reports from other programs

Referral Form

Individualized Plan for Employment

Other (Specify)

What jobs are available in the local area that this person can perform?

What disability-related limitations make it difficult for this person to work?

Do there seem to be any medical or physical limitations, not previously reported which appear to limit vocational functioning?

What behaviors may make it difficult for this person to keep a job?

What seem to be reasons for this person to appear unmotivated toward work/ rehabilitation?

Would this person’s job interest be a feasible goal(s)? Why?

What are the transferable job skills that are usable in the current job market?

Information Provided:

Questions to be answered:

Do you recommend a formal skills training program?

What general accommodations will enhance this person’s ability to work?

days