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List the Knowledge, Skills and Attitudes from TAP 21 to achieving the target competency level in this learning plan:

Knowledge

Skills

Attitudes

State the performance goal is specific behavioral terms:

What activities will the counselor complete in order to achieve the stated goal?

How will progress be evaluated? How will proficiency be demonstrated?

Supervisor Signature_______________________________Date______________

Counselor Signature _______________________________Date______________

1/1/09 Version

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