Close
Progress Report
Name
(Required)
First
Last
Employeed?
(Required)
Yes
No
Reconciliation
(Required)
Weekly meeting attendance/group therapy
(Required)
Yes
No
HIA Phase
(Required)
Transportation
(Required)
Yes
No
Driver's License
(Required)
Yes
No
Major Events/Achievements
(Required)
Length of Sobriety
(Required)
Compliance
(Required)
Current legal status
(Required)
Dismissal/Voluntary Leave
(Required)
Additional Comments
(Required)
