Next Steps of

South Carolina




Job Placement Log Form


Participant Name:


Record of Meetings with Job Placement Assistants in Agencies/Organizations

Date Referral Made

Date of Interview


Assistant’s Signature

















































Samaritan Mentor



Lazarus Mentor ___________________________________________________________________________


-------NSSC Affiliate Contact Information----------

Next Steps of South Carolina is indebted to Samaritan Ministry of Greater Washington (, Lazarus Ministry of Christ Episcopal Church, Alexandria, VA (, and The Cooperative Ministry, Columbia, SC ( for allowing us to pattern our Next Step Program after their successful ministries.


(Last modified 5/21/2013)