To help you build the life you want after graduation!
Introduction
- Student’s full name
- Grade in school
- Current school year (e.g., 2005/2006)
- Name of current school
- Hometown
Family
- Who lives in your home with you?
- If you have brothers and sisters, how old are they and what grades are they in?
- Where do people in your house work?
Home
- What are your favorite things to do when you are at home?
- What does your family say you are really good at?
- What things do you do for other people at home?
Home (continued)
- What are things that your family helps you with at home now?
- Are there strategies that help you be most successful and independent?
- What skills are you learning to be more independent at home?
Responsibilities at Home
- What chores or responsibilities do you have at home?
- What supports do you need to perform them?
- Have you ever helped someone else (friends, neighbors, etc.) do a chore, like stacking firewood, mowing grass, babysitting?
- Have you ever been paid to do any work?
Daily Routine
- Describe your typical school day, from the time you get out of bed in the morning until the time you go to sleep at night.
- Describe your typical non-school day (like a weekend or summer day).
Community
- Where are places that you go in the community?
- What activities do you do there?
- How often do you go? And who do you go with? How do you get there?
Community (continued)
- What help do you need for activities in the community?
- What skills are you learning to help you be more independent in the community?
Friends and Social Groups
- When you aren’t in class, with whom do you like to spend time?
- What kinds of things do you like to do with them?
- Where do you go with different friends?
School
- What are your favorite classes and parts of the school day?
- What are your least favorite classes?
- What works well for you at school?
- What is difficult about school?
- What strategies or supports help you have a good day at school?
Work Experiences
- Describe the work experiences that you have had in middle school.
- What supports and strategies helped you succeed?
- What tasks have you done?
- What have you learned about skills, abilities, interests and motivating factors?
Work Experiences (continued)
- What skills are you learning during work experience that will help you be more independent in a community job?
- What information about how to support you needs to be shared with new support staff?
What Else Do New People Need to Know About You?
- Information about technology you use
- How you communicate
- Medical information
- Supports you need to be safe
- Things to avoid
What Else Do New People Need to Know About You? (continued)
- Skills and interests that aren’t readily apparent
- Important likes and dislikes
- Positive qualities
- Challenges and supports
I Learn Best When…
- Describe how you learn new information most easily
- Reading instructions
- Having someone tell me how to do it
- Having someone show me how to do it
- Having someone give me a model to follow
- A combination of the strategies above
What Do You and Your family Envision for Your Life After High School?
- What will you do for work?
- Where will you live?
- Will you continue on in school?
- What will you do in your community?
- How will you get to where you want to be?
To Reach My Future Goals, I Want To Work On:
- List things you want to work on at home
- Things you want to work on at school
- And things you want to work on in the community