Parent Transition Survey Student Name:________________________________________________ Date Completed:__________ Student Birth Date:__________________________________________ Anticipated Graduation Date:____________________ Name of Person Completing Survey:________________________________________________________ Relationship to student:_________________________________________________________________ In order for the school district to plan appropriately with you, your child and possibly other agencies, the following information would be helpful for the Transition Planning for your son/daughter from school programming to adult life: Are there other agencies involved with the student either currently or projected after graduation? Post Secondary Education Questions: 1. Upon graduation, what do you see your son/daughter doing for future education/training? 4 year College Business School 2-4 year College Training Program Technical School Community Education Program Other __________________________________________________________________ 2. My son/daughter’s level of motivation to succeed in the academic setting is: High Medium Low 3. The level of control my son/daughter believes he/she has over decision making and his/her individual success: High Medium Low 4. My son/daughter’s ability to identify what he/she needs had how to get it: High Medium Low 5. What skills do you think your son/daughter needs to develop for future academic success? Employment Questions 1. When he/she graduates from school, we see our son/daughter participating in: Competitive Full Time Supported Employment Employment Military Competitive Part Time Volunteer Work Employment Other ________________________________________________ 2. In which kinds of job(s) does your son/daughter seem interested? 3. What kinds of job(s) does s/he like? 4. Do you have a preference for or see your son/daughter in a particular job? 5. Are there jobs in which you object to your son/daughter’s participation? 6. Are there any medical concerns relating to your son/daughter’s job choice? 7. What skills do you think need to be developed to help your son/daughter reach his/her employment goals? 8. In what kind of classes would you like your son/daughter to be enrolled? Independent Living Questions: 1. What chores or responsibilities does your son/daughter presently have at home? 2. What other responsibilities would you like your son/daughter to be able to do at home? 3. Following graduation, what do you think your son/daughter’s living situation will be? At home Independently At home with support Apartment independently Apartment with support Group home Own home Other_____________________ __________________________ 4. In which of these independent living areas do you feel you son/daughter needs instruction in this school year? Clothing Care Safety Meal Prep & Nutrition Sex Ed Hygiene/Grooming Household management Transportation Consumer skill Parenting/child care Community awareness Measurement Time management Leisure/Recreation Questions: 1. What leisure/recreational activities does your son/daughter participate in alone or with friends? 2. What leisure/recreational activities does your son/daughter participate in with your family? 3. Are there any leisure/recreational activities in which you would like to see you son/daughter participate? 4. What classes/activities would you like your son/daughter to participate into develop more leisure interests? Financial Questions: 1. Will your son/daughter have: Earned Income Insurance Food Stamps or general public assistance Supplemental Social Security (SSI) General Questions: Social Security Disability Insurance (SSDI) Trust/Will Other 1. What would you like the school staff to do to assist you in planning for your son/daughter after graduation?