Copyright 2009-2010, All Rights Reserved
MY VOICE

Personal Information
• My name is ________________________
• My birthday is ______________________
• I go to school _____(where)___________

PERSONAL INFO./LIVING ARRANGEMENTS
• See Section #1 of Binder For:
• Pre-Admission Screening Procedures and Definitions
• Description of Types of Residential Options
•Refer to TPI forms and materials (Student, Home, School)
•Refer to Flow Chart
• See CD or flash drive for:
• “Accompanying Picture Resources for MY VOICE
PowerPoint Template” Word Document file

Living Arrangement
• I live in___________________ with______________________

Living Arrangement
• Eventually, I want to live ________________________ with__________________________________________
• I do NOT want to live ___________________________ with _________________________________________

Living Arrangement
• The type of help and supports I may need at home include
_________________
_________________
_________________

Living Arrangement
• I have made/or need to contact ___(PAS Agency)____ to assess my eligibility for certain housing options and/or services in my home.
• A PUNS form was completed with _(agency_____ on
____(date)__ by ___(who)__ to let the state know my needs for supports and services. I must update this information every year.

Employment
• See Section #2 in Binder for:
• Pocket Resume, Example Resume, Functional Resume Worksheet, High powered action word list,
Reference List Outline, Telephone Contact Description, Phone Contacts common questions,
Employee handbook description, Employer Contact Table, Cover letter Outline, 28 common cover letter mistakes, Job application tips, Job shadowing activity, My week at work worksheet, Job analysis form, writing a thank you letter or card, Cover letter example
• Universal Application for DuPage vocational and day program services
• Military training considerations
• Work Personality Profile
• Employability/Life Skills Assessment
• Job Shadow Expectations, Job Shadow on site activities and materials, “More than Meets the Eye” worksheet, Chamber of Commerce Job Shadow Student Evaluation, Vocational
• The 411 on Disability Disclosure (workbook)
• Self-Employment FAQs & Self-Employment Growing Customers article (Griffin-Hammis)
• See Main Site Binders for:
• YES software CD’s (compilation of video examples of various careers) found in
• “Choose and Take Action: Finding the Right Job for You” workbook with interactive CD-ROM (basic career videos and decision making ideas and strategies regarding employment)
• R-FVII:2 Reading-Free Vocational Interest Inventory: Second Edition
• See CD or flash drive for:
• “Accompanying Picture Resources for MY VOICE PowerPoint Template” Word Document file
• LPS Vocational Summary Final PDF.

Employment
• For work I ______________________________ with the support of _______________________

Employment
• For work, I do NOT like to _________________
• Some things I can not do at work include
______________________________________

Employment
• For work , I would like to
______________________________________
______________________________________

Employment

Employment
To be successful at work, the type of help or supports I need include____________
_________________
_________________
_________________
I have a DHS/DRS counselor named____________

Education and Training
• See Section #3 in Binder for:
•
Postsecondary Course Analysis Guide
• Adaptations Profile
• School Modifications and Adaptations
• Considerations When Preparing for College
•
Questions to Ask About Accommodations for College
• Student should meet with School Counselor to discuss plans and options
• See CD or flash drive for:
• “Accompanying Picture Resources for MY VOICE PowerPoint Template”
Word Document file

Education and Training
• While attending or after leaving the high school/transition program, I would like to attend or be involved in
______________________________________
______________________________________
______________________________________

Education and Training
• While attending or after leaving the high school/transition program, I would NOT like to attend or be involved in
______________________________________
______________________________________
______________________________________

Education and Training
• To be successful in educational or training programs/classes that meet my needs, the type of help or supports I require include
______________________________________
______________________________________
______________________________________

Daily Living
• See Section #4 in the Binder for:
•
Independent Living Assessment Instrument
• Assessment of Financial Skills and Abilities
• Independent Living Postsecondary Goal IEP Team Decision Assistance Form
(Draft)
• The Learning Clinic’s Transition & Independent Living Skill Assessment
• The Transition to Community Living Self-Assessment (from Clearinghouse for
Home and Community Based Services)
• See Main Site Binder for:
• Life Skills Video Curriculum Series:
• “Looking Good” Curriculum with data forms
• “Keeping House” Curriculum with data forms
• “Home Cooking” Curriculum with illustrated recipes and data forms
• See CD or flash drive for:
• “Accompanying Picture Resources for MY VOICE PowerPoint Template”
Word Document file
•
Independent Living Assessment PowerPoint
• “Independent Living Post-Secondary Goal Decision Assistance Form”
Word Document File

Daily Living
• When taking care of my personal grooming, dressing, and hygiene needs, I can
____________________
____________________
• I need some help with help with
____________________
____________________
• I have applied for/must apply for personal care assistance/nursing/ respite services through
____(agency)_________

Daily Living
• I know how to cook
______________________________________________________
• When preparing food, I can use
______________________________________________________
• I need help with
______________________________________________________

Daily Living
• My favorite foods include
_________________________________________________
• When eating, I need
_________________________________________________
• I do not like
_________________________________________________

Daily Living
• Around the house, I can
______________________________________
______________________________________
• Around the house, I need help or reminders to
______________________________________
______________________________________

Daily Living
• When managing money, I can
______________________________________
• When managing money, I need some assistance
______________________________________
• When I need help with my money, I prefer it when________________ helps me.

Daily Living
• To pay for things, I get my money from
_____________________________________________
• With the money I have, I pay for
_____________________________________________
• I would like to spend my money on
_____________________________________________

Preferences and Interests/Recreation and Leisure
• See Section #5 in Binder for:
• Survey of Indoor and Outdoor Recreational Activities
• Recreation and Leisure Survey
• WATI Student Information Guide Section 8 Recreation and Leisure
• Individual Supports Assessment Form
• Likes and Dislikes
• Things That Are Difficult for Me
• Reinforcement Inventory/Reinforcement Inventory with pictures
• Reinforcement Inventory with pictures 2
• Indoor Games and Activities by self or with Others
• Outdoor Games and Activities by self or with Others
• Sports-Fitness and School Extra Curricular Activities
• Music
•
Child Preferences Indicators
• Personal Preferences Indicators
• See Main Site Binder for:
•
Life Skills Video Curriculum Series:
• “Plan Your Day” Curriculum with picture schedules
•
See CD or flash drive for:
* “Accompanying Picture Resources for MY VOICE PowerPoint Template” Word Document file
*Reinforcement Inventory with pictures/Reinforcement Inventory with pictures 2
*Sports-Fitness and School Extra Curricular Activities
*Indoor Games and Activities by self or with Others/Outdoor Games and Activities by self or with Others
*Community Indoor Rec. Activities/Community Outdoor Rec. Activities
*Music

Preferences and
Interests/Recreation and Leisure
• At home, I like to
____________________
• At school, I like to
____________________
• At work, I like to
____________________
• In the community, I like to
____________________
• On vacation, I like to
____________________

Preferences and
Interests/Recreation and Leisure
• My favorite music includes
_________________
• My favorite movies include
_________________
• My favorite television shows include
_________________
• My favorite books and/or magazines include
____________________

Preferences and
Interests/Recreation and Leisure
• My hobby is
______________________________________
• I collect
______________________________________

Preferences and
Interests/Recreation and Leisure
• I like to spend time with list people and or pets

Preferences and
Interests/Recreation and Leisure

Preferences and
Interests/Recreation and Leisure

Preferences and
Interests/Recreation and Leisure
• For fun, I like to
_____________________________________________
• I do NOT like to
_____________________________________________

Preferences and
Interests/Recreation and Leisure
• When I am alone, I like to
____________________
• When I am with my family, I like to
____________________
• When I am with my friends, I like to
____________________

Preferences and
Interests/Recreation and Leisure
• I like to participate in or attend
_______________________________________
_______________________________________
• To participate in or attend these activities, I need help or assistance that might include
_______________________________________
_______________________________________

Community
• See Section #6 for:
•
Community Instruction Ideas
• Community Indoor Rec. Activities
• Community Outdoor Rec. Activities
• Transportation
•
Community Money Ledger
• See Main Site Binder for:
Life Skills Video Curriculum Series:
*“Shopping” Curriculum (Grocery and Department store picture task analysis and data sheets)
*”Select a Meal” Curriculum (Fast Food, Table Service, and
Cafeteria instruction and data sheets)
*See CD or flash drive for:
*“Accompanying Picture Resources for MY VOICE PowerPoint
Template” Word Document file

Community
• Places I like to access in the community include
____________________
____________________
• The type of help and support I need in these community environments includes
____________________
____________________
____________________

Community
• At this time, I get to places in the community by
____________________
• Eventually, I would like to get to places in the community by
____________________
• I need assistance with and need to learn more about _______________

Community

Community

Health and Safety
• See Binder Section #7 for:
•
Health History form
• Transition Health Care Assessment
• Sexuality Assessment
• Getting to Know Your Anger Form
•
Transition to Adult Health Care: A Training Guide in Two Parts (Waisman
Center)
•
Transition Health Care Checklist (Pennsylvania Department of Health)
• See CD or flash drive for:
*“Accompanying Picture Resources for MY VOICE PowerPoint Template”
Word Document file

Health and Safety
• When it comes to my health, I have
_________________
_________________ as my doctor(s).
• When it comes to my health needs, I need help and support with
_________________
_________________

Health and Safety
• As part of a healthy lifestyle, I
_________________
_________________
• Sometimes I need reminders, encouragement or support to make healthy choices with
_________________
_________________

Health and Safety

Health and Safety

Health and Safety
• In case of an emergency, such as a fire or medical, I know
_________________
_________________

Self Determination
• See Binder Section #8 for:
•
Self-Determination/Self-Advocacy Checklist
• Skills Checklist
• Questionnaire for Developing Self Advocacy
• AIR Self-Determination Scale
•
ARC Self-Determination Scale
•
Field-Hoffman-Sawilowsky Self-Determination Scale
• See CD or flash drive for:
*“Accompanying Picture Resources for MY VOICE
PowerPoint Template” Word Document file
* WFC Guide Final PDF
* Self-Determination Transition Assessment Model

Self Determination
• I like and am good at
______________________________________
______________________________________
• Some challenges I have include
______________________________________
______________________________________

Self Determination
• Nice things that others say about me include
_________________
_________________
• I am most proud of
_________________
_________________
_________________

Self Determination
• In my life, I make decisions and choices for myself in the areas of
____________________
____________________
____________________
• I would like to have more control and make more choices about
____________________
____________________
____________________

Self Determination
• I let people know what I want in a nice way by
______________________________________
• Sometimes I let people know what I want in not so nice ways by
______________________________________

Self Determination
• I let people know what I do not want in a nice way by ________________________________
• Sometimes, I let people know what I do not want in not so nice ways by
______________________________________

Self Determination
• Right now ______________________________ help me plan for my future.
• I would like _____________________________ to help me plan for my future.

Communication
• See Binder Section #9 for:
•
Communication Summary Form
• WATI Student Information Guide Section 4: Communication
• “It’s Not Easy Being Me” PowerPoint
*See CD or flash drive for:
*“Accompanying Picture Resources for MY VOICE PowerPoint
Template” Word Document file
**Student Workbook Planning For Student PDF

Communication
• I express myself best through
______________________________________
______________________________________
• When expressing myself, I need to work on
______________________________________
______________________________________

Communication
• When listening to others, I am good at
______________________________________
______________________________________
• When listening, I need to work on
______________________________________
______________________________________

Communication
• In reading, I do best with
_________________
_________________
• In writing, I do best with
_________________
_________________

Interpersonal Relationships
• See Binder Section #10 for:
• Let’s Look at Interpersonal Relationships
• School and Community Social Skills Rating Checklist
• Life Centered Career Education Competency Rating Scale Record
Form
• Social Skills Assessment
*See CD or flash drive for:
*“Accompanying Picture Resources for MY VOICE
PowerPoint Template” Word Document file

Interpersonal Relationships
• My relationship with my family and relatives is
______________________________________
• My relationship with my friends is
______________________________________

Interpersonal Relationships
• My relationship with my co-workers and boss on the job is ______________________________
• My relationship with my school staff is
______________________________________

Interpersonal Relationships
• When interacting with others, I am good at
_________________
_________________
• When interacting with others, I need to work on
_________________
_________________

Interpersonal Relationships
• I help others by
_________________
_________________
• I would like to help others by
_________________
_________________

Interpersonal Relationships

Negotiating with Others
• See Section Binder #11 for:
•
Negotiating with Others form
• *See CD or flash drive for:
*“Accompanying Picture Resources for MY VOICE
PowerPoint Template”Word Document file

1.
2.
3.
4.
5.
Negotiating with Others
Negotiating means that people are willing to compromise or change. Based on your goals for the future, make some choices about what is important.
WANTS NEEDS
1.
2.
3.
4.
5.

1.
2.
3.
4.
5.
Negotiating with Others
I am willing to consider changing I will not consider changing
1.
2.
3.
4.
5.

Making a Plan
• See Binder Section #12 for:
• It’s My Life Student Workbook: What I Need to Get What I Want
• The Self-Directed IEP 10 Step Guide
• Individual Transition Plan (ITP) for:
• Martin My Summary of Performance PDF
•
Performance Summary PDF
•
Summary of Performance Understanding PDF
• *See CD or flash drive for:
*“Accompanying Picture Resources for MY VOICE PowerPoint
Template” Word Document file
*ITP forms
*Summary of Performance Folder

2.
3.
4.
5.
Making a Plan
My dreams for the future are
1.

Making a Plan
The goals I would like to work on include
1. _________________________________________
2. _________________________________________
3. _________________________________________

Making a Plan
• I will need some help and support. The support I will need to achieve my goals include
______________________________________
• I would like ____________________to help me.
• This will cost ____________________________

1.
2.
3.
4.
5.
Making a Plan
The steps I need to take to make these happen include:

Appendices:
• See Binder Section #13 for:
• Will Your Special Needs Trust Truly Meet Your Child’s Changing Needs?
• Sample Student Interview Form
• Comprehensive Informal Inventory of Knowledge and Skills for Transition
• Transition Graduation Needs List
• Transition Planning Inventory
• Parent Priorities Inventory
• Service Provider Information/Analysis Form
• Potential Transition Goals Aligned with IL Standards
• IEP Planning Form
• Parent Questionnaire
• Important Points to Remember for MY VOICE Presentation Word Document
• Indicator 13 Checklist
•
Vocational Transition Assessment
• Online Assessments / Resources Word Document and Transition Assessment Websites Word Document
• Transition Coalition: Assessing Students with Significant Disabilities for Supported Adulthood: Exploring Appropriate
Transition Assessments
*See CD/Flash drive for:
• Student Directed IEP Lesson Plans Folder
• Transition Assessment and Contact Information Folder
• “Whose Future is It Anyways” Folder
• Post Secondary Summary PDF
• Transport Juvenile Justice PDF
• See Main Site Binder for:
• TPI (Transition Planning Inventory) Manual
• TPI Student /Home/School Form