Transition Planning Inventory - San Juan BOCES
Student ____________________________________________
Date _______________
Person Completing Form ______________________________ Parent or Educator? _________
When students begin high school the focus of education gradually changes to preparing them for
life after high school, or “transition”. Special Education philosophy and law requires that students
post secondary goals are considered in the IEP, programs and specially designed instruction. We
need to know your views on your students’ goals, strengths and needs to do this appropriately. We
will also assess students in other ways that include inventories, observations and situational
assessments. Please answer the questions based on what you believe right now – we recognize
that as students mature and learn goals will change. Thank you for your assistance.
Directions: Fill in based on what you expect will happen after exiting high school. Circle
the letter that best fits.
1. Do you envision this student, the year after high school, being:
a. Employed full time
b. Employed part-time
c. Doing volunteer work
d. Going to college
e. Going to technical or vocational school
f. Participating in community based employment training
g. Having no further education/ training or employment
2. Where will this student be living 5 years after high school?
a. Living with family/ guardians
b. Living alone or with roommates
c. Living with supervision but having independence
d. Living in household with 24/7 care
Rate this student using 1 as Strong to 5 as weak. If student has no skills in area use 0.
Work
3. _____ Work skills of following directions and staying on task
4. _____ Doing chores at home
5. _____ Participating in family activities
6.
7.
8.
9.
10.
Self Care
_____ Maintaining good hygiene independently
_____ Bathing routine
_____ Dressing
_____ Performing everyday household tasks
_____ Doing Laundry
11.
12.
13.
14.
Travel
_____ Riding a bicycle
_____ Using a bus or trolley
_____ Obeying traffic signs and travelling safely on streets
_____ Finding locations in town
15.
16.
17.
18.
19.
20.
_____
_____
_____
_____
_____
_____
Food
Preparing food without stove or microwave
Preparing food that requires cooking
Eating without assistance
Asking for food when hungry
Cleaning up after making food
Loading a dishwasher
21.
22.
23.
24.
25.
_____
_____
_____
_____
_____
Health
Describe problems when not feeling well
Take medication at home independently
Understands how reproduction works
Do basic first aid like bandages and cleaning cuts
Recognizes when having emotional problems
26.
27.
28.
29.
_____
_____
_____
_____
Self Determination
Understands strengths and weaknesses
Expresses feelings and ideas to others appropriately
Sets personal goals
Makes own decisions when possible
30.
31.
32.
33.
34.
Communication
_____ Has functional speaking skills
_____ Has functional listening skills
_____ Has functional reading skills
_____ Has functional writing skills
_____ Uses computer for communication
35.
36.
37.
38.
39.
40.
Interpersonal Relationships
_____ Gets along well with family members
_____ Has friends
_____ Show appropriate social behavior
_____ Has skills for getting along with co-workers or other students
_____ Follows directions from supervisor
_____ Acceptable behavior in public
Leisure
41. _____ Performs various indoor leisure activities
42. _____ Performs various outdoor leisure activities
Parent Preferences and Interests
Directions: For each question, indicate your personal interests and preferences for your
son/daughter. If you don’t have a response for a question, leave it blank.
1. What would you like your son/daughter to be doing after high school?
2. If you would like him/her to be working, what jobs are you considering?
3. If he/she would need support to have employment, do you have a plan to find support?
4. If you would like him/her to be going to school or training after high school, what are you
considering?
5. How independent will he/she be in supporting himself/herself financially after high school?
6. Where would you like him/her to live after high school? If supervised living, do you have a
plan about how to arrange that?
7.
What hobbies and leisure activities do you hope he/she will participate in after high
school?
8.
What community activities do you hope he/she will participate in after high school?
9.
What transportation systems do you see him/her using in the community?
10. What kind of support or assistance will he/she need in taking care of himself/herself
physically and emotionally?
11. What kind of support will he/she need in making decisions and setting goals that need to
be made about his/her life?
12. What are your expectations for him/her concerning marriage and having a family?
13. Which agency, non-profit or government entities do you expect to assist after high school?
____ Social Security
____ Community Connections
____ Division of Vocational Rehabilitation
____ Southwest Center for Independent Living
14. Other comments?