A.I.S.D. STUDENT TRANSITION EVALUATION
Student Name: _________________________ Grade: ___________Date: _________
Interviewer:____________________________________________________________
INSTRUCTION:
___General Education, no modification or accommodation (TAKS) _________________
___General Education, with accommodations (TAKS ACCOMODATED) ___________
___Resource Education, with modification, (TAKS M)___________________________
___Alternate Achievement Standards, Life Skills (TAKS ALT) ____________________
COMMUNITY :
___Independently accesses community and its resources
___Accesses community or resources with support of friends and or co-worker
___Accesses specialized activities in the community for persons with disabilities
___Accesses community with family
___voting
___library
___accessing health care
___shopping
___banking
___using public/personal transportation
___religious activities
___club or neighborhood organizations
___adult agency support
What types of community involvement are you currently interested in?
________________________________________________________________________
EMPLOYMENT:
___ Competitive employment _______________________________________area
___ Supported employment _________________________________________area
___ Shelter employment ___________________________________________ area
___ Military _____________________________________________________area
___ Vocational training with medical and therapeutic supports.
___ School to work program (VAC)
___ Community Based Vocational Instruction
___part time employment
___full time employment
What type of Job are you currently interested in?________________________________
RELATED SERVICES:
___AI
___IS
___AS
___MDS
___CS
___OT
___OM
___PT
___PS
___RT
___SHS
___ST
POST-SECONDARY EDUCATION
___College/University / Bachelor’s degree
___On-the job training
___Community College/ Associate Degree
___Adult/Community Education
___Trade/Technical school / Certification
___Military
___Apprenticeship program
___Day Activity or Adult services
Do you plan on continuing your education after high School?_______________
________________________________________________________________
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A.I.S.D. STUDENT TRANSITION EVALUATION
INDEPENDENT LIVING
___ Independent and without support
___ Independent with financial support
___ Live with family or relative
___ Parents or foster parents
___ Military housing
___ Government supported housing
___ Supervised residential
___ Assisted living
___ Group home
___ Nursing/residential facility
FUNCTIONAL VOCATIONAL
___Community-based vocational assessment
___Vocational profile based on functional information
___Job sampling
___Functional information on vocational interest & abilities.
___Meet with employer and develop vocational interest and abilities
___Meet with school counselor to affirm vocational interest
SOCIAL RECREATION and LEISURE
___Independently manages leisure time
___Independently plan fun community activities and events
___Supported leisure time
___Participate in recreation and leisure activities with network of friends.
___Accesses specialized recreation activities for persons with disabilities
___Accesses agencies for leisure activities
___Needs supports for building friendships
___Membership in civic organization or clubs___________________________________
___Community recreational activities (YMCA, Rec Centers)_______________________
___Religious activities _____________________________________________________
hobbies ________________________________________________________
sports _________________________________________________________
cultural activities ________________________________________________
travel _________________________________________________________
social activities __________________________________________________
relaxation activities ______________________________________________
What types of recreation are you currently interested in? _________________________
TRANSPORTATION
___Independently accesses transportation
___Public transportation (buses, taxi)
___Car pool/share rides with friends, coworkers
___Specialized transportation (Cart/wheelchair lift)
___Family transportation
AGE TO MAJORITY
___Retain full adult rights
___Retain full adult rights with support
___Support person has durable power of attorney
___Support person has partial guardianship
___Support person has full guardianship
DATE UPDATED:___________ DATE UPDATED:__________ DATE UPDATED:________
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