Personal Portfolio
of
…………………………………
Date: / /
Index
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page10
Page 11
Page 12
Cover
Explanation
Verification
Personal Information
Medical Information
Communication
Personal Hygiene
Mealtime Management
Interest & Activities
Behaviours
Behaviours cont.
Copies of certificates and achievements

It is the intent of this portfolio to provide a record of information about post compulsory
student with disabilities on the occasion of their moving on from school. Please fill in all
information that will provide not only a detailed but positive record of the student to their
new setting. The inclusion of certificates of achievements and school reports will provide
necessary data so that future planning will enable a new agency to continue foster existing
skills and develop new skills.
Verification
This portfolio is to be documented for all students with a disability on transition from
school.
Date: …………………………
Name of Student:
………………………………………………………………………………
Name of Parents/Guardian: ………………………………………………………………………
Name of Current School:
Name of Teacher:
………………………………………………………………………
………………………………………………………………………………
Name of Options Coordinator:
………………………………………………………………
(please tick  in square)
Copy of this document held by:

Parent/Guardian
Teacher (signature:)

School

IDSC
Parent/Guardian (signature:)
Personal Information
Name:
………………………………………………………………………………………
Address:
………………………………………………………………………………………
………………………………………………………………………………………………………
Date of Birth:
………………………………
Non English Speaking Background:
Yes  No 
Language spoken at home: ………………………………………………………………………
Parents/Caregiver: ………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Siblings:
Name:: ………………………………………..
Age: ………………..
Name:: ………………………………………..
Age: ……………….
Name:: ………………………………………...
Age: ………………..
Emergency Contact Numbers:
1. Name: ……………………………………………
Phone: ……………………...
2. Name: ……………………………………………
Phone: ……………………...
Medical Information
Condition:
………………………………………………………………………………………
Medications taken at school:
………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Health Issues:
………………………………………………………………………………
Yes  No 
Eyes:
Wears glasses
Ears:
Wears hearing aids Yes  No 
If yes to the above question, please indicate by circling the appropriate:
Bone conductor or In ear mould?: ………………………………………………………………
Respiratory Conditions (including asthma):
Medical Contacts.
………………………………………………
Name: ……………………………….
Phone:……….……...
Address:……………………………………………………………..
Immunisations:
Allergies:
Date of :
Hep B:
………………………….
Polio:
………………………….
Tetanus:
………………………….
Food (eg strawberries, peanuts etc)
Medication
………………………………
………………………………………………………………
Communication
Please circle the appropriate response:
Augmented Communication:
Verbal / Non – Verbal
Used at home
Yes  No 
Used at school
Yes  No 
Yes  No 
Does the student use signs:
If yes which form of signing please circle:
Makaton / Auslan / Signed Australasian
Has the student used Picture Exchange Communication Systyem:
Communication Devices:
Yes  No 
………………………………………………………………………
………………………………………………………………………
Has the student accessed the services of a private speech pathology or under supervision of
another agency?
Yes  No 
If yes please indicate details:
………………………………………………………………
Personal Hygiene
Does the student require assistance for the completion of personal hygiene routines?
Yes  No 
Does the students have any special requirement eg hygiene aids?
Please explain personal hygiene requirements.
Yes  No 
………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Yes  No 
Requires assistance to wash hands:
Does the student menstruate?
Yes  No 
If yes does she require any assistance?
Yes  No 
Does the student present any symptoms of premenstrual tension?
If yes please indicate symptoms.
Yes  No 
………………………………………………………………
………………………………………………………………………………………………………
Mealtime Management
Can the student eat independently?
Yes  No 
Please indicate the type of supervision required: ………………………………………………
………………………………………………………………………………………………………
Does the student require any utensils to assist self management eg non slip matting, spoons,
forks etc. Please indicate.
………………………………………………………………………
Please indicate the time required to complete a meal:
Is client always hungry?:
………………………………………
Yes  No 
Please indicate management techniques. ……………………………………………………..
……………………………………………………………………………………………………..
If not hungry what action needs to be taken?
……………………………………………..
………………………………………………………………………………………………………
Can the student drink independently?
Yes  No 
Please indicate the type of supervision required: ………………………………………………
………………………………………………………………………………………………………
Is the student always thirsty?
Yes  No 
Please indicate management techniques. ………………………………………………………
………………………………………………………………………………………………………
Interests & Activities
Please list preferred activities / toys/ games:
…………………………………
…………………………………
………………………………….
………………………………….
………………………………….
Can use pencils and crayons?
Yes  No 
Can do puzzles?
Yes  No 
If yes please indicate the type of puzzles: ………………………………………………………
Please indicate interests ( eg music , drama, sport, computers etc):
………………………
………………………
………………………
………………………
Please indicate any rituals or habits:
………………………………………………………
………………………………………………………
………………………………………………………
Please any preferred sensory activities or calming activities:
………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Behaviours
Is the student able to identify his/ her emotional state through communication;
non verbal / augmentative Yes  No 
verbal
Yes  No 
Does the student respond to help / wait symbols?
Is the student affected by noise?
Yes  No 
Yes  No 
Indicate the best strategies for working with the student if aggressive. ………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
What behaviours are evident if the student is agitated? ………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
What behaviours are evident when the student is seeking attention?
………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
How does the student react to difficult task?
………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
How does the student react to pressure? ………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Indicate the behaviours likely to be exhibited in public behaviour, particularly:
on transport ………………………………………………………………………………………
in food outlets
………………………………………………………………………………
shopping centres
………………………………………………………………………………
parks and recreation facilities
………………………………………………………………
The student accesses the school and community by:
Wheelchair
Yes  No 
Is ambulatory
Yes  No 
Absconds:
Yes  No 
Please include any copies of school reports and achievement certificates that will complete
the overview of the students learning and achievements.
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