ROCHESTER CITY SCHOOL DISTRICT
Career Plan and Level 1 Assessment
adapted from NYSED Commencement Level Career Plan
Commencement Level
1. Student Data
Name:
____ DOB:__________________________
Student Identification Number:
_ School:_______________________________________
Parent/Guardian:
____ Phone #:________________________
2. Review of Student Career Plan
Grade
Level:
Date of
Review:
Student:
(Possible Participants)
Parent/Guardian:
Case Manager:
Counselor:
Administrator:
Other:
9
10
11
12
12+
3. Knowledge and Career Exploration
3a. Self-Knowledge: Who Am I? Interests: List your top 3 choices for each of the following areas:
Grade
Level:
9
10
11
12
12+
1a. Personal: Out of school
1b. Academic: Classes or
1c. Work Preferences: working with
activities that you enjoy
subjects you enjoy the most
people, ideas, and/or things
3. Knowledge and Career Exploration (Continued)
3b. Abilities: List personal skills and talents that will be helpful in a career choice:
Grade
level:
My Personal Abilities:
Career Areas where my skills will be useful:
9
10
11
12
12+
3c. Challenges: Personal and academic areas I need to strengthen:
Grade
level:
I need to strengthen:
Steps I will take to strengthen these areas:
9
10
11
12
12+
3d. My Experiences: What have I accomplished? School and Community
Grade
level:
School or Community Experiences:
Skills Acquired through Experience:
9
10
11
12
12+
3e. Work experiences: I have participated in the following work experiences:
Grade
level:
9
10
11
12
12+
Work Experiences:
Skills Acquired through Work Experience:
4. Education/Career Goals
4a. I am interested in in the following careers and have discovered the following information about
these careers:
Grade
Education
Skills I Need to
Work
Careers of Interest:
Job Outlook:
level:
Requirements:
Acquire:
environment:
9
10
11
12
12+
4b. Future Goals and Action Steps: How do I get there?
Grade
Level:
Career Goals:
(resulting from
career exploration
activities)
Education Plan with Action Steps:
(courses that relate to my career interests)
(what I need to accomplish my goals)
Check off
completed steps
9
10
11
12
12+
4e. Academic Goals - Considerations
Describe disability:
Attended CSE (list dates):
Advanced Regents Regents
Exit Plan:
Local
CDOS
SACC
TASC
HS Accommodations:
Post-Secondary Training
(college, trade school, etc)
Major:
SAT’s
ACT’s
PSAT’s
Placement exam
ASVAB
5. Community
5a. Community Living Goals:
Grade:
Short Term Goal:
Long Term Goal:
9
10
11
12
12+
5b. Community Support Services:
Agency:
Contact information:
Guardianship/Residential
ACCES/VR
OPWDD
OMH
SS/SSI/SSDI
DHS
Other:
5c. Considerations:
Driver’s permit
license
Five-Hour
Course
Travel
Training
Driver Education
Checking/Savings
Account
Health insurance
(current)
Medications/Health
Considerations:
(post HS)
Household Skills:
Cooking
Cleaning
Laundry
Budgeting
Activities:
6a (choice 1). Skills/Application: What do I need to know? What skills are important to me?
What am I learning? Why am I learning it? How can I use it?
Directions: The following skills are needed to succeed in life, work, and education beyond high school. Using the scale provided,
identify for each skill the level of achievement you believe you possess at the beginning of the commencement level and the level
you believe you achieved by the end of your senior year. Briefly describe a classroom experience or an activity that helped you
develop each skill and identify how each skill can be used in your life and future work experiences.
Beginning Skill
Final Skill Level I
Skills:
Level I Possess
Experiences/Activities/Application:
Have Achieved
(Check Off)
(Check Off)
Basic Skills: Uses a
combination of techniques to
read, listen to, and analyze
complex information; conveys
information in oral and written
form; uses multiple
computational skills to analyze
and solve mathematical
problems.
Thinking Skills: Demonstrates
the ability to organize and
process information and apply
skills in new ways.
Personal Qualities:
Demonstrates skills in setting
goals, monitoring progress, and
improving performance.
Interpersonal Skills:
Communicates effectivelyLeast
and
helps others to learn a new
skill.
Technology: Applies
Least
knowledge of technology to
identify and solve problems.
Managing Information: Uses
Least
technology to acquire, analyze
and organize data, and
communicates information.
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Least
Highly
Developed
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Notes:
Skills:
Managing Resources:
Least
Allocates time and financial
and human resources to
complete a task.
Systems: Demonstrates an
Least
understanding of the
relationship between the
performance of a system and
the goals, resources, and
functions of an organization.
Notes:
Beginning Skill
Level I Possess
(Check Off)
Experiences/Activities/Application:
Final Skill Level I
Have Achieved
(Check Off)
Least
Developed
Highly
Developed
Least
Developed
Highly
Developed
Developed
Highly
Developed
Least
Developed
Highly
Developed
-OR6a (alternate activities). Skills/Application: (either of these may be substituted for the above)


Personal Qualities and Foundational Skills (document)
Name????
7. Culminating Activity (Exiting Year)
Directions: Briefly describe the activity that you completed. Indicate the most important thing you learned
about yourself through this activity. Describe how this self-knowledge will influence your plans for the
future.
Activity:
Self-Knowledge/Future Plans:
8. Parent and Family Input
Grade Level
What thoughts and/or concerns do parents/guardians have regarding these career plans?
9
10
11
12
12+
9. Staff Comments
Grade Level
9
10
11
12
12+
Additional feedback or concerns from high school staff
2.
Review of Student Career Plan
Grade
Level:
Date of
Review:
Student:
Possible Participants (Initials)
Parent/
Guardian:
Teacher:
Counselor:
Student:
Student ID #:
Parent/Guardian:
Phone/Email:
DOB:
Other: