Parent or Guardian Transition Assessment

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Please complete for your child ages 14 and up. This questionnaire is designed to provide parent input for students receiving services as part of an Individualized Education Program (IEP) or Section 504 plan. Therefore the questions are designed to capture data on a wide array of student needs. If a particular question does not apply to your child, please simply select Not Applicable.

Child's Name *

Your Name *

What career is your child interested in? *

Does your child have any employment or volunteer experience? Please describe.

After your child graduates high school, what do you anticipate he or she will do? Please check all options interested in. *

Military

Begin Competitive Employment

Work in a Supported Environment, Possibly with a Job Coach

Adult Education (like Apollo Career Center)

Certificate or 2 Year Community College or Technical School

4 Year College or University

Other:

Required

Please share your child's strengths: *

Please share your child's interests: clubs, sports, organizations involved in. What do they like to do in their free time?

What are some of your child's preferences in learning and working environments? *

What does your child need to be successful in education and future employment? *

What type of support/assistance do you think your child will need in finding and maintaining a job? Please check all that may apply. *

Will not need any assistance

Will need some assistance in finding a job

Long term support needed to learn the job (job coaching services)

Other:

Required

How does your child demonstrate responsibility at home (chores, jobs, etc.)?

Do you feel your child will need any assistance living on their own after graduation from high school? *

Yes

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