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picture1_Powerpoint Activities For Students 78971 | Studentportfoliospecialeducation


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File: Powerpoint Activities For Students 78971 | Studentportfoliospecialeducation
personal information sheet name grad date address f m city state zip code birthdate age sex parents guardian name is student conserved yes no phone number ss address if different ...

icon picture PPTX Filetype Power Point PPTX | Posted on 06 Sep 2022 | 3 years ago
Partial capture of text on file.
 Personal Information Sheet
 Name __________________________________________Grad. Date 
 _________________
 Address 
 _____________________________________________________________________
                              F      M
 City, State, Zip code 
 ________________________________________________________
 Birthdate ________________________________ Age ___________  Sex 
 Parents/Guardian Name ________________________________________________
 _____________
 Is student conserved      yes       no
 Phone Number ____________________________ SS # _________ _______ _________
 Address if different than above 
 High School Attended ___________________________ Yr. Graduated _________
 _________________________________________
 ____________________________________________________________________________
 _
 Medical Information:
 Phone/Cell Number _____________________________________________________
 Mark all that apply
 Glasses       
                 Allergies ___________________________
 Seizures      
                 Illnesses ___________________________
 Medications – List 
  ______________________________________________________
 Primary Diagnosis 
 _________________________________________________________
 Secondary Diagnosis 
 ______________________________________________________
   Parent/Guardian Assessment
 1. What chores or responsibilities does  your student have at home?  
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _
 2. What tasks would you like your student to be able to do at home?
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _
                                  Group home
                                  
 3. After graduation from ABLE, what do you think your students 
                                     Other _____________________
 living situation will be?
 At home
 Apartment with support
                                Social skills
                                Sex education
 4. In which of the following areas of independence do you think your 
 student needs help in:         Organizational skills
                                Household management
 Clothing care                 Self-advocacy
 Consumer Case                 Health/First aid
 Meal preparation              Recreation/Leisure
 Nutrition                     Other _____________________
 Community awareness
 Hygiene
 Transportation
 Safety
 5. What leisure or recreational activities does your student do 
 alone? 
 _______________________________________________________________________
 ______________________________________________________________________________
 _
 6. What leisure/recreational activities does your student do with 
 family? 
 ______________________________________________________________________
 ______________________________________________________________________________
 _
 7. What leisure/recreational activities does your student participate 
 in with friends? 
 ____________________________________________________________
 ______________________________________________________________________________
 _
 8. What leisure/recreational activities would you like to see your 
 student participate in? 
 ____________________________________________________
 ______________________________________________________________________________
 _
 9. Does your student transition well from one thing to another? _____  
 Have there been any problems? 
 __________________________________________
 ______________________________________________________________________________
 _
 10.What agencies currently provide service for your student?________
 ______________________________________________________________________________
 _
                    Supported employment
 11. What would you like the school to do to assist you with the 
                    Day program
 planning of your students living, working and educational needs 
                    Home
 prior to graduation? 
 _______________________________________________________
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _
 12. Where do you see your student after graduating?
 Further education
 Full time employment
 Part time employment
             Personal Assessment
 1. What chores or responsibilities do you have at home?  
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _
 2. What tasks would you like to be able to do at home?
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _                                 Group home
                                   Other _____________________
 3. After graduation, what do you think your living situation will be?
 At home
 Independent Living
                                 Social skills
                                 Sex education
 4. In which of the following areas of independence do you think you 
 need help in:                   Organizational skills
                                 Household management
 Clothing care                  Self-advocacy
 Consumer Case                  Health/First aid
 Meal preparation               Recreation/Leisure
 Nutrition                      Other _____________________
 Community awareness
 Hygiene
 Transportation
 Safety
 5. What leisure or recreational activities do you do when you’re 
 alone? 
 _______________________________________________________________________
 ______________________________________________________________________________
 _
 6. What leisure/recreational activities do you do with your family? 
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _
 7. What leisure/recreational activities do you participate in with 
 your friends? 
 _______________________________________________________________
 ______________________________________________________________________________
 _
 8. What leisure/recreational activities would you like to see yourself 
  participating in? 
 ___________________________________________________________
 ______________________________________________________________________________
 _
 9. Do you transition well from one activity to another? _______  Have 
 there been any problems? ________________________________________________
 ______________________________________________________________________________
 _
 10.What agencies currently provide service to you?___________________
 ______________________________________________________________________________
 _
                    Supported employment
 11. What would you like the school to do to assist you with your 
                    Day program
 living, working and educational needs prior to graduating? 
                    Home
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _
 ______________________________________________________________________________
 _
 12. Where do you see yourself after graduating?
 Further education
 Full time employment
 Part time employment
The words contained in this file might help you see if this file matches what you are looking for:

...Personal information sheet name grad date address f m city state zip code birthdate age sex parents guardian is student conserved yes no phone number ss if different than above high school attended yr graduated medical cell mark all that apply glasses allergies seizures illnesses medications list primary diagnosis secondary parent assessment what chores or responsibilities does your have at home tasks would you like to be able do group after graduation from think students other living situation will apartment with support social skills education in which of the following areas independence needs help organizational household management clothing care self advocacy consumer case health first aid meal preparation recreation leisure nutrition community awareness hygiene transportation safety recreational activities alone family participate friends see transition well one thing another there been any problems agencies currently provide service for supported employment assist day program pla...

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