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3/10 Mendocino County TSOC

Transition Planning Interview/Assessment

Youth Name_________________________________ Date _____________

Name of Person Assisting Youth ___________________________________

Agency (if applicable)____________________________________________

Question Yes No NA Comments/Evidence

Have you explored your career interests and options by:

1. Completing vocational interest survey/assessment (e.g. in

Career Cruising or Choices Planner) and reviewing results?

2. Doing a job shadow in your field if interest?

3. Watching videos of jobs in your field of interest?

4. Touring businesses in your field of interest?

5. Hearing a speaker or interviewing someone in your field of

interest?

Have you had a job and/or a paid work experience? If so, please

include where and how you got the job in comments area.

Have you ever had a volunteer position? If so, please include where

and how you got the position in the comments area.

Do you have or are you working on completing a Career Portfolio with a

master application, resume, vocational assessment results, letters of

recommendation and other critical information for a job search?

Do you have necessary documents for obtaining employment (social

security card, photo ID)?

-Do you know where to obtain a work permit (if under 18)?

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3/10 Mendocino County TSOC

Question Yes No NA Comments/Evidence

Do you know how to find a job? If so, please write methods you have

used/would use in comments section.

Do you know what skills are critical in keeping a job? If so, please list

a few in the comments section.

Are you receiving services from any of the following agencies? (list

name and number of contact):

1. Social Services (independent Living Skills Program)

2. The Arbor on Main

3. Mendocino Private Industry Council (MPIC)

4. Mental Health

5. Nuestra Casa

6. Redwood Children’s Services/Arbor on Main

7. Regional Center

8. Tapestry Family Services

9. Transition Partnership Program (TPP)/ Dept. of Vocational

Rehabilitation/ Pinoleville Voc. Rehab.. (circle one)

10. WorkAbility

11. Youth Project

After graduation from high school do you want to:

1. Work (please comment)?

2. Take college classes (to earn BA, AA, certificate or

enrichment-please comment)?

3. Pursue vocational training (please comment)?

4. Other?

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3/10 Mendocino County TSOC

Question Yes No NA Comments/Evidence

If you want to go to college, have you:

1. Completed the FAFSA and/or other financial aid applications?

2. Completed a college application?

3. Met with a college counselor?

4. Taken the placement test or any other assessments needed for

college acceptance?

5. Explored vocational and/or academic options at the college?

6. Attended a college orientation?

7. If you had/have and IEP or 504 plan, have you connected with

the Disability Resource Center at the college?

8. Do you need help completing/submitting application (financial

aid and/or college application)?

Are you on track for or have you obtained:

1. Diploma

-If so, have you passed the CAHSEE Math and English test?

2. Certificate of Completion?

3. GED (General Educational Development) Test

4. CHSPE (California High School Equivalency Exam)

Have you taken the ASVAB (a vocational assessment usually given at

your high school by the military)?

If you have struggled in school:

1. Have you ever completed a Learning Styles Assessment?

2. Do you know your learning style?

3. If you have or had an IEP or 504 plan, do you know what your

disability/processing difference is?

4. If needed, can you advocate for accommodations related to

your learning needs?

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3/10 Mendocino County TSOC

Question Yes No NA Comments/Evidence

If you have an IEP or 504 plan, have you been involved in the meetings

and setting your transition and academic goals by:

1. Participating in the meeting and giving your input?

2. Leading your meeting?

Money Matters:

1. Do you have a savings account?

2. Do you have a checking account?

3. Do you know how to create a budget?

4. Do you know how much income you will need in order to live

when you are on your own?

Nutrition and Health Care:

1. Do you cook meals for yourself?

2. Do you know where to find free meals/food in your community?

3. Do you eat three meals a day?

4. Are you familiar with a Nutrition Chart?

5. Do you know where to get inexpensive:

-Medical Care?

-Dental Care?

-Vision Care?

6. Do you have medical insurance?

7. Do you receive any welfare benefits, like Medi-Cal, food

stamps or General Assistance?

-If not, do you need to apply?

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3/10 Mendocino County TSOC

Question Yes No NA Comments/Evidence

8. Do you do any of the following for exercise:

-Running, fast walking, aerobics?

-Yoga?

-Weight lifting?

-Other

Dressing for Success:

1. Do you know how to dress appropriately for a job interview?

2. Do you know where to buy inexpensive clothing?

3. Do you know how to get free clothing?

Transportation:

Do you plan to get yourself around town?

1. By bus?

-Have you ever read a bus schedule?

-Do you know where to buy a bus pass?

2. By bicycle?

-Do you own a bicycle?

3. By car?

-Do you have access to a car?

-Do you have car insurance?

-Do you have a driver’s license?

-If not, do you plan on getting one?

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3/10 Mendocino County TSOC

Question Yes No NA Comments/Evidence

Social Support:

1. Do you have supportive family?

2. Do you have friends that you trust?

3. Do you know at least one adult you could turn to when you need

help?

4. Do you know where to get help if you are experiencing

emotional stress?

5. Are you involved in any community activities, such as volunteer

work, theatre groups, 12 step meetings, support groups?

Housing:

1. Do you live with family?

2. Do you currently feel safe in your housing?

3. Are you looking for housing?

4. Are you looking for a roommate?

5. Do you have affordable housing?

6. Have you ever been homeless?

7. Are you worried about becoming homeless?