STAT-R: STUDENT TRANSITION ASSESSMENT TOOL

Answer each question in each section and click submit when complete.
Name: 


  1. STUDENT INFORMATION

    What is your birthday?


  1. STUDENT INFORMATION

    What school do you attend?


  1. CAREER GOALS #1

    I know what training I need for my job or career choice.
    Yes
    No


  1. CAREER GOALS #2

    I know who to contact to get more information about m job or career choice.
    Yes
    No


  1. CAREER GOALS #3

    I have worked on my EDP (Educational Development Plan - in Naviance in counseling meeting) to help me plan for my future.
    Yes
    No


  1. CAREER GOALS #4

    I have researched (looked up) careers on the Internet or in a book.
    Yes
    No


  1. CAREER GOALS #5

    I have participated in a job shadow.
    Yes
    No


  1. WORK EXPERIENCE #1

    know what vocational or work training is.
    Yes
    No


  1. WORK EXPERIENCE #2

    I have had vocational or work training in school.
    Yes
    No


  1. WORK EXPERIENCE #3

    I have had a job babysitting, mowing lawns, etc. for pay or volunteer.
    Yes
    No


  1. WORK EXPERIENCE #4

    I have had an after school or summer job for pay.
    Yes
    No


  1. GETTING A JOB #1

    I know what a resume is.
    Yes
    No


  1. GETTING A JOB #2

    I know how to put together a resume.
    Yes
    No


  1. GETTING A JOB #3

    I have looked for a job in the paper or on the Internet.
    Yes
    No


  1. GETTING A JOB #4

    I know who to contact for help finding a job.
    Yes
    No


  1. GETTING A JOB #5

    I have filled out a job application.
    Yes
    No


  1. GETTING A JOB #6

    I have had a job interview.
    Yes
    No


  1. The next group of survey statements are about ACCOMMODATIONS. Accommodations are when the job or task is adjusted so you can complete it. For example reading help, direction s written down in steps, or extra time on tests.

    ACCOMMODATIONS #1

    I can explain my disability to others.
    Yes
    No


  1. ACCOMMODATIONS #2

    I need help and accommodation to be a successful learner.
    Yes
    No


  1. ACCOMMODATIONS #3

    I know how to ask for the accommodations I need.
    Yes
    No


  1. ACCOMMODATIONS #4

    I understand that I may need assistance in college or other training.
    Yes
    No


  1. ACCOMMODATIONS #5

    I understand that I may need help/accommodations in my future job.
    Yes
    No


  1. SCHOOL CLASSES #1

    I know which school classes I need for college, trade school. or my job (career).
    Yes
    No


  1. SCHOOL CLASSES #2

    I am taking the school classes I need for college, trade school. or my job (career).
    Yes
    No


  1. SCHOOL CLASSES #3

    I know who to ask for help in selecting my school classes.
    Yes
    No


  1. SCHOOL CLASSES #4

    I understand the connection between the classes I am taking and my career choice.
    Yes
    No


  1. POST SECONDARY EDUCATION/TRAINING

    After school, what additional education or training do you want?



  1. FUTURE PLANS #1

    I plan to graduate from school.
    Yes
    No


  1. FUTURE PLANS #2

    Check ONLY ONE of the following. Pick the one you are most likely to do after leaving school.

    I plan to go to college.
    I plan to go to a trade school or a career or technical school.
    I plan to join the military.
    I plan to go to work full time right after finishing school.


  1. FUTURE PLANS #3

    I know where to find information about a college, trade schools, jobs, the military, etc.

    Yes
    No


  1. FUTURE PLANS #4


    I know who to ask for more information about college, trade schools, jobs, the military, etc.
    Yes
    No


  1. FAMILY INVOLVEMENT AND SUPPORTS #1

    I know my family has high expectations (hopes) for me.
    Yes
    No


  1. FAMILY INVOLVEMENT AND SUPPORTS #2

    I know what those expectations are.
    Yes
    No


  1. FAMILY INVOLVEMENT AND SUPPORTS #3

    I can depend on my family to help me make decisions about my future.
    Yes
    No


  1. FAMILY INVOLVEMENT AND SUPPORTS #4

    I can depend on my family to help me get information about employment, education, and community resources.
    Yes
    No


  1. ADULT LIFE

    As an adult, where do you want to live?


  1. SELF AWARENESS #1

    I feel good about myself.
    Yes
    No


  1. SELF AWARENESS #2

    I feel good about the way I look.
    Yes
    No


  1. SELF AWARENESS #3

    I am usually positive and in a good mood.
    Yes
    No


  1. SELF AWARENESS #4

    I usually make good decisions and can accept consequences.
    Yes
    No


  1. SELF AWARENESS #5

    I can handle stress appropriately.
    Yes
    No


  1. SELF AWARENESS #6

    I know my strengths and can tell others what they are.
    Yes
    No


  1. SELF AWARENESS #7

    I know my limitations and can tell others what they are.
    Yes
    No


  1. ADULT LIVING SKILLS #1

    I know where my birth certificate is.
    Yes
    No


  1. ADULT LIVING SKILLS #2

    I know where my social security card is.
    Yes
    No


  1. ADULT LIVING SKILLS #3

    I have a driver's license or state ID card.
    Yes
    No


  1. ADULT LIVING SKILLS #4

    I can write my address and phone number.
    Yes
    No


  1. ADULT LIVING SKILLS #5

    I know how to write my signature in cursive.
    Yes
    No


  1. ADULT LIVING SKILLS #6

    I know what to do in an emergency.
    Yes
    No


  1. ADULT LIVING SKILLS #7

    I can create and use a personal/household budget.
    Yes
    No


  1. ADULT LIVING SKILLS #8

    I can use a calculator.
    Yes
    No


  1. ADULT LIVING SKILLS #9

    I have a savings account.
    Yes
    No


  1. DAILY LIVING SKILLS #1

    I complete personal grooming and hygiene daily.
    Yes
    No


  1. DAILY LIVING SKILLS #2

    I can cook a meal.
    Yes
    No


  1. DAILY LIVING SKILLS #3

    I can use the washer and dryer to do my laundry.
    Yes
    No


  1. DAILY LIVING SKILLS #4

    I can clean my own room.
    Yes
    No


  1. DAILY LIVING SKILLS #5

    I can shop for groceries.
    Yes
    No


  1. DAILY LIVING SKILLS #6

    I can shop for my own clothes.
    Yes
    No


  1. DAILY LIVING SKILLS #7

    I can make a doctor, dentist, or haircut appointment.
    Yes
    No


  1. DAILY LIVING SKILLS #8

    I can take my own medication safely.
    Yes
    No


  1. DAILY LIVING SKILLS #9

    I can make change and count money.
    Yes
    No


  1. DAILY LIVING SKILLS #10

    I can use a checking account, debit card, and on-line banking.
    Yes
    No


  1. DAILY LIVING SKILLS #11

    I can order food in a restaurant.
    Yes
    No


  1. DAILY LIVING SKILLS #12

    I know basic first aid.
    Yes
    No


  1. DAILY LIVING SKILLS #13

    I know how to use various tools to find information, such as a cell phone, phone book, the Internet, etc.

    Yes
    No


  1. COMMUNITY PARTICIPATION

    As an adult, what hobbies and activities do you want?


  1. COMMUNITY EXPERIENCES #1

    I can, or may in the future, volunteer in my community, such as the soup kitchen, hospital, rake leaves, etc.
    Yes
    No


  1. COMMUNITY EXPERIENCES #2

    I can walk or ride my bike to get around in the community.
    Yes
    No


  1. COMMUNITY EXPERIENCES #3

    I can drive a car to get around in the community.
    Yes
    No


  1. COMMUNITY EXPERIENCES #4

    I can use public transportation to get around in the community and understand how to read bus
    schedules, locate bus stops or contact public transportation providers such as the bus station, taxi, etc.
    Yes
    No


  1. COMMUNITY EXPERIENCES #5

    I know who to ask if I need transportation in the community.
    Yes
    No


  1. COMMUNITY EXPERIENCES #6

    I know how and where to register to vote.
    Yes
    No


  1. COMMUNITY EXPERIENCES #7

    I know at age 18 men have to register for the Selective Service.
    Yes
    No


  1. RECREATION AND LEISURE ACTIVITIES #1

    I participate in fun activities in my free time.
    Yes
    No


  1. RECREATION AND LEISURE ACTIVITIES #2

    I watch or participate in sporting activities, such as swimming, bowling, fishing, football, basketball, hunting, etc in my free time.
    Yes
    No


  1. RECREATION AND LEISURE ACTIVITIES #3

    I play cards, games, fo to movies, or to dances in my free time.
    Yes
    No


  1. RECREATION AND LEISURE ACTIVITIES #4

    I attend school clubs, church, or family events in my free time.
    Yes
    No


  1. RECREATION AND LEISURE ACTIVITIES #5

    I have a hobby or activity I enjoy in my free time.
    Yes
    No


  1. RECREATION AND LEISURE ACTIVITIES #6

    I go to community events or places such as festivals, museums, concerts, the library, etc. in my free time.
    Yes
    No





Arica Porter