HomeMy WebLinkAboutCareer Profile(attachment #1 b Career Profile)
Career Profile Form
Attach information on separate sheets when necessary.
Date of Profile:
Name:
Address:
Date of birth:
Physical Health:
Residential/Domestic Information
Compiled by:
Social Security #:
Phone: Marital status: Single Married
Describe personality:
Family
Parent/guardian:
Spouse:
Children:
Siblings:
Extended family:
Housemates:
Residential history:
Family support available:
Description of typical routines:
Friends and social group(s):
Description and location of neighborhood
in community:
Services near home:
Transportation available:
General types of employment near
home:
Specific employers near home:
1.
2.
3.
4.
5.
Business contacts through applicant, fam-
ily, friends:
59: Florida SE Training Curriculum
Career Profile (2)
Education and Training Information
Vocational training experiences:
Safety skills:
Recognizes warning signs
Responds to emergencies
Works safely
Domestic skills:
Self -care
Cleaning
Meals
Transportation skills:
Drives
Street crossing
Bicycle use
Mass transit
Taxi
Bus
4- May Need
Accommodation
O
O
O
O
O
O
Walk/wheelchair to destination 0
Academic skills
Reading
Math
Time
Money
Calculator use
Computer use
What instructional strategies work best:
Verbal instruction 0
Verbal mini -cues
Demonstration
Picture cues
Touch prompts
Other
Specify:
O
O
O
O
O
Preferred method of correction:
O
O
O
O
O
O
0000000
Support required for teaming and participation
in community activities:
Strategies to be avoided:
Communication skills
Makes self understood
Comprehends language
Follows written directions
Able to write
Listens, answers questions
Initiates, sustains, and
ends conversations
Uses telephone
Uses sign language
Sensory skills
Touch (textures, temperatures)
Auditory
Visual
Taste/Smell
Health:
Hobbies and Preferred Activities:
1.
2.
3,
4.
5.
q a
°
May Need
Accommodation
O O
O 0
O 0
O O
O o
O O
O 0
O 0
O 0
O 0
O 0
0 0
60: Florida SE Training Curriculum
Career Profile (3)
Social Skills
Maintains personal space
Polite
Slow to anger
Good hygiene
Appropriate dress
Responds to social cues
Greetings
Initiates
Expresses feelings
Stays on topic
Takes turns
Appropriate conversations
Non- argumentative
r
off` May Need
e Accommodatio
, co-
May Need
coAccommodation
Does not converse with self 0
Reality oriented O
No inappropriate touching O
Handles teasing, negative comments O
Appreciates and initiates humor
Demonstrates appropriate affect
Resists negative peer pressure
Cooperates and shares
Deals with strangers effectively
Respects others' property/privacy
Follows rules
Assists when needed
Physical Capacities
(without load)
Standing
Walking
Sitting
Reclining
Climbing
Balancing
Stooping/Bending
Crouching/Squatting
Kneeling
Crawling
Reaching
a. vertical
b. horizontal
Gripping/Strength
a. right hand
b. left hand
Handling Dexterity
a. right hand
b. left hand
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
O
0
0
0
0
Fine Motor Skills
a. right
b. left
Motor Speed
a. right
b. left
Endurance
With Load (Specify Lbs.)
Lifting
a. floor to waist
b. waist to chest
b. waist to over head
Carrying
Pushing
a. whole body
b. upper extremity
Pulling
a. whole body
b. upper extremity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
. 0
0
0
0
0
0
0
Task Performance
Supervision
Sustained attention
0
0
Admits and corrects mistakes
0
0
Efficient
0
0
Asks relevant questions
0
0
Organized
0
0
Knows when to seek help
0
0
Adjusts to changes
0
0
Accepts directives
0
0
Works without supervision
Completes tasks satisfactorily
0
0
0
0
Accepts criticism
0
0
61: Florida SE Training Curriculum
Career Profile (4)
Work Experience
Informal work at home or for others:
References:
Formal chores at home:
1
2.
3.
Job sampling or volunteering:
1.
Position: Dates:
Duties:
Reference:
2.
Position: Dates:
Duties:
Reference:
3.
Position: Dates:
Duties:
Reference:
Paid work history:
1
Position:
Duties:
Reason for leaving:
Reference:
2.
Dates:
Position:
Duties:
Reason for leaving:
Reference:
3.
Dates:
Position:
Duties:
Reason for leaving:
Reference:
Dates:
Potential Accommodation Needs
Accessibility:
Rehabilitation technology:
Personal care assistance:
Flex -schedule:
Physical/health needs:
Behavioral support:
Other:
62: Florida SE Training Curriculum
Career Profile (5)
Work Preferences
Company size
small medium large no preference
Tasks
very structured/routine
Materials or things
mostly stationary
Preferred work:
ian:
variety
people
mobile
mixed
information
mixed
Preferred work views of parent/guard-
Social Considerations
Shared interests:
Salary
Minimal acceptable:
Preferred:
Clothing
casual uniform business -like
Hours: full time part time
Preferred hours:
Preferred schedule:
Benefits
Health Insurance:
Sick Pay:
Disability Insurance:
Retirement:
Other:
Vacation:
Preferred commute time: minutes.
Maximum commute time: minutes.
Environmental Considerations
indoors outdoors
quiet noisy
slow fast -paced
clean dusty
Other:
Supervision
Little or no moderate close
Supervision needs:
63: Florida SE Training Curriculum