Student Profile Form...

[CC]

This is what we use with a photo of Chris attached.

Thought I would just share for any interested

STUDENT PROFILE
STUDENT FORM

Name:__________________________________

Date of Birth:_________________

School:_______________________

Phone:________________________

Grade Level:__________________

Date Completed:______________

1. I am interested in:__________________________

2. Things I want to learn:______________________

3. I am best at:______________________________

4. I need most help with:_______________________

5. Help I have received in the past:______________

6. Problems with my current program:____________

7. Possible alternatives and/or additions to my current program:___________________________

8. Support services that I need:_________________

9. Special concerns I have:_____________________

10. Suggestions I have about working with me:______________________________________

11. My strengths in the area of:

a. Academics:_________________________

b. Speech:____________________________

c. Motor:_____________________________

d. Social/Behavior______________________

e. Vocational/Prevocational:______________

f. Self-Help:__________________________

g. Self-Advocacy Skills:_________________

12. Concerns I have in the following areas:

a. Academics:_________________________

b. Speech:____________________________

c. Motor:_____________________________

d. Social/Behavior:_____________________

e. Vocational/Prevocational:______________

f. Self-Help:__________________________

g. Self-Advocacy Skills:_________________

13. When I leave high school as a young adult, I expect:__________________________________

[momofrussell]

VERY cool CC! Now. on the strengths area... do you list something/s after each thing where the blank line is?

That form looks great!

A.

[CC]

"on the strengths area... do you list something/s after each thing where the blank line is?"

I do BUT I suppose one doesn't have to fill in every line if they aren't sure what to say or if it doesn't apply.

CC