Student Information NAME: Brooks Cole PRIMARY DISABILITY: Cognitive Disability GRADE: Eleventh SCHOOL OR AGENCY: Albia High School PARENT GUARDIAN: Joy Crall Guardian and Evaluator's Information DATE OF EVALUATION: AGE: GENDER: BIRTH DATE: 10/25/2011 17 Male 08/17/1994 RESPONDENTS: Marlene Roush DATE REPORT WAS GENERATED: 10/23/2011 ANTICIPATED DATE OF GRADUATION: Living 36 out of 90 points Oct. of 2010 Working 27 out of 62 points Oct. of 2010 05/25/2013 PREVIOUS SCALE TOTAL PERFORMANCE SCORE(S) AND DATE(S): ESTR-III Profile Employment Answers scored as 2: ( 13 x 2) = 26 Answers scored as 1: ( 9 x 1) = 9 35 Recreation and Leisure Answers scored as 2: ( 6 x 2) = 12 Answers scored as 1: ( 16 x 1) = 16 28 Home Living Answers scored as 2: ( 19 x 2) = 38 Answers scored as 1: ( 19 x 1) = 19 57 Community Participation Answers scored as 2: ( 8 x 2) = 16 Answers scored as 1: ( 5 x 1) = 5 21 Post Secondary Education Answers scored as 2: ( 2 x 2) = 4 Answers scored as 1: ( 3 x 1) = 3 7 Employment (Actual / Potential) 35/ 62 Recreation and Leisure (Actual / Potential) 28/ 46 Home Living (Actual / Potential) 57/ 90 Community Participation (Actual / Potential) 21/ 46 Post Secondary Education (Actual / Potential) 7/ 28 Total Score 148 / 272 Date Printed:Fri, January 12, 2018 Copyright 1996, 2003, 2005, 2006 Jon Enderle and Susan Severson. ESTR Publications, 1907 8th St. S, Moorhead, MN 56560 Phone: (218) 287-8477, Fax: (218) 236-5199, email: transition@estr.net, Visit our web site at www.estr.net
Employment Strength (2's): 42%. Participates w/assistance (1's): 29%. (0's): 29%. I have the fine motor skills to perform simple tasks. I respond appropriately to authority figures. I understand that different jobs require varying levels of training. I respond appropriately to verbal correction from others. I make an effort to do my best. I have the gross motor skills to perform simple tasks. I follow given directions without complaint. I understand time as it relates to events across my day. I have good attendance. I am able to take care of my own hygiene and grooming. I adapt to changes in schedules or routine. I understand how much time is needed to get to places on time. I am punctual. IEP I initiate tasks with assistance. I am unsure of what it means to eventually support myself. I respond to time-related events over the course of a month with assistance. I have a limited understanding of factors that influence job retention, dismissal, and promotion. I need assistance in using resources for job searching. I need support in demonstrating the necessary interpersonal skills to be successful in a job. I need support in making appropriate decisions about work-related tasks, for example, what to do next, correcting a mistake or asking for help. I need support in completing tasks within allotted times. I need support in doing part time jobs. IEP Page 2 of 9
I do not understand how to use a time card. I do not maintain a productive work rate. I do not keep working when my supervisor is not present. I am not organized in my work habits such as having necessary materials or working efficiently. I do not have the skills to perform successfully in a job interview. I do not understand information on a paycheck. I am unable to complete a job application. I do not understand my vocational potential. I have not had any community-based work experience. Page 3 of 9
Recreation and Leisure Strength (2's): 26%. Participates w/assistance (1's): 70%. (0's): 4%. I have appropriate social behaviors such as sharing, cooperating and taking turns while I am cooperative in routine situations. I initiate involvement in recreation and leisure activities. I choose television, radio, or music for entertainment. I play simple interactive games. I participate in age-appropriate individual activities. IEP I am inconsistent in showing an interest in my environment. I go places with friends during non-school hours with support. I need support in making friends. I need support in making plans to attend activities outside of my home. I need support in taking part in integrated recreation and leisure activities during non-school hours. I am inconsistent in my involvement in physical activities. I am inconsistent in conversing with others appropriately. I am inconsistent in modifying my behaviors to fit specific situations and need support. I need support in using the television, radio, or internet for information purposes. I need support in entertaining friends or others in my home. I am inconsistent in showing interest in current events. I am inconsistent in initiating interactions with adults. I am inconsistent in initiating interactions with peers. I need support in choosing appropriate free time activities. I need support and/or am inconsistent in interacting with peers without disabilities in non-academic school situations. I am inconsistent in acting appropriately in public. IEP I do not take part in extra-curricular activities. Page 4 of 9
Home Living Strength (2's): 42%. Participates w/assistance (1's): 42%. (0's): 16%. I care for my personal toileting needs. I choose and wear clothing appropriate in size, color, pattern, and style. I demonstrate safety precautions at home. I am able to prepare and serve food that requires cooking. I am able to determine temperature by reading a thermometer. I am able to dress and undress myself. I am able to prepare and serve at least 3 simple meals that require little or no cooking. I am able to perform light household maintenance such as simple repairs, changing light I demonstrate the qualities of a good citizen. I am able to communicate personal information. I sort, wash, dry, fold and put away laundry. I understand nutrition and am able to plan balanced meals. I prepare and serve foods that require little or no cooking. I understand basic parenting skills. I can prepare and serve at least 3 complex meals. I demonstrate acceptable eating behaviors. I make local calls and respond appropriately to incoming calls. I dress appropriately for specific situations. I perform household cleaning skills. IEP I need support in understanding words found in my home. I am inconsistent in taking care of my own or others property. I need support in maintaining a neat appearance. I need assistance in maintaining a clean body. I need assistance in recognizing when things such as sinks, floor or clothing need cleaning. I need assistance in understanding food storage. Page 5 of 9
I need support in knowing how and when to seek medical assistance. I am inconsistent or need support in taking care of my own bedroom. I need assistance in taking prescription and non-prescription medications appropriately. I need assistance in making a shopping list based on household and personal needs. I have limited understanding of concepts related to sexual awareness. I understand some concepts related to measurement. I need assistance with written correspondence. I need support or am inconsistent with practicing preventive health care. I need support in responding to household emergency situations. I need support in managing my money responsibly. I do not understand all of the concepts related to relocating. I need assistance in budgeting. I need assistance in maintaining a comfortable room temperature in my home. IEP I am unable to take care of clothing repair. I am unable to treat minor illnesses. I am unable to perform basic first aid skills. I do not understand savings accounts. I do not have advanced phone skills. I do not have the skills to pay bills on time. I do not know how to manage a checking account. Page 6 of 9
Community Participation Strength (2's): 35%. Participates w/assistance (1's): 22%. (0's): 43%. I can find specified areas in my school and neighborhood. I have appropriate social behaviors when in the community. I comparison shop to get the best buy. I understand signs in my community such as Men, Women, Do Not Enter. I can access services and items that have a constant location such as restrooms, I select and order my own food in restaurants. I safely cross streets including streets with traffic lights. I can locate items in the grocery store. IEP I would need support in being able to respond to emergency situations in the community. I need assistance in getting to community resources such as the bank, library, grocery store. I need support in using community resources such as banks, postal services, or restaurants. I need support in making small purchases in the community. I need assistance in understanding safety precautions with strangers. IEP I do not understand cost saving techniques. I do not make or keep appointments in the community. I do not have a means of transportation that will be usable after high school. I am unable to locate unfamiliar destinations. I do not have a plan for addressing my postsecondary housing needs. I am not able to identify or get to social service agencies. I do not understand costs and am not able to make large purchases. I do not understand criteria that influence housing choices. I do not understand insurance needs or where to purchase coverage. I am unable to use a pay telephone. Page 7 of 9
Post Secondary Education Strength (2's): 14%. Participates w/assistance (1's): 21%. (0's): 64%. I am my own guardian. Supports have been included in my transition plan. IEP I need assistance in learning about careers. I need assistance in learning about careers that match my interests and abilities. I understand some things about myself. IEP I have not applied for post secondary housing. I have not applied for financial assistance for post secondary education. I do not have a plan for accessing post secondary education. I have not obtained financial assistance to attend post secondary education. I do not have self-confidence. I cannot identify a variety of post secondary educational options. I have not completed vocational assessments. I have not identified postsecondary housing options. I have not applied for post secondary housing. Page 8 of 9
Future Goals and Outcomes Employment After I have completed my education (high school and post high school), the career I would like to have is: Parents said it is not up to them to decide what they want him to do.. To reach this goal, I will need to N/A Recreations and Leisure After I graduate from high school, these are the things that I will do in my free time: bowling, dining out, going to the movies, dating, camping, excercising regularly, renting videos, fishing, volunteering, watching TV, driving around, reading, sporting events, listening to music, talking on the phone, taking community education classes. To reach this goal, I will need to Learn how to be some what on his own, but with his illness he will need assisted living. Home Living I plan to move away from home when I'm age: not sure. When I get my own place, I plan to live with one roommate.with a spouse.with several roommates. I will do my own cleaning, budgeting, laundry, paying bills, cooking, grocery shopping, checking account, clothing shopping, taking medications, scheduling of appointments, home repairs. I plan to live in in the city. in or near Lovilia. To reach this goal, I will need tohe will need to have assistance.. Community Participation When I'm living on my own, I plan to get around by riding the city bus, riding with relatives, riding my bike, riding with friends, walking. Places I will go in my community banks, public library, restaurants, employment agencies, vote, work, friends' houses, department stores, grocery stores, movie theaters, shopping malls, video rental stores, golf courses, church. To reach this goal, I will need to He will need assistance. Post Secondary Education Right after high school, I plan to work full-time, work part-time, *The school(s) I am most interested in attending N/A. To reach this goal, I will need to have assistance. Evaluator's Comments Brooks follows directions well and has a good work ethic. He must be reminded at times to stay on task, but always does when he is asked. Sometimes Brooks like to make conversation and gets off the subject being worked on. Brooks is excited about doing work experience in the future. He wants to have a job and be more independent. Brooks really enjoys small motors class and working with his hands.