Special Ed Connection

My Child's Goals After Graduation From High School
Child's Name ________________________________________________	Date completed __________________________

Current Grade Level

JOBS AND TRAINING
After my child graduates from high school, I hope that he/she will obtain employments as a:

Regarding my child's obtainment of employment after high school, I believe he/she:
______	will need no assistance in obtaining unsupported employment
______	will need assistance in obtaining unsupported employment
______	will need to obtain employment in a sheltered work setting

HOME/INDEPENDENT LIVING After graduating from high school, I believe my child will live:
______	Alone
______	With a roommate(s)
______	With a spouse
______	With family

After graduating from high school, I believe my child will live:
______	In an apartment	______	In a group home
______	In a house	______	In Foster Care
______	In a dorm	______	In a 24-hour/day supervised setting
______	In a mobile home	______	In a semi-independent setting with 24 hour support

After graduating from high school, I believe my child will participate in the following activities in the manner I have indicated:
______	Cleaning house/apartment	______	Assisted	______	Unassisted
______	Cooking	______	Assisted	______	Unassisted
______	Budgeting	______	Assisted	______	Unassisted
______	Grocery Shopping	______	Assisted	______	Unassisted
______	Doing laundry	______	Assisted	______	Unassisted
______	Keeping a checking account	______	Assisted	______	Unassisted
______	Paying bills	______	Assisted	______	Unassisted
______	Doing home repairs	______	Assisted	______	Unassisted
______	Taking medication	______	Assisted	______	Unassisted
______	Scheduling appointments	______	Assisted	______	Unassisted

COMMUNITY PARTICIPATION After graduating from high school, I believe my child will participate in the following activities in the manner I have indicated:
______	Voting	______	Assisted	______	Unassisted
______	Shopping	______	Assisted	______	Unassisted
______	Banking	______	Assisted	______	Unassisted
______	Attending church	______	Assisted	______	Unassisted
______	Paying taxes	______	Assisted	______	Unassisted
______	Going to movies	______	Assisted	______	Unassisted
______	Going to the library	______	Assisted	______	Unassisted
______	Going to restaurants	______	Assisted	______	Unassisted
______	Renting videos	______	Assisted	______	Unassisted
______	Playing golf	______	Assisted	______	Unassisted
______	Other: _____________________________	______	Assisted	______	Unassisted
______	Other: _____________________________	______	Assisted	______	Unassisted
______	Other: _____________________________	______	Assisted	______	Unassisted
______	Other: _____________________________	______	Assisted	______	Unassisted

POST-SECONDARY TRAINING AND LEARNING OPPORTUNITIES After graduating from high school, I hope my child will
______	Attend a 2 year college
______	Attend a 4 year college
______	Attend a technical school/college
______	Work at a full time job instead of attending post-secondary training
______	Join a branch of the military services
______	Other: ________________________________________________________________________________________

Comments about my hopes/plans for my child's life after graduating from high school:

_____________________________________________________________________________________________________

Parent/Guardian Signature: __________________________________________

Signature of Interviewer (if applicable): __________________________________

Source: Henderson County Schools, Kentucky

LRP October 1, 2010