WESLACO INDEPENDENT SCHOOL DISTRICT

Special Instructional Services

Transition Planning Student Interview

Please Print	Date:

Name:	Male Female

Address: ________________________________________________________________________________________

Street	City	State	Zip Code

Home Telephone:	Age:	Birthdate: __________________

Parent(s)/Guardian(s):

Current School ___________________________________________ Previous School Attended ________________________

Social Security Number:	_____-___-_____	How many days of school have you missed in the past years?	Please check the appropriate box.

Grade: _______________	0-5	6-10	11-15 16 or over

Home Living

What work or chores do you do at home?

If you had to prepare a meal for your family, what would it be?

Do you help with family grocery shopping (yes or no)?

What is your favorite home activity?

Where do you plan to live after graduation?

Are you able to save money to use at a later time (yes or no)?

Who would you contact if there was a serious accident in your home?

Recreation & Leisure

What are your hobbies and spare time activities?

What sports do you play? Where do you play?

Do you read/look at the newspaper? YES NO

Do you like to do things alone or with others? ALONE WITH OTHERS BOTH

Where do you go for fun (i.e. Boys & Girls Club, Youth Group Activities, shopping center, mall)?

Community Participation

Do you have a Texas ID, drivers permit, or license? YES NO

If not, would you like to get one? YES NO

If you are a male and are over the age of 18, have you registered for Selective Service? YES NO

Have you registered to vote? YES NO

If not, do you know how to register to vote?

Where is your favorite place to visit or go shopping?

What are the "Yellow Pages" of the telephone book used for?

Jobs and Job Training

Have you ever been involved in any school/work vocational programs? YES NO

If yes, please list these experiences:

Have you ever filled out a job application? YES NO

If yes, where?

Have you ever had a job interview? YES NO

If yes, where?

Would you like help to improve your job interviewing skills? YES NO

List different jobs/volunteer experiences you have had (paid/Unpaid/volunteer):

1.	2.	3.	4.

Which of the above jobs did you like best?

Are you working now? YES NO

List your job related strengths

List your job related weaknesses:

What do you think would be a good job for you right now?

What kinds of work do you like best?

What annual or hourly wage would you need to make a living?

Post-Secondary Education

Would you like help in discovering your career interests/abilities? YES NO

What are your favorite classes in school?

What classes would you like to try that you haven't taken yet?

What are things in school that are difficult for you? Circle that apply

Students	Teachers	Lunch	Attendance Bus Rides	Activities

Which classes are most difficult for you?

After high School, What type of training plans do you have? Specify below your area of interest. For example, auto mechanics, truck driving, secretary, education, etc.

College - Name of the College and area of interest:

Technical School - Name of the school and area of interest

Military/Branch -

Work Force: (Area of Interest?)

Stay at Home

Other:

What career would you like to have five years from now?

What kind of help do you need to be successful in learning?