Canajoharie Central School
Parent/Guardian Transition
Questionnaire
*If you are using
the on-line version,
please print the
form, complete it, and send to the school
to the attention
of Mrs. Hammons. Thank you!
Date:__________________
Dear
parent/guardian: As parents your input is extremely valuable in developing
future plans and programs for your child.
This questionnaire is designed to assist you and the school in
preparation for your son/daughter’s transition meeting. If you would complete as much of this
questionnaire as possible, and return it to me at the high school prior to
our transition meeting, this would be very helpful. If you have any questions, please call me at 673 – 6330.
As you know, your child is eligible to remain in school until he/she earns sufficient credits for a Local/Regents Diploma or until he/she turns 21 years of age.
Do you expect your child to earn a Local/Regents Diploma?________________
Do you expect your child to meet the goals of an Individual Plan Diploma?__________
1. After graduation from school, we would like
our child to participate in:
______competitive
part-time employment
______competitive
full-time employment
______supported
employment
______sheltered
employment
______vocational
school/training
______two
year college
______four
year college
______military
______others:_______________________________________________
2. Do you have preferences for vocational
training programs?
3. What jobs would you consider for your child
after graduation from school?
4. Are there any medical concerns regarding
your child’s vocational or job placement?
1. What chores or responsibilities does your
child presently have at home?
2. What other jobs would you like your child to
be able to do at home?
3. Following graduation from school, what do
you think your child’s living situation will be?
______at
home
______living
with relatives
______supervised
group home or apartment
______apartment
with support
______independent
living
______other__________________________
4. In which of these independent living areas
do you feel your child needs instruction?
______clothing
care
______meal
preparation
______hygiene/grooming
______transportation
______parenting/child
development
______measurement
______social
skills
______health/first
aid
______consumer
skills, budgeting, money
______community
awareness
______safety
______other:____________________
1. As an adult, which financial support will
your child have?
______earned
income
______insurance
______food
stamps
______SSI
______unearned
income
______trust/will
______Medicaid
______other:________________________________
2. What are the financial needs you think your
child will have as an adult?
1. What would you like the school district to
do to assist you in planning for your son/daughter’s needs after completing
high school?
2. What outside agencies are you aware of that
can help you with transition services?
Parent/Guardian
Signature:__________________________________
Date:______________________