Student Transition Assessment Tool Revised Supported Independence Student Version ©Pink Lady Press 3!A Student Transition Assessment Tool — Revised sit Supported Independence Student Version ee Guidelines for Administration and Scoring Student Focused Administration: + The STAT-R was designed with the intent that the student would be taking the assessment indiviguaily and marking their responses based on their knowledge. + A*yes" means the student absolutely knows the information or possesses the skill, if any doubt the item should be answered “no”, + Given that students taking the STAT-R are adolescents, it is suggested that the students fill out the form in the presence of an adult to assure that they are taking the process seriously. * Adult mentors: The adult that assists in the administration of the STAT-R could be a teacher, parent, caseworker, teacher consultant, etc. Group Administration + The STAT-R can be given in small groups as fong as the administrator or evaluator interacts with students individually to assure the validity of their answers, Repeat Administration: * The STAT-R can be re-administered yearly or every two years to assess student progress toward achieving transition goals. * The same forms can be reused, Have the Person taking the STAT-R use a different color eer and re-evaluate the “no” answers to see if they are now a "yes", Then te ten the yes answers for updated scoring. * The score sheet allows for tracking the student over a five-year period from 8" grade through 12" grade, or over several years in an ungraded school setting. ‘Scoring With Excel/CD; Insert student demographic information, Insert Raw Scores (total of yes responses) for each section, Raw Scores automatically convert to percentages. Percentages yielded are general guidelines to identify areas of strength and concern. 80 ~ 100% Strength, 50 ~ 79% Developing Skills, 0 - 49% Concern * "No" answers can be converted to transition goals, services, or activities, Parent Version * Can be given to compare the point of view of the student and the Parent regarding the Progress and abilities of the student. ©Pink Lady Press Tis STAT-R copyright allows the individual ta reproduce the tool, for their students only (with proper credit given to the authors). Under the copyright: you may not alter the racy se any way, nor post it to a website, You may aat copy itor distribute to another provider, Each user muse purchase their own copy. gE. Lady Press Authors: Sheryl Morris, Linda Ratliff, Martha Smith Contact Info: [email protected]; [email protected]ie R _ Student Transition Assessment Tool - Revised At | Supported Independence. Student Version _ § - * Score Tables 7 Career/Employment Scores Job/Career Goals Work Experience __ Getting Aob ‘Accommodations Raw Score [| _Percont | Raw Score.|. Percent | Raw Score | Percent | Raw Score |" Percent 0 ‘0% 0% 0 0% “0 = 0% a 20% 25%. i 14% el eee =| 2 40% | {50% 2 29%. 2 50% 3 60% 75%, 3 43% i 575% 4 80% [4 [00% 4 57% 4 100% 5 100%. oe 5 71% 6 86% 7 100% a 4 Post Secondary Adult Life Scores Education/ Training Scores Future Plans Self Advocacy ‘Adult Living Daily Living Raw Raw : Raw Raw Score Percent, Score | Percent | Score | Percent _| Score | Percent [0 0% 0 0% o 0 0%. 1 25% 1 17%, 1 1: “8% 2 50% a 33%. 2. ou 17%: 3 [75% 3 50% 3 Ba Eee. 4 100% 4 57%. 4 a 5 83% 5 x 6 100% 6 6 7 7 8 aieaa. 9 10 it é Z 42 Community Participation Scores ‘Community Recreation and Experiences _|_Leisure Activities Raw Raw Score Percent Score Percent [esas 0) 0% 0% z 20% = 17% 2 40% 2 33%, Bieices | HE 60M 3 50% [eee 80% 4 |_ 67% (eee 100% 5 83% ning. 100% oTotal Scores Total Career7 Total Post Secondary Total Aduit Life Total Community Employment Education/Training Participation | Raw Score | Percent | Raw Score |“ Percent” | Raw Score | Parcent’”| Raw Scare |” portent 0 0% 0 0% OM% 200° 0% i 5% 1 25% 4% LEO 2 10% 2 550%. 8% 20 18% 3 15% 3 75% 12% fig SFEoh a796 a 20%, 4 100% 15% ap aus 25% 19% 5 6 30% | ‘ 23%, 7 35% ae 27% 8 40% See 2 31% 9 45%, = 35% 10 50% 38% a 55% : s 42% 12 60% 46% | 13] 65% : 50% | 14 70%. 54% 15 75%, 58% 16 80% 62% [isecaat 7 85% 65% 18 90%, 69% 19, 95%, : 73% 20 100% 77% 81% 85% 88% 92% 96% ce 100%TR Student Transition Assessment Tool - Revised gTA Supported Independence Student Version : Birth Date: School: Date Career/Employment ena ri | want to do’ ea & eal roc d Coy m o, Maywac peer [Job/Career Goals aE _L know what skills are needed __[ Yes [0 _No 2._I know who to contact to get more information about my job choice, | Yes | @™ No 3, Thave worked on my EDP (Educational Development Plan) at school 2 to help me plan for my future. a Cee ere eee SI discuss my plans for my future with others. Ves |G No 3. I have participated in a job shadow. & Yes |) No. b/Career Goals Raw Score Work Experience : T know what work training 1s. - i Yes [@= No _Lhave had work training in school, z a Yes | 5 No ‘8. [have chores at home. & Yes [0 No ‘8; _Thelp my family or neighbors with chores or jobs, like yard work, etc [@7” Yes |Ci No ‘Work Experience Raw Score ‘Getting A Job fe a e i (0. I know what job application is. W Yes [O__No "UL. have practiced filling out a job application. - @ Yes |G No ‘12. I know what a job interview is. a aie @ Yes [O No “18. Thave practiced a job interview. | Yes [127 No 14, Thave a current state ID card or driver's license. Yes [RF No an iow what a resume is, Bee : 1 | Yes (O No 16. I have a resume. = a wYes [0 No ‘Getting A Job Raw Score - ESHE ‘Accommodations ‘Accommodations are when a job task Is adjusted so you can complete it. For example: Use a watch or timer, use a task list or picture schedule. _ . [47. I need help and accommodations to be a successful learner. ~__ | Yes [a _No [18.1 know the type of help and accommodations I need. %_Yes [0 _No 19. I understand that I may need help and accommodations to be a ‘| successful worker. & Yes | No "20. 1 know how to ask for support or accommodations if I need them. [a7 Yes “|G No ‘Accommodations Raw Score a 1of3 © Pink Lady PressPost Secondary Education/Training_ (community, workshop, or volunteer), school; what'additional education or training do'you Wankey a W/Z Neat Ue Oiag PLSate | | _UNear afod seared Sears Sauic Siig TERRE Future Plans : il [7 Check only one of the following. Pick the one that you afe most likely to do after leaving school. WAN + I would like to do volunteer work in the community. oO Yes % + Lwould like to work in a sheltered workshop. a Yes | 0 [Would like a Job in the community with support/accommodations. | o Yes | (o\eye- + Lvould like a job in the community and don’t need support & Yes accommodations, : a f I may wish to participate in adult dally living classes and know how to ask for help to do this, G Yes | No "3, know who to ask for information about future work or job opportunities (community, workshop, or volunteer), GF Yes |o No a know who to ask for information about more training for a job . No D Yes Future Plans Raw Score = bate T Age] \Z ol [|__tafzo TF gersinal ye a St GPor Finn Si ee a OT Howse (2 539TV7 a ee Self Advocacy Xs I know my strengths and can tell others what they are. [Yes [G No] _2)__Tknow my limitations and can tell others what they are, @ Yes | _No 3) Thave an awareness of safety issues. @ Yes [O No Ican communicate my needs and ask for what I need. Yes [3 _No Tcan handle stress appropriately. oY Yes [9 No 1 understand guardianship (and who my established guardian Is, Fone is needed). ae ud i Wes [O_o | Self Advocacy Raw Score _ \dult Living Skills FEE i ] 17. Thave a method to communicate with ‘others. ae a Yes [GO _ No Tcan make personal choices. oe @ Yes [9 No_| I know how to problem solve or request assistance. o& Yes |G No ican state my personal information or produce my state ID card. | Yes [3 No 1. Tcan use a calculator. ea ___| BYes [BO No . I can write my name. a [ef Yes | No . 1 know what to do in an emergency. He Yes [a No | 203 © Pink Lady Press@ Yes Tcan make and keep friends. EEE it Living Skills Raw Score as ie — Daily Living Skills Tell which things you can do by yourself or with support or accommodati ions, “45. I. can make a simple meal. of Yes “46. I can use the washer and dryer to do my laundry. f Yes I clean up after my: HEHEHE eavnEves a [28 ‘Lean shop for a few grocery items. GY Yes can take my medication, if needed. WY Yes é a Ican make simple money transactions. @ Yes |G No 2i. Tcan make change and count money. i __|@ ves [O _No 22. Lcan use a debit card to pay for Rems af the store. Yes [No | }. I can order food in a restaurant. & Yes |O_ No know basic first aid. = W Yes | No T complete my personal grooming and hygiene dally (shower, comb © hate, use deodorant, brush ony Eee ae Wes | O No [36 T can choose appropriate clothes for the situation. §-Yes |G No feo Solter_ \€oaque Bane LLC Bosker yall jeogue | funny SS ei 7 Community Experiences BE, _1 can walk or ride my bike to get around in the community. @ Yes [No , I know who to ask if l need transportation in the community. & Yes |O No "3. Ican take public transportation to get around in the community. w Yes [O No __l can locate the bus stop and the times the bus comes. = “4. Tknow the location of important places In the community such as the |g yes |ay No __post office, library, police station, hospital, stores, etc. i e eon ae 18 men have to register for the Selective Service ye an |Community Experiences Raw Score a oat HE oH Recreation and Leisure Activities a T know how to use recreational centers such as the YMCA, a fitness eee eae center, etc. Hl T attend school clubs, church, or family events in my free time. @ Yes [0 No Tean use the community for leisure activities, such as the theater, the [9 Yes |r No mall, the bowling alley, the arcade, etc. za o | "9, I participate in leisure recreation classes such as art or cooking a classes, etc. Hy I socialize (participate in fun activities) with friends in the community. |G Yes "_Lhave a hobby or activity T enjoy in my free time. Yes ion and Leisure Activities Raw Score an 30f3 © Pink Lady Press: