Date(s) of Profile:____________________

Compiled by:_______________________

Vocational/Personal Profile Form

Section 1: This information connects the participant to their family and
existing community.

1. Identification Information

a. Name:

b. Date of birth:

c. Social Security #:

d. Address:

e. Phone:

f. Marital status: Single Married

g. Current occupation and life status: (This gives the reason for completing a
profile)

2. Residential/Domestic Information

a. Family (Parent/guardian, spouse, children, siblings):

b. Extended family:

c. Names, ages, relationships and employment of persons living in same

home/residence:

1.                                                            Age:          Relation:                       Employment:

2.                                                            Age:          Relation:                       Employment:

3.                                                            Age:          Relation:                       Employment:

4.                                                            Age:          Relation:                       Employment:

5.                                                            Age:          Relation:                       Employment:

(If more than 5, place on back of form)

d. Residential history:

  

e. Family support available:

 f. Description of typical routines: (attach on separate sheet)

 g. Friends and social group(s):

  

h. Description of neighborhood:

  

i. Location of neighborhood in community:

  

j. Services near home:

  

k. Transportation availability:
(The next two subsections are completed when planning a specific service, such as
employment or leisure activities. School personnel will utilize both the school community
and the student’s living community.)

l. General availability of employment sites or recreation opportunities near home:

m. Specific availability of employment or recreation opportunities near home:

Section II: The next section is to be completed in descriptive language to
assist in identifying ideal conditions, contributions, and preferences of
the participant. Description does not include summary statements, such as “likes
music”. Description does include the following: What is the activity, performance of the
activity, interest in the activity, supports that make the activity work best for the
participant. Also includes any connections to the person.

3. Educational Information (This area is completed from the person’s perspective of

their educational experiences.)

a. History and general performance (from school records, interview data,

observations):

b. Vocational programming/performance:

c. Community functioning programming/performance:

d. Recreation/leisure programming/performance:
4. Work Experience Information (This area should start at home and include any
experiences from school or other sites.)

a. Formal chores at home: (Expected responsibilities)

b. Informal work performed at home: (Things the person is not expected to do)

c. Informal jobs performed for others:

d. Sheltered employment or structured work experiences:

e. Paid work: (Include self employment activities such as lawn mowing, helping
others)

 
5. *Life Activities and Experiences (Consider the following categories of Live
Activities when planning for community involvement: recreation/fitness, entertainment,
hobbies, community participation/responsibility, relationships, and logistics for living)

a. Individualized/informal life activities performed at home:

b. Structured/group life activities performed at home:

c. Individualized/informal life activities performed in the community:

d. Structured/group live activities performed in the community:

e. Current specific activities which are regularly participated in and which are
important to the person:

 
 f. Past specific activities which were of significant importance to the person:

g. List specific events and activities that the person looks forward to each year.
(Include holidays, traditions, vacations and other such activities.)

6. Description of Present Levels of Performance (This is the area that the profile
developer completes based upon their experiences in the community and the home with
the participant.)

a. Domestic skills:

b. Community functioning skills:

c. Recreation/leisure skills:

d. Academic skills (Reading, Math, Time, Money):

 
 

e. Motor/mobility skills:

f. Sensory skills:

g. Communication skills:

h. Social interaction skills:

i. Physical/health related skills and information:

j. Vocational skills:
Section III: Summary Statements
(Profile sections 1 – 6 should be completed prior to completing this section. The
summary is validated by descriptions of the participant in the previous section.)

7. Learning and performance characteristics

a. What environmental conditions does the participant like best:

b. What instructional strategies seem to work best:

c. Degree of supports typically required for learning and participation in

community activities:

d. What environments/strategies should be avoided:

8. Preferences (This area should be completed for the area you are planning; recreation,
work)

a. General type of work or activity the participant wants to do:

 
  

b. What kind/area of work or activity has participant’s family always wished

could be obtained:

c. Type of work or activity the parent/guardian feels is appropriate:

d. What work tasks or activities the participant most enjoys doing:

e. Observations of the kinds of work or activities the participant likes to do best:

9. Connections

a. Potential connectors in family:

b. Potential connectors among friends:

 
c. Potential connection sites in neighborhood:

d. Business/connection sites for leads through participant, family, friends:

 Section IV: Summary in relation to the area planning

The section below takes the summary Information listed in the previous section and
relates it to work and/or community experiences.

10. Flexibility/Accommodations Which May Be Required in the Workplace and

Community

a. Potential need for accessibility assistance, technology and/or personal

assistance:

*In the Community:

*In the Workplace:

b. Habits, routines, idiosyncrasies, etc.:

*In the Community:

*In the Workplace:

c. Physical/health restrictions:

*In the Community:

*In the Workplace:

d. Behavioral challenges:

*In the Community:

 
 *In the Workplace:

e. Degree and type of negotiation/preparation likely to be required:

*In the Community:

*In the Workplace:

 
 Section V: Ideal Characteristics of work or an activity

This section is to be developed with the participant and their family.

11. Information to be used for Profile Planning Meeting

a. Ideal Work or Activity Conditions

b. Possible Contributions:

c. Special interests or passions: Preferences for work or community activities

d. *Expected Benefits from community involvement

 If the profile will also be used to plan community experiences and

involvement, complete these sections.
VOCATIONAL PROFILE MEETING FORM

Career Plan
Participant: Date of Meeting:______________

Plan Consultant:_____________________________

Persons Attending:

          Name                                                                     Relationship to Participant

1.

2.

3.

4.

5.

6.

A. Description of "Ideal" Employment Situation(s)

(This section describes the characteristics of an ideal job situation based on all the
information gathered during the profile activity.)

IDEAL WORKING CONDITIONS:

1

PREFERENCES: Passions or special interests for the area of work.

1

3
CONTRIBUTIONS:
1

B. Job Development/Prospecting List (The following are lists to be used for job
development purposes. They are used to match the participant's profile information to
types of employment or activity tasks and to potential employment or activity sites. This
information must be compiled with input by the participant, parents/guardians, friends
and service agency staff).

TYPES OF JOB TASKS

This list targets job duties or tasks that are consistent with the Ideal Employment. Avoid
listing specific job titles)
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
SPECIFIC EMPLOYERS
(This prioritized list targets specific employers in the participant's local community that
are consistent with the information developed in the Profile, in the Ideal Employment and
in the Types of Job Tasks sections.

Name of Employer Address/Location Contact/Referral

1.

2.

3.

4.

5.

6.

SELF-EMPLOYMENT
If this evolves into a business plan, note that this information, contributions and specific
tasks, clarifies what the participant will bring to their business. Additional information
will need to be gathered to develop a business plan. The plan also assists in identifying
areas that support will need to be provided. Please recognize that a participant may want
to pursue both an immediate job and begin development of a business.

IDEAS FOR A BUSINESS Resources Support to Follow-up