Individualized Transition Plan (Form 1B)
Name   Date of Birth   IEP Date
 
POST SECONDARY OUTCOMES
 
Note: The item box must be checked to save the corresponding item description.
 
EDUCATION
 
Four year college  Adult Education 
 
Trade/Tech school  Job Corps 
 
None due to post-high school employment  Other: 
 
Community College   
 
EMPLOYMENT
 
Unsubsidized full-time employment  Unsubsidized part-time employment 
 
Supported employment  Volunteer work 
 
None due to post-high school education/training  Military 
 
Work Activity Program  Other: 
 
INDEPENDENT LIVING
 
Independent residence  Supplemental Security Income (SSI) 
 
Semi-independent/supervised  Family Support 
 
Family/Relatives residence  Social Security Disability Insurance 
 
Residential care facility  Socialization 
 
Transportation  Recreation 
 
Health Care  Other: 
 
COMPLETED CAREER/TRAINING PREPARATION ACTIVITIES
 
Vocational/ROP classes: Work History/Voluntary Service:
 
DOCUMENTS AND SUPPORT SERVICES
   
  Document   Status   Date to be completed     Support services Referral needed Client Referral date/schedule   Agency contact
person


  Social Security Card Social Security Card         Workability Yes Yes  


  Driver's License Driver's License         Department of Rehabilitation Yes Yes  


  Driver's Education Driver's Education         Regional Center Yes Yes  


  California ID California ID         Social Security Admin. (SSI) Yes Yes  


  School ID School ID         Employment Development Yes Yes  


  Business ID Business ID         County Mental Health Yes Yes  


  Birth Certificate Birth Certificate         Dept. of Public Social Services Yes Yes  


  Resume Resume         Community College Yes Yes  


  Other: Other:
        Other:
Yes Yes