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