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