Project SEARCH Support Staff/Parent Preparation Assessment 
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  • English (US)
  • Spanish (Latin America)

  • Project SEARCH Support Staff/Parent Preparation Assessment

  • Please fill out this checklist. If you need help, please ask a family member or support staff. Fill out each section with the best information about yourself and your skills. That will help us learn more about you. If someone else helps you, ask them to write down the answers in your own words.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Commitment to Community Employment (check all that apply)

  • Commitment to Community Employment

  • The Applicant wants to get a job*
  • The Applicant wants to work at least 16 hours a week*
  • The Applicant's family wants them to work*
  • The Applicant is willing to change things in their schedule for a job opportunity*
  • The Applicant has an original Social Security Card*
  • The Applicant has a business like email address that can check at least weekly*

  • Job Readiness

  • Job Readiness (check all that apply)
  • The Applicant has a State ID or a Driver's license*
  • The Applicant can pass a pre-employment drug screen*
  • The Applicant can pass a criminal background check*
  • The Applicant receives SSI and/or SSDI or other forms of public assistance*
  • The Applicant's family support system understands how working can affect the Applicant's benefits*
  • The Applicant has a cellphone that you can call them on*
  • The Applicant has a voicemail set up on their cellphone with a professional greeting*
  • The Applicant can stay independently, without supervision, at home and work**

  • *Note: Interns in Project SEARCH are expected to work without one-on-one help after initial training. Skills trainers will train interns, check in with them, and will help solve problems when needed. Skills trainers will not be with interns all the time. Internships will also have coworkers there who can also provide help sometimes and answer questions. Coworkers cannot be with interns all the time either. Interns are at internships 20 hours a week.

  • Attendance (check one of the following)*

  • Independent Daily Living and Self Care Skills

  • On a scale of 1-5 (1 being 'they need a lot of help' and 5 being 'they don’t need much help'), rate the applicant in these areas:

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  • Appearance and Professional Presentation

  • The applicant arrives at school, work, or activities every day with:
  • The Applicant arrives at school, work, or activities every day with clean and combed hair*
  • The Applicant arrives at school, work, or activities every day with clean clothing and underwear*
  • The Applicant arrives at school, work, or activities every day with brushed teeth/oral hygiene*
  • The Applicant arrives at school, work, or activities every day with deodorant*
  • How the applicant dresses dress
  • The Applicant wears appropriate clothing for the weather*
  • The Applicant follows the school/work dress code*
  • The applicant is willing to follow the designated dress code of my employer including rules on:
  • The Applicant is willing to follow the designated dress code of my employer including rules on appropriate clothing, shoes, facial hair, facial and body piercings, tattoos, jewelry, and fingernail polish and length*

  • Transportation

  • The Applicant has reliable transportation to get to work*
  • The Applicant has their own car, driver's license, and insurance*
  • The Applicant knows how to use public transportation*
  • The Applicant is willing to learn to use public transportation*
  • The Applicant uses public transportation and can make their own ride appointments*
  • The Applicant uses public transportation and another person schedules their ride appointments*
  • The Applicant has a family member / care provider who is willing to provide ongoing transportation*
  • The Applicant has other transportation options*

  • Appropriate Social and Behavior Skills

  • The Applicant does not hold hands, hug, kiss, flirt, or touch people in private areas at school or work (or other inappropriate times)*
  • The Applicant does not swear or use profanity in a school or work setting*
  • The Applicant shows respect to their peers and co-workers*
  • The Applicant works cooperatively with others*
  • The Applicant accepts correction and criticism without a negative reaction*
  • The Applicant has lost their temper at school, work, or a community place*
  • The Applicant has had aggressive behavior in a community place:*

  • Interpersonal Communication

  • The Applicant responds when someone speaks or asks questions*
  • The Applicant makes eye contact*
  • The Applicant uses an appropriate tone of voice*
  • The Applicant engages in appropriate conversation in a school or work environment*
  • The Applicant uses a cell phone and electronics and can follow rules with them at school or work. Examples: not using the phone while working, using headphones while on break.*
  • The Applicant uses appropriate body language in a school or work environment. (i.e., no inappropriate hand gestures, sitting appropriately in a chair / posture, and respecting personal space)*
  • The applicant uses appropriate body language in a school or work environment:

  • Verbal Communication

  • The Applicant is easily understood by others*
  • The Applicant sometimes has trouble getting their message across to others*
  • The Applicant uses adaptive equipment to communicate*
  • The Applicant is willing to learn to use adaptive equipment to communicate if appropriate*
  • The Applicant uses an interpreter and/or use sign language to communicate*
  • The Applicant talks about the same topics over and over again*

  • Physical Limitations

  • The Applicant has difficulty walking*
  • The applicant needs to use the following to help them walk/navigate:
  • The Applicant has limited use of their arms and/or hands*
  • The Applicant has other physical limitations that may affect their employment*

  • Production Rate and Work Quality

  • At school or work, the Applicant get all their tasks finished on time and turns things in by the due date*
  • At school or work, the Applicant gets most of the tasks correct*
  • At school, on chores or on the job the Applicant's work is organized and neat*

  • Employability Skills

  • The Applicant gets ready for school, work or other appointments on time by themselves*
  • After lunch or break, the Applicant gets back to class or work on time by themselves*
  • The Applicant knows how to tell, and keep track of time*
  • The Applicant stays on task until it is finished*
  • If the Applicant is interrupted they can return to the task and finish it without help*
  • ‘The Applicant can access the necessary information to fill out an application*
  • The Applicant knows how to answer common interview questions*
  • The Applicant can tell their boss or co-workers ways that they learn best or tools that help them be a good worker*

  • Computer/Electronic Skills

  • The Applicant has basic keyboarding skills and uses correct typing techniques*
  • The Applicant can use Microsoft Word to create letters and other documents*
  • The Applicant can use Microsoft Excel to create spreadsheets and other documents*
  • The Applicant can use email correctly*
  • The Applicant can access the internet to get information by using sites like Google or Map Quest*
  • The Applicant uses a cell phone to talk to others*
  • The Applicant uses a cell phone for texting*

  • Problem Solving and Conflict Resolution

  • Please give us some examples of the Intern’s problem solving abilities and/or how they handle conflict.

  • Thank you for taking the time to finish this information and checklist! We appreciate it!

    Note: The Self-Assessment has a Prior Work Experience section and a Recreational Activities section that are not included in this form. Please review the Self-Assessment with the applicant to make sure the information in those sections is accurate.

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