What grade are you currently in?

List at least 3 hobbies (things you enjoy doing)

How do you get along with adults in authority?

What foods can you make without help?

Do you know how to fill out a job application

• Yes

• No

Can you make purchases without help (grocery store, clothing, restaurant etc.)

What are your plans after Graduation?

• Attend 4 year college

• Join the arm forces

• Attend a 2 year college

• Find a job

Have you completed Driver's Ed?

• Yes

• No

• I'm enrolled now

After graduation do you plan to Live

• On Campus

• At home with parents

• On my own

• With a roommate

List at least 3 Jobs/Fields you are interested in (ie. relator, mechanic, teacher)