GSSD

TRANSITION PLANNING GUIDE

STUDENT:_____________________________________________________________

DATE OF BIRTH:______________________ DATE: ________________________

PRESENT SCHOOL:____________________ PRESENT GRADE:____________

PRESENT CLASSROOM TEACHER:______________________________________ PARENT(S)/GUARDIAN(S)_______________________________________________

PARENT(S)/GUARDIAN(S) ADDRESS & PHONE #:_________________________

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WELCOME/INTRODUCTIONS

LEARNING NEEDS/DIAGNOSTIC INFORMATION (if applicable)

BACKGROUND INFORMATION

STUDENT STRENGTHS

LEARNING PREFERENCES

DOMAINS ISSUES PLANSSPECIFY WHO, AND WHEN RECOMMENDATIONS WILL BE ADDRESSED

COMMUNICATION

INDEPENDENCE/PROBLEM SOLVING/WORK HABITS

DAILY LIVING SKILLS

PERSONAL CARESELF-CARETOILETINGDRESSINGMEALS

DOMAINS ISSUES PLANS

MOTOR SKILLS/ACCESSIBILITY

SENSORY/BEHAVIORAL CONCERNS

SAFETY

PHYSICALEMOTIONAL SOCIAL

DOMAINS ISSUES PLANS

PERSONAL & SOCIAL WELL-BEING

PHYSICAL HEALTH/MEDICAL

COMMUNITY LIVING SKILLS

PREVOCATIONAL/ VOCATIONAL NEEDSLEISURE & RECREATIONMONEY MANAGEMENTTRANSPORTATION

ASSISTIVE TECHNOLOGY

What is presently being used?

What is required in the new environment(s)?

PARENT QUESTIONS OR CONCERNS

OTHER CONCERNS, QUESTIONS, ISSUES

DATE OF NEXT MEETING (if required) ___________________________________

SIGNATURES: DATE:

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Following a round table of introductions, circulate this page around the table for those in attendance to complete

Team Members Involved and/or Present

Present Involved Contact Information E-mail Address

Student:

Parent(s)/Caregiver:

Classroom Teacher(s):

Student Support Teachers:

Administrators:

Student Services Coordinator:

Speech/Language Pathologist:

Occupational Therapist:

School Counsellor:

Team Members Involved and/or Present

Present Involved Contact Information E-mail Address

Health:

Social Services:

RIC/CBOs:

Corrections, Public Safety & Policing:

Other: