| Name: |
| Date: |
| Birth Date: |
| School: |
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Profile:
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Strengths:
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Student's Vision
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Goal #1
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Short-term:
(over 6 months to 1 year)
|
Long-term
(over 1 year to 5 years)
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| Post Secondary Education |
|
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Skills and Abilities related to Post-Secondary Education/Training Goals:
|
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Tasks to be Completed
to achieve goal
|
Who is Responsible
|
Date to Review
for Implementation
|
| 1. |
|
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| 2. |
|
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| 3. |
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Goal #2
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Short-term:
(over 6 months to 1 year)
|
Long-term
(over 1 year to 5 years)
|
| Employment/Volunteer |
|
|
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Skills and Abilities related to Employment/Volunteer:
|
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Tasks to be Completed
to achieve goal
|
Who is Responsible
|
Date to Review
for Implementation
|
| 1. |
|
|
| 2. |
|
|
| 3. |
|
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Goal #3
|
Short-term:
(over 6 months to 1 year)
|
Long-term
(over 1 year to 5 years)
|
| Living in the Community |
|
|
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Skills and Abilities related to Living in the Community:
|
|
Tasks to be Completed
to achieve goal
|
Who is Responsible
|
Date to Review
for Implementation
|
| 1. |
|
|
| 2. |
|
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| 3. |
|
|
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Goal #4
|
Short-term:
(over 6 months to 1 year)
|
Long-term
(over 1 year to 5 years)
|
Recreational/Social
Activities |
|
|
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Skills and Abilities related to Recreational/Social Activities:
|
|
Tasks to be Completed
to achieve goal
|
Who is Responsible
|
Date to Review
for Implementation
|
| 1. |
|
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| 2. |
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| 3. |
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Goal #5
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Short-term:
(over 6 months to 1 year)
|
Long-term
(over 1 year to 5 years)
|
| Other |
|
|
|
Skills and Abilities related to this goal:
|
|
Tasks to be Completed
to achieve goal
|
Who is Responsible
|
Date to Review
for Implementation
|
| 1. |
|
|
| 2. |
|
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| 3. |
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Call