Name Date______

SPRINGTON LAKE MIDDLE SCHOOL

STUDENT TRANSITION SURVEY

Grade 7

Post-Secondary Education:

In what core academic class (math, LA, science, social studies) do you feel you perform (get good grades, participate) the best?

Why? Please circle all that apply:

Teaching styleTeacher uses technologyGroup workIndividual assignments

Many projects assigned There are a lot of tests Not a lot of homework assigned Other:

______

In what core academic class (math, LA, science, social studies) do you feel you do not perform (get good grades, participate) the best?

Why? Please circle all that apply:

Teaching styleTechnology is not used Group workIndividual assignments

Many projects assigned There are a lot of tests A lot of homework is assigned Other:

______

Which of the following would you like to attend after graduating from high school?

Please circle all that apply:

2-year college4-year college/university Technical/Trade school Employment______

The following factors are important to me when thinking about college:

DistanceCostSport ProgramsAcademic Level Size

Schools I may like to attend:

Please list at least 3 of YOUR strengths:

______

Please list at least 3 areas you would like to improve:

______

Post-Secondary Employment:

What career would you like to pursue after graduating from high school?

Information to assist with independent living outcomes.

What do you like to do in your free time? ______

______

Have you ever done volunteer work? YES NO

If yes, describe your duties there______

______

Please list any extra curricular activities in which you participate. ______

  1. Please check how you think you do in each of the areas below:

I can do this on
my own / I can do this on my own if someone helps me / I cannot do
this on my own
Prepare a meal (Operate appliances, follow recipe, set table)
Do dishes
Do laundry (Sort, wash, dry, put away)
Clean rooms in house
Minor repairs (Change light bulb, unclog toilet, change batteries in smoke detector)
Take out trash
Knows emergency procedures (Call 911, location of flashlights, fire extinguisher, emergency shut-off)
Manage personal grooming (Shampoo, bath, shower, brush teeth)
Find way around town (Public transportation, ask directions, pedestrian skills)
Can you make change?
Can you keep a checking account?
Can you budget a weekly allowance or pay check?
  1. Are you responsible for any special chores at home? Describe___

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