Name of Student

Date of Form Completion

Name of person filling out form

Context in which you know student

Length of time you've known student

BASIC SKILLS: Reads, writes performs arithmetic and mathematical operations, listens and speaks.

Reading-locates, understands, and interprets written information in prose and in documents such as manuals, graphs and schedules Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Writing-communicates thoughts, ideas, information and messages in writing; and creates documents such as letters, directions, manuals, reports, graphs, and flow charts. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Arithmetic/Mathematics-performs basic computations and approaches practical problems by choosing appropriately from a variety of mathematical techniques. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Listening-receives, attends to, interprets, and responds to verbal messages and other cues. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Speaking-organizes ideas and communicates orally Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

THINKING SKILLS: Thinks creatively, makes decisions, solves problems, visualizes, knows how to learn, and reason.

Creative Thinking-generates new ideas. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Decision Making-specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses best alternative. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Problem Solving-recognizes problems and devises and implements plan of action. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Seeing Things in the Mind’s Eye-organizes and processes symbols, pictures, graphs, objects, and other information. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Knowing How to learn-uses efficient learning techniques to acquire and apply new knowledge and skills. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Reasoning-discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a problem. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

PERSONAL QUALITIES: Displays responsibility, self-esteem, sociability, self-management, and integrity and honesty.

Responsibility-exerts high level of effort and perseveres towards goal attainment. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Self-esteem-believes in own self-worth and maintains a positive view of self. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Sociability-demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Self-management-assesses self accurately, sets personal goals, monitors progress, and exhibits self-control. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Integrity/Honesty-chooses ethical courses of action. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

RESOURCES: Identifies, organizes, plans and allocates resources.

Time-selects goal-relevant activities, ranks them, allocates time, and prepares and follows schedules. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Money-uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Material and Facilities-acquires, stores, allocates, and uses materials or space efficiently. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Human Resources-assesses skills and distributes work accordingly, evaluates performance and provides feedback. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

INTERPERSONAL: Works with others.

Participates as Member of a Team-contributes to group effort. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Teaches Others New Skills Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Serves Clients/Customers-works to satisfy customers’ expectations. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Exercises Leadership-communicates ideas to justify position, persuades and convinces others, responsibly challenges existing procedures and policies Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Negotiates-works toward agreements involving exchange of resources, resolves divergent interests. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Works With Diversity-works well with men and women from diverse backgrounds. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

INFORMATION: Acquires and evaluates information.

Acquires and Evaluates Information Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Organizes and Maintains Information Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Interprets and Communicates Information Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Uses Computers to Process Information Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

SYSTEMS: Understands complex interrelationships.

Understands Systems-knows how social, organizational, and technological systems work and operate effectively with them. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Monitors and Corrects Performance-distinguishes trends, predicts impacts on system operations, diagnoses deviation in systems’ performance, and corrects malfunctions. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Improves or Designs Systems-suggests modifications to existing system and develops new or alternative systems to improve performance. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

TECHNOLOGY: Works with a variety of technologies.

Selects Technology-chooses procedures, tools or equipment including computers and related technologies. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Applies Technology to Task-understands overall intent and proper procedures for setup and operation of equipment. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Maintains and Troubleshoots Equipment-prevents, identifies, or solves problems with equipment, including computers and other technologies. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

CAREER DEVELOPMENT

Has an awareness of the world of work. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Has explored career options. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

Can relate personal skills, aptitudes, and abilities to make future career decisions. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

INTEGRATED LEARNING: Demonstrates how academic knowledge and skills are applied in the workplace and other settings. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

CAREER MAJORS

Has chosen a career major. Does not demonstrate this skill Demonstrates this skill with continued coaching Demonstrates this skill with some coaching Demonstrates independence with this skill and seeks coaching as necessary Not observed/No opportunity to observ

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This form should be completed annually beginning at age 12.