OPTION 1

You may choose to complete this description of your child and send it to the Child Study Team Contact Person before the Evaluation or Individualized Education Program meeting to provide a picture of your child which may be used in establishing your child's present levels of education performance.

   A PICTURE OF: (CHILD’S NAME)_____________________

 
1. Who is __________________________________________?
(Describe your child, including information such as personality, likes and dislikes.)

2. What are ________________________________________'s strengths?
(Highlight areas including educational and social environments.)

3. What are ____________________________________________'s successes?
(List all successes, no matter how small they may seem to you.)

4. What are ______________________________________________'s greatest challenges? 
(List the areas in where your child demonstrates the greatest difficulties.)

5. What supports are needed for ________________________________________?
(List supports you believe or have seen help your child achieve his / her potential.)

6. What are our dreams for ____________________________________?
(Describe your vision for your child's future, inclusive of long and short term goals.)

7. Other helpful information.
(List information, including health care needs, that have not been detailed elsewhere on the form.)


OPTION 2

Child Profile for _________________________________________________

A transition team should hold the parent’s assessment and observation of their child in high regard. After all you know best how your child is likely to respond to change, act in a new environment and to new adults and peers surrounding him/her. This is your opportunity to make needs and wants known to team members.
Some families choose to use Option 2 instead of Option 1. Both are acceptable and commonly used, it depends on your preference and communication style.
Please complete this form based on instructions below.

Cognition
How would you explain your child’s ability to respond to the environment around him/her. Describe your interpretation of how well your child responds to identifying shapes, colors, body parts. How well does your child understand and remember experiences? Does your child know his/her name? Does your child match objects that are the same or similar? How about his/her ability to put things away back in the spot where they were found? Has your child reached the full understanding of differences, like big and small? Does your child know where he/she lives?

My child is able to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

My child has not yet learned to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Communication 
This is an opportunity to describe how you believe your child’s communication abilities fare. Does your child use sounds, words, gestures? If so, what and when? Are there other communication cues that your child uses to express him/herself? Explain how your child responds to requests or commands. If your child uses words, are most of the words easily understood by others? If not, does your child understand most of what other people say? Are there certain sounds that your child has trouble pronouncing? If you tell a simple story, can your child answer two or three questions about it afterwards? Have you ever wondered about your child's ability to hear? 

My child is able to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

My child has not yet learned to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Movement 
Based on your observations, describe how your child moves independently and among a group during play. How would you describe his/her coordination movements? Does your child roll over, pull to standing, and sit either with or without help? What about crawling, creeping, or walking with help or alone? Does your child try to run or climb stairs?

My child is able to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

My child has not yet learned to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Social Interaction 
Does your child tend to engage and interact during social times or keep to him/herself? Does your child smile, make eye contact or acknowledge the person who calls his/her name? How does your child react to strangers? Does the child have any separation anxiety issues or has he/she been left with a baby-sitter? What makes your child happy or upset? What calms your child? How would you describe your child's temperament?

My child is able to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

My child has not yet learned to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Daily Routine 
Think, bedtime, bath and mealtime. How does your child react to day to day activities? What would you list as daily activities that your child engages in? Is your child drinking from a bottle, or drinking from a cup? Is he/she potty trained or has he/she begun any potty training? Does your child eat solid food, finger foods, or try to self-feed? How would you describe your child’s sleep behaviors? Does your child sleep through the night, take naps, or have difficulty calming down to go to sleep? Does your child enjoy taking a bath?

My child is able to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

My child has not yet learned to: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Complete each statement below:

1) Three words I would use that best describe my child are
______________________________________________

2) The best times of the day for my child are
______________________________________________

3) My child has a difficult time when
______________________________________________

4) My child's favorite toys are
______________________________________________

5) My child's favorite activities are
______________________________________________

6) My child's favorite foods are
______________________________________________

7) The most important thing I want other team members to know about my child is
______________________________________________

8) Other special things about my child are
______________________________________________

9) My biggest concerns about my child are
______________________________________________

10) Something my child has just learned to do that we are very proud of is
______________________________________________