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+.*-2#$(*(12(&%)(**000%00+%,1
developed by
'%0 2%#/0 Roberta Weaver
And Joseph R. DeLuca
Name: Birthdate:
Employability skills are those personal social behaviors and daily living habits that have been identified by employers and
young entry-level workers as essential for obtaining employment and for success in the work place. These are life skills that
must be taught with the same rigor as basic skills. The development of such skills is a life long process, with performance being
relative to a student’s ability and age. Teachers at all age levels have the responsibility to teach employability skills.
This criterion-referenced checklist may be used yearly, beginning at the age of 14, to assess student’s level of performance in
the twenty-four critical employability skill areas identified by Ohio’s Employability Skills Project. Three descriptors are provided
for each skill. Student performance should be rated using the following scale: 3 = usually, 2 = sometimes, 1= seldom, 0
= never.
S S
INDEPENDENTLY
INDEPENDENTLY
APPROPRIATELY
COOPERATIVELY
COMMUNICATES
EFFECTIVELY
COMPLETES
C
DIRECTIONS
C A
TOOLS, ETC.
CARES FOR
LANGUAGE,
GROOMING
CORRECTS
PRACTICES
PERSONAL
ADAPTS TO
CRITICISM
INITIATIVE
DECISIONS
MISTAKES
REWARDS
ATTENDS,
ACCEPTS
FOLLOWS
MANNERS
DEMANDS
HYGIENE,
DRESSES
TRAVELS
RESPECT
ON TASK
EXHIBITS
CHOICES,
STAMINA
IN WORK
ON TIME
WORKS
VALUES,
SHOWS
SAFETY
SHOWS
WORKS
SEEKS
GOALS
STAYS
WORK
PRIDE
HELP
O O G
R R E
E E
9 9
8 8
7 7 14
6 6
Y
5 5 E
4 4 A
3 3 R
S
2 2
1 1
0 0
3"
"
Funded through the Ohio Department of Education, Division of Special Education, with monies provided through Title VI-B
(Education of All Handicapped Children Act, P.L. 94-142).
Administered by Miami Valley Special Education Center. Fiscal Agent: Montgomery County Board of Education
"
"
I. SELF HELP SKILLS AGE AGE
A. Makes appropriate choices and 14 15 16 17 18 19 20 21 B. Shows respect for the rights and 14 15 16 17 18 19 20 21
decisions by: property of others by:
S S
INDEPENDENTLY
INDEPENDENTLY
COOPERATIVELY
APPROPRIATELY
COMMUNICATES
EFFECTIVELY
C C A
TOOLS, ETC.
DIRECTIONS
COMPLETES
CARES FOR
LANGUAGE,
PRACTICES
CORRECTS
GROOMING
ADAPTS TO
DECISIONS
PERSONAL
CRITICISM
MISTAKES
REWARDS
INITIATIVE
ATTENDS,
FOLLOWS
DEMANDS
MANNERS
CHOICES,
ACCEPTS
HYGIENE,
DRESSES
EXHIBITS
IN WORK
RESPECT
TRAVELS
STAMINA
ON TASK
ON TIME
VALUES,
SAFETY
WORKS
SHOWS
WORKS
SHOWS
SEEKS
GOALS
PRIDE
STAYS
WORK
HELP
O O G
R R E
E E
9 9
8 8
7 7 14
6 6
5 5 Y
4 4 E ___________________
3 3 A Completed by
2 2 R
1 1 S ___________________
0 0 Date Administered
9 9
8 8
7 7 15
6 6
5 5 Y
4 4 E
3 3 A ___________________
2 2 R Completed by
1 1 S
0 0 ___________________
Date Administered
9 9
8 8
7 7 16
6 6
5 5 Y
4 4 E
3 3 A
2 2 R ___________________
1 1 S Completed by
0 0
___________________
Date Administered
9 9
8 8
7 7 17
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S ___________________
0 0 Completed by
___________________
9 9 Date Administered
8 8
7 7 18
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S ___________________
0 0 Completed by
9 9 ___________________
8 8 Date Administered
7 7 19
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S
0 0 ___________________
Completed by
9 9 ___________________
8 8 Date Administered
7 7 20
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S
0 0
___________________
Completed by
9 9
8 8 ___________________
7 7 21 Date Administered
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S
0 0
___________________
Completed by
___________________
Date Administered
3"
"
APPENDIX D
+.*-2#$(*(12(&%)(**000%00+%,1
#/%,1-/+ developed by
'%0 2%#/0 Roberta Weaver
3 And Joseph R. DeLuca
Name: Birthdate:
Employability skills are those personal social behaviors and daily living habits that have been identified by employers and
young entry-level workers as essential for obtaining employment and for success in the work place. These are life skills that
must be taught with the same rigor as basic skills. The development of such skills is a life long process, with performance being
relative to a child’s ability and age. Parents have the responsibility to teach and expect employability skills from children of all
ages.
This criterion-referenced checklist may be used yearly, beginning at the age of 14, to assess child’s level of performance in the
twenty-four critical employability skill areas identified by Ohio’s Employability Skills Project. Three descriptors are provided for
each skill. Child performance should be rated using the following scale: 3 = usually, 2 = sometimes, 1= seldom, 0 =
never.
S S
INDEPENDENTLY
INDEPENDENTLY
APPROPRIATELY
COOPERATIVELY
COMMUNICATES
EFFECTIVELY
COMPLETES
C
DIRECTIONS
C A
TOOLS, ETC.
CARES FOR
LANGUAGE,
GROOMING
CORRECTS
PRACTICES
PERSONAL
ADAPTS TO
CRITICISM
INITIATIVE
DECISIONS
MISTAKES
REWARDS
ATTENDS,
ACCEPTS
FOLLOWS
MANNERS
DEMANDS
HYGIENE,
DRESSES
TRAVELS
RESPECT
ON TASK
EXHIBITS
CHOICES,
STAMINA
IN WORK
ON TIME
WORKS
VALUES,
SHOWS
SAFETY
SHOWS
WORKS
SEEKS
GOALS
STAYS
WORK
PRIDE
HELP
O O G
R R E
E E
9 9
8 8
7 7 14
6 6
Y
5 5 E
4 4 A
3 3 R
S
2 2
1 1
0 0
3"
"
Funded through the Ohio Department of Education, Division of Special Education, with monies provided through Title VI-B
(Education of All Handicapped Children Act, P.L. 94-142).
Administered by Miami Valley Special Education Center. Fiscal Agent: Montgomery County Board of Education
"
"
I. SELF HELP SKILLS AGE AGE
A. Makes appropriate choices and 14 15 16 17 18 19 20 21 B. Shows respect for the rights and 14 15 16 17 18 19 20 21
decisions by: property of others by:
3"
"
"
"
SELF-HELP SKILLS WORK HABITS TASK RELATED WORK QUANTITY WORK QUALITY RELATIONS: SUPERVI- RELATIONS: PEERS WORK ATTITUDES
S S
INDEPENDENTLY
INDEPENDENTLY
COOPERATIVELY
APPROPRIATELY
COMMUNICATES
EFFECTIVELY
C C A
TOOLS, ETC.
DIRECTIONS
COMPLETES
CARES FOR
LANGUAGE,
PRACTICES
CORRECTS
GROOMING
ADAPTS TO
DECISIONS
PERSONAL
CRITICISM
MISTAKES
REWARDS
INITIATIVE
ATTENDS,
FOLLOWS
DEMANDS
MANNERS
CHOICES,
ACCEPTS
HYGIENE,
DRESSES
EXHIBITS
IN WORK
RESPECT
TRAVELS
STAMINA
ON TASK
ON TIME
VALUES,
SAFETY
WORKS
SHOWS
WORKS
SHOWS
SEEKS
GOALS
PRIDE
STAYS
WORK
HELP
O O G
R R E
E E
9 9
8 8
7 7 14
6 6
5 5 Y
4 4 E ___________________
3 3 A Completed by
2 2 R
1 1 S ___________________
0 0 Date Administered
9 9
8 8
7 7 15
6 6
5 5 Y
4 4 E
3 3 A ___________________
2 2 R Completed by
1 1 S
0 0 ___________________
Date Administered
9 9
8 8
7 7 16
6 6
5 5 Y
4 4 E
3 3 A
2 2 R ___________________
1 1 S Completed by
0 0
___________________
Date Administered
9 9
8 8
7 7 17
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S ___________________
0 0 Completed by
___________________
9 9 Date Administered
8 8
7 7 18
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S ___________________
0 0 Completed by
9 9 ___________________
8 8 Date Administered
7 7 19
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S
0 0 ___________________
Completed by
9 9 ___________________
8 8 Date Administered
7 7 20
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S
0 0
___________________
Completed by
9 9
8 8 ___________________
7 7 21 Date Administered
6 6
5 5 Y
4 4 E
3 3 A
2 2 R
1 1 S
0 0
___________________
Completed by
___________________
Date Administered
3" "