My Name: Susan Como My Transition Facilitator’s Name: Michael Korda My Vision for the Future: I have at least three friends to have fun with and at least one really close friend. Domain(s) for this Vision: Personal Effectiveness and Wellbeing: Interpersonal Relationships Date I Expect to Meet My Vision: June 1, 2010 We Developed This Plan on: 11/1/2009 We Last Updated this Plan on: 12/1/2009 We Will Review the Progress Made Toward Goals on: 2/1/2009 When Will Goals to Reach Strengths to Help Me Action Steps to Help Me Who is What is Our Action Steps the Vision Meet Goal Meet Goal Responsible? Progress? be Done? 1. Resolve my Rick and I like to do the Learn and apply SODAS to & 11/15/2009 Completed 11/12 conflicts with Rick same fun things. solve problems. Michael so we can do My friend will help me Practice the interaction with Susan & 12/10/2009 Planned for 12/5 things together work out things with Rick. Maria again. Meet with Rick to work Susan 1/30/2010 Rick waved at me last things out. week. 2. Make and keep I like to be around other Join the choir at my church. Susan 11/30/2009 Joined the two new friends. people. Join the church’s youth Susan & 12/15/2010 Met with youth group I can teach people how to group. Pastor 2/1/2010 to learn about them. cook new recipes. Ask at least one person to Susan Asked someone to join My church pastor helps me. join me to do something fun me but she was busy. I each Saturday afternoon. will try again. Signatures: Susan Como ______________Young Person Michael Korda _____________Transition Facilitator Maria Pena________________ Role or Relationship: Friend________ Rev. John Smith_____________Role or Relationship: Pastor_________
My Name: Susan Como My Transition Facilitator’s Name: Michael Korda My Vision for the Future: I have at least three friends to have fun with and at least one really close friend. Domain(s) for this Vision: Personal Effectiveness and Wellbeing: Interpersonal Relationships Date I Expect to Meet My Vision: June 1, 2010 We Developed This Plan on: 11/1/2009 We Last Updated this Plan on: 12/1/2009 We Will Review the Progress Made Toward Goals on: 2/1/2009 Goals to Reach the Vision Strengths to Help Me Meet Goal Action Steps to Help Me Meet Goal Who is Responsible? When Will Action Steps be Done? What is Our Progress? 1. Resolve my conflicts with Rick so we can do things together again. Rick and I like to do the same fun things. My friend will help me work out things with Rick. Learn and apply SODAS to solve problems. Practice the interaction with Meet with Rick to work things out. & Michael Susan & Maria Susan 11/15/2009 12/10/2009 1/30/2010 Completed 11/12 Planned for 12/5 Rick waved at me last week. 2. Make and keep two new friends. I like to be around other people. I can teach people how to cook new recipes. My church pastor helps me. Join the choir at my church. Join the church’s youth group. Ask at least one person to join me to do something fun each Saturday afternoon. Susan Susan & Pastor Susan 11/30/2009 12/15/2010 2/1/2010 Joined the Met with youth group to learn about them. Asked someone to join me but she was busy. I will try again. Signatures: Susan Como ______________Young Person Michael Korda _____________Transition Facilitator Maria Pena________________ Role or Relationship: Friend________ Rev. John Smith_____________Role or Relationship: Pastor_________
TIP%20Transition%20Planning%20Forms%20SBHG%2010-12-10.docx