APPENDIX C

+.*-2#$(*(12(&%
)(**0
00%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.

! (for a 14 year old student)

I. SELF HELP SKILLS AGE AGE

A. Demonstrates personal hygiene and 14 15 16 17 18 19 20 21 B. Dresses appropriately by: 14 15 16 17 18 19 20 21

grooming by:
— choosing and wearing clothes that
— meeting teacher expectation for are appropriate for the weather/ 2
cleanliness. 2 activity/social custom.
— meeting teacher expectation for good — identifying when clothes should not
1 3
grooming (hair combed, shirt tucked in, be worn (dirty, ill fitting, etc.).
etc.
— meeting teacher expectation for — wearing clothes that are in good
1 condition, clean and pressed with 1
consistent, independent personal
hygiene and grooming. detail given to appearance.
4 T 6
T
Scores for each descriptor are added, provided a value that can be recorded on the Student Profile of Employability Skills. When com-
pleted, the profile yields a graphic representation of employability skills performance that will help in planning instruction.
SELF-HELP WORK TASK WORK WORK RELATIONS: RELATIONS: WORK
SKILLS HABITS RELATED QUANTITY QUALITY SUPERVISOR PEERS ATTITUDES

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. Demonstrates personal hygiene and C. Works independently by:

14 15 16 17 18 19 20 21 14 15 16 17 18 19 20 21
grooming by:

— meeting teacher expectation for — locating materials.

cleanliness.
— meeting teacher expectation for good — beginning work promptly.
grooming (hair combed, shirt tucked in,
etc.).
— asking peers/teachers questions
— meeting teacher expectation for about a given task at the appropriate
consistent, independent personal time.
hygiene and grooming.
T T
III. TASK RELATED SKILLS
B. Dresses appropriately by:
A. Cares for tools, materials, and work
— choosing and wearing clothes that are area by:
appropriate for the weather/activity/
social custom. — meeting expectations for the use of
tools and materials (scissors, paste,
— identifying when clothes should not be screwdriver, etc.).
worn (dirty, ill fitting, etc.).
— locating and returning work materials
— wearing clothes that are in good and belongings to the proper storage
condition, clean and pressed with detail area.
given to appearance. T — maintaining and caring for work and
living area.
T
C. Travels independently by:
B. Practices safety rules by:
— walking or riding to school, following
safety rules. — stating and using safety rules
appropriate to grade level and
— getting around the school building or situation.
grounds.
— using tools and materials only for their
— getting around the community. specified purpose.
T — demonstrating correct safety
procedures in simulated emergency
D. Communicates effectively by: situations. T
— demonstrating effective listening skills, IV. QUANTITY OF WORK
including eye contact.
A. Completes work on time by:
— expressing self, answering and asking
questions. — completing work on time with teacher
prompts.
— demonstrating expected conversational
skills (turn taking, choice of appropriate — completing work on time without
topic, etc.). teacher prompts.
T
— working at an acceptable speed for
II. GENERAL WORK HABITS a given task. T

A. Attends regularly/arrives on time by: B. Exhibits stamina by:

— having no unexcused absences. — finishing age-appropriate tasks without

a break.
— arriving at class, school, or work on
time. — maintaining an acceptable level of
speed without tiring.
— following school procedures when
tardy or absent. — completing new tasks without
T diminishing the level of performance
of former tasks. T
B. Stays on task by: C. Adapts to increased demands in
workload by:
— meeting teacher expectations
regarding length of time on task. — responding to additional tasks with
teacher prompts.
— completing a task without being — attempting new tasks without
distracted. demonstrating frustration.
— returning to task if distracted. — responding to additional tasks without
T
teacher prompts.
T
3
"
"


 "




"










 

V. QUALITY OF WORK
A. Makes appropriate choices and
decisions by:
— choosing an appropriate solution when
given options.
— making age-appropriate decisions
without teacher intervention.
— responding to a problem situation with
reasonable alternative solutions.
T T
B. Recognizes and corrects mistakes by:
— examining work for errors before
submitting it.
— using self-check methods to evaluate
work.
— making corrections once an error has
been identified.
VI. RELATIONSHIP TO SUPERVISOR/TEACHER
A. Accepts constructive criticism from
supervisor/teacher by:
— listening to constructive criticism
without making inappropriate gestures
or comments.
— making specified changes based on
constructive criticism.
— identifying that changes have been
made and that performance has
improved.
B. Follows directions from supervisor/
teacher by:
— correctly completing tasks following
verbal directions.
— correctly completing tasks following
written directions
— communicating and accepting
consequences for not following
directions.
C. Seeks help when needed by:
— identifying when help is needed.
— asking for assistance when help is
needed.
— using requested information to remedy
the problem.
VII. RELATIONSHIP TO PEERS
A. Works cooperatively with peers by:
— working well with others.
— seeking help from co-workers.
— directing co-workers without being
overbearing.
AGE AGE
14 15 16 17 18 19 20 21 B. Shows respect for the rights and 14 15 16 17 18 19 20 21
property of others by:
— taking turns.
— asking permission to use another’s
property.
— treating borrowed property with
respect.
C. Uses appropriate language and
manners with peers by:
— using everyday manners (please,
thank you).
— avoiding teasing/ridiculing others.
— using language appropriate for a
given situation.
T T
VIII. WORK ATTITUDES
A. Develops and seeks personal goals
by:
— demonstrating short term personal
goals such as completing daily work.
— explaining planned activities for after
school, weekend or vacation.
— seeking and developing personal
goals that are viable and consistent
with abilities and limitations.
T T
B. Shows initiative by:
— beginning a task as soon as
requested to do so.
— beginning a task without prompting.
— asking for additional work or
directions once a task is completed.
T
T
C. Accepts societal values and rewards
by:
— acknowledging various types of
rewards for work well done (stickers,
free time, etc.).
— recognizing when good work has
been done.
— responding appropriately when
praised for doing a good job. T
T
D. Takes pride in working by:
— sharing accomplishments with others
(takes papers home, collects
stickers, responds to point systems/
grades.
— working for positions requiring
improvement in skills.
— contributing to the common good of
T the group. T
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
" "


 APPENDIX D
+.*-2#$(*(12(&%
)(**0
00%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.

! (for a 14 year old child)

I. SELF HELP SKILLS AGE AGE

A. Demonstrates personal hygiene and 14 15 16 17 18 19 20 21 B. Dresses appropriately by: 14 15 16 17 18 19 20 21

grooming by:
— choosing and wearing clothes that are
— meeting parent expectation for appropriate for the weather/activity/
2 2
cleanliness. social custom.
— meeting parent expectation for good — identifying when clothes should not
grooming (hair combed, shirt tucked in, 1 be worn (dirty, ill fitting, etc.). 3
etc.
— meeting parent expectation for — wearing clothes that are in good
1 condition, clean and pressed with 1
consistent, independent personal
hygiene and grooming. detail given to appearance.
4 T 6
T
Scores for each descriptor are added, provided a value that can be recorded on the Child Profile of Employability Skills. When
completed, the profile yields a graphic representation of employability skills performance that will help in planning instruction.
SELF-HELP WORK TASK WORK WORK RELATIONS: RELATIONS: WORK
SKILLS HABITS RELATED QUANTITY QUALITY SUPERVISOR PEERS ATTITUDES

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. Demonstrates personal hygiene and C. Works independently by:

14 15 16 17 18 19 20 21 14 15 16 17 18 19 20 21
grooming by:

— meeting parent expectation for — locating materials.

cleanliness.
— meeting parent expectation for good — beginning work promptly.
grooming (hair combed, shirt tucked in,
etc.)
— asking family members/peers
— meeting parent expectation for daily questions about a given task at the
independent personal hygiene and appropriate time.
grooming.
T T
III. TASK RELATED SKILLS
B. Dresses appropriately by:
— choosing and wearing clothes that are A. Cares for work and living area by:
appropriate for the weather/activity/
social custom. — meeting expectations for the use of
work materials and belongings.
— identifying when clothes should not be
worn (dirty, ill fitting, etc.). — locating and returning work materials
and belongings to the proper storage
— wearing clothes that are in good area.
condition, clean and pressed with detail
given to appearance. T — maintaining and caring for work and
living area.
T
C. Demonstrates mobility skills by:
B. Practices safety rules by:
— walking or riding in the neighborhood,
following safety rules. — using proper caution around stove,
electricity, water, stairs, etc.
— getting around the neighborhood and
when on outings, public buildings. — using tools and materials only for
their specified purpose.
— getting around the community.
— demonstrating correct safety
T procedures in simulated emergency
situations.
D. Communicates effectively by:
T
IV. QUANTITY OF WORK
— demonstrating effective listening skills,
including eye contact.
A. Completes tasks on time by:
— expressing self, answering and asking
questions. — completing tasks on time with parent
prompts.
— demonstrating expected conversational
skills (turn taking, choice of appropriate — completing tasks on time with-out
topic, etc.). parent prompts.
T
— working at an acceptable speed for
II. GENERAL WORK HABITS a given task. T

A. Demonstrates awareness of time by: B. Exhibits stamina by:

— being ready for school on time. — finishing age-appropriate tasks

without a break.
— being on time for scheduled family/
leisure activities. — maintaining an acceptable level of
speed without tiring.
— following family rules for reporting
when delayed. — completing/learning new tasks without
T diminishing the level of performance
of former tasks. T
B. Stays on task by: C. Adapts to increased demands in
workload by:
— meeting parent expectations regarding
length of time on task. — responding to additional tasks with
parent prompts.
— completing a task without being — attempting new tasks without
distracted. demonstrating frustration.
— returning to task if distracted. — responding to additional tasks without
T
parent prompts.
T
3
" "


 "




"










 

V. QUALITY OF WORK 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:

— choosing an appropriate solution when — taking turns.

given options.
— making age-appropriate decisions — asking permission to use another’s
without parent intervention. property.
— treating borrowed property with
— responding to a problem situation with
respect.
reasonable alternative solutions.
T T

B. Recognizes and corrects mistakes by: C. Uses appropriate language and

— checking to see if task is correct before
considering it complete.
— using self-check methods to evaluate
tasks.
— making corrections once an error has
been identified.
VI. RELATIONSHIP TO PARENT/ADULT
A. Accepts constructive criticism from
parent/adult by:
— listening to constructive criticism
without making inappropriate gestures
or comments.
— making specified changes based on
constructive criticism.
— identifying that changes have been
made and that performance has
improved.
manners with peers by:
— using everyday manners (please,
thank you).
— avoiding teasing/ridiculing others.
— using language appropriate for a
given situation.
T T
VIII. WORK ATTITUDES
A. Develops and seeks personal goals
by:
— demonstrating short term personal
goals such as completing daily
tasks.
— explaining planned activities for after
school, weekend or vacation.
— seeking and developing personal
goals that are viable and consistent
with ability level.
T
T
B. Shows initiative by:

B. Follows directions from parent/adult by: — beginning a task as soon as

— correctly completing tasks following
verbal directions.
— correctly completing tasks following
written directions
— communicating and accepting
consequences for not following
directions.
C. Seeks help when needed by:
— identifying when help is needed.
— asking for assistance when help is
needed.
— using requested information to remedy
the problem.
VII. RELATIONSHIP TO PEERS
requested to do so.
— beginning a task without prompting.
— asking for additional work or
directions once a task is
completed. T
T
C. Accepts societal values and rewards
by:
— acknowledging various types of
rewards for work well done.
— recognizing when good work has
been done.
— responding appropriately when
praised for doing a good job. T
T
D. Takes pride in working by:

— sharing accomplishments with

A. Cooperates with peers by:
others.
— getting along well with others. — striving for situations requiring
improvement and/or expansion in
— seeking help from peers. skills.
— directing peers without being — contributing to the common good of
overbearing. the family.
T
T

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
" "