Life Skills Inventory Independent Living Skills Assessment Tool Page 6

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Category I: Job Seeking Skills (continued)
Intermediate - Must know 4 of 5: (continued)
Can make appointment for a job interview.
Knows appropriate clothing to wear for the interview.
Advanced - Must know 6 of 8:
Can write a resume.
Has a completed job application/fact sheet to take on a job interview.
Knows to prepare for a job interview.
Can complete a job interview.
Knows the function of and can contact the public employment agency.
Knows the function of and understands that private employment agencies charge fees.
Can identify ads placed by private employment agencies.
Can contact temporary employment services.
Exceptional - Must know at least 2:
Has a resume.
Can follow up an interview with a letter.
Is able to maturely weigh the advantages of one job over another.
Understands legal discrimination and where to seek help if discriminated against illegally.
Category J: Job Maintenance Skills
Basic - Must know 3 of 4:
Dresses for work appropriately.
Reports to work on time.
Knows job responsibilities and how to complete job tasks.
Knows to contact employer when not able to go to work.
Intermediate - Must know 3 of 4:
Know how to read a pay stub.
Knows appropriate way to talk to supervisor.
Knows what behaviors will get a person fired immediately.
Knows how to ask for help with a problem on the job.
Advanced - Must know 4 of 5:
Knows if eligible for sick time, vacation time, or personal time.
Knows what a grievance procedure is.
Know what to do to get a raise.
Knows where and when not to talk with co-workers.
Has a plan for handling anger when angry at supervisor, co-workers, or customers.
Exceptional - Must know at least 3:
Can implement anger management plan in majority of cases.
Knows how to use company grievance procedure to resolve disagreements.
Knows companies “unwritten policies” and can function within them.
Knows how to ask for a raise.
Knows what to do to be eligible for promotion.
Knows legal rights as an employee.
Category K: Emergency and Safety Skills
Basic - Must know 4 of 5:
Knows functions of police, ambulance and fire department. Can reach each by calling the appropriate number.
Is trained to evacuate the residence in case of fire.
Knows proper way of disposing of smoking materials, if smokes.
Knows how to lock and unlock doors and windows.
Knows how to check smoke alarm and how to replace battery.
Intermediate - Must know 3 of 5:
Understands basic fire prevention (No smoking in bed, using gas stove to heat, excessive use of extension cords,
frayed electrical cords, etc.).
Knows how to use a fire extinguisher.
Knows that improperly used appliances can cause fires.
Can recognize the smell of a gas leak.
(see next page)
Page 6 of 9
LIFE SKILLS INVENTORY
DSHS 10-267 (12/2000)

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