Person Centered Employment Plan Form Page 9

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9. What motivates me to work? (money, meeting people, making friends, working for a cause,
using my talents and abilities, independence, etc.)
Interests (include information about how this was learned/discovered):
10. What interests me?
11. What do other people say I enjoy doing?
12. What things do I like or do that I could turn into a business of my own?
Vocational skills
13. What am I good at?
14. What skills do I have?
15. What kind of things do I regularly do?
Job tasks based on skills and interests (i.e. answer a phone, take a message, drive a car)
16. What tasks can I do now based on the skills I have?
Desired employment considerations and rationale for each (i.e. A.M. employment due to
transportation, evening hours due to medicines, non-smoking environment due to asthma, modified
work station due to wheelchair, no work on Sundays due to involvement in church.)
17. What kind of work environment do I want? (lighting, noise, pace of business, location, size,
etc.)
18. What do I need to look for in culture of the workplace? (people/personalities, quality versus
quantity, tight or loose on method of how work is done, outgoing, quiet, etc.
Person Centered Employment Plan
9
REV 6/2014

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