STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
Other (note: a SILP can be approved if NMD is still gaining this knowledge and learning these skills).
Subject
Description
SW/PO Notes
15.
Education/
Does the NMD have the skills necessary to pursue
Yes
No
Employment
educational and employment goals?
Skills to be developed
_______________________
_______________________
Has the NMD demonstrated the ability to complete
_______________________
college or vocational education classes?
_______________________
Does the NMD have job search and retention skills?
16.
Driving and/or Public
If the NMD is a driver or plans to become a driver in
Yes
No
Transportation
the near future, are they able to drive responsibly?
Skills to be developed
_______________________
Ask the NMD to describe what is necessary to own and
_______________________
operate a car (e.g. a valid license, insurance, money for
_______________________
gas and repairs, annual vehicle registration). Can the
_______________________
NMD describe a plan for obtaining all of these?
Can the NMD describe the consequences for driving
under the influence of alcohol or other substances (loss
of license, significant fines, jail time)?
The NMD free of any history of irresponsible driving
behavior (e.g. tickets, accidents, driving without a license
or while intoxicated, driving without insurance)?
Does the NMD know how to use available public
Yes
No
transportation?
Skills to be developed
_______________________
_______________________
_______________________
_______________________
Ask NMD to describe what public transportation they use
to get to their job, school or other daily activities.
Has the NMD verified that they will be able to get to
school, work, etc. at necessary times from the identified
SILP site?
17.
Community
Is the NMD aware of relevant community resources
Yes
No
Resources
and how to access them?
Skills to be developed
_______________________
If the NMD is in school, are they connected to educational
_______________________
support programs?
_______________________
Is the NMD aware of benefits and services available
_______________________
through the ILP?
Does the NMD have a history of accessing ILP benefits
and services?
Does the NMD know how to get help if they encounter
housing problems, run out of food, have a legal
issue, etc.?
Ask NMD to identify persons/programs that can help them
with these concerns.
SOC 157C (7/17) (Optional)
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