General Intake Date Auto-fills

General Social Security Number Enter – no punctuation. Double click for pseudo when needed

General First Name Free form text

General Last Name Free form text

General Date of Birth Use mmddyyyy format

General Gender Select from drop down

General Job Match Click for drop down to select ACTIVE when Job Match is INACTVE.

General Legally entitled to work in the ? Click to select – must be YES to SAVE.

General/Additional Military Service? Click > YES or NO If YES, then complete a Veteran Validation

Additional Dates of Service (Veteran Validation)

Click >Veteran Validation – answer the questions as they appear in the pop-up boxes. *

Additional Service Connected - Disability? When YES, % entered when validated

Additional Disabled? Must be YES, NO, or NOT DISCLOSED to SAVE

General Staff Auto-fills with the staff logged into the system

General Staff Office Auto-fills with the office of the staff logged into the system

General Ethnicity Click to select from drop down.

General Race Click to select.

General Employment Status Select from drop down. When employed, hours are required.

General ESD Shared Information Click to select YES or NO. When NO, non-ESD staff will not be able to view the record.

Additional Highest grade of school completed? Click to select from drop down.

Additional Attained certificate of Attendance/Completion

Click > YES or NO. Used if the participant with a disability receives a certificate of attendance as a result of successfully completing an Individual Education Plan (IEP).

Additional Seasonal/Farm worker Click > YES or NO

Additional In School? When YES, use the drop down to select the SCHOOL TYPE. When NO, use the drop down to select YES or NO to “Dropped out of High School?”

Additional Public Assistance Recipient? Click > YES or NO. When YES, click to select TYPE of Public Assistance.

Program Data Offender? Click to select YES or NO.

Program Data Homeless/Runaway? Click to select YES or NO.

Preliminary Assessment

This is also known as the Initial Assessment or Full SKIES Registration.

It contains the following 54 data fields.

Bolded items required to SAVE the record.

SCWDC WS-06-05 Revised 06/21/2012 Page 1

General Mailing Address Street address auto-fills with Mailing address if a Street Address is not entered.

General Phone Number Use xxxxxxxxxx format.

General E-mail Must have an @ and a (dot) domain

Additional Driver’s Click to select from a drop down.

Additional License Class Click to select from a drop down.

Additional Endorsements Click to select.

Desired Employment O*NET Code Use AutoCoder.

Months Experience When no experience, enter 0.

Desired Employment Last Year Worked Use yyyy format

Desired Employment Desired Location Auto-fills from Address. Click to select additional Counties. Click to unselect the . Or, click to select Statewide. Or, click to select Anywhere.

Employment History Employer Name Free form text.

Employment History O*NET Code (O*NET Title and Job Title auto-fill with O*NET selection)

Use AutoCoder

Employment History Salary $ not necessary

Employment History Interval Click to select from drop down list.

Employment History Hours/Week Enter the average number of hours worked per week.

Employment History Start Date – End Date Enter using mmyyyy format

Employment History Reason for Leaving Not required when Reason for Leaving is “Still Employed”

Assessment Initial EmploymentEmployment Issues

Job Behavior Patterns Work history? Reasons for leaving the last job? Gaps in employment?Stable work history Same job over X years? Still employed? Layoff or closure? Same industry for years?Unstable work history Terminated from last 2 jobs Gaps in employment? No recent work history Work limitations? Frequent job changes?

Preliminary Assessment Continued

SCWDC WS-06-05 Revised 06/21/2012 Page 2

Assessment Initial EmploymentEmployment Issues

Job Seeking Skills Do you have a resume? Where are you posting your résumé? Do you have a network to help find work? How have you found work in the past? What is your biggest challenge in looking for work? What kind of response have you had from your résumé? When was your last interview? What skills do you have for the job you are seeking? What job search techniques do you use?

Assessment Initial EmploymentEmployment Issues

Summary of Occupational Strengths and Weaknesses

Summarize the information collected to begin the Service(s) Plan justification – workshop, GED, referral to assessment, preparation for Intensive Services. Use CIRY Model.

Assessment Initial EmploymentEmployment Issues

LMI vs Potential Earnings Is the demand for your skills growing or in decline? Do you know the prevailing wage for your occupation? Do you believe you will get the previous wage earned? Is the Job Seeker familiar with Workforce Explorer or other

labor market research tools? Are Job Seeker skills in demand at a given wage? Verify demand or decline occupation.

Assessment Initial EmploymentEmployment Issues

Does the Seeker have the ability to identify an employment goal?

Click > YES or NO.

Assessment Initial EmploymentDesired Employment

Is Seeker interested in non-traditional employment?

Click > YES or NO.

Assessment Initial EmploymentDesired Employment

Employment Objective What result does the Job Seeker want/need?

Assessment Initial EmploymentEd Issues

Seeker’s Primary Language?

Click to select from drop down list.

Assessment Initial EmploymentEd Issues

Is Seeker’s English speaking ability limited?

Click to select YES or NO.

Assessment Initial EmploymentEd Issues

Does Seeker lack basic education skills?

Click to select YES or NO.

Assessment Initial EmploymentEd Issues

Training Plans not completed

Free form text

Assessment Initial EmploymentEd Issues

Interests, Aptitudes, and need for more training

Free form text

Preliminary Assessment Continued

SCWDC WS-06-05 Revised 06/21/2012 Page 3