Updated:MAR 2020
PERSONAL INFORMATION
NAME: Sean Furuta
DISABILITY: Moderate Intellectual Disability
BEHAVIORS: Prone to Injury/Harm (in unfamiliar settings)
RESTROOM ACCIDENTS: No
EATING HABITS:
Needs to be reminded to chew slowly and use a napkin.
READ/WRITE: No
I AM WORKING FOR CHART: Yes
DROP-OFF W/ NO GUARDIAN: No
MEDIA/PHOTOGRAPHY CONSENT: Yes
FACEBOOK CONSENT:
The participant has authorized consent from parents or guardians to utilize Facebook for weekly wrap-ups.
EMPLOYMENT INFORMATION
JOB TITLE: Sales Associate at the 99 Cents Only Store
JOB RESPONSIBILITIES: Provide customer service, stock merchandise, go backs, front face items, etc.
MANAGER’S NAME:
EMPLOYEE ID #:
WHAT IS IMPORTANT TO ME
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I like being praised when I’m doing a good job with high fives.
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I enjoy talking about the Ducks, 49ners, and the Angels, they’re my favorite sports teams.
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I enjoy talking about superheroes and scary movies
WHAT YOU NEED TO KNOW & DO TO SUPPORT ME
Shutting Down:
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I may get disappointed while I’m working and get frustrated and make negative comments about myself then shutdown, to avoid this keep me engaged and motivated during work. Remind me to stay positive and smile because I’m at work, I’m making money, and I need to be professional.
Staying Focused:
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At times I may lose focus while working because I want to talk about non-work related topics, remind me to stay focused on my tasks and that we can talk about those topics during break or after work.
Communication:
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I need help communicating with you when I’m done completing a task so that I can move on, remind me to use my words, I may need verbal prompting.