Next Steps of

South Carolina

(NSSC)

 

 

Individual Development Plan

Checklist

 

Participant’s Name

 

Mentor’s Name

 

Date

 

Participant and Mentor completed, reviewed, and/or updated Registration and Intake Form information.

Date

 

Participant and Mentor reviewed General Consent to Release Personal Information Form and signed it.

Date

 

Mentor has updated Next Steps Database to reflect changes in Participant’s Registration and Intake Form information.

Date

 

Dreams and Goals

How would Participant like his/her life to be different?What are his/her dreams for the future?

 

 

What would Participant like his/her life to be six months/one year/two years from now?

 

 

Record of Hires

Jobs the Participant is Hired for while participating in the Next Step Program.

Date

Company Name, Telephone, Supervisor

Follow-Up (Date of call and/or information received)

 

   

 

   

 

   

 

   

Tools

Participant has at least one picture ID, a Social Security card, and (if applicable) documents indicating eligibility to work in the US.

Yes

No

Participant has called his/her work references to verify telephone numbers and ensure that his/her former employers will supply a reference.

Yes

No

Mentor or other Next Step Program staff member has called Participant’s references.

Yes

No

Participant has a current resume that is readable, concise, without errors, and in simple format.

Yes

No

Resume is not more than two pages long.

Yes

No

Resume is uploaded on Next Steps Database.

Yes

No

Information on resume matches type of job Participant is seeking.

Yes

No

Appearance/Hygiene

Participant has appropriate clothes for interviews.

Yes

No

Participant appears to take care of personal hygiene (bathing, grooming, etc.) daily.

Yes

No

What areas need improvement?

 

 

 

Other Tools

Participant has a police clearance form obtained within the past three months.

Yes

No

Participant has a calendar, log sheet, or other means of keeping track of job search calls and appointments.

Yes

No

Job Skills

Participant states specifically what types of jobs s/he is qualified for and seeking.

Yes

No

What types of jobs?

 

 

Participant states clearly what experience, education, or training s/he has which qualifies him/her for these types of jobs.

Yes

No

Participant appears to have sufficient skills to find a job without further training or education.

Yes

No

What are these skills?

 

 

 

Life Skills

Participant has a support network of friends, family, or others helping him/her in job search?

Yes

No

Participant appears energetic and positive about job search.

Yes

No

Participant talks about dreams for his/her future.

Yes

No

How to Get an Interview

Participant clearly states his/her skills and abilities.

Yes

No

Participant has a short “script” outlining his/her skills and abilities to use when calling employers.

Yes

No

Participant knows how to use a variety of sources for job openings, including the newspaper, Internet, friends, and acquaintances, government listings, etc.

Yes

No

When calling employers, the Participant clearly states his/her qualifications, speaks clearly, and requests an interview appointment.

Yes

No

Participant has had a number of interviews (NOT just putting in applications) since beginning his/her job search.

Yes

No

Mentor has practiced phone calling with Participant, or heard Participant on the phone with an actual employer.

Yes

No

Participant seems to receive job interviews on a regular basis.

Yes

No

Turning an Interview into an Offer

Participant smiles, shakes hands firmly and introduces him/herself clearly.

Yes

No

Participant has a strategy for addressing past problems in job history, e.g., incarcerations, substance abuse, terminations, etc., which might come up in an interview.

Yes

No

Participant has a history of successful interviews, i.e., has received job offers or been told that s/he was a top candidate for a job following an interview.

Yes

No

Participant can state his/her strengths, e.g., why someone should hire him/her over someone else.

Yes

No

Mentor has discussed possible objections an employer might raise about him/her, e.g., poor work history, period of incarceration, etc., and s/he has a strategy for meeting these objections.

Yes

No

How to Deal with Success

Participant has held at least one job for over six months.

Yes

No

Participant has a good reference from a job within the last five years.

Yes

No

Participant has left his/her most recent job on good terms with supervisor.

Yes

No

Participant has long term employment goals and an understanding of how his/her next job can lead to better jobs in the future.

Yes

No

Participant talks honestly about the problems that led to poor job retention in the past and has addressed those problems.

Yes

No

Budgeting

If Participant has an income, s/he takes care of basic needs such as housing, food, clothing, and transportation with his/her own money.

Yes

No

Participant is satisfied with income level.

Yes

No

Participant has applied for all public benefits, e.g., food stamps, for which s/he may be eligible.

Yes

No

Substance Abuse

Participant has answered substance abuse questions on Registration and Intake Form and gone over answers with Mentor.

Yes

No

Participant’s answers to those questions indicate that substance abuse is NOT a problem for Participant now or in the past.

Yes

No

If the Participant indicates that substance abuse IS or HAS BEEN a problem:

   
 

Participant has completed a treatment program.

Date

 
 

Participant attends 12-step meetings or similar programs regularly.

Yes

No

 

Participant has supportive friends, family, or sponsors who encourage him/her to stay clean and sober.

Yes

No

Mentor sees NO evidence that this Participant is currently abusing alcohol or drugs.

Yes

No

Physical and Mental Health

Participant has no physical disability which might affect his/her choice of jobs or ability to work.

Yes

No

If Participant has a physical or mental disability:

   
 

Participant is aware of his/her rights regarding employment.

Yes

No

 

Participant has received or is receiving medical care for his/her disability.

Yes

No

Participant shows NO signs of depression, including feelings of hopelessness, difficulty getting up in the morning, difficulty sleeping, and/or low motivation levels.

Yes

No

If Participant does show signs of depression, s/he is seeking help through counseling, a support group, or other means.

Yes

No

Participant has no significant family problems which interfere with his/her ability to conduct a job search and/or hold a job.

Yes

No

If Participant has a history of mental health problems, s/he is getting counseling, taking medication, or otherwise addressing his/her mental health issues.

Yes

No

Participant appears to have NO physical or mental disabilities (including depression) which will affect his/her job search.

Yes

No

Participant has received or is receiving treatment for any physical or mental health issue (including depression) which may interfere with his/her ability to get and keep a job.

Yes

No

Job Placement

Mentor finds Participant Individual Development Plan complete, i.e., all the above questions have been answered in the affirmative, and recommends this Participant for a job placement program.

Date

 
                         

 

 

Next Steps of South Carolina is indebted to Samaritan Ministry of Greater Washington (www.samaritanministry.com), Lazarus Ministry of Christ Episcopal Church, Alexandria, VA (www.historicchristchurch.org), and The Cooperative Ministry, Columbia, SC (www.coopmin.org) for allowing us to pattern our Next Step Program after their successful ministries.

 

(Last modified 5/21/2013)