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Career and Personal Analysis Rating Form |
Complete the following Rating Form for each career title of interest. Answer items as accurately as possible by reviewing and comparing MY ASSESSMENT SUMMARY with the career title's CAREER PROFILE FORM.
| Career Title: ________________________________ |
1. This career matches my WORK VALUES:
___ very well ___ fairly well ___ marginally ___ not well at all
2. This career matches my PERSONAL VALUES:
___ very well ___ fairly well ___ marginally ___ not well at all
3. This career matches my INTERESTS:
___ very well ___ fairly well ___ marginally ___ not well at all
4. This career matches my WORK CONDITION PREFERENCES:
___ very well ___ fairly well ___ marginally ___ not well at all
5. This career matches my WORK SKILLS:
___ very well ___ fairly well ___ marginally ___ not well at all
6. The career matches my PERSONAL SKILLS:
___ very well ___ fairly well ___ marginally ___ not well at all
7. This career matches my WORK TASK PREFERENCES:
___ very well ___ fairly well ___ marginally ___ not well at all
8. This career matches my WORK PERSONALITY TRAITS:
___ very well ___ fairly well ___ marginally ___ not well at all
9. This career matches my PHYSICAL SKILLS:
___ very well ___ fairly well ___ marginally ___ not well at all
10. The career matches my PERCEPTUAL SKILLS:
___ very well ___ fairly well ___ marginally ___ not well at all
11. This career matches my APTITUDES:
___ very well ___ fairly well ___ marginally ___ not well at all
12. This career matches my work DATA SKILLS:
___ very well ___ fairly well ___ marginally ___ not well at all
13. This career matches my work PERFORMANCE SKILLS:
___ very well ___ fairly well ___ marginally ___ not well at all
14. Considering my FUNCTIONAL LIMITATIONS, performing this occupation's
job duties
would be:
___ easy ___ somewhat easy ___ somewhat difficult ___ very difficult
15. Job duties or tasks that would require an ACCOMMODATION would include: (list)
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
16. ACCOMMODATION(S) I would need would include: (list)
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
17. Would each accommodation listed in item #16 be considered REASONABLE?
___ Yes ___ No ___ Don't know
If no, which accommodations might
be considered UNREASONABLE or NOT
FEASIBLE? (list)
____________________________
____________________________
____________________________
____________________________
Would any of these accommodations
pose, or potentially pose, an UNDUE
HARDSHIP for an employer?
___ Yes ___ No ___ Don't know
If yes, what ALTERNATIVE ACCOMMODATION could be considered? (list)
____________________________
____________________________
____________________________
____________________________
18. In this occupation, could your functional limitation(s) related to
your disability POSE
A DIRECT THREAT to the health or safety of
others?
___ Yes ___ No ___ Don't know
If yes, how might others be potentially harmed or at risk? (list)
____________________________
____________________________
____________________________
____________________________
In this occupation, could the job POSE A
THREAT TO YOUR OWN HEALTH OR
SAFETY?
___ Yes ___ No ___ Don't know
If yes, how might you be potentially harmed or at risk? (list)
___________________________
_____________________________
___________________________
_____________________________
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Overall Occupation Rating |
Based on my analysis, THIS OCCUPATION IS A:
___ very good match ___ satisfactory match ___ poor match
Reasons (list):
______________________
______________________
______________________
______________________
______________________
______________________
If it's not a good match, RELATED OCCUPATIONS I can consider would include: (list)
- _______________________________
- _______________________________
- _______________________________
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