Intern Abilities Profile Form
Intern Abilities Profile
Intern background / history:
Task/Assignment:
Equipment: (Job equipment, protective clothing, chemicals)
Environment: (fumes, odors, dust, temperature, noise, group-work)
Physical Challenges
Accommodations Needed
Options and Resources
Sensory Challenges
Accommodations Needed
Options and Resources
Cognitive Challenges
Accommodations Needed
Options and Resources
Physical, Sensory, & Cognitive Issues and Challenges
Physical Issues
Think of the required physical aspects of the task. What will make the environment accessible, keep the student safe and allow them to be an active participant? What lab equipment must be manipulated?
Physical Challenges
- lift / carry
- stamina/ endurance
- push/pull
- Knee/squat
- reach
- repetitive tasks
- fine motor: pinch / grasp
- fine motor: manipulate/ maneuver
- gross motor
- sit in chair
- walk / stand
- balance
- bend / twist
- stoop / crouch
- other
Sensory Issues
Think of room temperature, noise, fumes, dust, odors, allergies. Also consider the ability to speak and/or communicate, and the visual aspects of task or assignments.
Sensory Challenges
- vision
- hearing
- touch
- smell
- taste
- oral communication
- temperature
- fumes
- external stimuli
- lighting
- other
Cognitive Issues
Is the assignment done with a group, partner or individually? What memory & communication skills are needed? What is the level of complexity of the task.
Cognitive Challenges
- short term memory
- long term memory
- task complexity
- reading
- writing
- spelling
- string of numbers (math)
- paying attention
- visual, auditory, or kinesthetic learner
- self-esteem / advocacy issues
- behavior issues / acting out
- other