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Needs Assessment
Name:
Address:
Phone Number:
E-mail:
I have completed
credits in college.
I am taking this course:
(check all that apply)
to select a major
to find a career to change fields
to explore my interests and values
to find out how my interests and values relate to the world of work
I am not taking a course
Indicate how you feel about each statement:
I am able to:
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
1. identify and rank my work values
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
2. identify my personality traits as they relate to work
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
3. identify my career interest areas
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
4. identify my abilities and skills
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
5. identify occupations that fit with my values, personality, interests, and skills.
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
6. use online, print, and in-person resources to research careers.
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
7. make and act on decisions that are important to me.
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
8. identify my long-term career goal(s) and the steps needed to reach it (them).
I Choose...
Don't Know
Poor
Fair
Good
Very Good
Excellent
Does not apply
9. identify my education plan (e.g., name of college/university, degrees, major, etc.)
Before you submit this form
Be sure to print this out for your records. You also can take it to your career counselor or career exploration teacher!
Source: Adapted from California Personnel and Guidance Association Monograph developed through task force to California State Department of Education
Paradise Valley Community College | 18401 N. 32nd Street | Phoenix, AZ 85032 | 602.787.6500