Personal Employment Needs Analysis Form (PENA) - hrdf… · Personal Employment Needs Analysis Form...
Transcript of Personal Employment Needs Analysis Form (PENA) - hrdf… · Personal Employment Needs Analysis Form...
5(PENA) Version: 8.0 - (25/10/2015)
The PENA supports the Employment Advisor to make semi-structured interviews with the jobseeker.
The purpose of this tool is to:
. 1 Support the jobseeker to identify his/her strengths and employment support needs.
. 2 Support the Employment Advisor and the jobseeker (and family if needed) to achieve successful employment which matches the jobseekers skills, abilities, desires and supports.
Personal Employment Needs Analysis Form (PENA)
All sections of the PENA must be considered in relation to each jobseeker.If a section is not applicable to a jobseeker, tick (P) in the “Considered N/A” checkbox and enter the date.
If the “Considered N/A” checkbox is not available, the question is mandatory and must be completed.
Considered N/A Date
PENA
. 1 Introduction
. 2 Basic Information
a. Personal Informationb. CVc. Family Circumstancesd. Financial Incomee. Transportation
f. Daily Activitiesg. Disability and Employment Considerationsh. Optionsi. Attachments
. 3 Education and Training History
. 4 Occupational and Employment History
. 5 Future Plans – Hopes and Dreams
. 6 Job Accommodation Considerations
. 7 Summary of Strengths
. 8 Summary of Employment Support Needs
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Reference Number
Name
Date of Birth
Place of Residence
Tawafuq Survey Results Type of Disability
Functional Category
Chronic condition
CV Developed
Marital Status
Registered in MLSD?
Family Member Name Relationship Employer
Are there any family members who are working?
List any family members and where there may be a job opportunity in his/her place of work
Yes No
Family obligations?
Number of dependents
Family Information
Hijri
City
Gregorian
North
Yes No
Yes No
If yes, type of chronic condition
East
Age
in Arabicmale
Female
Gender
in English
Join Date (attachment)
National ID Number
Number of Journey Weeks
Central
West
South
Yes
Single Married Divorced Widowed
NoTip: Use information in the CV to save time administering the PENA
Priority goal in employment plan
Considered N/A Date
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Do you currently have �nancial income? Yes No
What is the desired distance to work? Please choose the distance for a single journey
0-11 km 11 – 30 km 31 – 50 km + 50 km
Financial Income
Sources of Financial Income
Amount AmountSource Source
Support Services and Allowances Received
Type ImpactSource
Transportation: What transport do you use?
Available for workType of Transportation Available
Private car/ drive by yourself
Private car with private driver
Family
Friend
Taxi
Others, specify
Not available for work
Yes Yes with help I can’tCan you manage money on your own e.g. pay the bills?
Considered N/A Date
Considered N/A Date
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Daily Life Activities :
Do you need support with any of the following daily life activities:
Type of Activity
Bathing
Using lavatories
Eating
Type of Required SupportYes No
Considered N/A Date
Disability and Employment Considerations
Considered N/A Date
Describe how you typically spend your day?
Are there any tasks that you �nd di�cult or impossible?
Do you use any supports to help you complete these tasks?
Have you ever used any supports whether in school, University or at work?
Yes (What are they?)
Yes (What are they?) OptionsNo
No (What supports you would like to have)
Education and Training History (mention the details of the last two certi�cates you achieved)
Options
School/College/University
Elementary School
Do you currently go to a doctor/specialist?
Secondary School
Writing and readingin Arabic
Writing and readingin English
High School
University Stage
Vocational Training
Certi�cate Graduation Year
Employability Skills
Speaking English
General Job Skills Evidence of Skills ?How does the jobseeker describe his skills?
Social Media(Twitter, Facebook,
Instagram, Snapchat)
Internet Excellent Good Beginner I can’t
E-mail Excellent Good Beginner I can’t
Excellent Good Beginner I can’t
Computer skills How does the jobseeker describe his skills? Evidence of Skills ?
Microsoft Word Excellent Good Beginner I can’t
Microsoft Excel Excellent Good Beginner I can’t
Microsoft PowerPoint Excellent Good Beginner I can’t
Microsoft Access Excellent Good Beginner I can’t
Others Excellent Good Beginner I can’t
Ms O�ce Skills How does the jobseeker describe his skills? Evidence of Skills ?
General Health and WellnessConsiderations
Considered N/A Date
Yes No
Do you have a current medical report? Yes No
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Education and Training History (mention the details of the last two certi�cates you achieved)
Options
School/College/University
Elementary School
Do you currently go to a doctor/specialist?
Secondary School
Writing and readingin Arabic
Writing and readingin English
High School
University Stage
Vocational Training
Certi�cate Graduation Year
Employability Skills
Speaking English
General Job Skills Evidence of Skills ?How does the jobseeker describe his skills?
Social Media(Twitter, Facebook,
Instagram, Snapchat)
Internet Excellent Good Beginner I can’t
E-mail Excellent Good Beginner I can’t
Excellent Good Beginner I can’t
Computer skills How does the jobseeker describe his skills? Evidence of Skills ?
Microsoft Word Excellent Good Beginner I can’t
Microsoft Excel Excellent Good Beginner I can’t
Microsoft PowerPoint Excellent Good Beginner I can’t
Microsoft Access Excellent Good Beginner I can’t
Others Excellent Good Beginner I can’t
Ms O�ce Skills How does the jobseeker describe his skills? Evidence of Skills ?
General Health and WellnessConsiderations
Considered N/A Date
Yes No
Do you have a current medical report? Yes No
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Occupational and Employment History
Length of Unemployment0-3 months
3-6 months
7-9 months
10-12 months
1-2 year
+ 2 years
Previous Work History
-
-
-
Yes No
Date From - To Job Title Employer
0
1 - 4
5-8
9-12 16-20
13-16 +20How many jobs did you apply for during the last 6 months?
Financial Transportation
No support/access
Distance
Other, specify
If you succeeded in an interview but refused the job that was o�ered state the reason
Have you received feedback after an interview in which you were not accepted?
What are the most recent interviews that you attended? (List up to 3)
Job Title Interviewer/ Employer
Working Hours
OtherQuali�cations Required?Work Experience Required?
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Occupational and Employment History
Length of Unemployment0-3 months
3-6 months
7-9 months
10-12 months
1-2 year
+ 2 years
Previous Work History
-
-
-
Yes No
Date From - To Job Title Employer
0
1 - 4
5-8
9-12 16-20
13-16 +20How many jobs did you apply for during the last 6 months?
Financial Transportation
No support/access
Distance
Other, specify
If you succeeded in an interview but refused the job that was o�ered state the reason
Have you received feedback after an interview in which you were not accepted?
What are the most recent interviews that you attended? (List up to 3)
Job Title Interviewer/ Employer
Working Hours
OtherQuali�cations Required?Work Experience Required?
Future Plans – Hopes and Dreams
What are your hobbies and interests? Think about hobbies/interests that you enjoy such as playing football, cooking, photography
Is it possible to look for a job in the �eld or to use the skills in a di�erent way at work?
What is your dream job? Describe it to us
What are the challenges you think you face in gaining employment or entering the labour market?
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Information related to Accommodations
Considered N/A Date
I would like to get a job with the following features – “specify”
Considerations for the suitable job
I may need some help to identify the job requirements – “specify”
Working at homeTeleworking
1. Standing
2. Walking
3. Sitting
4. Lifting
5. Carrying
6. Pushing
7. Climbing
8. Balance
9. Bending
10. Bowing
11. Manual Handling
12. Manual Dexterity
13. Visual
14. Auditory
15. Reading
16. Writing
17. Speaking & Oratory
18. Using numbers and/or money
19. Reading the time
20. Acting quickly
21. Working on set time and/or goals
22. High levels of concentration
23. Completing a variety of tasks
24. Remembering instructions
25. Using computers
FulltimePart-time
Job Requirements JS explains his needs Job Requirements JS explains his needs
IndoorsOutdoors “�eld”
O�ce/working in one placeRequires moving around
Working in a busy environmentWorking in a relaxed environment
Working in a hot environmentWorking in a cold environment
Doing one repetitive task Multitasking
Working in an only-men environment – or only-womenWorking in a semi-mixed environment
Wearing a uniformWithout wearing a uniform
Requires working aloneRequires working within a team
No transportationTransportation
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Information related to Accommodations
Considered N/A Date
I would like to get a job with the following features – “specify”
Considerations for the suitable job
I may need some help to identify the job requirements – “specify”
Working at homeTeleworking
1. Standing
2. Walking
3. Sitting
4. Lifting
5. Carrying
6. Pushing
7. Climbing
8. Balance
9. Bending
10. Bowing
11. Manual Handling
12. Manual Dexterity
13. Visual
14. Auditory
15. Reading
16. Writing
17. Speaking & Oratory
18. Using numbers and/or money
19. Reading the time
20. Acting quickly
21. Working on set time and/or goals
22. High levels of concentration
23. Completing a variety of tasks
24. Remembering instructions
25. Using computers
FulltimePart-time
Job Requirements JS explains his needs Job Requirements JS explains his needs
IndoorsOutdoors “�eld”
O�ce/working in one placeRequires moving around
Working in a busy environmentWorking in a relaxed environment
Working in a hot environmentWorking in a cold environment
Doing one repetitive task Multitasking
Working in an only-men environment – or only-womenWorking in a semi-mixed environment
Wearing a uniformWithout wearing a uniform
Requires working aloneRequires working within a team
No transportationTransportation
N/A
Cognition (Understanding & Communication)
Mobility (Movement & Mobility)
Self-Care (hygiene, eating, independence)
Getting Along (Interation and integration with others
Life activities (household and personal responsibilities, entertainment, work and school)
Participation (participating in family and community activities)
Summary of Strengths
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N/A
Cognition (Understanding & Communication)
Mobility (Movement & Mobility)
Self-Care (hygiene, eating, independence)
Getting Along (Interation and integration with others
Life activities (household and personal responsibilities, entertainment, work and school)
Participation (participating in family and community activities)
Summary of Employment Support Needs
N/A
Cognition (Understanding & Communication)
Mobility (Movement & Mobility)
Self-Care (hygiene, eating, independence)
Getting Along (Interation and integration with others
Life activities (household and personal responsibilities, entertainment, work and school)
Participation (participating in family and community activities)