CLB 4B Needs Assessment and Goals

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CLB 4B Needs Assessment and Goals - April 2022

Instructions: Please complete the questions and click "Submit" when you are finished. I will get it and review your responses.

FULL NAME: *

EMAIL: *

PHONE NUMBER (the best one for me to call you on): *

1. Which class are you in? *

AM (Reading/Writing) Class

PM (Listening/Speaking) Class

Both AM and PM Classes

2. How often do you like to have class on ZOOM? *

1 time per week

2 times per week

3 times per week

I prefer for Teacher to record lessons, so that I can watch whenever I can

3. The MCC building will open on April 11. How do you feel about coming to MCC for classes sometimes? *

Happy and excited

Good

OK (so-so)

I'm not sure

Not good (I'm worried about it)

I can't come to MCC for classes

4. NEEDS ASSESSMENT - In this class, I want to learn about: (Check 3 items) *

Canada, Citizenship and Culture (history, geography, government, citizenship test, etc)

Community Services and Getting Around (bus, libraries, getting a driver's license, etc)

Banking (opening a bank account, credit, bills, saving, services, etc)

Shopping (purchases and returns)

Health and Safety (going to the doctor, emergencies, nutrition and mental-health)

Education and Learning (children's school, report cards, reporting absences, etc)

Law (the police, driving rules, accidents, etc)

Pre-employment (volunteering, job search, preparing for an interview, etc.)

Employment (following job instructions, reporting an absence, safety and wellness, etc)

Recreation and Travel (community classes, hobbies, sports, airplane travel, etc)

Environment (recycling, weather, saving energy, etc)

Housing (finding a house or apartment, home repairs, safety, fire, using appliances,etc)

Family, Friends and Neighbors (parenting, invitations, weddings, parties)

Required

5. GOALS - What do you want to do in Canada? (Check up to 3 items that are most important to you) *

Help my children with school

Get a driver's license

Talk to neighbors and make friends

Get Canadian Citizenship

Get a job

Get a better job

Use English in the community (banking, doctor, shopping, etc)

Go to college/university or get a certificate/diploma in a training program

Other:

Required

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