1. I would like to take courses in:
    • Effective reading and writing skills:
      • yes
      • no
    • Effective math skills:
      • yes
      • no
    • English as a Second Language (ESL):
      • yes
      • no
    • Computer skills:
      • yes
      • no
    • Trades and apprenticeships:
      • yes
      • no
    • Preparation for certification or licensing:
      • yes
      • no
    • High School Completion (Grade 12):
      • yes
      • no
    • General Educational Diploma (GED):
      • yes
      • no
    • College or university courses:
      • yes
      • no
    • Other
      • yes
      • no
    please specify
  2. I would like to be able to take courses during work hours (if lost time is paid)
    • I would like to be able to take courses before or after work:
      • yes
      • no
    • I need help with childcare to take courses:
      • yes
      • no
    • I need help with transportation to take courses:
      • yes
      • no
    • I need help with (other) to take courses:
      • yes
      • no
  3. My regular shift is
  4. The course should be given:
    • at the workplace:
      • yes
      • no
    • in the union local/centre:
      • yes
      • no
    • at the community college or school:
      • yes
      • no