Unifor (Niagara Regional) Action Centre

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* 5. Please list any language other than English in which you are fluent.
What language?

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* 6. Work Profile
Your workplace position:

Production Assembler

Material Handler

Team Leader

Shipping and Receiving

Facility Services

Tool Repair

Quality Control/Inspection

Industrial Cleaner

Apprentice

Skilled Trades

Other (please specify)

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* 7. How long were you employed?

Less than 5 years

5 – 10 years

10 – 15 years

15 - 20 years

20 - 25 years

Over 25 years

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* 8. How urgent is your need to find a job (check all that apply)?

Immediately

Within 3 months

Within 6 months

No hurry

Have a new part time job

Have a new full time job

Currently in school full time

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* 9. Action Centre Feedback
Do you have plans for any of the following 3-6 months after the layoff? (Check any that apply)

Retraining

Looking for work

Retiring

Job already arranged

Self-employment

Relocating

Other

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* 10. Are you currently enrolled in any education or training program?

If yes, please specify course and what institution:

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* 11. Do you have an updated resume prepared?

Yes

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* 12. Are you interested in retraining or upgrading your skills?

Yes

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* 13. If yes, please indicate the education and training information you would be interested in having.

Educational upgrading and job re-training funding programs

Apprenticeships

Resources for improving basic reading, writing, math skills

Getting a high school diploma or equivalency

Community college/university programs

Career College (trucking, heavy equipment, culinary, etc.)

Skills Course: CNC machining, blueprint reading, etc.

Safe Food Handling Certificate

Underground Common Core (Certification through Norcat)

CPR/First Aid/Mental Health First Aid

Smart Serve

Upskilling (including to obtain work in the EV sector)

Health and Safety Training (WHIMIS etc.)

Working at Heights

Lift truck certification

Other (please specify):

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* 14. Are you willing to commute or relocate to a new job?

Yes

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* 15. If yes, how far:

Within region (75 km radius)

Anywhere in Ontario

Anywhere within Canada

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* 16. What are your hourly wage requirements (complete one)?

Minimum wage to $20

$21 to $25

$26 to $30

$31 to $39

$40 to $45

Over $46

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* 17. Do you plan to make use of the action centre?

Yes

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* 18. Your Education and Training
What is the highest level of education completed?

Less than Grade 12

High School Diploma (or GED)

Community or Career College

University Degree

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* 19. Please check the boxes to describe your English skills

	Basic	Intermediate	Advanced
Speak	Speak Basic	Speak Intermediate	Speak Advanced
Read	Read Basic	Read Intermediate	Read Advanced
Write	Write Basic	Write Intermediate	Write Advanced

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* 20. Please check the boxes to describe your Math skills

Basic (Under Grade 10)

Intermediate (Grade 10+)

Advanced (Grade 12+)

Basic (Under Grade 10)

Intermediate (Grade 10+)

Advanced (Grade 12+)

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* 21. Please check boxes below to describe your present computer skills in each area.

	None	Basic	Competent
Using e-mail, Internet	Using e-mail, Internet None	Using e-mail, Internet Basic	Using e-mail, Internet Competent
Word processing (Microsoft Word)	Word processing (Microsoft Word) None	Word processing (Microsoft Word) Basic	Word processing (Microsoft Word) Competent
Spreadsheet (Excel, 1-2-3,etc.)	Spreadsheet (Excel, 1-2-3,etc.) None	Spreadsheet (Excel, 1-2-3,etc.) Basic	Spreadsheet (Excel, 1-2-3,etc.) Competent

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* 22. Please indicate any supports that would be of interest to you:

Resume preparation workshop

Job search workshop

Job Interview workshop

Job Finders Club (meeting informally with co-workers)

Labour market information workshop

EI workshop

Career planning workshop

One-on-one career counseling

Educational upgrading and re-training opportunities and funding workshop

Budgeting and financial planning workshop

First Aid course

Social events and meetings to stay connected with co-workers

Personal or Family Counselling Services

Computer Basic Skills Training

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* 23. Do you identify as having barriers which may impact your search for new employment (select all that apply):

Available jobs within my local community

Education/training

Experience

Childcare

Job search skills

Housing

Driver's license classification

Access to transportation

Other (please specify)

Prefer not to answer

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* 24. Thank you for completing this questionnaire. We would value any additional comments or suggestions you may have.
Additional Comments and Suggestions:

Unifor (Niagara Regional) Action Centre - Needs Assessment Survey

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* 1. Personal Information

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* 2. Closest City:

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* 3. Age

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* 4. Gender identity

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* 5. Please list any language other than English in which you are fluent.What language?

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* 6. Work ProfileYour workplace position:

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* 7. How long were you employed?

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* 8. How urgent is your need to find a job (check all that apply)?

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* 9. Action Centre FeedbackDo you have plans for any of the following 3-6 months after the layoff? (Check any that apply)

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* 10. Are you currently enrolled in any education or training program?

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* 11. Do you have an updated resume prepared?

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* 12. Are you interested in retraining or upgrading your skills?

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* 13. If yes, please indicate the education and training information you would be interested in having.

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* 14. Are you willing to commute or relocate to a new job?

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* 15. If yes, how far:

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* 16. What are your hourly wage requirements (complete one)?

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* 17. Do you plan to make use of the action centre?

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* 18. Your Education and TrainingWhat is the highest level of education completed?

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* 19. Please check the boxes to describe your English skills

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* 20. Please check the boxes to describe your Math skills

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* 21. Please check boxes below to describe your present computer skills in each area.

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* 22. Please indicate any supports that would be of interest to you:

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* 23. Do you identify as having barriers which may impact your search for new employment (select all that apply):

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* 24. Thank you for completing this questionnaire. We would value any additional comments or suggestions you may have.Additional Comments and Suggestions:

* 5. Please list any language other than English in which you are fluent.
What language?

* 6. Work Profile
Your workplace position:

* 9. Action Centre Feedback
Do you have plans for any of the following 3-6 months after the layoff? (Check any that apply)

* 18. Your Education and Training
What is the highest level of education completed?

* 24. Thank you for completing this questionnaire. We would value any additional comments or suggestions you may have.
Additional Comments and Suggestions: