Adult Education Survey - Confidential

Fill out a survey for a chance to win a $500, $250, $100, $50 or $25 gift card!

Are you over 18 years of age and living on the MCFN reserve? If so, we want to hear from you!

We are asking that you provide some basic information to us which will guide the Department of Lifelong Learning in education initiatives for our members.

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1. What is your first and last name?

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2. What is your date of birth?

Birth Date

Date

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3. What is your phone number?

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4. What is your email address?

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5. Do you live on the Mississauga Credit First Nation Territory?

Yes

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6. Do you have an Ontario Secondary School Diploma (OSSD) or Equivalent?

Yes

GED

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7. If you do not have an Ontario Secondary School Diploma, how many credits do you require?

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8. Have you collected Maturity Credits in the past?

Yes

If yes, how many?

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9. Are you willing to obtain a GED?

Yes

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10. Highest level of education completed?

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11. Since 2020, have you begun Post Secondary courses and dropped out due to Covid-19?

Yes

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12. List courses, programs, workshops or classes you’ve completed:

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13. List educational or work experience (Ex: Co-ops, Internships, Apprenticeships)

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14. List Certifications and/or Licenses (Ex: Fork Lift, First Aid, WHMIS, etc.)

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15. List Degrees and Diplomas.

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16. Are you currently enrolled in classes/programs?

Yes

If Yes, What are they?

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17. What occupation/career path would you favor regarding skills and interests?

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18. What would you consider to be your strengths?

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19. What areas do you need to work on?

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20. Do you have access to an internet connection?

Yes

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21. Do you own a laptop, tablet, or desktop computer?

Yes

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22. Do you own a vehicle?

Yes

Yes, I own a car and it is insured

I own a car, but it is not insured

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23. Do you have a driver's license?

Yes

If yes, what level? (G1, G2, G)

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24. Do you have dependants?

Yes

My dependants are under age 18

My dependants are over the age of 18

Adult Education Survey - Confidential

Fill out a survey for a chance to win a $500, $250, $100, $50 or $25 gift card!

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* 1. What is your first and last name?

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* 2. What is your date of birth?

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. Do you live on the Mississauga Credit First Nation Territory?

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* 6. Do you have an Ontario Secondary School Diploma (OSSD) or Equivalent?

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* 7. If you do not have an Ontario Secondary School Diploma, how many credits do you require?

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* 8. Have you collected Maturity Credits in the past?

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* 9. Are you willing to obtain a GED?

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* 10. Highest level of education completed?

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* 11. Since 2020, have you begun Post Secondary courses and dropped out due to Covid-19?

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* 12. List courses, programs, workshops or classes you’ve completed:

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* 13. List educational or work experience (Ex: Co-ops, Internships, Apprenticeships)

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* 14. List Certifications and/or Licenses (Ex: Fork Lift, First Aid, WHMIS, etc.)

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* 15. List Degrees and Diplomas.

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* 16. Are you currently enrolled in classes/programs?

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* 17. What occupation/career path would you favor regarding skills and interests?

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* 18. What would you consider to be your strengths?

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* 19. What areas do you need to work on?

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* 20. Do you have access to an internet connection?

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* 21. Do you own a laptop, tablet, or desktop computer?

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* 22. Do you own a vehicle?

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* 23. Do you have a driver's license?

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* 24. Do you have dependants?

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* 25. What are concerns/barriers you have about continuing education? (Ex. Child care, stigma, finances)

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* 26. How could the Department of Lifelong Learning support you to complete your OSSD?

1. What is your first and last name?

2. What is your date of birth?

3. What is your phone number?

4. What is your email address?

5. Do you live on the Mississauga Credit First Nation Territory?

6. Do you have an Ontario Secondary School Diploma (OSSD) or Equivalent?

7. If you do not have an Ontario Secondary School Diploma, how many credits do you require?

8. Have you collected Maturity Credits in the past?

9. Are you willing to obtain a GED?

10. Highest level of education completed?

11. Since 2020, have you begun Post Secondary courses and dropped out due to Covid-19?

12. List courses, programs, workshops or classes you’ve completed:

13. List educational or work experience (Ex: Co-ops, Internships, Apprenticeships)

14. List Certifications and/or Licenses (Ex: Fork Lift, First Aid, WHMIS, etc.)

15. List Degrees and Diplomas.

16. Are you currently enrolled in classes/programs?

17. What occupation/career path would you favor regarding skills and interests?

18. What would you consider to be your strengths?

19. What areas do you need to work on?

20. Do you have access to an internet connection?

21. Do you own a laptop, tablet, or desktop computer?

22. Do you own a vehicle?

23. Do you have a driver's license?

24. Do you have dependants?

25. What are concerns/barriers you have about continuing education? (Ex. Child care, stigma, finances)

26. How could the Department of Lifelong Learning support you to complete your OSSD?