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Unifor (Durham regional) Action (POWER) Centre
1.
First Name
2.
Last Name
3.
Telephone
4.
Personal Email Address
5.
Address
6.
Age
Under 30
30 - 39
40 - 49
50 +
7.
Gender Identity
8.
Please list any languages other than English in which you are fluent
9.
Your Workplace Position
Production Technician
Forklift driver
Picker/ Repack
Quality Control Tech
Body repair
Painter
EV Battery Technician
Shipping Receiving
Material Handler
Clerical
Skilled Trade
Team Leader
Janitor
Set Up
Maintenance
Other (please specify)
10.
How long were you employed with this employer?
Less than 5 years
5-10 years
10-15 years
15- 20 years
20-25 years
More than 25 years
11.
How urgent is it for you to find employment
Immediatly
Within 3 months
Within 6 months
No hurry
I Have a Part-time job
I have a Full-time job
I am in School
I retired
12.
Do you have plans for any of the following in the next 3 to 6 months?
Retraining
Looking for work
Retiring
Job already arranged
Retiring
Relocating
Other (please specify)
13.
Are you currently enrolled in any education or training program?
Yes
No
14.
Do you have an updated resume prepared?
Yes
No
Other (please specify)
15.
Are you interested in retraining or upgrading your skills?
Yes
No
16.
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, and 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
CPR/First Aid
Smart Serve
Upskilling (including obtaining work in the EV or Energy sector)
Other (please specify)
17.
Are you willing to commute or relocate to a new job?
Yes
No
18.
If yes, how far?
Within the Durham region
Within Ontario
Anywhere there is a good paying job
19.
What are your hourly wage requirements (complete one)?
$25 -$30
$30 - $35
$35 - $40
Over $40
20.
Do you plan to make use of the POWER centre?
Yes
No
21.
What is the highest level of education you have completed?
Some High School
Graduated High School
1 year of college
2 years of college
3 years of college
Graduated from college
Some graduate school
Trade School
Completed graduate school
22.
Please check the boxes to describe your English skills
Poor
I get by
Good
Very Good
Proficient
Speak
Read
Write
23.
How would you rate your math skills
1 star
2 stars
3 stars
4 stars
5 stars
24.
Please Check boxes to describe your computer skills
Excellent - I can handle any task
Ok - I get By
I need direction and guidance when doing a task
I do not even know what these are
I do not own a computer or tablet
Microsoft Word
Excellent - I can handle any task
Ok - I get By
I need direction and guidance when doing a task
I do not even know what these are
I do not own a computer or tablet
Emails
Excellent - I can handle any task
Ok - I get By
I need direction and guidance when doing a task
I do not even know what these are
I do not own a computer or tablet
Power Point (Slide Deck)
Excellent - I can handle any task
Ok - I get By
I need direction and guidance when doing a task
I do not even know what these are
I do not own a computer or tablet
Spread Sheets (Excel)
Excellent - I can handle any task
Ok - I get By
I need direction and guidance when doing a task
I do not even know what these are
I do not own a computer or tablet
25.
Please indicate any supports that would be of interest to you:
Resume preparation workshop
Job search workshop
Job interview workshop
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
Social events and meetings to stay connected with co-workers
Computer Basic Skills Training
Public Speaking
Other (please specify)
26.
Thank you for completing this questionnaire. We would value any additional comments or suggestions you may have.