Learner Application Form LASSA

ELTOC offers small group classes once a week with a volunteer tutor. Each class is 2 hours. We can only offer service to CLB 4 and lower.

Our services are for learning English and we can not guarantee correspondence in French. Please select your preferred language: *

English
French

I am over 18. *

Yes

I live in the province of Ontario *

Yes
No

Immigration Status *

Permanent Resident of Canada (You will need to show proof before starting a class.)
Convention Refugee
Refugee Claimant
Other

If you chose "Other immigration status" please specify: *

I did my CLB test *

Yes
No

My CLB level is:

Name *

First

Last

Gender Identity *

Female
Male
Prefer not to answer or Other

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone *

Name and Phone number of English-speaking contact (if applicable)

Country of origin *

First language *

How many years did you go to school? *

0
1-6
7-12
13+

I heard about ELTOC through: *

Are you looking for a job? *

Yes
No

If you are looking for a job, would you like to talk to someone from LASSA who can help?

Yes
No

Would you like someone from LASSA to help you with government forms / paperwork? *

Yes
No

I agree to give English Language Tutoring for the Ottawa Community (ELTOC) consent to report my participation in their small group program to Immigration, Refugees and Citizenship Canada for reporting purposes. *

Yes
No