35 King St. E., Suite 7 (Main Floor) Hamilton, ON, L8N 4A9 Ph: 905-527-2222 Fx: 905-527-2166 email@abea.on.ca
Assessment Referral Form
Please note that we are closed for the holidays from December 23rd to January 8th.
Agency please select your program ArcelorMittal Essential Skills Program Ontario Works Ontario Works - EES Hamilton Steelworkers Area Council Adjustment Committee PATH Employment Services VPI Goodwill - Employment Service Goodwill-Workbound Employment Hamilton Mohawk College SISO Wesley Urban Ministries YMCA Living Rock NOTE: If you do not have an active contract or agreement for assessment services with the ABEA, please call first to determine referral eligibility. Contact Person Contact Phone Contact Email Required Agency Fax Service Type ABEA to select after client screening Educational Essential Skills Assessment (EESA) - Please choose 1:1 Group Change to 1:1 if needed Please note - group session only available with 4 or more clients Pre-GED test (PGED) Learning Challenges Assessment Tool (LCAT) Info/Referral
I agree that ABEA can change an EESA to an LCAT without further approval if needed Client Name Client Phone
Last Grade Completed In Canada (Y/N)?
If English as a Second/Additional Language, current (within the past 6 months) Speaking and Listening CLB Level
Client Goals/Comments
Note: If needed print off a copy before submitting.
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