ESL Intake Swahili

KUCHUKUA KIINGEREZA CHA ESL

TAFADHALI ANDIKA MAJIBU YAKO KWA HERUFI ZA KIRUMI

Step 1 of 4

25%

FY2024 Intake

Umepedezwa na masomo yapi ya ESL? | Which ESL class are you interested in?(Required)

Masomo ya Mtandaoni ya asubu? | Online Morning

Masomo ya Mtandaoni ya jioni? | Online Evening

Masomo ya jumamosi (siku ya sita) mtandaoni? | Online Saturday morning

Masomo ya ana kwa ana asubuhi darasani? | In-Person Morning

Masomo ya maandalizi ya huduma ya hafya (mtandaoni) | Healthcare Career Preparation

Masomo ya utayari wa kazi (mtandaoni) | Job Readiness Class

Wewe ni mkimbizi mpya/ muhamiaji aliye timiza siku therasini (30)? | Are you a new refugee / immigrant who arrived in the US in the last 30 days?(Required)

Niyo | Yes

Hapana | No

Kama wewe ni mkimbizi mpya/ muhamiaji aliye timiza siku therasini (30) tafadhali orodhesha jina la meneja wa kesi yako | If you are a new refugee/ immigrant who arrived in the last 30 days, please list your Case Manager's name

Jina | Name

Jina la Kwanza | First Name(Required)

Jina la Kati | Middle Name

Jina la mwisho | Last Name(Required)

Anuani | Address

Anuani ya mtaa | Street address(Required)

Mstari wa anuani ya mtaa | Address line 2

Mji | City(Required)

Mkoa | State(Required)

Namba ya Posta | Zip Code(Required)

Kata | County

Habari za mtu binafsi | Personal information

Namba za simu | Phone(Required)

Wasapu | WhatsApp number(Required)

Barua pepe | Email

Tarehe Kuzaliwa | Date of birth(Required)

MM slash DD slash YYYY

mm/dd/yyyy

Je, wewe ni mwanafunzi mpya? | Are you a new student?(Required)

Ndio | Yes

Hapana | No

Umesikiaje kuhusu mpango wetu? | How did you hear about our program?(Required)

World Relief

Shirika ya jamii | Community Organization

Grupu la facebook | Facebook Group

Mtandaoni/Mitandao ya kijamii | Internet/Social media

Vipeperushi | Flyer

Rafiki au jamaa | Friend or Relative

Moja miongoni mwa wanafunzi | One of the current students

Ujumbe wa kawaida | Text message

Mwajiri | Employer

Nyingine | Other

Je, wewe ni mteja wa World Relief ? | Are you a World Relief client?(Required)

Ndio | Yes

Hapana | No

Je, umetumwa kutoka WIOA Core Partner au One-stop? | Are you a referral from a WIOA Partner or One-Stop?

Ndio | Yes

Hapana | No

WIOA inasimamia Sheria ya Ubunifu na Fursa ya Wafanyakazi ambayo imeundwa kusaidia wanaotafuta kazi kupata ajira, elimu, mafunzo, na huduma za usaidizi ili kufaulu katika soko la ajira. | WIOA stands for the Workforce Innovation and Opportunity Act which is designed to help job seekers access employment, education, training, and support services to succeed in the labor market.

Kama ndio, jina la WIOA Partner/one-stop | Name of referring WIOA Partner/One-stop

WIOA stands for the Workforce Innovation and Opportunity Act which is designed to help job seekers access employment, education, training, and support services to succeed in the labor market.

Nchi kuzaliwa | What is your birth country?(Required)

Tarehe kufika Marekani | What is your date of arrival to the United States?(Required)

Unaongea lugha tofauti gani? | What languages do you speak?(Required)

Jinsia | Gender(Required)

Msichana | Female

Mvulana | Male

I prefer not to disclose it

Hali ya Ndoa | Marital Status(Required)

Peke | Single

Ndoa | Married

Talaka | Divorced

Mjane | Widowed

Haijulikani | Unknown

Namba mbili za Dharura | Emergency Contacts

1. Jina | Name(Required)

Jina la kwanza Jina la mwisho

1. Simu | Phone(Required)

Je, wewe ni Hispanic au Latino? (Ama, ya nchi ya Spain?) | Are you Hispanic or Latino(a)? Or are you of Spanish origin?(Required)

Ndio | Yes

Hapana | No

Je, unatoka kwa makundi ya raia moja au zaidi? Chagua yote yanayotumika | Please identify your primary racial/ethnic group. Select one.(Required)

Asian | Asian

Mweusi/Wa Afrika | Black/African-American

Mweupe | White

Hispanic au Latino? | Hispanic/Latino(a)

Kabila ya Marekani au Alaska | American Indian or Alaska Native

Kabila la Kihawai au kisiwa kingine cha kisiwa cha pacific | Native Hawaiian or Other Pacific Islander

Aina ya shule | School Type(Required)

Umesoma miaka mingapi? | Number of school years completed(Required)

Hukusoma | No schooling

Darasa 1 | Grade 1

Darasa 2 | Grade 2

Darasa 3 | Grade 3

Darasa 4 | Grade 4

Darasa 5 | Grade 5

Darasa 6 | Grade 6

Darasa 7 | Grade 7

Darasa 8 | Grade 8

Darasa 9 | Grade 9

Darasa 10 | Grade 10

Darasa 11 | Grade 11

Darasa 12 | Grade 12

Diploma ya Sekondari au Inayolingana | HS Diploma or Alternative Credential

GED/Shahada ya Kumaliza Sekondari | GED/High School Equivalency Certificate

Umeingia chuo kikuu lakini hapana shahad | Some college, no degree

Umemaliza chuo kikuu | College/Professional Degree

Haijulikani | Unknown

Je! una diploma ya shule ya upili ya Amerika au digrii inayolingana nayo? | Do you have a US high school diploma or equivalent degree?(Required)

Je, uko shule ya upili sasa? | Are you in high school now?(Required)

Unafanya kazi? | Are you working now?(Required)

Ndio | Yes (employed)

Hapana lakini nahitaji kazi | No, but I want a job (unemployed)

Hapana ,Siwezi fanya kazi | No, I can't work (not in the labor force)

Ndio ,lakini nilipata barua ya kusimamisha au kuacha jeshi | Yes, but received notice of termination or military separation

Wewe hufanya kazi kwa masaa mangapi kwa wiki?) | How many hours per week do you work?(Required)

Unaulemavu? | Do you have a disability?

Unapata kadi ya chakula au aina yoyote ya misaada ya umma | Do you get food stamps, medical insurance, or any other form of public assistance?(Required)

Ndio | Yes

Hapana | No

Vipingamizi vya kufanya kazi | Barriers to Employment (please check all that apply)(Required)

Mwanafunzi ya Kiingerezai, Viwango vya chini vya Kusoma, Vikwazo vya Utamaduni) | English Language Learner, Low Literacy Levels, Cultural Barriers

Mapato ya chini | Low Income

Mzazi peke | Single Parent

Wahamiaji nyumbani | Displaced Homemaker

Mtu mwenye ulemavu | Individual with a disability

Mda murefu bila kazi | Long-term Unemployment

Vijana katika Huduma ya Foster / Mzee nje ya mfumo) | Youth in foster care, aged out of system

Kuchochea TANF ndani ya miaka miwili | Exhausting TANF within 2 years

Wahamiaji na Mkulima wa Msimu | Migrant and Seasonal Farm worker

Mtu hana nyumba au Kijana wanaopotea | Homeless person or runaway youth

Umetoka jeli | Ex-offender

Una lengo gani la msingi kwenye masomo yako ya kiingereza? | What is your primary goal for English class?(Required)

Kupata kazi/ kazi yenye kulipa vizuri | Get a job/better paid job

Kuboresha kazi ya sasa | Improve current job

Kupata GED/ masomo ya sekondari | Earn GED/secondary education

Kuwa tayari kwenye masomo ya uraia | Get ready for citizenship test

Kuwasaidiya watoto kwenye kazi zao za shule nyumbani | Help children with school work

Ujuzi wa mawasiliano usiohusiana na ajira, k.m. kujaza fomu, kusoma ishara katika jamii, kufanya miadi ya matibabu, nk | Community skills not related to employment (e.g. fill out forms, read signs in the community, make medical appointments, etc.)

Other

Chagua mojawapo ya vikundi 16 vya taaluma vilivyoainiahwa hapa chini kama taaluma unazotarajia kufuata | Select one of the 16 Career Clusters identified below as the career that you intend to follow:

Taarifa kuhusu matumizi ya teknolojia | Information about technology use

Je! Ungependa kuazima kifaa chochote kutoka WORLD RELIEF cha kutumia darasani? (Tunazo Machrobook, Ipad, na Mtandao wa HOTSPOT) | Are you interested in borrowing a device from World Relief to use in class (we have Chromebooks, iPads and Internet hotspots)?

Ndiyo | Yes

Hapana | No

World Relief ina huduma ndigo ya usafiri inayopatikana kwa wanafunzi ambao hawawezi kupata usafiri wao wenyewe. Unahitaji usaidizi wa usafiri ili kuhudhuria darasa la mtu binafsi? | World Relief has limited transportation services available for students who don't have access to their own transportation. Are you in need of transportation assistance to attend in person class?

Ndiyo | Yes

Hapana | No

Sahihi ya Elektroniki | Electronic Signature(Required)

Nathibitisha kuwa ni mimi niliyejaza fomu hii | I certify that I am the person who filled out this form

Jina | Name(Required)

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