CNIB Deafblind Community Services: Skills Development Intake Form

Welcome to DBCS's Skills Development program, offering inclusive instruction for blind, Deafblind, and low vision adults in Ontario. Our one-on-one or small group settings cater to a range of learning goals, including those relating to employment, apprenticeship, post-secondary education, secondary school credits, and everyday skills for increased independence.
 

Personal Information
Contact Information
One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
You may list more than one method of communication. (Voice, large print notes, American Sign Language (ASL), lip reading, tactile ASL, two-hand manual, etc.)
Address
Alternative Contact

You may wish to provide an alternative contact to assist with facilitating communication (i.e., a family member, friend, or intervenor). If so, please provide their contact details here

What skills are you interested in improving on? (Select all that apply)
Examples of learning goals:

  • Reading and understanding documents, medication labels, mail, recipes, etc.
Examples of learning goals:

  • Feeling confident filling out forms, creating documents, making lists, or writing resumes and cover letters.
  • Improving communication skills for interviews, presentations, and everyday conversations with friends, family, and community members.
Examples of learning goals:

  • Boosting confidence and understanding of numbers in daily life.
  • Comparing prices in store flyers, calculating tax and tip at a restaurant, creating a budget.
Examples of learning goals:

  • Creating documents, browsing and shopping online, using social media.
  • Using features on a smartphone or tablet: connecting Bluetooth hearing aids/headphones/speakers, using Siri/Google, VoiceOver/TalkBack, Magnifier.
  • Using phone apps like text messaging, FaceTime, Seeing AI, Glide, Audiobooks, and more.
  • Using accessibility software on a computer or laptop: JAWS, ZoomText, Magnifier, Narrator, NVDA, etc.
Examples of learning goals:

  • Setting goals, managing time, organizing schedules, and problem-solving.
Examples of learning goals:

  • Resolving conflicts, working in teams, effective communication, and active listening.

Please note: You may choose to submit an ASL video, voice recording or text file with your name, contact information and information about your learning goals to infoweb@deafblindservices.ca.

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