Coordinated Language Assessment and Referral System

Participant Information

Fields marked with a * are mandatory.

Family Name / Surname *

First / Given Names *

Contact number: *

Contact e-mail:

Please confirm if you do NOT have an e-mail: *

I do not have an e-mail

What is your status in Canada? *

Refugee Protection Claimant
Permanent Resident
Protected Person Status
Canadian Citizen
Provincial Nominee
CUAET
Other

Were you born in Canada? *

What kind of assistance are you interested in? *

Request an English Language Assessment

Date of birth *

Personal and Education Information

Fields marked with a * are mandatory.

What is your country of origin/birth? *

What is your mother tongue? *

Have you had a Canadian Language Benchmark assessment before? *

Sorry, you are not eligible for a language assessment.

If you selected 'Other' in the question above, please explain your status in Canada: *

Did you finish Primary or Elementary School? *

Did you finish Secondary or High School *

How many years did you attend school in total in your country of origin/birth? *

Select the city closest to you: *

Fort Erie
Niagara Falls
St. Catharines
Welland
Other

Assessment Information

Fields marked with a * are mandatory.

Would you prefer an online assessment or an in-person assessment? *

Online
In-Person

Do you have access to a computer or laptop and a reliable Wi-Fi connection? *

Access to a computer or laptop with a reliable Wi-Fi connection is required for Online Assessments. Please select the In-Person option if you do not have access to a reliable Wi-Fi Connection.

How comfortable are you using a computer? *

I am not comfortable
I feel a little comfortable
I feel comfortable
I feel very comfortable

Why do you want an assessment? *

Education
Employment
Daily Life
To apply for Citizenship
Other

If you selected 'Other' in the question above, please tell us why you require an assessment: *

Currently, there are long waitlists in Niagara region schools. The alternative would be Celpip test:https://www.celpip.ca/celpip-general-ls/.

Which City do you live in? *

Which Province do you live in? *

Do you have any questions or other information for us?

You may also contact (289) 296-8400 or (905) 684-9622 for more help.

About CLARS

CLARS Language Assessment Centres provide English language assessments and referrals to classes for eligible immigrants who would like to improve their language skills. Completing a language assessment is the first step to accessing language classes in your community. Our certified language assessors will assess your reading, writing, listening and speaking skills using standardized tools and refer you to an ESL class that best suits your needs. Assessments may take 4 hours.

Acknowledgement *

I give permission for the YMCA of Niagara Employment and Immigrant Services to share relevant information over a phone call or via electronic messages. I understand that the YMCA of Niagara will not sell or rent my personal information to third parties for their use.

Consent to securely share personal information with training provider(s) *

In order for you to participate in English language training funded by Immigration, Refugees and Citizenship Canada (IRCC) or Ministry of Children, Community and Social Services (MCCSS), your Language Assessor at "YMCA of Niagara - Employment and Immigrant Services" will need to share your personal information with language training provider(s) you choose, through a secure database. This information will include your full name, date of birth, language assessment results and other information needed to provide you with service. Your information will also be shared with government databases for reporting. By submitting this form, you consent to having your personal information securely shared such that we are able to provide you this service. This consent is valid for 24 months after the completion of the assessment, and will not be used for any other purposes other than the assessment.

View acknowledgement and consent in: Arabic, Chinese (Mandarin), and Spanish.

English Language Assessment (CLARS)

Language Assessment Centre

Participant Information

Personal and Education Information

Assessment Information

About CLARS