The guide describes a vocational English-as-a-Second-Language program for pre-employment training of Southeast Asians seeking work in entry-level health care jobs. The program was conducted in cooperation with a hospital in Massachusetts. The guide describes the program and its four instructional units in detail, and includes lesson plans, activities, worksheets, and tests for each unit. An introductory section outlines these program elements and characteristics: program design; student profile; classroom management techniques; hospital tours; job shadowing; employment of graduates; and instructional design. With each instructional unit is a description of its content, language objectives, job skill objectives, classroom procedures, and the hospital tours and demonstrations conducted for the students. The instructional unit topics were: introduction to health care (infection control, fire safety); food service; housekeeping; and finding a job in a health care facility. A form for participants' evaluation of the program is appended. (Contains 19 references.) (MSE) (Adjunct ERIC Clearinghouse on Literacy Education)