A partnership between the New York City Central Labor Council and the Center for Advanced Study in Education, City University of New York, New York, planned, conducted, and evaluated a worker literacy program for health care paraprofessionals who prepared for college as a step towards career advancement. The program featured close involvement of labor unions; reading, writing, and math instruction contextualized in health care; and educational counseling. The program provided 168 hours of instruction. A high school diploma or equivalency was required for entry. Characteristics of the typical participant were as follows: low income; female; minority ethnicity; English as a native language; single head of household with family responsibilities; attended 12th grade but did not graduate from high school; and had high school equivalency. Of the 153 participants (nurses' aides, home health aides, and other paraprofessionals), 60 percent attended up to 126 hours and 47 percent completed the 168 hours. Noncompletion appeared to be most closely related to personal problems. Two methods of literacy assessment were used--project-developed tests and teacher ratings. Both methods revealed pre-post literacy gain. A follow-up study showed that 62 of a sample of 96 participants had been accepted to college; 23 of the rest planned to apply. (Appendices include the following: formative evaluation reports, recruitment flier, initial literacy assessment measure, teacher rating scale, information survey, follow-up surveys, counseling forms, and announcement of related curriculum. A brief performance report is also provided.) (Author/NLA)