LaGuardia Community College in Queens, New York has implemented several Integrated Basic Education and Skills Training (I-BEST) programs to provide vocational training opportunities for diverse groups of students. The programs integrate basic skills instruction such as English language learning with occupational skills training, reducing the time for students to earn credentials. Some of the I-BEST programs at LaGuardia include training for emergency medical technicians, practical nurses, medical office staff, and central sterile technicians. These programs have achieved high rates of course completion and certification exam passage. However, they also face challenges in areas like funding, interdepartmental cooperation, and changing perceptions about adult learners' abilities.