INTERESTS/SKILLS SURVEY
MAIL COMPLETED SURVEY TO:
Walworth
NAME _______________________________________________________________________________
MAILING ADDRESS ___________________________________________________________________
CITY, STATE, ZIP CODE _______________________________________________________________
TELEPHONE(HOME) __________________________Best time to call __________________________
TELEPHONE (WORK) _________________________________________________________________
E-MAIL ADDRESS ____________________________________________________________________
OCCUPATION OR NAME OF SCHOOL IF STUDENT _______________________________________
(If under 18 yrs old, please check here - ____ )
CHURCH AFFILIATION _______________________________________________________________
ORGANIZATIONAL OR CIVIC AFFILIATIONS ____________________________________________
If you would you like Habitat to make a presentation to your church or organization, please check here ____
Check if you would be willing to serve on the board of directors or one of the listed committees:
_____ Board of
Directors _____
Family Selection Committee ______
Public Relations Committee
_____ Building
Committee _____
Family Support Committee ______
Safety Committee
_____ Church
Relations Committee _____
Fundraising Committee ______
Site Selection Committee
Check area(s) where you are skilled or would like to
volunteer. Indicate your skill level next to checked items:
1
= highly skilled 2 =
semi-skilled 3 =
unskilled Ex: (x)_3__Drywall
( )___Art work
( )___Bookkeeping
( )___Cooking for
workdays or events
( )___Data entry
( )___Filing
( )___Fundraising
events
( )___Grant writing
( )___Legal work
(purchase, deed, title work)
( )___Mailings
( )___Music for
Habitat special event
( )___Newsletter
( )___Photography
( )___Public relations
( )___Public speaking
( )___Spanish
translation
( )___Telephone
( )___Typing
( )___Volunteer
management
( )___Concrete framing
( )___Crew leader
( )___Drywall
( )___Electrical
( )___Finish carpentry
( )___Foundation
preparation
( )___Framing
( )___Heating and AC
( )___House leader
( )___Insulation
( )___Landscaping
( )___Painting
( )___Plumbing
( )___Roofing
( )___Siding
( )___Site preparation
( )___Other __________________________