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Community Resource Network Database
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Vocation/Profession
Church, Organization, Business or School Affiliated with:
*
AGE GROUPS
Select Age Groups Most Interested in Serving
1-5
6-12
13-18
18-30
30-55
Seniors
Myers/Briggs Type (if you know it)
GIFTS AND ASSETS ASSESSMENT
Remember, every question concerns gifts and assets that you would be willing to share with others. If you are not interested in sharing a specific skill with others, leave that field blank.
EDUCATION
What basic skills or interests do you have in education that you could share with others?
Subjects you can help others with...
Reading
Math
Science
Other
Music
Instruments
Singing
Other
Languages
Spanish
Other
If you selected Other in any of the categories above, please list them here.
Arts
Video
Photography
Dance/Theater Arts
Painting/Drawing
Sewing
Activity Planning
Adults
Teens
Other
Developmental Disabilities Support
Mental Disabilities
Physical Disabilities
Other
BUSINESS
These questions are related to basic work productivity skills.
Business Management
Yes
Office Skills
Filing/Sorting
Writing/Proofing
Bulk Mail/Stuffing
Budget Management
Yes
Job Skills Training
Job Interview Prep
Resume Prep
Computer/Tech Skills
Job Placement
I am in charge of hiring people
I would be willing to hire job training participants
I am well connected to business leaders
COMPUTER SKILLS
List any skills related to computers and technology.
Software Skills
Microsoft Word
Excel/Spreadsheets
Data Management
Computer Coding/Programming
Design Skills
Print Design
Video Production & Editing
Photography
Graphic Design
Web Development
Technology Donation & Repair
Can Donate Technology/Computers
Can Repair Technology/Computers
LABOR
These assets are focused on hands-on skills and abilities.
Handyman Skills
Construction
Home Projects
Painting
Electrical work
Other
Automobiles
Car Mechanics & Repair
Body Work
Other
Gardening
Landscaping
Yard Work (With Tools)
Planting or Growing
Other Areas of Service...
TRANSPORTATION
License Type
Class B
Class C
Other
Do you have a truck, van, or large vehicle for hauling items? If so, what type?
Transporting Others
Car (Up to 5 Seats)
Van (5+ Seats)
Bus (10+ Seats)
Access to Van(s) or Bus
ATHLETICS
Of the sports listed below, which ones could you engage & serve the community with?
Sports
Basketball
Football
Soccer
Volleyball
Baseball/Softball
Dance
Sports Equipment
I can donate equipment
CHURCH & DISCIPLESHIP
I can lead a bible study...
For Other Christians
For New Believers
For Children
Other
I can teach classes...
Spiritual Formation
Bible Studies
Leadership
Other
Lead a Youth Small Group
Middle School
High School
Lead Small Group for Adults
At Home
At Church
In the Community
Other
Worship
Singing
Instruments
Sound/Media
Other
Addiction & Counseling Support
Please list type of support you can provide
I can mentor...
Kids
Teens
Adults
Types of Mentoring
Faith
Life Skills
Marriage
Education
Business
Congregational Care
Provide support to church members who are experiencing a loss in the family, sick loved one, new parents, etc.
Cook & Deliver Meals
Buy & Deliver Groceries
Help with Funeral Receptions
Other areas of service...
COMMUNITY CARE
Community Care
Provide local support to those who are experiencing a loss in the family, sick loved one, new parents, etc.
Cook & Deliver Meals
Buy & Deliver Groceries
I would be willing to assist a family with:
A Gas Card
A Grocery Gift Card
Utilities
Diapers/formula
ADDITIONAL RESOURCES
FINAL ASSESSMENT
Is there anything else you'd like to share? Think about what things you own that could provide a special experience for others. Do you have knowledge about certain things that others might be interested in? Do you have hobbies not listed?
Other Hobbies/Skills
Land/Places available to others...
In the future I would like to be informed about:
180 Youth Center
Counseling Resource Center
Ministry House Program
