Disaster Response Ability Survey

 

 

Below are examples of skills. Please check next to skills that you have. If you are a professional, or licensed in a particular skill, please also check "P" and/or "L".

 

 

Please select the most desirable months of the year to serve as a volunteer:

 Jan  Feb  Mar  Apr  May  Jun  Jul  Aug  Sep  Oct  Nov  Dec

 

Please select the most convenient days for you to serve as a volunteer:

 Mon  Tue  Wed  Thu  Fri  Sat  Sun

 

Would you prefer to serve (check all that apply):

 

 

Please list any foreign languages that you are fluent in:

 

Do you have any physical limitations?

 

Please indicate whether you would like to be informed of future trainings for Volunteer in Missions or Disaster Response.

 

List other skills, passions or learnings you would be willing to share. There are always lots of needs at any disaster, and the ability to listen to people's stories and honestly care about them is usually one of the biggest. There are always needs for cooks, clean up crews, and people to be available to transport people, run errands, and all kinds of miscellaneous needs besides technical skills. What else would you like us to know about you and what things would you be willing to do?

 

List equipment or tools you own or have access to that you would be willing to use on a limited basis for disaster response or VIM activities. (Examples: chainsaw, backhoe, skid loader, flat bed trailer, stock trailer, four wheeler, pickup truck, farm truck, dump truck, heavy equipment, farm fencing tools, pressure washer, generator, portable welder, air tools, others.) Please also list and include the distance you would be willing to travel.

Do you have an RV (recreational vehicle) to be available for on site housing for workers? Yes No (This is a huge need during any disaster response activity, for possible meal preparation, shower/bath facility, or even as a command post.)

 

Previous disaster response experiences:

Previous experiences with VIM trips or projects: