Mission Outreach Group Skill Survey form

Mission Outreach - Group Skill/Interest Sheet

GROUP SKILL/INTEREST SHEET

# in Group

# of Adults

# of youth 15-17 years old

# of youth 12-14 years old

# of youth under age 12

Provide details about your team's experience/skills and any other relevant information.

Identify your skilled/experience leaders and indicate if there is someone other than the group contact who our Project Coordinator should call/email about projects (including contact information).

Please list all skilled individuals (plumbers, electricians, etc.) here:

Past mission experiences at Hinton Center.

Past mission experiences at other mission settings.

Do you have preferences of types of work you would like to complete? (Please note: there is no guarantee your group will be given these types of projects, but it helps us better prepare. We try to match skills, preferences and needs of our community as best we are able.)

Please indicate any physical limitations or conditions that you think we should know about which may prohibit group members from participation in any of the above work (severe bee sting allergies, fear of high ladders, etc):

Please list anything else that might be helpful for us to know:

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HINTON RURAL LIFE CENTER

Mission Outreach Group Skill Survey form

GROUP SKILL/INTEREST SHEET

Identify your skilled/experience leaders and indicate if there is someone other than the group contact who our Project Coordinator should call/email about projects (including contact information).

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