Skills Assessment Form

Skills Assessment Form

Work Days!

Skills Evaluation

Skills Assessment Form

Welcome to the Loving Lewis County Skills Assessment Form! This form helps us determine the best fit for you, reach out to lovinglewiscounty@gmail.com with questions.
Your Information!
Full Name*

First NameLast Name
Age*
Male or Female
Phone Number*
Email
example@example.com
Church Affiliation*
Pastor*
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Relation to you*
Personal Health Concerns
Any Additional Concerns
Work Days!

Our desire is to make this experience challenging and pleasurable for you. You may request working with others that you already know or have relationships with. We may not be able to accommodate all wishes. Families will be scheduled together if possible, to accommodate transportation. We would ask that you be willing to work with people that are new to you. Our goal is to promote unity and purpose in our work, thus presenting a positive Christian witness in our community.
What days are you available?*

Monday whole dayMonday AM onlyMonday PM onlyTuesday whole dayTuesday AM onlyTuesday PM onlyWednesday whole dayWednesday AM onlyWednesday PM onlyThursday whole dayThursday AM onlyThursday PM onlyFriday whole dayFriday AM onlyFriday PM only
Name(s) & Age(s) of Family Member(s) you would like to work with (please note that each family member must fill out their own skills assessment form)
Skills Evaluation

Please answer with a self evaluation number as to your skill level and an L if you can lead a group of workers in the given area.

Skills Evaluation*

Answer only if you are an experienced contractor.

	1	2	3	4	5	L
Roofing Repairs
Basic Framing and Porch Construction
Finish Carpentry
Sheet Rocking, Mudding, and Finishing
Flooring Installation
Foundation and Masonry Work
Plumbing
Heating
Electrical

Additional Comments
What size t-shirt do you wear? Please email lovinglewiscounty@gmail.com if looking to buy more than one t-shirt.*
Should be Empty:

Interior & Exterior Painting

Indoor Cleaning

Wood Processing

Window Repair & Painting