Clark County Circles™
Ally Interest Survey
1) Summarize skills, qualifications, and or training you have acquired from employment, education, life experience or through activities, including hobbies or sports.
2) List community/social/faith-based groups you are involved with that you may be able to share with a participant.
What about being an Ally is of interest to you?
What would you like a Circle Leader to know about you before being matched?
What behaviors do you find most frustrating in people?
I would be really good at:
I would not be so good at:
Have you ever been convicted of a crime?
Yes: No:
If yes, please explain:
As a volunteer of Think Tank I understand that I must ensure the confidentiality and privacy of the participants we serve. I further understand that even the fact an individual is served by Think Tank must be kept private and confidential, and at no time shall I disclose this or any other information.
Signature:
Date:
Survey form creation donated by VirginiaDesignsForYou.com
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