Christ Covenant Church

Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone ### - ### - ####
Work Phone ### - ### - ####
Email
Phone Number ### - ### - ####
How much lead-time would you need to get ready to participate in a project?
Interest/Experience
Would you be interested in assisting with a disaster relief project by our church?
(Check all that apply)
In this community? In Mecklenburg County? Within the Presbytery? In North Carolina? In the United States? Internationally?
Check the disaster ministries
that INTEREST you:
Advisory/advocacy Bulk distribution Caring for pets Casework Chainsaw crew/tree removal Child care Cleanup crew/debris removal Clerical assistant Communications (including ham radios) Computers Counseling Damage assessment Driver Elderly care Employment assistance Evacuation of persons General handyman Housing coordinator Interpreter/translator (include info below) Legal aid Meal preparation Medical emergency team Prayer team coordinator Procurement Reconstruction team Repair (emergency) Resources/logistics Safety Salvage Sanitation Security Shelter management/care Site manager Special needs care Transportation Other (include info below)
Check the areas where you
are EXPERIENCED:
Advisory/advocacy Bulk distribution Caring for pets Casework Chainsaw crew/tree removal Child care Cleanup crew/debris removal Clerical assistant Communications (including ham radios) Computers Counseling Damage assessment Driver Elderly care Employment assistance Evacuation of persons General handyman Housing coordinator Interpreter/translator (include info below) Legal aid Meal preparation Medical emergency team Prayer team coordinator Procurement Reconstruction team Repair (emergency) Resources/logistics Safety Salvage Sanitation Security Shelter management/care Site manager Special needs care Transportation Other (include info below)
Additional Interest, Experience, or Comments:
Training
Check if you have SPECIALIZED TRAINING in the following (please add comments below):
Advanced first aid and CPR Bricklayer Carpentry Chaplain Crisis counseling Disaster relief Dry walling/painter Electrician Emergency child care Evangelism General contractor Heavy equipment operator Mass feeding Nurse Paramedic Physician Plumbing Roofer Safety
Additional Training or Comments:
Do Not Fill This Out

Christ Covenant Church

Interest/Experience

Training