xRV CAV DR Application April 2017

Thank you for committing to the RV CAV Disaster Response Team and taking the time to update our database. Please answer the questions as best you can. Whatever information you can share with us will help us find the best fit for your skills and talents.

Note: This application will take approximately 20 minutes to complete.

Question Title

1. Please provide your personal information.

Last Name:

First Name:

Middle Initial:

Preferred Name:

Email Address:

Address:

Address 2:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Care-A-Vanner rig type:

Tee Shirt Size

Question Title

2. What is your background with Habitat for Humanity besides the RV Care-A-Vanner (please check all that apply.)

Global Village Participant

Global Village Team Leader

Affiliate Board/Staff

Habitat for Humanity International Staff

Affiliate Volunteer (please specify which affiliate in Other box)

None

Other (please specify)

Question Title

3. Please list your experience with the RV CAV program.

Number of scheduled builds:

Number of team leads:

Question Title

4. Do you have construction experience outside of Habitat?

Yes

If yes, please specify.

Question Title

5. Do you have experience with your home affiliate?

Yes

If yes, please specify.

Question Title

6. Please list one personal and two professional references (may be fellow RV CAV.)

NAME

Telephone (include Country code for a non-US phone number)

Email Address

Nature of Relationship

Number of Years Known

NAME

Telephone (include Country code for a non-US phone number)

Email Address

Nature of Relationship

Number of Years Known

NAME

Telephone (include Country code for a non-US phone number)

Email Address

Nature of Relationship

Number of Years Known

Question Title

7. Please identify the level of expertise you currently possess in the Financial & Administrative skills listed below.

	Expert/Professional	Skilled	Some Skill	Trained with no Experience	No Experience or Training
Accounting	Accounting Expert/Professional	Accounting Skilled	Accounting Some Skill	Accounting Trained with no Experience	Accounting No Experience or Training
Financial Planning	Financial Planning Expert/Professional	Financial Planning Skilled	Financial Planning Some Skill	Financial Planning Trained with no Experience	Financial Planning No Experience or Training
Mortgage Management	Mortgage Management Expert/Professional	Mortgage Management Skilled	Mortgage Management Some Skill	Mortgage Management Trained with no Experience	Mortgage Management No Experience or Training
Auditing	Auditing Expert/Professional	Auditing Skilled	Auditing Some Skill	Auditing Trained with no Experience	Auditing No Experience or Training
Insurance	Insurance Expert/Professional	Insurance Skilled	Insurance Some Skill	Insurance Trained with no Experience	Insurance No Experience or Training
Computers and Technology	Computers and Technology Expert/Professional	Computers and Technology Skilled	Computers and Technology Some Skill	Computers and Technology Trained with no Experience	Computers and Technology No Experience or Training
General Administration	General Administration Expert/Professional	General Administration Skilled	General Administration Some Skill	General Administration Trained with no Experience	General Administration No Experience or Training
Database Creation and Management	Database Creation and Management Expert/Professional	Database Creation and Management Skilled	Database Creation and Management Some Skill	Database Creation and Management Trained with no Experience	Database Creation and Management No Experience or Training
Human Resources	Human Resources Expert/Professional	Human Resources Skilled	Human Resources Some Skill	Human Resources Trained with no Experience	Human Resources No Experience or Training
Legal Expertise	Legal Expertise Expert/Professional	Legal Expertise Skilled	Legal Expertise Some Skill	Legal Expertise Trained with no Experience	Legal Expertise No Experience or Training
Real Estate	Real Estate Expert/Professional	Real Estate Skilled	Real Estate Some Skill	Real Estate Trained with no Experience	Real Estate No Experience or Training

Other (please specify)

Question Title

8. Please identify the level of expertise you currently possess in the Leadership & Management skills listed below.

	Expert/Professional	Skilled	Some Skill	Training with no Experience	No Experience or Training
General Management	General Management Expert/Professional	General Management Skilled	General Management Some Skill	General Management Training with no Experience	General Management No Experience or Training
Project Design/Management	Project Design/Management Expert/Professional	Project Design/Management Skilled	Project Design/Management Some Skill	Project Design/Management Training with no Experience	Project Design/Management No Experience or Training
Training	Training Expert/Professional	Training Skilled	Training Some Skill	Training Training with no Experience	Training No Experience or Training
Team Leader	Team Leader Expert/Professional	Team Leader Skilled	Team Leader Some Skill	Team Leader Training with no Experience	Team Leader No Experience or Training
Capacity Building	Capacity Building Expert/Professional	Capacity Building Skilled	Capacity Building Some Skill	Capacity Building Training with no Experience	Capacity Building No Experience or Training
Strategic Planning	Strategic Planning Expert/Professional	Strategic Planning Skilled	Strategic Planning Some Skill	Strategic Planning Training with no Experience	Strategic Planning No Experience or Training
Logistics	Logistics Expert/Professional	Logistics Skilled	Logistics Some Skill	Logistics Training with no Experience	Logistics No Experience or Training
Communications/Public Relations	Communications/Public Relations Expert/Professional	Communications/Public Relations Skilled	Communications/Public Relations Some Skill	Communications/Public Relations Training with no Experience	Communications/Public Relations No Experience or Training
Mental Health	Mental Health Expert/Professional	Mental Health Skilled	Mental Health Some Skill	Mental Health Training with no Experience	Mental Health No Experience or Training

Other (please specify)

Question Title

9. Please identify the level of expertise you currently possess in the Construction & Development skills listed below.

	Expert/Professional	Skilled	Some Skill	Trained with no Experience	No Experience or Training
Land and Property Development	Land and Property Development Expert/Professional	Land and Property Development Skilled	Land and Property Development Some Skill	Land and Property Development Trained with no Experience	Land and Property Development No Experience or Training
Construction Site Management	Construction Site Management Expert/Professional	Construction Site Management Skilled	Construction Site Management Some Skill	Construction Site Management Trained with no Experience	Construction Site Management No Experience or Training
Warehouse Management	Warehouse Management Expert/Professional	Warehouse Management Skilled	Warehouse Management Some Skill	Warehouse Management Trained with no Experience	Warehouse Management No Experience or Training
Carpentry	Carpentry Expert/Professional	Carpentry Skilled	Carpentry Some Skill	Carpentry Trained with no Experience	Carpentry No Experience or Training
Masonry	Masonry Expert/Professional	Masonry Skilled	Masonry Some Skill	Masonry Trained with no Experience	Masonry No Experience or Training
Plumbing	Plumbing Expert/Professional	Plumbing Skilled	Plumbing Some Skill	Plumbing Trained with no Experience	Plumbing No Experience or Training
Electrical	Electrical Expert/Professional	Electrical Skilled	Electrical Some Skill	Electrical Trained with no Experience	Electrical No Experience or Training

Other (please specify)

Question Title

10. Please identify the level of expertise you currently possess in Other Disaster Response Experience.

	Expert/Professional	Skilled	Some Skill	Trained with no Experience	No Experience or Training
Red Cross	Red Cross Expert/Professional	Red Cross Skilled	Red Cross Some Skill	Red Cross Trained with no Experience	Red Cross No Experience or Training
Salvation Army	Salvation Army Expert/Professional	Salvation Army Skilled	Salvation Army Some Skill	Salvation Army Trained with no Experience	Salvation Army No Experience or Training
Church Organization	Church Organization Expert/Professional	Church Organization Skilled	Church Organization Some Skill	Church Organization Trained with no Experience	Church Organization No Experience or Training
RV CAV	RV CAV Expert/Professional	RV CAV Skilled	RV CAV Some Skill	RV CAV Trained with no Experience	RV CAV No Experience or Training

Other (please specify)

Question Title

11. Please identify the level of expertise you currently possess with Non-Profit Organizations.

	Expert/Professional	Skilled	Some Skill	Trained with no Experience	No Experience or Training
Board Development	Board Development Expert/Professional	Board Development Skilled	Board Development Some Skill	Board Development Trained with no Experience	Board Development No Experience or Training
Volunteer Recruitment and Coordination	Volunteer Recruitment and Coordination Expert/Professional	Volunteer Recruitment and Coordination Skilled	Volunteer Recruitment and Coordination Some Skill	Volunteer Recruitment and Coordination Trained with no Experience	Volunteer Recruitment and Coordination No Experience or Training
Community Partnership Development	Community Partnership Development Expert/Professional	Community Partnership Development Skilled	Community Partnership Development Some Skill	Community Partnership Development Trained with no Experience	Community Partnership Development No Experience or Training
Advocacy	Advocacy Expert/Professional	Advocacy Skilled	Advocacy Some Skill	Advocacy Trained with no Experience	Advocacy No Experience or Training
Church Relations	Church Relations Expert/Professional	Church Relations Skilled	Church Relations Some Skill	Church Relations Trained with no Experience	Church Relations No Experience or Training
Resource Development/Fundraising	Resource Development/Fundraising Expert/Professional	Resource Development/Fundraising Skilled	Resource Development/Fundraising Some Skill	Resource Development/Fundraising Trained with no Experience	Resource Development/Fundraising No Experience or Training
Grant Writing	Grant Writing Expert/Professional	Grant Writing Skilled	Grant Writing Some Skill	Grant Writing Trained with no Experience	Grant Writing No Experience or Training
Habitat Parner Family Services & Support	Habitat Parner Family Services & Support Expert/Professional	Habitat Parner Family Services & Support Skilled	Habitat Parner Family Services & Support Some Skill	Habitat Parner Family Services & Support Trained with no Experience	Habitat Parner Family Services & Support No Experience or Training
Construction Manager	Construction Manager Expert/Professional	Construction Manager Skilled	Construction Manager Some Skill	Construction Manager Trained with no Experience	Construction Manager No Experience or Training
Houseleader	Houseleader Expert/Professional	Houseleader Skilled	Houseleader Some Skill	Houseleader Trained with no Experience	Houseleader No Experience or Training

Other (please specify)

Question Title

12. Please list any licenses or certifications you hold that related to the areas of expertise identified in Questions 5 - 9.

Question Title

13. Please describe any community or volunteer work you've done that is relevant to the Disaster Response.

Question Title

14. Please identify any past job experience that is pertinent to doing Disaster Rebuild work.

Question Title

15. Are you fluent in any languages besides English?

Question Title

16. Please list any geographical preferences within the United States for Disaster Response deployment.

Question Title

17. What is the maximum amount of time you would be able to serve?

Two weeks

One month

Three months

Six months

One year

Question Title

18. Are there any health or dietary considerations that might affect your work or placement within the RV CAV Disaster Response?

Yes

If yes, please specify.

Question Title

19. In 100-300 words please tell us why you are interested in being a part of the RV CAV Disaster Response Team.

Question Title

20. Please share any additional information not covered in this form that will strengthen your application.

Thank you for taking the time to complete this survey. Optional: If available in an electronic format, please send your resume to mvandeveld@habitat.org.

Page1 / 1

100% of survey complete.