A RECA FOUNDATION PROGRAM
605 SOUTH OLYMPIA #74
KENNEWICK WA 99336
Ph 509.543.2910 MODEM 509.543.2900 http://www.tcfn.org
Introduction: Every single person has capacities, abilities and gifts. Living a good life depends on whether those capacities can be used, abilities expressed and gifts given. If they are, the person will be valued, feel powerful and well-connected to the people around them. And the community around the person will be more powerful because of the contribution the person is making. We are interested in your capacities, abilities and gifts. They may have been learned through experience in the home or with your family, or learned at work, at church or in the community.
CHECK ALL THOSE THAT APPLY Health/Nursing Care ____Caring for the Elderly ____Caring for the Mentally Ill ____Caring for the Sick ____Caring for the Physically Disabled or Developmentally Disabled ____Licensed (CNA, LPN, RN) ____Bathing/Feeding ____C.P.R. Trained ____Preparing Special Diets ____Exercising and Escorting ____Grooming ____Dressing ____Comforting/Visiting Beauty and Body Care ____Massage ____Manicurist ____Nail Technology ____Hair Dressing ____Hair Cutting ____Hair Perms ____Hair Coloring ____Exercise ____Weight Management ____Nutrition Construction ____Build House/Garage/Tool Shed ____Build stairs/Porch ____Painting ____Building Demolition ____Knocking Out Walls ____Wall Papering ____Installing Doors/Screen Doors ____Upgrading Kitchen/Bathroom ____Building Room Additions ____Installing Drywall & Taping ____Texturizing ____Bricklaying & Masonry ____Cabinetmaking ____Furniture Making ____Installing Insulation ____Plastering ____Blueprint Reading or Drawing ____Weatherization ____Soldering & Welding ____Concrete Work (Sidewalks, Driveways) ____Installing Floor Coverings, Tile, Vinyl, Carpets, etc. ____Heating/Cooling System Installation ____Putting on Siding ____Tuckpointing ____Installing Windows ____Building Swimming Pools ____Roofing Installation Maintenance ____Window Washing ____Floor Waxing or Mopping ____Washing and Cleaning Carpets/Rugs ____Routing Clogged Drains ____Using a Handtruck ____Caulking ____Cleaning Chimneys (chimney sweep) ____General Household Cleaning ____Fixing leaky Faucets ____Mowing Lawns, Pulling Weeds ____Planting & Caring for Gardens ____Pruning Trees & Shrubbery ____Cleaning/Maintaining Swimming Pools ____Floor Sanding or Stripping ____Wood Stripping/Refinishing ____Cleaning Rain Gutters Repair ____Repairing Installing Locks ____Regrouting Tile Work ____Plumbing Repairs ____Electrical Repairs ____Repairing Drywall, Stucco, etc. ____Repairing Chimneys ____Roofing Repair ____Repairing Heating/Cooling System ____Refurbishing/Reupholstering Furniture ____Repairing Radios, TVs,VCRs,Tape Players ____Repairing Small Appliances, Clocks, Toasters, Irons, etc. ____Repairing Large Appliances (Refrigerator, Stove, Washer, Dryer) ____Repairing Elevators Food ____Catering (Over 10 People) ____Serving Food ( Over 10 People ) ____Preparing Meals (Over 10 People ) ____Clearing/Setting Tables (Over 10 People) ____Washing Dishes (Over 10 People) ____Bartending ____Meal Planning ____Nutritionist ____Meatcutting ____Grill Cook ____Prep Cook ____Baking/Cake Decorating ____Specialty Recipes Child Care ____Caring for Babies (under 1 year) ____Caring for Children (1-6 year olds) ____Caring for Children (7-13 year olds) ____Taking Children on Field Trips ____Played Games With Children ____Read Stories to Children ____Teach Kids to Make a Craft ____Change Diapers ____Care for a Sick Child ____Perform Infant CPR? Transportation ____Driving a Car ____Driving a Van ____Driving a Bus ____Driving a Taxi ____Driving a Tractor Trailer ____Driving a Commercial Truck ____Driving a Vehicle/Delivering Goods Hauling ____Operating farm Equipment ____Driving an Ambulance Auto Mechanics ____Repairing Automobiles ____Repairing Trucks/Buses ____Repairing Auto Bodies ____Change Tires ____Change Oil/Oil Filter ____Tune Up an Engine ____Replace Windshield ____Install Car Stereo/Speakers ____Auto Detail ____Body Work ____Replace Battery ____Repair Brakes Operating Equipment/ Heavy Machinery ____Operate a Forklift ____Operate a Dump Truck ____Operate a Crane ____Operate Farm Equipment ____Operate Commercial Food Preparation Equipment ____Operate an Assembly Line ____Operate a Sewing Machine Supervision ____Writing Reports ____Filling out Forms ____Planning Work for Other People ____Manage a Project ____Organizing a Fundraiser ____Directing the Work of Other People ____Making A Budget ____Keeping Records of All Your Activities ____Interviewing People Sales ____Operating a Cash Register ____Selling Products Wholesale or for Manufacturer. If yes, which products? _______________________________________ ____Selling Products Retail. If yes, which products? _______________________________________ ____Selling Services (Homemade Items, Food, Jewelry, Clothes, Etc.) _______________________________________ ____How have you sold these products or services? (check mark, if yes) ____Door to Door ____Telemarketing ____Mail ____Store ____Home Music ____Singing ____Play an Instrument (Which Instrument/s?) __________________________________________ ____D.J.(Disc Jockey an Event)________________________________ Security ____Neighborhood Watch ____Guarding Residential Property ____Guarding Commercial Property ____Guarding Industrial Property ____Armed Guard ____Crowd Control ____Ushering at Major Events ____Installing Alarms or Security Systems ____Repairing Alarms or Security Systems ____Firefighting Other ____Upholstering ____Sewing ( By Hand) ____Dressmaking ____Crocheting ____Knitting ____Tailoring ____Assembly Line ____Laundry, Ironing ____Moving Furniture or Equipment to Different Locations ____Managing Property ____Assisting in the Classroom ____Phone Surveys ____Jewelry or Watch Repair Office ____Typing (words per minute_______) ____Operating Adding Calculator ____Filing Alphabetically/Numerically ____Taking Phone Messages ____Writing Business Letters (not typing) ____Receiving Phone Orders ____Operating Switchboard ____Keeping Track of Supplies ____Shorthand or Speedwriting ____Bookkeeping ____Entering Information into Computer ____Word Processing ____Computer Skills ____Data Base Management ____Telecommuting ____WWW pages/homepages Are there any other skills that you have which we haven't mentioned? ____________________________________________________________________ ______________________________________________________________________________________________
1. When you think about your skills, what three things do you think you do best? a) b) c) 2. Which of all your skills are good enough that other people would hire you to do them? a) b) c) 3. Are there any skills you would like to teach? a) b) c) 4. What skills would you most like to learn or improve? a) b) c)
Have you ever organized or participated in any of the following community activities (Place check mark if yes) ____Scouts/Youth Groups ____Church Fundraisers ____Bingo ____School-Parent Associations ____Sports Teams ____Camp Trips for Kids ____Field Trips ____Political Campaigns ____Block Clubs ____Community Groups ____Rummage Sales/Yard Sales ____Church Events ____Community Gardens ____Neighborhood Organization ____Other Groups or Community Work?__________________________________ ______________________________
Experience A. Business Interest 1. Have you ever considered starting a business Yes________No____ If yes, what kind of business did you have in mind? 2. Did you plan to start it alone or with other people? Alone_____Others_____ 3. Did you plan to operate it out of your home? Yes_____No_____ 4. What obstacle kept you from starting the business? B. Business Activity 1. Are you currently earning money on your own through the sale of services or products? Yes__________No_______. If Yes, what are the services or products you sell? 2. Whom do you sell to? 4. How do you get customers? 5 What would help you improve your business?
In order to have your capacities used, abilities expressed and gifts given, please be sure to fill out the "Village Well" on the next page.
Building Communities From the Inside Out states "Ancient villages often centered their lives around the "village well." The well was much more than a place which offered water; it was a nerve center for the entire community, a place where gossip, stories, and information of all kinds were exchanged." The Community Technology Centers are our "Village Well" with the ability to connect people together, to connect people and business, and to connect people with services. The inventory you have just completed identifying your capacities, abilities and gifts will be posted to the "village well" center through the Tri-Cities Free-Net Community Network. PLEASE ANSWER. You will need a Tri-Cities Free-Net e-mail box for people to contact you. Once you have an e-mail address you can receive your e-mail through any computer.
My e-mail box is:_____________________________________________________ How will you access your e-mail? ____Home ____Work ____ Library_____Center Name/Location:________________________________________________
e-mail ___________________________ Skills: Priority Skills: Teach: Community Skills: Business Interests: I would like this information to go to: ____Center where I obtain computer and Internet access.
____Tri-Cities Free-Net, where other registered users may see
my information.
Please take a copy of this form to any of those organizations
that may want to use your capacities, abilities and gifts. Should
you need to use someone elses gifts search the Tri-Cites Free-Net
for your nearest resource.
PLEASE ANSWER THE FOLLOWING QUESTIONS
What programs do you want available at your Center for yourself or your family? ____Adult Basic Education (ABE) Classes ____General Equivalency Degree (GED)Training ____English as a Second Language(ESL)Courses ____Vocational Classes/College Classes ____Money Management, Income Taxes, etc. ____Basic Computer Literacy Workshops ____Parents/Children/Youth Support Groups ____Wills, Child Support, Legal Assistance ____Preschool Activities ____Elementary School Activities ____Middle School Activities ____High School Activities ____Exploring the Internet ____Job Preparation & Job Placement ____Elder Services ____Electronic Commerce/ Outsourcing ____Small Business Support ____Self-Employment/Entrepreneurship ____Driver's License Training ____First Aid/CPR Training ____Health and Nutrition Information ____Require Baby Sitting to Attend Classes ____Family Resourse Information ___ Violence and Drug Use Prevention Date: ____________________________ Signature:________________________ Signature:________________________ If under 18, Signature of Guardian