Community Skills

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?

Read the List Again.  Mark those with a PLUS if you would be willing to participate in the future.

Experience Business Interest: 
Have you ever considered starting a business Yes________No____
If yes, what kind of business did you have in mind?
Did you plan to start it alone or with other people?     Alone_____Others_____
Did you plan to operate it out of your home? Yes_____No_____
What obstacle kept you from starting the business?

Business Activity
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?
Whom do you sell to?
How do you get customers?
What would help you improve your business?

PLEASE ANSWER THE FOLLOWING QUESTIONS 

What programs would you take part in?  
____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 Resource Information
___ Violence and Drug Use Prevention

Skills:            

Priority Skills:             

Teach:   

Community Skills:

Business Interests:



What programs would you take part in?  
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