Address:
City: State: Zip Code:
Email:
Are You?(Ck One) Full Time: Part Time: Career: Volunteer:
Cell Ph.: Home Phone:
List your Chaplaincy Ministry(s)
SKILLS SURVEY
Note: Please indicate the one which applies to your need or expertise.
Interpersonal Relationships: blank Expertise Need Training Working in a pluralistic environment: blank Experrtise Need Training
How to deal with anger: blank Expertise Need Training Time Management: blank Expertise Need Training
Personal Identity: blank Expertise Need Trainiing Personal Spiritual Growth: blank Expertise Need Training
Communication Skills: blank Expertise Need Training Stress Management: blank Expertise Need Training
Budget/Finance: blank Expertise Need Training Domestic Issues: blank Expertise Need Training
Sermon Preparation: blank Expertise Need Training Grief Counseling: blank Expertise Need Training
Working in a pluralistic environment: blank Experrtise Need Training Psy/Phy/Sexual Abuse Counseling: blank Expertise Need Training
Sexual Harassment Counseling: blank Expertise Need Training Legal Issues: blank Expertise Need Training
Dealing with Ethics: blank Expertise Need Traiing Planning for Retirement: blank Expertise Need Training
Computer Skills: blank Expertise Need Training World Religions: blank Expertise Need Training
Suicide Prevention: blank Expertise Need Training AIDS Ministry: blank Expertise Need Training
Dealing with Difficult Situations: blank Expertise Need Training Networking: blank Expertise Need Training
Dealing with Forced Terminations: blank Expertise Need Training Dealing with Administrative Issues: blank Expertise Need Training
"I am willing to train chaplains in my areas of expertise." yes no
Date: Mth 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2010 2011 2012 2013 2014
Home