EVCNB Volunteer Interest & Skills Assessment

1

About You

First Name

Last Name

Email Address

Phone Number (optional)

Street Address (optional)

City / Community

Neighborhood / PYN Cluster (if known)

Residency Type

Languages Spoken (besides English)

How did you hear about EVCNB?

2

Program Interest

Not sure which program is right for you? That's okay — we'll help figure it out together. Check anything that sounds interesting.

Want to learn more about each program before choosing? Visit evcnb.org and explore the Preparedness and Response tabs to learn about each program in detail.

Which programs interest you? Select all that apply

Why do you want to volunteer with EVCNB? (optional)

Prior emergency response or volunteer experience (optional)

3

Leadership & Teaching Interest

Many of our programs rely on volunteers who eventually step into leadership or teaching roles — co-leading trainings, mentoring new volunteers, or running a program area. Checking a box here isn't a commitment, it just helps us know who to reach out to as those opportunities come up.

Which programs would you be interested in helping lead or teach? Select all that apply

Prepare Your Neighborhood (PYN)

Cluster organizing & leadership

Emergency Communications

Teaching Neighborhood Radio & Ham Radio classes

GoBag Program

Leading GoBag PopUps or assembly events

WaSH Program

Teaching water, sanitation & hygiene classes

CERT

Team leadership during deployments

Emergency Shelters

Shelter site lead or training new staff

Medical Reserve Corps

Mentoring or supervising MRC volunteers

Mass Care

Coordinating logistics or operations teams

Tell us more about your leadership or teaching interest (optional)

4

Your Preparedness Foundation

These are the core preparedness steps we encourage everyone in our community to complete. Check anything you've already done — no worries if you're just getting started!

Which of these have you completed?

Joined my PYN cluster

Connected with my neighborhood group

Neighborhood Radio Class

GMRS radio training completed

GoBag assembled

9-item GoBag ready to go

WaSH class completed

Water, sanitation & hygiene training

CERT certified

Community Emergency Response Team

Ham radio license

FCC Technician or higher

5

Skills & Background

Which of the following describes your background? Select all that apply

Other skills or certifications (optional)

Physical considerations (optional)

6

Availability

When are you generally available? Select all that apply

Weekday daytime

Weekday evenings

Weekends

On-call / as needed

Seasonal only

Flexible / open

Not sure yet

Need more info

Approximate hours available per month

When could you start? (approximate)

7

Anything Else?

Questions, notes, or anything you would like us to know (optional)