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Shasta Ready

Shasta County's Response to Local Emergencies
Emergency Job Matching System

Tell us about yourself

Please take a few minutes to answer the questionnaire below. The information will be used to identify persons with specific skillsets in order to assign individuals to emergency response efforts in times of disaster.

You may update your information at any time by completing this form again.

This information may also be shared with other local agencies during an emergency.

Name
Employment
If you are currently a Disaster Services Worker (DSW), please provide the Organization Name.
Email Addresses

Provide one or more email addresses.

Phone Numbers

Provide one or more phone numbers.

Work Preferences
Driver License
Professional Certifications and Licenses

Provide your professional certification/license numbers.

Certification/License
Number (leave blank if N/A)
Accounting (CPA)
Certified Nursing Assistant (CNA)
CORE
Counseling (MFT, LCSW, etc.)
EMT
Medicine (DO, MD)
Nurse Practitioner
Nursing RN
Nursing LVN
Paramedic
PharmD
Pharmacy Technician
Phlebotomy
Physical Therapy
Physician Assistant (PA)
POST
PsyD

Enter additional certifications and licenses if needed. (optional)

Skills

Please indicate your experience level with the following skills.

Years of Experience
N/A
1-3
4-8
9+
Audio/Visual (AV) Equipment
Animal Control/Animal Services
Call Center
Case Management
Clerical
Communications (document preparation/editing)
Conflict Resolution
Contract/Agreement Experience
Correctional Officer
Counseling/Therapy
Custodian
Customer Service (excluding Call Center)
Data Analysis
Data Entry
Dietitian
Emergency Operations Center
Department Operations Center
Incident Command Post
Emergency Medical Technician
Empathy, Listening, and Soft Skills
Finance/Accounting
Firefighter
Food Services
Heavy Equipment Operator
Housekeeping
Infection Control Nurse
IT Database Administration
IT Desktop and Technical Support Services
IT GIS (Geographic Information Systems)
IT Infrastructure/Networks
IT Software Development
IT Telecommunications
IT Web Content Management
Investigative Services
Juvenile Detention Officer
Law Enforcement (police/sheriff)
Licensed Vocational Nurse
Medical Billing
Medical Records Clerk
Mental Health Lead
Microsoft Word
Microsoft Excel
Nurse Practitioner
Nursing Assistant/Certified Nursing Assistant
Paramedic
Patient Care Tech
Patient Transportation (Ambulatory)
Patient Transportation (Non-Ambulatory)
Pharmacist
Pharmacist Technician
Phlebotomist
Physical Therapist
Physician
Physician Assistant
Probation Officer
Public Relations
Registered Nurse
Registration
Respiratory Therapist
Security
Social Media
Spiritual Support
Transportation (driving, moving items, food delivery, etc.)
Working with Homeless and/or Disenfranchised Population
Working in Shelters/Housing Services
X-Ray Technician
Enter additional skills if needed. (optional)
Languages

Please rate your experience level with the following written and verbal languages.

Experience Level
N/A
Beginner
Intermediate
Advanced
Spanish
Spanish — Verbal
Spanish — Written
Mien
Mien — Verbal
Mien — Written
American Sign Language (ASL)
American Sign Language (ASL) — Verbal
Arabic
Arabic — Verbal
Arabic — Written
Cambodian
Cambodian — Verbal
Cambodian — Written
Cantonese
Cantonese — Verbal
Cantonese — Written
Farsi
Farsi — Verbal
Farsi — Written
Hindi
Hindi — Verbal
Hindi — Written
Hmong
Hmong — Verbal
Hmong — Written
Laotian
Laotian — Verbal
Laotian — Written
Mandarin
Mandarin — Verbal
Mandarin — Written
Nepalese
Nepalese — Verbal
Nepalese — Written
Portuguese
Portuguese — Verbal
Portuguese — Written
Punjabi
Punjabi — Verbal
Punjabi — Written
Russian
Russian — Verbal
Russian — Written
Tagalog
Tagalog — Verbal
Tagalog — Written
Vietnamese
Vietnamese — Verbal
Vietnamese — Written
Enter additional languages if needed. (optional)
Review and Submit
 
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NOTE: Submitting the information on this form does not automatically assign you to alternate or volunteer work. If you are not contacted, it means there is no alternate or volunteer work available for you at this time. For public sector employees, please direct questions about your normal work/worksite schedule to your supervisor or manager. We appreciate your willingness to serve our community during an emergency.

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