Partners in Preparedness - Registration Form

Thank you for your interest in the Partners in Preparedness program!

To become a partner, complete the following 4 steps:

Step 1: Fill out the registration form below
Step 2: Complete five preparedness activities
Step 3: Submit the completion survey
Step 4: Promote the partnership

The first step toward partnership is the completion of this survey. Please answer all questions below about your organization and a point of contact so that we may provide you with resources and information regarding the next steps in the process.
1. Organization Information
2. Point of Contact Information
3. Industry:
4. Reach of Organization:
Number of People in New York City:
5. How did you learn about the Partners in Preparedness program? (Check all that Apply)