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* 1. Organization Information

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* 2. Please select the county(s) that your organization is based in:

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* 3. Number of people from your organization that are attending: (1-10)

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* 4. Please provide names and emails of other attendees from your organization:

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* 5. Which Regional Disaster Ready Summit will you be attending:

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* 6. Do you or anyone from your organization have food allergies/diet restrictions: please list the name and allergy/restriction so we can ensure we accommodate their needs.

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* 7. Do you need live interpretation in order to participate? If so, please specify language.

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* 8. Do you or anyone from your organization have other needs we should be aware of to ensure full participation at the Summit? If so, please specify.

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* 9. We have a minimal number of $25 gas cards to help support organizations that need financial assistance to be able to attend the Regional Disaster Ready Summits. Please check the box below if you would like to request a travel scholarship.

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* 10. Do you have any questions about the Regional Disaster Ready Summits we can address in upcoming communications?

Pre-Summit Questions:

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* 11. What are the most effective ways to communicate to your community during a disaster?

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* 12. What are the top reliable locations community members can seek shelter during a disaster such as a wildfire, earthquake, flooding, or extreme heat/cold? Please be specific in naming locations.

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* 13. Please list the key partners (state, county, or local) you would go to when a disaster hits to provide resources and support for your community in each of the following categories:

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* 14. What resources is your community lacking to effectively and safely manage a disaster?

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* 15. How can we strengthen partnerships between State and CBOS and/or CBO to CBO?

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* 16. Describe the area/region/communities in which your organization is active.

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* 17. Select which of the following are your organizations core competencies:

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* 18. If your organization is a service provider, please select your area of focus:

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* 19. Select which of the following issue areas your organization is focused on/has expertise:

Click the "Done" button below to complete the survey.

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