Citizen Preparedness Training - HANAC Ravenswood OAC - 1/13/2025

Location: HANAC Ravenswood OAC; 34-35A 12th Street; Astoria, NY 11106

When: Monday, January 13th, 2025 at 10:00AM

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Phone Number

Question Title

* 5. Home Address

Question Title

* 6. County of Residence

Question Title

* 7. Do you require reasonable accommodations?
*Please allow at least 14 days to allow seamless implementation of your request.

Wheelchair Access

Hard of Hearing - Seat near speaker

Assistive Listening Device

American Sign Language (ASL)* You will be contacted to confirm this request.

Language Interpreter

Question Title

* 8. If you have a disability and require accommodations not mentioned above in order to fully participate in this training, describe your requirements here. Please allow at least 14 days to allow seamless implementation of your request. If you have questions please email: NY.Prepare@dhses.ny.gov