Gregory-Portland ISD Employees residing in an area significantly impacted by Hurricane Harvey are asked to complete the following survey regarding their current situation and immediate needs. Thank you.

* 1. Please provide your contact information.

* 2. Your Job Title / Position with Gregory-Portland ISD:

* 3. Your Campus / Work Location:

* 4. Your Principal / Supervisor's Name:

* 5. Your primary phone number, where you can be reached during this time:

* 6. Alternative phone number(s) to reach you:

* 7. Please select all item(s) below that apply to your current situation, and/or are immediate needs for you and your family.

* 8. Please provide a description of your immediate needs.