CRM Summit Interest & Outreach Questionnaire Survey

We’re planning Georgia’s first-ever statewide CRM (Community Resiliency Model) Summit, tentatively scheduled for Spring 2026—and we want your voice at the table!

This free event will bring together leaders from education, healthcare, mental health, public safety, community organizations, and local and state government to learn, connect, and strengthen our collective capacity for trauma-informed care. We’ll highlight how CRM is being applied across Georgia and offer space for both new and experienced users to build their skills and networks.

Please take 2–3 minutes to complete this brief form to help us gauge interest, estimate attendance, and build a compelling invitee list.

1.Name:(Required.)

2.Organization/Coalition Name:(Required.)

3.Email Address:(Required.)

4.Would you or someone from your coalition/organization be interested in attending the CRM Summit?(Required.)

Yes

Maybe -need more information

5.How many community leaders or stakeholders from your region would you anticipate inviting or encouraging to attend?(Required.)

6.Do you have direct relationships with any of the following? (Select all that apply)(Required.)

State Representatives or State Senators

State Commissioners (e.g., DPH, DJJ, DOE)

Mayors or City Council Members

Public Figures or Local Celebrities

None at this time

7.If yes, please share names and/or any helpful details for outreach (titles, roles, connections, etc.):

8.Would you or someone in your organization be interested in presenting or sharing how you’re using CRM during the summit?(Required.)

Yes – I’d love to share!

Maybe – I’d like more information

No, not at this time.

9.If yes or maybe, please briefly describe what you’d be interested in sharing:

10.Would your coalition be willing to contribute funding to help make this initiative happen?
(Completely optional – we are only gauging interest. The potential contribution would be no more than $500–$1,000 per coalition.)(Required.)

Yes, we would likely contribute up to $500

Yes, we would likely contribute between $500–$1,000

Yes, we would be willing to contribute more than $1,000

Maybe, we would need more information before deciding

No, we are not able to contribute at this time

Other (please specify)

11.Any other thoughts, ideas, or recommendations to help us make this summit meaningful and impactful?