Hono: The Māori Emergency Management Network Responder/Technician/Supporter Database

The information collected as part of this form will not be shared with anyone and will only be used to organise training, respond to events, and/or to connect communities with skilled individuals.

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* 1. Contact & Demographic Information

Full Name *

Organisation (if applicable)

Age *

City or town you live in *

Region of Aotearoa *

Email Address *

Phone Number *

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* 2. What age range are you in?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Prefer not to answer

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* 3. Which ethnicity do you self-identify with (e.g., Māori, Pākehā)?

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* 4. Which iwi / hapū do you belong to (if applicable)?

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* 5. I speak the following languages (check all that apply).

Te Reo Māori

English

Samoan

Mandarin

Sign Language

Other (please specify)

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* 6. Have you responded to a disaster before (either in a paid or volunteer capacity)? Check all that apply.

Yes, as a first responder

Yes, in a support role

Other (please specify)