Agency Information

 
 3% of survey complete.
*This tool is a non-binding document and is only being used for the purpose of data collection. Agencies who complete the survey are NOT obligated to supply these resources in the event of a disaster.

**Please allow yourself 15-30 minutes to complete the survey as the results cannot be saved until the end of the survey. Please refer to the pdf version of this survey PRIOR to completing it online as you may need additional time and resources to answers questions completely.

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* 1. I am hereby giving consent for the CDPC to share the information collected in this survey with other disaster response organizations and government agencies aiding Chinatown in the process of disaster preparedness. I understand that the sharing of this information will only be for the purpose of disaster preparation.

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* 2. Agency Information:

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* 3. Hours of Operation

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* 4. Number of Employees (approximate):

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* 5. Number of Volunteers (approximate):

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* 6. Number of employees willing to deploy to assist the Chinatown community in the event of a disaster:

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* 7. Does your agency currently have any existing MOU’s regarding emergency/disaster management plans with other organizations or government agencies? If yes, please list the commitments and corresponding agencies below:

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* 8. Are you interested in learning more about establishing formalized agreements with other community-based organizations (CBOs), governmental entities and/or disaster preparedness organizations for post-disaster mutual aid/assistance? (Certain formalized agreements may qualify CBOs for post-disaster expense reimbursement.)”

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