Rapid Assessment: Bergen County
Please complete this form immediately to inform Bergen Volunteers of your response capabilities/resources and your needs.
edoyle@edgewaterschools.org
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Organization
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Name of point person
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Email
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Your answer
Phone Number
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Your answer
Secondary Phone Number
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Location of Response Operations/Needs
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We are
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Responders
In Need
Response/Needs Services
What response services can your organization provide or what are your needs? Check all that apply
We can provide/We need:
Distribution (water, food, supplies)
Debris Removal/Cleanup
Children's Services
Health Care Services
Hazardous Materials Services
Feeding (congregate)
Emotional & Spiritual Care
Language Interpreters [List languages below under "Other"]
Volunteer Management
Evacuation Assistance
Damage Assessment
Client/Intake Services
Pet Care Services
Donations Management
Reunification
Emergency Responders (CERT/MRC/etc.)
We are not a response agency
Sheltering
Transportation [Note type, vehicle size and fleet size below under "Other"]
Other:
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