NVOAD LTRG/COAD Survey

NVOAD COAD-LTRG Survey

COAD-LTRG Demographic Survey for NVOAD
Name of the LTRG or VOAD Agency/Organization/Committee/Coalition
Email address for the organization
Organization's Facebook name
Area served
Define the area your organization serves. Choices are listed in order of increasing size.
List the disasters for which your organization has provided goods or services
Year your organization was formed
Operational status of your organization
Enter the name of the organization's fiscal agent if any.
Primary Contact Name
Position within the organization
Alternate Contact 1 Name
Alternate Contact 2 Name
MM slash DD slash YYYY
Office use only
Categories and Services--Check all that apply
Indicate your organization identity and services. Select each item that applies to your organization
Please list