GA VOAD Members Survey
Please fill this out to your best of your ability
Email address *
Organization Name (As you would like listed on our website) *
Your answer
Which member category do you fall within?
I have reviewed the description of the membership category that I selected above, and I confirm that my organization meets all of the criteria listed.
Point of Contact First Name *
Your answer
Point of Contact Last Name *
Your answer
Point of Contact Email *
Your answer
Point of Contact Phone *
Your answer
Secondary Contact First Name (if applicable)
Your answer
Secondary Contact Last Name (if applicable)
Your answer
Secondary Contact Email (if applicable)
Your answer
Secondary Contact Phone (if applicable)
Your answer
List additional names and emails that should be on our email listserv.
Your answer
Organization Website
Your answer
2-3 Sentence Description of Organization *
Your answer
Does your organization's operations have a statewide reach? *
If you do NOT operate statewide, please list the counties you do serve.
Your answer
Please check ALL functions your organization fulfills. *
Required
If, you checked "other" please describe below and if you have any clarifications for the above functions, please list them.
Your answer
Please list the TOP 3 functions (of those you checked above) that your organization fulfills. *
Your answer
How could GA VOAD improve to best fulfill our core principles of the 4 cs: cooperation, communication, coordination, and collaboration?
Your answer
What is GA VOAD doing best? What should we keep doing?
Your answer
Any other feedback or questions?
Your answer
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