GA VOAD Members Survey
Please fill this out to your best of your ability
* Required
Email address
*
Your email
Organization Name (As you would like listed on our website)
*
Your answer
Which member category do you fall within?
Member - $75 - statewide, multi-state, or national scope
Associate Member - $50 - local in scope
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.
Yes
No
Other:
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?
*
Yes
No
Other:
If you do NOT operate statewide, please list the counties you do serve.
Your answer
Please check ALL functions your organization fulfills.
*
Communications
Technology Support
Community Assessment of Unmet Needs
Disaster Casework
Disaster Case Management
Care for Caregiver
Crisis Counseling
Disaster Mental Health Care
Disaster Spiritual Care Providers
Psychological First Aid
Donations Management
Emergency Assistance
Child Care
Relocation Services
Medical Care
Dental Care
Medication Replacement
Long Term Recovery Group
Shelter Management
Feeding
Food Services
Family Reunification Services
Shower Units
Laundry Units
Outreach and Information Services
Pet Care/Sheltering
Preparedness/Mitigation
Build Repair/Rebuild
Construction Management
Volunteer Reception Center Managment
Affiliated Volunteers
Unaffiliated Volunteer Management
Volunteer Housing
Other
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
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Georgia Food Bank Association.
Report Abuse
-
Terms of Service
Forms
