Emergency Response Collective
Workshops
Workshop Registrations Welcome to the registration page for all three workshops.
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We`d love to invite you to apply to join the ERC.
Complete the form below to apply.
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1. Name of Organisation/School/Individual
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Please provide as much details as possible in the form.
Contact Person (if applicable):
*
Phone Number:
Physical Address of Facility/Organisation:
Email
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2. What type of resource(s) are you able to provide during an emergency?
Shelter or housing (e.g., emergency accommodation for displaced people)
Food and water
Medical supplies or healthcare services
Volunteer staffing
Transportation (e.g., vehicles for evacuation or supply runs)
Equipment (e.g., generators, tents, blankets)
Space for meetings, coordination centres, or operations
Other (please specify below)
Other (please specify below)
2a. How many people/families can you accommodate or assist during an emergency?
For example: provide shelter for? Please detail the type of facilities you have.
3. Availability: Are you able to provide assistance immediately, or do you need time to prepare?
Immediate availability
Availability within 24 hours
Availability within 48 hours
Other (please specify below)
Other (please specify below)
3a. Availability: Are there specific times or dates you are unavailable (e.g., holidays, weekends)?
No, we are available year-round
Yes (please specify below)
Yes (please specify below)
4. Capacity & Infrastructure: Do you have the necessary infrastructure and staff to handle emergency situations?
No, we require volunteers
No, but we are willing to organise resources if needed
Yes
4a. Do you have trained personnel for emergency response?
Not applicable
No, please register us
Yes (please specify qualifications or expertise below)
Yes (please specify qualifications or expertise below)
4b. Are you able to handle people with specific needs (e.g., medical conditions, disabilities)?
No
Yes
Limited capacity (please specify below)
Limited capacity (please specify below)
5. Coordination and Communication: How would you prefer to receive emergency requests?
Phone
Email
Text messages
Online portal or app
Other (please specify below)
Number: via to
Other (please specify below)
5a. What is the best method for the collective to contact you during an emergency?
Direct phone call
Group communication channels (e.g., WhatsApp, Slack, etc.)
Email
Other (please specify below)
Other (please specify below)
6. Liability and Safety Concerns: Do you have any liability concerns or restrictions on what you can provide during a disaster?
No
Yes (please specify below)
Yes (please specify)
6a. Do you have safety or security protocols in place for emergencies?
Not applicable
No, but we are in the process of creating them
Yes (please briefly describe below)
Yes (please briefly describe below)
7. Additional Support and Information: What other forms of support could you offer to the collective in case of an emergency?
Logistics
Fundraising
Coordination support
Something else (briefly describe below)
Please click on the two most important forms of support that you could offer.
Something else (please briefly describe below)
8. Do you have any other considerations or limitations we should be aware of when working with you during an emergency?
No
Yes (please specify below)
Yes (please specify below)
9. Would you be willing to assist in training others or sharing best practices in emergency preparedness?
No
Yes
Maybe, depending on the circumstances (please briefly describe below)
Maybe, depending on the circumstances (please briefly describe below)
10. Commitment & Consent: Do you agree to be part of the Emergency Response Collective and contribute your resources in the event of a natural disaster or emergency situation?
No, I cannot commit at this time
Yes, I agree
11: Social media/Website (for publicity): Would you like your organisation to be featured on our website and in promotional materials?
No
Yes
Maybe, if needed for visibility
12. Training and Development: Would your organisation/school/community centre be interested in the training around Emergency Preparedness?
No
Yes
12a. Training around Emergency Preparedness: Types of Workshops: Which workshop/s are you interested in?
In case of Emergency Workshops (I.C.E.): Home plan. Street Plan. Community plan I.C.E. Packed – for business; for schools.
First Responders Course – First Aid
Psychological First Aid
Something else (please briefly describe below)
Something else (please briefly describe below)
13. Does your organisation/school/community/individual have an emergency pack?
Yes
No
14. Would your organisation/school/community be interested in an ERC flag to display when there is a disaster declared?
Yes I would be interested
Not right now
15. Do you know anyone or businesses who are missing out on this amazing collaboration?
Yes – I have listed them below
Not that I can think of right now
Yes – I have listed them below
15a. Is there anything (service/product) that is missing that you think we should include?
Yes – I have listed them below
Not that I can think of right now
Yes – I have listed them below
Thank you for registering your interest. We will regularly update you with the latest emergency preparedness/response co-ordination and training via email.
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