Tri-State Relief Initiative

Your Full Name:

Organization Name:

Your Role or Title:

Town or Community:

Estimated Population:

County:

State:

What disasters or disruptions have affected your area in the past 5 years? (check all that apply)
Power Outages
Flooding
Tornadoes
Extreme Heat or Cold
Water Supply Issues
Food Access Disruption
Medical Access Challenges

What services or infrastructure are most at risk during a disaster in your area?

Does your organization or site have any backup power capabilities (generators, solar, etc.)?

Has power loss ever forced you to close or suspend operations?
-- Select -- Yes No Not Sure

What is your highest priority for improving community resilience?

Would you be interested in partnering on a local pilot project related to preparedness or energy continuity?
-- Select -- Yes Maybe No

Any additional comments or needs you'd like to share?

Submit Assessment