ASCE Fire Recovery Engineering Services Individuals Survey

Individuals

This survey is intended to be completed by individuals seeking employment or one-person companies.

Thank you for completing ASCE’s North Bay Fire Recovery Engineering Services Survey. If you are available to provide planning, design, construction management, construction or inspection services in the area, please fill out the appropriate sections of this form. Your information will be provided to individual homeowners, consultants, agencies and municipalities that are looking to hire professionals to help with reconnaissance and rebuild efforts in the areas affected by the 2017 North Bay Fires.

Please note that responses to the survey may be made publicly available in order to reach affected parties.

Thank you again for your support of this effort.

1.Name(Required.)

2.Contact Person Phone

3.Contact Person Email(Required.)

4.PE License No. (if applicable):

5.Years of Engineering Experience:

6.Address (number and street):

7.City(Required.)

8.County(Required.)

9.Available to work as (check all that apply):(Required.)

Full-time, short- or long-term employee for private firm, municipality, or agency requiring additional staff for fire recovery.

Contracted consultant or subconsultant to private firm, municipality, or agency. (Must be appropriately licensed and insured.)

Contracted consultant to homeowners (residential) (Must be appropriately licensed and insured.)

Contracted consultant to businesses (multi-family, commercial, or industrial). (Must be appropriately licensed and insured.)

10.Other Certifications(Required.)

Current Progress,

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