Preparing for Disaster Response Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email Question Title * 4. Company Address Question Title * 5. City Question Title * 6. Zip Code Question Title * 7. What state do you reside in? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Question Title * 8. Phone Question Title * 9. Organization Question Title * 10. Job Title Question Title * 11. I work at an agency that does or is (check all that apply): Housing Counseling Homeless Services Affordable Housing Development Grant Development/Administration Advocacy HUD Continuum of Care Agency Public Housing Authorities Healthcare Mental Healthcare Property Management/Resident Services Transitional Housing Supportive Housing HIV & AIDS Services Other Question Title * 12. Do you work with communities with 50,000 or fewer people? Yes No Next