ASPR Health Care Readiness Programs
Story From the Field Submission Form
Highlight your experience in emergency preparedness, response, or recovery through ASPR Health Care Readiness Stories from the Field. Use this form to tell us how ASPR Health Care Readiness Cooperative Agreement funding and guidance helped your organization prepare for, respond to, or recover from an incident, emergency, or disaster. ASPR will review your submission and contact you for additional information or clarification, as needed.

Please refer to the ASPR Health Care Readiness Story from the Field One-Pager for more details on how impact stories are developed. You may also reference previous Stories From the Field on the ASPR Health Care Readiness in Action: Stories From the Field webpage. We look forward to hearing your story!

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* 1. First and Last Name

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* 2. Email Address

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* 3. Organization Name

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* 4. Select the type of incident, emergency, or disaster that best fits your story. Select all that apply.

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* 5. Specify whether this story refers to a preparedness activity (e.g., exercise, training event, etc.), an emergency response activity, or a recovery effort.

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