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Thank you for taking the time to complete the assessment below. Please read the entire question, as many of them have more than one component.

Click the "Submit Questionnaire" button to send your information to a Lancaster Pennsylvania Citizen Corps Education committee member. A committee member will contact you as soon as possible.

 Click here to return to the Lancaster Citizen Corps Council home page.
1. Please state your name, organization name, organization address, phone number, fax number, cell phone, email address and web site url.
2. Please describe your organization's existing emergency response resources. Include a program description, faculty, delivery method of training (ie. on-line, instructor based), numbers of volunteers and training received, and equipment available to your organization.

3. How many people does your organization train annually? Please list the content areas addressed, ages of trainees and state if credentials are provided.



4. Do you store information about individuals and their level of certification?



5. Please provide information about your organization's privacy policy.


6. Could information on trained and available volunteers be accessed in the event of a catastrophe?



7. Does your organization provide continuing education, or academic credit?



8. Has your curricula been revised to reflect new concerns related to bio terrorism and homeland security?



9. Are your training resources used to full capacity? Please answer yes or no.



10. Do you work in concert with other organizations to conduct emergency response training?



11. What training resources would you be willing to provide Lancaster citizens to help them improve their personal health and safety knowledge to prevent, prepare and respond to normal and extraordinary incidents?