Delta Emergency Response Team Program Summary Report

Delta Emergency Response Team Program Summary Report
Please use this form to submit a summary of your program. Each program should be submitted on a separate form.

You may also send up to four images for your programs. Please include the event flyer and a short video clip, if available. Images should be ACTION photos, no more than 300kb per image in jpeg, pdf, png or gif format.

Please use the following naming convention for your images: program_image1.jpg (example: Health Fair_image1.jpg)
Submitter's Name*

First NameLast Name
Email*
example@example.com
How often did your chapter conduct safety briefings at: (always, often, sometimes, never)*
Does your chapter have an Emergency Response Coordinator?*

YesNo
Has your chapter prepared an Emergency Response Plan?*

YesNo
Does your chapter promote Red Envelope Distribution?*

YesNo
Does your chapter partner with your local American Red Cross?*

YesNo
If so, which initiatives have been implemented?

Community Blood DrivePillowcase ProjectSmoke Detector Awareness
Did you collaborate with other Community Partners?*
If yes, enter the group names.
Did your Emergency Response receive any media coverage?*

YesNo
Which media types were reached?

TVNewspaper/MagazineRadioPodcastSocial Media
Social media outlets used.

FacebookYouTubeTwitterInstagram/ThreadsOther
Numbers reached on social media.
Image #1
Image #2
Image #3
Image #4
File Upload

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