Galveston Community Organization Emergency Network

Galveston Community Organization Emergency Network
United Way of Galveston is gathering information from community organizations to better understand the local nonprofit landscape and strengthen coordination before and during disasters.

This short survey (~5–7 minutes) will help:
- Identify community needs, service gaps, and opportunities for collaboration
- Improve communication and coordination when emergencies impact our community
Your input helps ensure your organization is connected to the right partners, receives timely information, and can engage in ways that match your capacity when it matters most.

We will share a summary of key insights with participating organizations. You will also receive a copy of your responses for your records.

Participation is voluntary and does not create any obligation to respond during a disaster. All response activity depends on your organization’s capacity and safety.

Information will not be publicly shared and will only be used to support coordination among trusted response partners.
1. Organization Profile
Organization Name
Primary Organization Type (choose one)

Other
Additional Roles or Functions (select all that apply)

Other
Primary Service Area (select one)

Other
Please list specific cities, neighborhoods, or zip codes served
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. Services + Populations
Services Provided

Other
Populations Served

Other
Please provide a brief description of your organization's programs or services
3. Primary and Secondary Contacts
Primary Contact Name

PrefixFirst NameLast Name
Title
E-mail Address
example@example.com
Mobile Phone Number
Format: (000) 000-0000.
Role

Other
Backup/Secondary Contact Name

PrefixFirst NameLast Name
Backup Contact Title
Backup Contact Contact E-mail
example@example.com
Backup Contact Mobile Number
Format: (000) 000-0000.
Backup/Secondary Contact Role

Other
Is backup/secondary contact an authorzed decision maker?
Is your organization interested in participating in disaster response coordination efforts?
4. Potential Disaster Response Capacity

(if safe access to facilities, staff, and volunteers is available)
Role in an Emergency (select all that apply)

Other
What specific services or resources could your organization provide during a disaster?
Does your organization have a facility that could be used during a disaster?
If yes or maybe, provide location of facility or facilities that could be used in a disaster.
Does this facility have a generator?
Would staff be available?
Does your organization have a volunteer base
What is the size of your organization's volunteer base?
What conditions must be met for your organization to participate?
Biggest constraints (select up to 2):

Other
Communications + Decision Authority
Who has the authority to approve your organization’s participation during a disaster? (Name and title)
Preferred communication methods (select all):
This information will be used by United Way of Galveston for coordination and planning purposes. It will not be publicly shared.It may be shared with trusted partners when necessary to support emergency response coordination.Participation does not guarantee activation or deployment.My organization will determine its level of involvement based on capacity and safety
Please add our organization to the United Way of Galveston Nonprofit Network to receive updates on funding opportunities, professional development, and community initiatives.
Should be Empty:

Galveston Community Organization Emergency Network

1. Organization Profile

2. Services + Populations

3. Primary and Secondary Contacts

4. Potential Disaster Response Capacity

Communications + Decision Authority