Presentation Request Form:
'Emergency Preparedness for You, Your Family, and Your Community'

Be prepared, not scared! Your group of eight or more people may request a trained Neighborhood Emergency Team (NET) volunteer to present simple, inexpensive ways to prepare for emergencies ranging from severe weather to a major earthquake. During this engaging session we will discuss making plans for home, work, and school; creating go/stay kits; storing water and food; home retrofitting; multifamily buildings; emergency sanitation; and more. You also will learn about optional volunteer opportunities to serve your neighbors during an emergency by receiving additional training from PBEM and Portland Fire & Rescue.

Delivery: Virtual or in-person

Time required: 1¼ hours

Group size: Minimum 8, maximum unlimited

Location: PBEM can only accommodate requests within the City of Portland

First Name

Last Name

Phone

Organization Name

Training Logistics

Event Date

Please request a date at least three weeks in advance.

If you have not yet set a date, please do not submit a request.

mm/dd/yyyy

Event Time

Start time (e.g. 11am). The session lasts 75 minutes.

Where will the training will be held?

Virtual/in-person

Hybrid arrangements are not available due to the presentation format. But you may request separate virtual and in-person sessions on different dates! To do that, please resubmit this form for the second event.

Portland neighborhood where most participants live

To look up a neighborhood, you may enter an address at www.portlandmaps.com

Technology for the Presenter

Does the location have a projector and screen, or TV/video monitor, with either HDMI or bluetooth/screencast input?

Does the location have amplified sound?

Microphone and speakers

Does the location have wifi for internet access?

Participant Info

Approximate number of people expected to participate

(minimum 8, maximum unlimited)

Will your training be open to the general public, or to a specific group?

Will you charge participants a fee for this training?

Trainings provided by PBEM must be free to participants. You may, however, limit participation to the community group(s) you normally serve.

Is language interpretation required?

Community demographics

Who should the instructor expect to train? Please describe the audience: Their experience with emergency preparedness, age range, common interest, etc.

Anything else we need to know?

Send me a copy of my responses

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Presentation Request Form:'Emergency Preparedness for You, Your Family, and Your Community'

Training Logistics

Where will the training will be held?

Technology for the Presenter

Participant Info

Presentation Request Form:
'Emergency Preparedness for You, Your Family, and Your Community'