NIMAA Request for Information Form

NIMAA Request for Information Form

Thank you for your interest in the National Intercollegiate Mutual Aid Agreement (NIMAA). Please complete the following form to receive more information about NIMAA for your institution.

If you have any questions please contact Matthew Shpiner, NIMAA Committee Chair at mshpiner@miami.edu or via phone 305-284-3250.

Thank you for your interest in NIMAA!

Institution Name*

Ideally: copy/paste NCES standard name (https://nces.ed.gov/collegenavigator)

Contact Info

Fields refer to person making inquiry

First Name*

Last Name*

Job Title*

Email*

Office Phone*

Use hyphen format (555-555-1211); add extn as x1234

Institution Info

These fields refer to your institution

Address*

City*

State*

Select 2-letter state from list. If you type the full name your entry will be rejected. (If your institution is situated outside the United States you cannot participate in NIMAA, although by marking "Other" you can request further info about the program.)

Select

Zip*

FEMA Region

Here are the regions (and their nicknames), based on your state: 1 - CT, MA, ME, NH, RI, VT (New England) 2 - NJ, NY (Mid-Atlantic) [+ PR, VI] 3 - DC, DE, MD, PA VA, WV (Mid-Atlantic) 4 - AL, FL, GA, KY, MI, NC, SC, TN (South) 5 - IL, IN, MI, MN, OH, WI (Great Lakes) 6 - AR, LA, NM, OK, TX (Southwest) 7 - IA, KA, MO, NE (Plains) 8 - CO, MT, ND, SD, UT WY (Rockies East) 9 - AZ, CA, HI, NV (West) [+ AS, GU, MP, UM] 10 - AK, ID, OR, WA (Northwest)

Institutional Ownership*

Public

Private

Profit

Other

Optional Input

Time Zone

Select or enter value

UCC Member

Indicate if you are a member of the University & College Caucus, which is part of the International Association of Emergency Managers

UCC Member

IAEM, but uncertain about UCC

Uncertain IAEM status

Not a member, but interested

Not a member

Consortium

Are you part of an active group of emergency managers at various schools? If so, which one/s?

Interest in helping

If you would be willing to help out with NIMAA (regional rep; admin support; etc) please indicate your area/s of interest.

Are there any specific questions we can answer or information we can provide?

Resource Links

Once you've submitted this form you'll receive a confirmation message containing links to the full public NIMAA resource set as well as to our Region Rep listing. We suggest you open and save those links for future reference. If you want a copy of what you've submitted simply check the box below (you'll have to enter your email again as the system doesn't know whether the email you entered above is intended to refer to you or, as may sometimes be the case, to someone else.)

Send me a copy of my responses

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