Presentations and Materials Request

Presentations and Materials Request

Basic Information

Point of Contact Name*

Point of Contact Email Address*

Pronouns

She/Her

He/Him

They/Them

Other

If you selected "Other", please describe below.

Point of Contact Phone Number*

Phone

Organization Name*

Organization Website

If you selected "Other/Not Sure," please describe below:

How did you find us?*

Multnomah County Staff Member

Tabling Event

Web search

Other

If you selected "other," please describe below.

If you selected "other" or "not sure," please describe below.

Which communities do your organization serve?*

Please be detailed. This could include specific culture or language groups, immigrants, those with access and functional needs, intellectual or developmentally disabled, veterans, people over the age of 60, etc.

Request Type*

Event Descriptions - PLEASE READ:

General Preparedness Presentation: A 90 minute “all hazards” presentation covering hazards in Multnomah County (including severe weather and the Cascadia Subduction Zone Earthquake), Alert and Warning systems, and all hazards Preparedness. This presentation can be modified for specific audiences.

Training: Topic-specific training events that may include Train the Trainer events, CPR/First Aid, Incident Command Systems, Continuity of Operations Plans (COOP), and other topics.

Print Materials/Resource Request: Multnomah County Emergency Management maintains a supply of educational pamphlets and emergency preparedness materials that can be shared with community groups. The inventory varies, but examples of the type of resources available can be found here: https://multco.us/info/publications-available-download

Participation in a Booth/Tabling Event: Multnomah County Emergency Management participates in a limited number of disaster preparedness events throughout the year.

Other/Not Sure: If after reading through the descriptions of our available services, you are unsure which options may best suit your needs and your community, we are available to talk you through it. Please select “no” for each section, and fill out the very last question on the form (“If you are not sure what kind of event you would like to request from Multnomah County Emergency Management…”) with as much information as possi

Select or enter value

Are you interested in a General Preparedness Presentation?*

Yes

Preferred Event date/time/location*

Attendance Type*

In-Person

Virtual

Hybrid

Please describe the event.*

For example, a regularly scheduled meeting, an annual gathering, any specific group or topic focus, etc.

Event Objectives*

Awareness of Multnomah County hazards

Understanding of Alert and Warning Systems

Preparedness strategies

Other

If you selected "other," please describe below.

Do you need assistance with event promotion?*

If yes, please note that you event must be open to the general public to be included on the Multnomah County Emergency Management event calendar.

No - we will advertise the event ourselves

Yes - we will advertise the event ourselves, but we would like MCEM to put it on their event calendar

Describe the intended audience for the presentation.*

Number of anticipated participants?*

Do potential participants have any access and/or functional needs requiring accomodations?*

If you selected "other," please describe below.

Would the presentation require an interpretor for languages other than English?*

No - audience has English proficiency

Yes

List the languages your intended audience speaks.*

Please list the organizations you have collaborated with for this event.

If there is anything else you would like us to know about your General Preparedness Presentation request, please let us know here.

Are you interested in a Training event?*

Yes

Preferred event date/time/location.*

Attendance type.*

In-Person

Virtual

Hybrid

Training subjects you are interested in:*

If you selected "other," please describe below.

Objectives for the Training event.*

If you selected "additional objectives," please describe them below.

Do you need assistance with event promotion?*

No - we will advertise the event ourselves

Yes - we will advertise the event ourselves, and we would like MCEM to put it on their event calendar

Describe the audience for the training*

Training: Number of anticipated participants*

Do the potential participants have access and/or functional needs requiring accommodations?*

If you replied "other," please describe below.

If you selected "other," please describe below.

Will the training require an interpreter for languages other than English?*

No - the participants have English proficiency

Yes

List the languages your intended audience speaks.

Please list any other organizations you have coordinated or collaborated with when planning this training event,*

Is there anything else you would like us to know about your Training request?*

Are you requesting Print Materials/Resources?*

Yes - we would like to receive print materials/resources to distribute ourselves

Please list the specific resources you are requesting and the amount of each you are hoping for. Please be specific.*

https://www.multco.us/em/publications-available-download

Languages needed.*

Please note that not all resources are available in multiple languages.

Describe the audience you plan to distribute print resources/materials to.*

Describe the events or circumstances in which you will distribute the print resources/materials.*

Select or enter value

If you selected "other," please describe.

Are you available to pick up the print resources/materials at the Multnomah Building (501 SE Hawthorne Blvd, Portland OR 97214)?*

Yes

No, I will need assistance with obtaining the resources

Are you interested in Multnomah County Emergency Management setting up a Booth or Tabling at your event?*

Yes

Please describe the event.*

Event flyer or list of other vendors can be attached here:

Drag and drop files here or

Event date/time/location.*

Number of anticipated attendees.*

Please describe the potential attendees of the event.*

Please list the languages spoken by the potential attendees of the event.*

Please note that not all resources Multnomah County Emergency Management can provide are available in multiple languages.

If you selected "other," please describe below.

If you are not sure what kind of event you would like to request from Multnomah County Emergency Management, please describe your request below and we will give you a call to discuss what might be possible. Thank you!

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