Neighborhood Disaster Preparedness

As we are all aware, especially the recent fires, gas explosions, covid pandemic, rain and wind storms, and always pending earthquake, being prepared for disasters can save lives and reduce stress.  The following form is in conjunction with efforts of MPC-Ready and inline with FEMA Ready and CERT disaster preparation guidelines, both part of federal disaster preparedness programs.  Our neighborhood preparedness initiative’s main purpose is to have each household in our neighborhood understand basic preparedness and safety steps so that we can respond more effectively incase of a major emergency or disaster. 

Working in conjunction with the MPC Ready, several of our neighbors have volunteered to be the Block Coordinators for University Park. We have created a map of our neighborhood and assigned “Block Coordinators.”  (see map inset) 

The Block Coordinators will reach out to the homes assigned to them during an emergency and help their assigned households to see if any help/assistance that may be needed.

We ask that you register your household in the Registration Form below. There is basic info of name, address, contact info.  There is additional data that we are encouraging everyone to fill out as this can be useful in times of a disaster to identify those that may need help, have pets or other needs,  and those with useful skill sets.

We will create binders for each Block Coordinator with this information along with other disaster guidelines and action plans.  This Block Coordinator binder is in a hardcopy format and is not kept online as we expect that the internet and phone services will be down during a disaster, potentially for a day or more.

If you would like to be a Block Coordinator, volunteer, or if you have any questions, please contact Ron:

ronsnow@univpark.org

Registration Form

Your information entered here is used solely to facilitate connecting those in need to volunteers.  The area served by this form is limited to the West Menlo Park, University Park neighborhood area.  Simple, straight forward, and yet very supportive of our neighborhood – neighbors helping neighbors.

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Head of Household - Full Name *

Email *

Phone *

Address

Address Line 1

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

List names of others living in this household. Used in disaster checks for both safety and security.

Other Household Members:

Other Household Members

2nd Name

3rd Name

4th Name

5th Name

6th Name

7th Name

8th Name

Email

Email3

Email4

Email5

Email6

Email7

Email8

Phone

Phone3

Phone4

Phone5

Phone6

Phone7

Phone8

Diaster household check - priority

In an emergency, each house will be checked to assess safety and security. In an emergency.

• Highly in need of house check
• Probably will need a house check
• Most likely okay - low priority check

Areas of SupportSkills, training, occupation

In a mass disaster, it is helpful to know skill sets that are nearby in case help is needed. Please help identify areas where members in your household could help.

• Medical training (doctor, nurse, veterinarian)
• CPR Certified
• Carpentry, Electrical, Plumbing
• Childcare, Adult care
• Organizer, Coordinator
• Shortwave or FRS Radio
• IT, Technical
• None
• Other, please list

If other...

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Emergency Contacts:

In case of a disaster, is there someone that you would like contacted? List contact name, email, phone, and city. Should be a person several miles away.

Comments or Extra Information

Please identify if there are special concerns or circumstances that could be helpful to emergency workers if disaster occurs: This could include medical conditions, needed medications or equipment and what you would want a doctor or EMT to know.

We are treating the personal information entered on this form as private. While it is temporarily captured online and secured in protected files, the information is deleted from online once it is entered on a local list (not online) that is used solely in the neighborhood disaster preparedness. Only block corrdinators will have [restricted] access. The information is not shared in any other manner - it is used only for local disasters at which point it may be shared and used by fire district and EMT personnel to facilitate their assistance.

Register

UnivPark – Preparedness Map 

As an aid in dividing up the University Park neighborhood, we are using a map provided by MPCReady.org.   Each of the areas, A thrugh L, has a volunteer.  This map then helps us distribute the households so that volunteers each have between 14 to 20 homes in which they help with communications and other volunteer actions.

click to see larger image map

Univ Park Block Coordinators

University Park neighborhood has been divided into areas (see Univ Park Map) and each area has a Block Coordinator for the purpose of disaster preparedness.  The following are Block Coordinators.