Charis Crisis Response Team Info

Charis Crisis Coalition Team

This form is for churches or groups to use to inform Encompass Crisis Response about a team they plan to deploy to a crisis, and perhaps also to request information or help. * indicates required field

Today's Date:*
MM slash DD slash YYYY
Your Name*
First Last
Your Email Address
Your cell number
#1 -- Name of your church:
#2 -- I am contacting Encompass Crisis Response to inform them...*
- ...of the dates when our church plans to deploy a crisis team and to where (elaborate in field #3)
- ...that we have room on our team for others (elaborate in field #3, listing how many more teammates you could add and if you need people with specialized skills, such as team leaders, construction, trauma care, etc.)
- ...that I would like to serve on a team (elaborate in field #3)
- ...other (elaborate in field #3)
CHECK ANY BOX which applies and use field #3 to elaborate on each checked point.
#3 -- Please elaborate on your choices above.*
#4 -- Anything else you would like to ask or communicate?
#5 -- Have you already registered your team with the partners on the ground?*
- Yes
- No
- I do not have our partner's contact information
- Does not apply