RETREET Readiness Assessment

Contact Information

First Name

Last Name

Community/Organization Name

Email Address

Primary phone number

Street Address

City

State

Zip Code

Disaster/Affected Area: Location Information

Street Address

City

State

Zip Code

If multiple locations, select "Add another response" below.

Would you categorize your communities' location as urban or semi-urban?

YesNo

Please tell us about the Natural Disaster and the scale of the impacted area. (Tornado, Wildfire, Hurricane, Flood, Winter Storm)

What identifiable amount of tree canopy was lost?(percentage)

How many homes and families were affected? (whole numbers only round up if needed)

Is there any secured funding to support the RETREET activation?

YesNo

If yes, enter the amount of contributions secured (whole numbers only, please round up):

Your should have raised a minimum of the amount below to be considered "shovel ready" (Sapling)

Do you have a group of volunteers who can plant trees?

YesNo

If yes, approximately how many?

Whole numbers only

Does the affected community have any of the following?

Thank you for participating in this readiness assessment. Look for an email with your status evaluation and instructions for next steps.

Keep America Beautiful

Will Be Hidden

RETREET Toolkit Campaign ID

Contact ID

Funding Request Record Type ID

Full Name Contact