Earthquake Country Alliance: Welcome to Earthquake Country!

ECA 2024 "Secure Your Space" Mini Awards Application Form

Reminder: The priority application deadline is 5 pm Pacific Standard Time on Thursday, December 5, 2024

If you have any questions, please email info@earthquakecountry.org or call Vanessa Nava, 213-821-9549.

Please provide complete information and answers to all questions.


Organizational Information
	Name of Agency, Non-Profit, School, Association, or Organization
Mailing Address:
City:		State: ZIP:
County:
	Mission or Function of Your Organization (include audiences/clients served) 0/500 characters max
	Web site
Project Manager Contact Information
Full Name:
Title:
Phone number:
E-mail address:	The project Manager must be an Earthquake Country Alliance Member. If not yet a member, complete our membership form (free).
Project Information
	Please describe your fastening project (be as detailed as possible): What types of furniture, electronics, cabinets, small objects, etc. will you secure with the fasteners you request? (see EarthquakeCountry.org/step1) How will the project improve your earthquake safety and resilience? 0/500 characters max
	How will you ensure that the materials you receive are properly installed by January 31? Will you do the work yourselves and have the needed tools? Will you hire someone to do the fastening? Do you have any concerns with meeting this deadline? (We can discuss possible options) 0/500 characters max
	Who will this project benefit? How many employees, volunteers, students, clients, etc. work or visit the space(s) that will be secured– and provide a brief overview of their demographics and other characteristics including anyone with disabilities or other access/functional needs. Please also describe the people your organization would assist after an earthquake that will benefit from your employees and others having less damage and injuries. 0/500 characters max
	If you have received a Mini Award before, does this proposed activity benefit the same people/location? Yes No N/A
	Please review these agreements and check all boxes in order to submit your application: I will ensure that all fastening items received are properly installed before January 31, 2025. I will complete an ECA summary survey by January 31, 2025 (including project activities, impact, and/or lessons learned, etc.,) and share photos and/or videos of product installation. If requested, a representative will provide a brief summary (3-5 minute) of this project at an ECA Regional Workshop in February, 2025 (location and date to be determined).

	Please review your application to ensure you’ve completed all sections in sufficient detail, before clicking the following button: