FINAL Expression of Interest Template

FEMA Mitigation Grant Programs

FINAL Expression of Interest Template

OMB: 1660-0072

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Federal Emergency Management Agency

Building Resilient Infrastructure and Communities (BRIC)

FY 20 National Competition Panel Review

Expression of Interest Form


Instructions: Please complete this form to volunteer to participate (representing a local, Tribal, Territorial, State, or Federal government agency) as panelist for the FY 2020 BRIC Grant Program Qualitative Evaluation Criteria for the National Competition.

  1. Name:

  2. Work Address, City, State, Zip:

  3. Work Email:

  4. Work Phone Number:

  5. Job Title:

  6. Organization:

  7. What type of government organization do you work at:

    1. Local

    2. State

    3. Tribal

    4. Territory

    5. Federal

    6. Other ________

  8. Indicate your individual level of experience (in number of years) working with HMA. (Select one)

    1. 0-2 years of experience

    2. 3-5 years of experience

    3. 6-9 years of experience

    4. 10+ years of experience

  9. Please tell us why you are a good candidate to serve as a national competition panelist for BRIC:

  10. Do you have experience with the following hazard mitigation (select all that apply)

    1. Seismic

    2. Flood

    3. Wildfire

    4. Wind/hurricane

    5. Drought

    6. Winter storm

    7. Nature based solutions

    8. Other _________

  11. What weeks are you available to virtually attend (Dates are subject to change)*:

    1. March 1-5

    2. March 8-12

    3. March 15-19

    4. March 22-26

    5. March 29- April 2



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJones, Woodi
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File Created2023-08-27

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