Lutheran Disaster Response Network of Northeastern Pennsylvania

Form to Report PAST Disaster Response Trips

Outside Northeastern Pennsylvania
 
If you or a group from your congregation has gone outside our northeastern Pennsylvania to assist in disaster recovery, please share your information so we can post it on our website. Not only will this tell us who has been doing what in this response, but this information can also assist those planning to go in the future. Thanks.
For further information about volunteering or filling out this form, call Ruth or Dianne at 610.770.9205 or email them at ruth@lutherancongregationalservices.org or dianne@lutherancongregationalservices.org.
 

Name of Individual or Group
From (Congregation)
City (Congregation)
State (Congregation)
Zip (Congregation)
County (Congregation)
Church Telephone
Mission District
Contact Person
Contact Phone
Contact Address
Contact City
Contact State
Contact Zip
Contact Email
Relief Details  
Date Went
Date Returned
How many went
Place went
How you got there
Where stationed
What you did
Other information