Registration Join the Chicago Coalition

Please review your registration carefully before submitting.  If you need to make changes to your registration after submitting, please contact chscpr@team-iha.org.

 

Member Registration
Primary Mailchimp Tag
Confirm Work Email
To select multiple organizations, please use CTRL+Click.
Does your organization serve the city of Chicago?
Are you the primary or secondary person responsible for emergency preparedness/emergency management at your organization?
Confirm Password
Are you requesting access to EMResource? EMResource access is limited to Region 11 (Chicago) hospitals, long-term care facilities, and dialysis centers. The primary EMResource contact at your organization will be notified. More Information on EMResource
Do you have interest in joining any Coalition Committees? Committees generally meet monthly (October-June) and regular attendance/participation is required. More Information on Coalition Committees
Please check all that apply.
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