Security Contact Information Form 2024/2025

Safety & Security Prepardness Program ~ September 12 @ 10 AM

We invite your organization’s security team to join us for the annual Safety and Security Preparedness Program for Jewish community synagogues, agencies, and institutions on Thursday, September 12, 2024, 10:00 AM–12:30 PM at Jewish Federation of NENY, Community Service Building, 184 Washington Avenue Ext, Albany, NY 12203.

*The program will be live streamed with a password. (It will not be recorded for security reasons.)

Security Team's RSVP:

RSVP*

I/we plan to attend the security program on 9/12/24
I/we will not attend.

I am completing the Security Contact Information Form for my organization.

Securty Contact Information Form

Please complete this security contact information fill-in form to enable timely distribution of vital emergency and security notices. Information collected will be shared with law enforcement for emergency purposes.

Jewish Federation of NENY, in partnership with Secure Community Network (SCN), will enable an emergency mass-notification system to alert primary and secondary security contacts in the event of a community emergency.

Today's Date*

Your Name*

Your Title/Position*

Organization Information

Name of Organization*

Physical Address*

Mailing address same as physical address

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Fax Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Email

First Point-of-Contact

Name*

Position/Title*

Primary Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Primary Phone Type*

Secondary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Secondary Phone Type

Primary Email*

Secondary Email

Is this person your primary EMERGENCY contact?*

Second Point-of-Contact

Name*

Position/Title*

Primary Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Primary Phone Type*

Secondary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Secondary Phone Type

Primary Email*

Secondary Email

Is this person your secondary EMERGENCY contact?*

Third Point-of-Contact

Name

Position/Title

Primary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Primary Phone Type

Secondary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Secondary Phone Type

Primary Email

Secondary Email

Fourth Point-of-Contact

Name

Position/Title

Primary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Primary Phone Type

Secondary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Secondary Phone Type

Primary Email

Secondary Email

Other Contacts

Please indicate if the following are listed as security contacts. If not, please provide their contact information.

Executive Director/Office Administrator*

Rabbi*

President

Security Chair

Questions about the purpose of this security contact listing should be directed to Shelly Shapiro, Director of Community Relations, (518) 783-7800 ext. 235 or [email protected].

NOTE: The information collected is used only for security-related correspondence from Jewish Federation of Northeastern New York, unless we have permission to use it for general communication.

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