Jewish Federation of San Antonio

Can you assist those affected by Hurricane Harvey?

Please Note: Due to the evolving nature of the situation, and evacuations of affected areas, it may take a few days to receive a response to this survey.

***All information is confidential and will not be shared but kept within the Federation usage only, and that upon matching needs with supply, the Federation will only then provide access via permission from the source of the information provided by the survey respondents.***

*1.

(Maximum response 255 chars, approx. 5 rows of text)

*2.

(Maximum response 255 chars, approx. 5 rows of text)

*3.

(Maximum response 255 chars, approx. 5 rows of text)

*4.

(Maximum response 255 chars, approx. 5 rows of text)

5.

(Maximum response 255 chars, approx. 5 rows of text)

6.


7.


*8.


9.
Question - Not Required - Please indicate all that apply: I am willing to provide housing with these options available -
Please make between 1 and 9 selections from the choices below.

10.

(Maximum response 255 chars, approx. 5 rows of text)

11.

(Maximum response 255 chars, approx. 5 rows of text)

12.


13.
Question - Not Required - Please indicate all that apply in regards to the work space you are able to provide:

14.

(Maximum response 255 chars, approx. 5 rows of text)

15.

(Maximum response 255 chars, approx. 5 rows of text)

16.

(Maximum response 255 chars, approx. 5 rows of text)

   Please leave this field empty