Early Response Team Leader Report

West Ohio Conference - Early Response Team Leader Report

If your church or district went on an ERT mission this year, please have the team leader complete this form. Thank you!

When you click on submit you should get a confirmation screen. If you do not, scroll back up to the top of the page and check for any error messages.

Team Leader

First Name *

Last Name *

Contact Email *

Church Name(s)

District

District Other...

ERT Mission Site

Project Name/Description *

City *

US State

Country *

Dates

Begin Date *

Month

Day

Year

End Date *

Month

Day

Year

Number of Workdays *

Total hours worked *

Scope of work *

For example: flood clean up, tornado recovery, etc.

Number of Homes worked on *

Total Households Assisted *

Includes number of homes worked on, plus any households for which your team provided materials, water, food, etc.

Number of Non-Residential Properties worked on *

Number of Teams Members

Adults *

Youth *

Leave this field blank