Please complete and return this template to FEMA-private-sector@dhs.gov, if you would 
like to share information on your state or city public/private partnership. Note: This 
information will be shared publicly. If there are elements that are for internal reference 
only, please clearly note those areas. 

Summary
Please summarize your state or city public-private partnership. Include what sectors are 
included (eg, business, nonprofit, voluntary, etc) (Limit 50 words)
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Background
Please provide a brief overview of your partnership's history, such as how/when/why it 
started, as well as key events, leadership decisions, private sector requests, or other 
influences behind the partnership. (Limit 150 words)
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Goals and Objectives
What are the top three to five goals of this public-private partnership? (Limit 100 words)
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Description
Please describe your partnership (expand on the summary). Suggested areas to cover 
include organizational structure, partners, governance, initiatives, participation levels, 
developments and coordination. (Limit 1,000 words)
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Requirements for Success
Describe key requirements for a successful partnership (eg, funding, dedicated staff, 
other)
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Resources
List any resources your partnership makes available to the private sector. Check all that 
apply:
A seat in the Emergency Operations Centers
Resources to help prepare for, respond to, and recover from disasters 
Web resources 
Grants
Tools and templates
Other ______________________

 Please include links where available. Sample documents may be attached separately. 
(Limit 500 words)
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Training and Exercises
Does your partnership host or participate in joint training and exercises with the public 
and private sectors? (If yes, you may use the field below to describe in more detail)

 Yes
        Host
        Participant

 No 
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Communication Tools
What tools do you use to communicate with your public/private partners?  Check all that 
apply:
  Email alerts
  Text message
  In-person meetings (frequency?)
  Conferences and other events
  Newsletter (frequency?)
  Teleconferences
  Video conferences
  Website
  Media outreach
  Paid advertising
  Public service announcements 

Other __________________

Samples may be attached separately. By attaching documents you certify that you own or 
otherwise control the rights necessary to submit this material and give permission to use, 
modify, copy, distribute, transmit, publicly display, reproduce, publish, and transfer. 

Links
Please list any relevant links, such as your organization's website.
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Contact Information
Please provide a point of contact for additional information. Include name, title, email 
and telephone number.
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DISCLAIMER 
FEMA's Private Sector Division of the Office of External Affairs facilitates information sharing and 
good practices for developing effective public-private partnerships. This Web site and its contents 
are provided for informational purposes only, without warranty or guarantee of any kind, and do not 
represent the official positions of the US Department of Homeland Security. For more information on 
the Private Sector Division, please email FEMA-private-sector@dhs.gov or visit 
www.FEMA.gov/privatesector