Stand Down After Action Report
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1STAND DOWN AFTER ACTION REPORT
(Please print or type legibly)
1. City/State of Stand Down __________________________________________________
2. Is this the organization’s first Stand Down?
Yes
No
3. What was the date of the Stand Down? _____________________________
4. How many days did the event take place?
One
Two
Three
Other_____________ (Specify)
4a. If more than a one-day event, were sleeping arrangements provided?
Yes
No
5.
Was the Stand Down held indoors or outdoors?
Indoors
Outdoors
Both
6.
Were the following services provided?
Health Services
Yes
No
Social Security benefit counseling
Yes
No
Agent Orange Info/Counseling
Yes
No
Hepatitis C Screening/Testing
Yes
No
HIV/AIDS Info/Counseling
Yes
No
Housing/Shelter Referral
Yes
No
Mental Health Services
Yes
No
Substance Abuse Services
Yes
No
Social and Community Services
Yes
No
Employment and Job Training Assistance
Yes
No
Legal Services
Yes
No
Veterans Benefit Counseling
Veterans Administration
Yes
No
Other____________________
Yes
No
Women Veterans specific
Yes
No
Veterans Spouses/Companions
Yes
No
Veterans Children
Yes
No
Personal Care Kits
Yes
No
Clothing (Cold weather, Underwear, or Boots)
Yes
No
Food (Lunch/Dinner/Snacks/Drinks)
Yes
No
Other (Specify) ____________________________________________________
7.
How many persons attended the Stand Down?
Male Homeless Veterans:
_______
Female Homeless Veterans:
_______
8.
Were transportation services available to help veterans get to the Stand Down?
Yes
No
9.
How much was the total Stand Down cash budget (not counting in-kind contributions)?
Less than $5,000
$5,001 to $7,500
$7,501 to $10,000
$10,001 to $15,000
$15,001 to $20,000
$20,001 to $25,001
$25,001 to $30,000
$30,001 to $35,000
Over $35,001
Was any of the above cash budget received from Department of Veterans Affairs? Yes
No
10.
What monetary valuation would you put on the in-kind contribution of goods and services?
Less than $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $250,000
$250,001 to $500,000
$500,001 to $750,000
Over $750,000
11. How many volunteers participated? ________
Name of person filing this report: ________________________________________________________
Address:________________________________________________Phone:______________________
Signature: ___________________________________Date:____________________
Attachment 2
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