Primary Program Contact Name Organization/Company Name Email Phone number Address City StatePlease select... AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Check "Yes", if the primary contact and property owner information are the same. YesNo Property Owner Details Property Owner Name Organization/Company Name Email Phone number Address City StatePlease select... AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Organization/Company Type (choose only one)NonprofitFor Profit Type Please provide any additional pertinent details to assist with our review of your application. Please select the program model you are applying for (choose only one)Self-Service: Upon enrollment, participants will receive login information for the Building Protect tool, as well as access to recorded trainings and online guides. Portfolio Protect and Building Protect Assessments will be completed independently, within eight weeks of enrollment.Keep Safe Learning Collaborative: Participants will access a unique learning collaboration of owners across Florida to address mutual needs regarding climate risk. Participants will engage in three training sessions over 8 weeks and will access technical assistance in completing building assessments and applying results. Please note that participants will be required to attend the three training sessions. Error Disclaimer By clicking "Submit", you agree your information will be shared with IBTS and other partners involved in executing the work of the Keep Safe Florida program that might have different data privacy policies.This field must be checked in order to submit the application. x reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA.