San Diego Regional Office Inter-Agency Security and Safety Committee Annual Security Audit Date of visit: _____________________________________________________________ Name of institution: _______________________________________________________ Address of institution: _______________________ Telephone number(s) of institution: ___________________________________________ E-mail address(es): ________________________________________________________ Name of visiting security advisor: ____________________________________________ Name(s) of institution participants: ___________________________________________ 1 Emergency Contact Information: * If you would like to be on the ADL distribution list to receive information about security measures, threats, emergency alerts, etc., please provide the following contact information. (To be updated annually.) Name of Executive/Administrative Director: _______________________________________ Office Telephone Number and Ext: _________________________________________________ Cell and/or Pager: ______________________________________________________________ Email Address(es): ______________________________________________________________ Home Telephone Number: ________________________________________________________ Additional Information: __________________________________________________________ Name of Rabbi (if applicable): ...