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PA-509 CoC Coordinated Entry Specialist Application
Coordinated Entry Access Site providerss and 211 Call Centers must submit a form for every new staff member or volunteer it is requesting be trained and licensed to serve as a Coordinated Entry Specialist for the Eastern PA Continuum of Care.
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Email
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Your email
What is the name of your organization?
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Your answer
What is the name of the staff member or volunteer applying to become a Coordinated Entry Specialist?
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Your answer
What is the email address of the staff member or volunteer applying to become a Coordinated Entry Specialist?
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Your answer
What is the name and email address of the person at your organization who will supervise this person's work as a Coordinated Entry Specialist?
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Your answer
Optional: Do you have any questions, concerns, or information to share about the person requesting to be trained, licensed, and approved to be a Coordinated Entry Specialist?
Your answer
A copy of your responses will be emailed to the address you provided.
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