Lived Experience Advisory Board Application
Please fill this application out to express your intent on joining the Lived Experience Advisory Board. The Lived Experience Advisory Board would like to recruit a diverse mix of people with a wide range of skills to work together to improve the lives of those experiencing homelessness in our community. The information on this form will help the committee members involved in the recruitment process to decide who is most able to fill Lived Experience Advisory Board vacancies. Applications will be reviewed by the Heartland Continuum of Care Board. Visit heartlandhoused.org for my information! 
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Name  *
Age *
Best phone number to reach you at. *
Email address that you check regularly.  *
Preferred method of communication *
Do you currently reside in Sangamon County?
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How would you describe your gender? *
How would you describe your sexual orientation? *
What describes your race/ethnicity?  *
Briefly describe your experience with homelessness or with being housing unstable.  *
When was the last time that you experienced homelessness?
What skills, experience and or knowledge do you hope to gain from being a part of the Lived Experience Advisory Board? *
Why would you like to join the Lived Experience Advisory Board?  *
Are you able to commit to a monthly one-hour meeting? *
If not selected during our first round of recruitment, are you interested in being contact during future recruitment efforts? *
Do you have transportation needs? *
Are there any other comments you wish to share? *
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