Howard County Coalition to End Homelessness -  Participation Agreement
The Howard County CoC (MD-504) seeks participating members of the Howard County Coalition to End Homelessness, as we seek an active community-wide planning body to carry out the work of ending homelessness.
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Email *
Date Completed/Updated: *
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Are you interested in Agency/Organization or Individual participation? *
Voting Participant Name: *
Voting Participant Alternative Name (if applicable):
Non-Voting Participant Name (if applicable):
Agency/Organization Name ("NA" if Individual) *
Mailing Address *
City, State, Zip *
Phone Number: *
Email: *
Does your organization/agency serve persons experiencing homelessness or who are experiencing a housing crisis? *
What special population do you represent? (Check all that apply) *
Required
What kind of organization do you represent or if an Individual, most accurately describes your interest in participating in the CoC ? *
Does your organization currently receive funding or intend to apply for, any of the following grant programs? (Check all that apply) Recipient/Subrecipient or Application of funding does not disqualify you from being a participant of the Coalition or on the Coalition's Board. *
Required
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