2024 MCHSCoC Board Nomination Form
The Mendocino County Homeless Services Continuum of Care (MCHSCoC, CA-509) is accepting nomination for vacant seats on its Governing Board. Open seats are one (1) dedicated Board Seat for a Tribal Government/Entity, one (1) dedicated Board Seat for a Housing Authority, and seven (7) Representative Group Seats

For questions about the nomination process, please contact Veronica Wilson at (707)468-7071 or wilsonv@mendocinocounty.org
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MCHSCoC Member Name (Nominee)
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Nominee's Affiliated Organization, Entity, or Institution, if any
*
MCHSCoC Member (Nominee) Telephone Number
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MCHSCoC Member (Nominee) Email Address
*
Please select the Nominee's primary CoC Board Seat Category choice *
If you selected Other, please describe
Please select the Nominee's second CoC Board Seat Category choice (do not repeat previous response) *
If you selected Other, please describe
Additional Category (optional)
If you selected Other, please describe
Additional Category (optional)
If you selected Other, please describe
Additional Category (optional)
If you selected Other, please describe
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