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HRCS New HMIS Project
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Your Name
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Your answer
Your Organization
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Project Name
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Project Type
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Choose
Emergency Shelter
Homelessness Prevention
PH - Housing Only
PH - Housing with services, no disability required
PH – Permanent Supportive Housing, disability required
PH – Rapid Re-housing (RRH) Services only
PH - Rapid Re-housing (RRH) Housing with or without services
Safe Haven
Services Only
Street Outreach
Transitional Housing
Project Start Date
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Street Address
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City
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Zip Code
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Main Contact Person
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Phone Number
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Email Address
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List of Services Provided
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List of Agencies for Referrals
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