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Rent & Mortgage Assistance
(Past due rent or mortgage, first month’s rent or mortgage)
Over 50% of funding should come from sources other than EFSP.
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Email
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Your email
Agency Name
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Your answer
Mailing Address
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Your answer
Contact Name
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Your answer
Contact Phone Number
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Your answer
Please check if your agency targets specific client populations by choosing up to the top three (3) from the list below:
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Chemically addicted
Domestic violence victims
Unaccompanied minors
People with AIDS/HIV
Native Americans
Families with children
Mentally disabled
Elderly
Veterans
Minorities
Other
No target populations
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Please give a brief description(s) of your overall agency program
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Your answer
What is the total operating budget for this agency (include all costs)?
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Your answer
What other agencies provide similar assistance to residents in your service area?
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Your answer
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