TDHCA ESGP 2011 Organization Verification Information

1. TDHCA Organization Verification Information for 2011 ESGP Subrecipients

 
This form is to be completed by 2011 Emergency Shelter Grants Program (ESGP) subrecipients. Subrecipients only need to complete this form via Survey Monkey. This form does not need to be e-mailed to TDHCA. For questions on completing the survey, please contact Kathie Watkins at (512) 305-8869.
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1. Organization Information:
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2. Executive Director Information:
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3. ESPG Program Contact Person:
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4. Board Chair Information:
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5. Estimated Number of Unduplicated Persons to be Served with the ESGP grant from 9/1/2011-8/31/2012:
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6. Name(s) of County(ies) to be Served:
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7. Target Population(s) to be Served:
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8. Services to be Provided With ESGP Funds:
Thank you for taking the time to complete the form.
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