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Black Men Ending Homelessness Interest Form

Participant Demographics

Thank you for your interest in Building Together: Black Men Working to End Homelessness. We are focused on answering two questions:
  1. How can we be more intentional in ensuring more Black men are in leadership roles and at decision-making tables?
  2. How can we examine the services offered, unique experiences, challenges, and needs of Black men experiencing homelessness?
Answer the below demographic questions and join the conversation. All information shared will be kept internal.
1.What is your current role (check all that apply)(Required.)
2.Name
3.What organization do you work for?
4.Where are you located and what area(s) does your work cover (if different):
5.Black Men Ending Homelessness is working to
  1. Assemble a Collective
  2. Foster Connections
  3. Review Research
  4. Illuminate Service Gaps
  5. Guide System Improvements
  6. Identify Research Strategies
Do you agree with these goals?
6.Black Men Ending Homelessness will meeting on the Fourth, Wednesday of every other month @ 4p ET. Can you attend these meeting?
7.Have you ever experienced homelessness?
8.Are there any identities that you bring to this space that you would like to share?
9.What skills or resources do you bring to the group?
10.What changes do you want to see around Black men's representation in the homeless reponse system?
11.Do you have any additional questions for us?
12.Email
13.Are you okay with us sharing your contact information with Black Men Ending Homelessness members?