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CA-510 CoC Competition Survey
This survey is to assess your agency's steps toward racial equity and ways your incorporate client feedback. The Rating and Ranking Committee will review this survey in regards to your CoC Program Competition application(s)
1.
Agency Information
Agency Name
Contact Person Name
Contact Person Email
*
2.
Does your agency have under-represented and/or minority individuals (BIPOC, LGBTQ+, etc.) in managerial and leadership positions?
(Required.)
Yes
No
*
3.
Does your agency's Board of Directors include representation from more than one person with lived experience?
(Required.)
Yes
No
*
4.
Does your agency have a formal process for incorporating feedback from persons with lived experience with regards to program design and/or policy-making?
(Required.)
Yes
No
*
5.
Please describe that process.
(Required.)
6.
Give one example of a time in the past 2 years when your agency responded to client feedback, and what the results and/or changes were.
7.
How does your agency identify barriers to participation faced by persons of different races and ethnicities, particularly those over-represented in the local homeless population?
*
8.
Has your agency reviewed its internal policies and procedures with an equity lens and has a plan for developing and implementing equitable policies that do not impose undue barriers?
(Required.)
Yes
No
*
9.
If yes, describe your plan. If no, describe steps you will take in the next 12 months to review your internal policies.
(Required.)
*
10.
Has your agency identified programmatic changes needed to make program participant outcomes more equitable and developed a plan to make those changes?
(Required.)
Yes
No
*
11.
If yes, please describe your findings and the plan you have developed. If no, describe steps you will take in the next 12 months to identify programmatic changes.
(Required.)