Thank you for your interest in joining the Atlanta CoC! Please fill out the information below:

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* 1. Contact Information:

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* 2. Would you like to be on the CoC email list? This includes a monthly newsletter and other important announcements.

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* 3. Please select the most accurate description for your agency:

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* 4. If applicable, what types of services does your agency provide?

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* 5. If you agency provides supportive services, please list them here:

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* 6. Is your agency active on ClientTrack, the designated Homeless Management Information System (HMIS) for the Atlanta CoC?

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* 7. Have you or someone from your agency attended an Atlanta CoC meeting within the last 12 months?

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* 8. Are you the designated voting member for your agency?

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* 9. If no, please provide the contact information for the voting member:

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* 10. I support the goals of the Atlanta CoC and agree that by working together, we can make homelessness rare, brief, and nonrecurring in Atlanta.

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* 11. Please use the space below to provide any feedback about your experiences with the CoC. Or, use the space to give some suggestions on what Partners for HOME can do to make the CoC more effective.

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