Montgomery County PA 2023-2024 Code Blue Provider Interest Form

In periods of extreme, life-threatening weather, defined as a wind-chill factor of 20°F or below, multiple county agencies and private health / social organizations offer expanded services for those without adequate shelter, including the chronically homeless and homeless families with children. The goal of the Code Blue plan is to provide temporary shelter, food, and clothing to those in need. The county typically calls 40-60 Code Blue nights between November and April every year.

In these unprecedented times, we are critically concerned about residents faced with homelessness following an eviction or foreclosure. We are especially concerned when temperatures drop below freezing and we enter into a Code Blue scenario. If your organization is interested in becoming a Code Blue Emergency Shelter, please complete the fields below. The Your Way Home team will reach out directly to set up a meeting.

Question Title

* 1. Contact Information

Name

Organization

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 2. How many beds could your facility host on a Code Blue night?

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* 3. Code Blue shelters are typically volunteer run. Do you have a volunteer base who could help run the shelter?

Yes

Other (please specify)

Montgomery County PA 2023-2024 Code Blue Provider Interest Form

Question Title

* 1. Contact Information

Question Title

* 2. How many beds could your facility host on a Code Blue night?

Question Title

* 3. Code Blue shelters are typically volunteer run. Do you have a volunteer base who could help run the shelter?

Question Title

* 4. Estimated Budget Needed for the 2023-2024 Code Blue Season