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* 1. Please provide your name.

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* 2. Please provide the name of your agency.

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* 3. Below are eligible activities to be funded under ARP. Please rank the activity most needed to assist individuals or families who are homeless or at risk of homelessness within the City from 1 to 4, with 1 being the most important.

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* 4. Please provide an explanation for your previous answer.

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* 5. Which homeless subpopulation should the City prioritize? (Please rank in order of importance)

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* 6. Please provide an explanation for your previous answer.

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* 7. Is your organization a member of any of the following? (check all that apply)

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* 8. What is your Agency type?

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* 9. What services does your agency provide? (Check all that apply

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* 10. What population(s) does your agency serve? Check all that apply.

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* 12. What level of importance would assistance from the city for organizational capacity building or technical assistance in managing HUD funds be to your organization?

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* 13. What can the city do to reduce homelessness?

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* 14. What can the City do to assist your organization in its fight against homelessness? 

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