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Your Way Home Continuum of Care Membership Form

Membership in the Your Way Home Continuum of Care (CoC) is free and open to any person or organization committed to ending and preventing homelessness in Montgomery County, Pennsylvania. Join today!

Membership is open to any individual that is committed to ending and preventing homelessness in Montgomery County. Individuals may be residents, people with lived experience of homelessness, Your Way Home program participants, and staff and volunteers who work for a nonprofit/faith/community-based organization, business, governmental entity, or school/university.
1.Are you applying to be a Your Way Home CoC Individual member (open to all) or an Agency member (a single designated representative or employee of a CoC-funded service provider agency)?
2.Tell us about yourself.(Required.)
3.Your Way Home collects and discloses aggregate (not your personal/individual) CoC membership diversity information. Please answer this question if you agree to the inclusion of this information.

Have you ever personally experienced literal homelessness?
4.Which of the following groups do you represent in Montgomery County? (Check all that apply.)
5.On which of the following Your Way Home Advisory or Action Teams would you consider joining? (Check all that apply; Agency members must select at least one.)
6.Do you require any special accommodations or assistance to participate in CoC meetings? If yes, please specify. If no, please skip to the next Question.
7.*Membership Acknowledgement. I affirm that for my Your Way Home CoC membership to be in good standing, I must:

1. Uphold Your Way Home's mission to end and prevent homelessness  and its Statement of Racial Equity Principles and Values.

2. Attend at least 50% of Your Way Home CoC membership meetings and 50% of Advisory or Action Team meetings on which I serve.(Required.)
8.Your Way Home collects and discloses aggregate (not your personal/individual) CoC membership diversity information. Please answer this question if you agree to the inclusion of this information.

What is your gender identity?
9.Your Way Home collects and discloses aggregate (not your personal/individual) CoC membership diversity information. Please answer this question if you agree to the inclusion of this information.

What is your race or ethnicity? (Check one or more.)
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