Coordinated Entry Committee Applications

Complete the entire form and email any questions to CoC.Questions@kcrha.org.


PLEASE NOTE: Information provided on this form will be a public record subject to free and open examination by any person under the Washington State Public Records Act (RCW 42.56.250). Applicant’s contact information will be redacted.


The paper version of this form can be found here:

https://kcrha.org/wp-content/uploads/2023/01/CE-Committee-Application.pdf

Preferred Contact Information:

Phone
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Application Questions

Please list any experiences or familiarity you have with homeless housing services/program delivery, funding, the Continuum of Care, Coordinated Entry, or other relevant skills.

KCRHA Theory of Change:

If we create a homeless response system that centers people with lived experience, then we will be able to focus on responding to needs and eliminating inequities, in order to end homelessness for all.

Affiliations - (please note any that apply):

Lived experience of homelessness:*
Public or Private Funder:
Intersecting System – i.e. Behavioral Health, Child Welfare, Criminal Justice, etc.*
Faith Based?*
Homeless Housing and/or Service Provider*

Please check any areas in which you have specific experience or expertise:

Please check any areas in which you have specific experience or expertise:

Identity (optional):

Agreement and Signature

By submitting this application, I affirm that my application responses are true and complete to the best of my knowledge.

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