2027 POINT IN TIME COUNT VOLUNTEER REGISTRATION FORM

How would you like to be involved in changing the trajectory of homelessness in our city and county?
For those interested in volunteering for the 2027 PIT count, please continue below.
2027 POINT IN TIME COUNT VOLUNTEER REGISTRATION FORM
The Point in Time Count is an annual (24hr) census that we perform every year to provide a picture of our homeless community in the hope that we will receive the much needed resources to assist those in our community that need homes and other valuable benefits.

While we welcome volunteers to assist in our efforts, we also strongly encourage all those desiring to assist this year to be mindful that all must continue to practice safe distancing and continue the use of protective gear to provide a safe environment for our homeless community and ourselves.

With this being said, every volunteer must sign a NC-511 2027 Point in Time Homeless Count Confidentiality and Release of Liability Agreement.

If you would like to learn more please just fill out your contact iformation and we will reach out to you.
I have read the Point in Time Count Advisory; I want to become a volunteer and am willing to sign the NC-511 2027 Point in Time Homeless Count Confidentiality and Release of Liability Agreement.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you represent an agency/organization?
If you represent an agency or organization, please list the name of the agency/organization and provide a telephone number.
If you represent a church, would your church be able to be designated as a rest stop during the PIT count? Please provide name and address of church.
Have you ever volunteered and participated in a point in time count with NC-511?
If you have volunteered in the past, please tell us in what capacity.
How would you like to assist us?
Thank you in advance for volunteering and sharing the gift of your time. It helps our community improve the quality of life for those experiencing homelessness in Cumberland County; and accomplishes our goal of making homelessness rare, brief, and non-recurring.
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