Lived Experience Advisory Board

Lived Experience Advisory Board

MEMBERSHIP APPLICATION
The Lived Experience Advisory Board is an advisory body intended to ensure the leadership and inclusion of those with current or past lived experience of homelessness within the Fresno Madera Continuum of Care (FMCoC). The Committee amplifies the voices of lived expertise in FMCoC policymaking and decision-making.

Application Process: Those interested in joining should submit this application which will be sent directly to the FMCoC.
Due to limited number of members on the Committee, someone will reach out when space is available. Thank you for your interest!

Note:
- The LEAB is unlikely to consider membership applications from employees of local homeless housing or service providers, even those with lived experience.
- Applications are anonymized before being voted on by the LEAB. Please do not directly reach out to members of the LEAB asking them to vote for you, or you will be disqualified from applying.
Application: This is your opportunity to share a bit about yourself and your interests.
Name*

First NameLast Name
Email
example@example.com
Phone Number (where you can receive messages)
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
What skills, experiences, or perspectives would you contribute as a member of the Lived Experience Advisory Board? (Optional)
How did you hear about the Board?
Why are you interested in becoming a member of the Board? Are there any particular issues you are interested in working on as part of the Board?
The Board meets the first and third Tuesdays of each month from 5-6:30PM. Are you able to attend meetings at this date and time?

YesNo
In the interest of representing a broad range of opinions and proficiencies, and to bring voices to the table that are historically and presently marginalized, the CoC aims to build a diverse and inclusive Lived Experience Advisory Board. The following questions will help us to ensure that Committee membership represents the diversity of experiences of those who have lived experience of homelessness in Fresno and Madera Counties.
Have you ever experience homelessness, either in the past or currently?
If yes, have you experienced homelessness in Fresno and/or Madera Counties?
How long did you experience homelessness and how many times have you experienced homelessness?
How long ago did you experience homelessness (if past)?
If you'd like, please let us know which, if any, of the following groups you identify with. Make all that apply.

Lesbian/Gay/Bisexual/Queer/Transgender/Gender non-conformingParenting/family/caregiverSubstance use experienceLiving with a disabilityVeteran statusImmigrant experience"Dreamer"Former Foster CareUse of mental health services/NAMIUse of emergency shelter program (including cold weather/rotating church shelter)Identify as youthIdentify as ElderlyUse of housing subsidies (PSH; RRH; Public Housing/Sec. 8)Survivor of domestic/intimate partner violenceCurrently experiencing homelessnessHoused and connected to homeless servicesCriminal Legal System/Reentry experienceGang affiliated, present or formerOther
Which of these best describes how you identify your Race and/or Ethnicity (Optional). Please mark all that apply.

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderLatinx/o/aWhiteSome other race, ethnicity, or originPrefer Not to SayOther
Which of these best describes how you identify your Gender (Optional).

WomanTransgender WomanManTransgender ManNon-Binary/Gender VariantPrefer Not to SayPrefer to self-describe
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