HOME-ARP STAKEHOLDER QUESTIONNAIRE AND VIRTUAL REGISTRATION FORM

HOME-ARP STAKEHOLDER QUESTIONNAIRE AND VIRTUAL REGISTRATION FORM
As part of the allocation planning, localities are required to consult with local agencies to asses needs, gaps, and opportunities where the HOME-ARP funds could be applied. The following questionnaire will be used to collect comments that will be included in the plan submitted to HUD.

Please include your contact information to ensure any follow-up and notice of any future funding opportunities. If you wish to register for the upcoming informational session, please indicate Yes on the question below to register. A link will be sent out to access the meeting via Zoom.
Contact Name:*

First Name Last Name
Contact Phone Number:
Please enter a valid phone number.
Contact Email:*
example@example.com
Contact Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Agency Name:
Agency Description (Brief summary of services and populations/areas served):
Would you like to register for the upcoming virtual information meeting (via Zoom) on January 17, 2023 at 3 pm?:

YesNo
As a result of the recent COVID pandemic, what are 2 issues that are impacting services for population that are described in the HOME-ARP qualifying requirements?:
What are the top 2 challenges that agencies face in providing safe and stable housing for qualifying populations?:
What critical gaps exist in providing services to assist qualifying populations?:
Other comments:
Should be Empty: