Housing Opportunities for Persons with HIV/AIDS Program (HOPWA) Survey

  • Housing Opportunities for Persons with HIV/AIDS Program (HOPWA) Provider & Grantee Survey

  • This survey is designed to gather information about service providers and grantees of the federal Housing Opportunities for Persons with HIV/AIDS (HOPWA) program.

    A similar survey is being circulated to gather information from HOPWA program clients and patient populations who may be eligible to receive supportive services from HOPWA providers and grantees.

  • Screening Questions

  • Organizational Information

  • This section includes basic questions about your organization/entity, including contact information for internal use by the Appalachian Learning Initiative and for public/patient inquiries, and which HOPWA-eligible activities/services your organization provides, and in which state(s)/territory and counties your organization provides services.

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  • Format: (000) 000-0000.

  • Public-Facing Contact Information

  • This section requests information about the public-facing contact information that will be used to provide former, potential, or existing HOPWA beneficiaries and caseworkers with contact information for your organization.

  • Format: (000) 000-0000.

  • Program Information

  • This section requests information about your organization/entity's operations, including questions about the availability of public-facing information that will be visible to end-users of The HOPWA Directory. Information provided in this section should not include information that would breach any confidentiality agreements your organization has entered.

  • General HOPWA Program Information

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  • HOPWA Eligibility Information

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  • HOPWA Application Process Information

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  • HOPWA Document Requirements Information

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  • HOPWA State-Level Contact Information

  • Please provide the contact information for the state-level contact who oversees your program

  • Format: (000) 000-0000.

  • HOPWA Regional Contact Information

  • Please provide the contact information for the regional-level contact who oversees your program

  • Format: (000) 000-0000.

  • HOPWA Client Grievance Process Information

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  • HOPWA Waitlist Information

  • Additional Information (Optional)

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  • Thank you for taking the time to complete the HOPWA Provider & Grantee survey. We truly appreciate your dedication to providing these vital services to Persons Living with HIV/AIDS, and we are excited to feature your organization in The HOPWA Directory.

    You can learn more about the Appalachian Learning Initiative and The HOPWA Directory by visiting our website:

    https://www.appli.org

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  • Thank you for your interest in the Housing Opportunities for Persons with HIV/AIDS (HOPWA) Provider & Grantee Survey.

    Unfortunately, your responses to our screening questions indicate that your organization/entity does not qualify for participation in this survey.

    If you believe that you have received this message in error, please click on the 'Back' button, below, to submit a different answer.

    Otherwise, please click the submit button to complete the survey.

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