FMCoC Lived Experience Representatives

Fresno Madera Continuum of Care (FMCoC) - Lived Experience Representative Application

This is NOT a job application. This is NOT to obtain housing or shelter. This is for the Lived Experience Representative Initiative within the Fresno Madera Continuum of Care (FMCoC). The FMCoC started a Lived Experience Advisory board (LEAB) in August 2022, to ensure the voices of people with lived experience shaped how the CoC designed and implemented an effective homelessness response system within Fresno and Madera Counties. This new Lived Experience Representative Initiative is a result of transitioning from the LEAB to a new model that incorporates people with lived experience into every part of the FMCoC's processes. Applicants who are picked to serve as CoC Lived Experience Representatives will be compensated for their time and work, according to the Stipend Policy.
Name*

First NameLast Name
Pronouns*
Gender*
Age*
Race/Ethnicity*

Native American or Alaskan NativeBlack or African AmericaHispanic or Latino/é/aMiddle EasternNative Hawaiian or Pacific IslanderAsianWhiteDecline to Answer
This is not a job application. If you read and understand that this is not a job application please type the word "zebra" here so that we can verify that you read this through.*
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
City You Reside In*
Are You Currently Experiencing Homelessness in Fresno County or Madera County?*

YesNo
If Not, Have You Previously Experienced Homelessness in Fresno County or Madera County?*

Yes, I have experienced homelessness before but am not homeless nowNo, I have never been homeless or in a shelterNo, this is my first time experiencing homelessness
Enter all the Cities AND States that you experienced homelessness*
When was your LAST episode of homelessness?*

I am currently experiencing homelessnessLess than 1 year ago1-5 years agoMore than 5 years ago
Please Check if You Identify with Any of the Following*

Transitional Age Youth (18-25)BIPOCLGBQ+Trans/Nonbinary/TGISurvivor of Domestic or Intimate Partner ViolenceSurvivor of Human TraffickingSeniors (60+)DisabledCriminal Legal System InvolvedNone of the Above
Why Are You Interested In Serving As a Lived Experience Representative?*

What Days & Times Are You Most Available?*

Rows	Mornings Only (8am-12pm)	Afternoon Only (1pm-5pm)	Evenings Only (after 5pm)	Any Times
Monday
Tuesday
Wednesday
Thursday
Friday

Check the Relevant Skills, Abilities or Experiences You Have*

Can Use EmailAbility to Attend Virtual MeetingsPublic SpeakingPrevious Outreach ExperienceInterest or Ability to Read Policies and ProceduresAbility to Use Word, Excel, etc.Abides by Confidentiality AgreementsRecent Experience at an Access Site
List Your Experience Relevant to the Role You Are Interested In, If Any:*
I Am Interested In Serving On This Initiative: (See Chart of Roles Above):*

POINT IN TIME COUNT WORKGROUPCOORDINATED ENTRY SYSTEM (CES) STANDING COMMITTEEFUNDING INPUTPSH APPEALS PANELSPSH FORMS AND FEEDBACK FORM SUPPORTTRAINING SUPPORTOUTREACHSPECIAL PROJECTSFUNDING PANELSOPEN TO ALLUNSURE
Please Review the Stipend Policy below:
Please Review the Attendance Policy below:

Fresno Madera Continuum of Care (FMCoC) - Lived Experience Representative Application