St. Johns County Continuum of Care Membership Commitment Application

St. Johns County Continuum of Care Opening Doors Resource Application

This application solidifies an entity’s formal interest in being included in the St. Johns County Continuum of Care's Opening Doors resource guide. Please take a few moments to provide the St. Johns County CoC Lead Agency, and it's appropriate review committee, with the following information to consider :
Agency/Organization Name
Business, Advocacy Group, Non-Profit, etc.
Agency/Organization Address
To be displayed in the resource guide for services. Must be within St. Johns County.
Agency/Organization Website
To be displayed in the resource guide for services..
Agency/Organization Main Phone
To be displayed in the resource guide for services. Include extension if applicable..
Agency/Organization Hours of Operation
To be displayed in the resource guide for services..
Contact E-mail (not to be displayed on the resource guide)
example@example.com
PLEASE PROVIDE THE FOLLOWING INFORMATION AS IT RELATES TO YOUR COMMUNITY RESOURCE.
Please specify which type(s) of service(s) your organization offers:

Transitional HousingShelterDay ProgramMental HealthPhysical/Chronic HealthSubstance UseFood/NutritionEmploymentEducationTransportationOther
Please provide more details about the service(s) your organization provides, including: cost of service (free is preferred), best way to access service(s), appointment vs. walk-in, etc.
My organization is currently a member in good standing with the CoC, with a commitment form completed and on file.
My organization regularly attends SJC CoC monthly membership meetings
My organization commits to recommending community members to utilize the Opening Doors brochures and to participate in monthly SJC CoC Membership meetings.
My organization commits to serving vulnerable populations within St. Johns County and refrains from discriminatory practices.
My organization is mission driven to help prevent and end homelessness, and to make homelessness rare, brief and one time.
BY SIGNING BELOW, I ACKNOWLEDGE AND UNDERSTAND THAT BY COMPLETING THIS APPLICATION, MY ORGANIZATION'S ADDITION TO THIS COMMUNITY RESOURCE IS NOT GUARANTEED AND MUST GO THROUGH A REVIEW PROCESS WITH THE ST. JOHNS COUNTY CONTINUUM OF CARE'S REVIEW TEAM. UPON REVIEW, SHOULD ADDITIONAL INFORMATION BE NEEDED, I AGREE TO BE CONTACTED VIA THE PROVIDED EMAIL ADDRESS.
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St. Johns County Continuum of Care Opening Doors Resource Application