CoC NY-518 Membership Certification
To support strong governance and meaningful participation, all Mohawk Valley Housing and Homeless Coalition members are asked to confirm their membership and commitment to active engagement in CoC activities.
Full Name
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First Name
Last Name
Phone Number
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Format: (000) 000-0000.
E-mail
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example@example.com
Organization (if applicable)
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I confirm that I am an active participant in the CoC and wish to remain an active member.
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I understand that active CoC membership includes participation in CoC Plenary meetings and confirm my intent to attend at least 75% of meetings annually.
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I understand that participation in CoC decision-making processes (including voting, when applicable) is an important responsibility of CoC membership.
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I understand that active CoC membership includes the following: Participating in CoC meetings; Providing input through established CoC processes (e.g., meetings, committees, surveys, workgroups); Engaging with CoC partners in a collaborative and solutions-oriented manner; and, Raising concerns through CoC structures and processes whenever possible.
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I certify that the information provided is accurate and that I understand the expectations of CoC membership.
Signature (typed)
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Date
*
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: