NC-511 Fayetteville/Cumberland CoC'ESG Letter of Interest (LOI)
2026
Agency Name
Agency Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Executive Director/Authorized Official
First Name
Last Name
Primary Contact Person Information:
First Name
Last Name
Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
ESG Activity(ies)for Which Funding Will be Requested
Street Outreach
Emergency Shelter
Rapid Re-Housing
Homeless Prevention
Homeless Management Information System (HMIS)
Administration
Brief Project Description 2-3 paragraphs. 250 words maximum. Provide Description of services provided, Target population to be served and Geographic area to be served
Estimated Funding Request: An approximate amount anticipated
Has your agency received ESG Funding before?
Yes
No
If you have received before please indicate the most recent funding year, if not please put N/A
Have you in the past or if selected will you confirm/commit to participation in the NC-511 Continuum of Care HMIS System or use of a comparable database if applicable?
Yes, I can confirm I have and will
I have not done so in the past but if awarded, We will commit to participation
No
Have you in the past or if selected will you confirm/commit to participation in the NC-511 Continuum of Care Coordinated Entry System?
Yes, I can confirm I have and will
I have not done so in the past but if awarded, We will commit to participation
No
Please be advised that submission of a Letter of Interest does not obligate an agency to submit a full application, NOR does it guarantee funding. I understand this statement and that there is no guarantee that the CoC will recommend me for funding or that I will receive an award. I fully understand this statement.
Yes
No
Signature of Applicant
Submit
Should be Empty: