The Way Home | Prospective Partner Questionnaire

The Way Home | Prospective Partner Questionnaire

Thank you for your interest in working with The Way Home Homeless Response System. This questionnaire helps us understand your organization, the resources you offer, and the type of partnership you are seeking so we can identify the appropriate next step.Please provide brief, specific responses. Complete the general questions and only the service sections that apply. Enter “N/A” where appropriate. Clearly distinguish services currently available from those still being developed. Please do not include personal information about clients.Completing this questionnaire does not establish an approved partnership or guarantee funding, referrals, HMIS access, or participation in Coordinated Entry.
Applicant / Organization Information
Organization name
Program name or name you operate under, if different
Website or public information page
Which best describes your organization’s legal structure?
If Other nonprofit, Other, or Unsure, please explain
Does your organization operate under a parent organization or fiscal sponsor?
Parent organization or fiscal sponsor name and relationship
Which affiliations or areas of work describe your organization? Select all that apply.

Other
Primary contact

First NameMiddle NameLast Name
Primary contact title
Primary contact email
example@example.com
Primary contact phone
Please enter a valid phone number.Format: (000) 000-0000.
Briefly describe your organization and how long you have provided the housing or services described in this form.
Where do you currently provide housing or services? Select all that apply.
Describe any geographic limits on who you can serve.
Partnership Interest and Service Model
How would you like to work with The Way Home? Select all that apply.

Other
What would your organization contribute, and what support are you requesting from CFTH or other partners?
Which resources are you offering through this proposed partnership? Select all that apply.

Other
What housing, services, or resources do you provide, and how do they help people prevent homelessness, resolve homelessness, or maintain housing stability?
Who does your program serve? Select all that apply.

Other
What eligibility requirements or restrictions apply?
Can someone with no income access your housing or services?
If costs apply, explain how they are covered for someone with no income.
Is participation in any activity required to receive or continue receiving housing or assistance?

Other
Describe the requirement and what happens if someone does not participate.
What languages, accessibility features, and accommodations are available? How can someone request an accommodation?
What is your program’s current status?
What is your anticipated start date, and what must be in place before you can begin?
What is your current operating capacity, and how much is available now?
What funding or resources currently support the program?
How does someone access your program?
Describe your application or referral process.
Housing / Property Details
What type of housing or accommodation do you offer? Select all that apply.

Other
Do you own, lease, or manage the properties?

Other
Property - City and county
Property - Operating or planned
Property - Number of housing units
Property - Number of bedrooms
Property - Total beds
Property - Maximum people per bedroom
Property - Vacancies available now
Property - Expected opening date, if not operating

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What is the expected length of stay? Is there a time limit?
What agreement does the resident sign?
What is the full cost to the resident, and what is included?
How are housing costs paid? Select all that apply.

Other
Describe assistance currently secured, its duration, and any assistance you hope to obtain.
What resident rules apply beyond the participation requirements already described?
What happens if a resident loses income, assistance ends, or they have difficulty meeting program expectations?
Describe staffing and emergency coverage, accessibility, and access to transportation and essential services.
What applicable property inspections, licenses, or certifications are currently in place, if any?
Services, Coordination, and Follow-up
What services or assistance do you offer? Select all that apply.

Other
Identify which services you provide directly, which are provided through established partners, and which are still planned.
Where and when are services available?
Are services free to participants?
Describe fees, insurance requirements, and financial assistance available.
What limits apply to the amount, frequency, or duration of assistance?
Describe what you would like to contribute, its availability, and any restrictions or coordination needed.
Which organizations or systems do you currently coordinate with, and how?
How do you let referral partners know whether someone was contacted, accepted, connected to assistance, or unable to be served?
What do you do when someone’s needs are beyond what your program can provide?
What outcomes do you track to understand whether your assistance is helping people achieve or maintain stability?
How can participants provide feedback, make a complaint, or request review of a decision?
How do you protect participant information and obtain permission to share it when appropriate?
Who would maintain this partnership, update your availability, and help resolve referral or service concerns?
If another staff member, please provide name, title, and email
If a potential partnership is identified, is your organization willing to meet the requirements applicable to that role?
What questions or support needs would you like us to address?
Is there anything else we should know?
Attachments, Acknowledgment, and Staff Review
Optional supporting materials

Cancelof
Acknowledgment
CFTH Staff Only

For CFTH staff use only.
Date reviewed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Assigned team
Partnership category
Regional fit
Follow-up needed
Status
Should be Empty:

The Way Home | Prospective Partner Questionnaire

Applicant / Organization Information

Partnership Interest and Service Model

Housing / Property Details

Services, Coordination, and Follow-up

Attachments, Acknowledgment, and Staff Review

CFTH Staff Only