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CUCS Housing Resource Training/Consultation Request
Name Title
Agency Program
Address 1 Address 2
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Type of Assistance Requested: (check all that apply)

Staff Development and Training Designing a Supportive Housing Program Service Program Planning and Development
Delivering Mental Health, Substance Use, and HIV Services Working with Homeless Individuals and Families Addressing Chronic Homelessness
Program Implementation and Operations Developing Program Policies and Procedures Quality Assurance, Regulatory Compliance and Program Evaluation
Organizational Development, Management and Planning Structuring Partnerships and Collaborations Financing Sources and Strategies
Community Needs Assessments and Planning Continuum of Care Planning HMIS/Electronic Case Management/Record-Keeping Systems
Other

Details of Request:

Brief Background on Problem or Need:
Proposed Time Frame


How did you hear about CUCS’ Training and Consulting Services: (check all that apply)

Co-worker Referral from another agency Participated in a training workshop
Funder Friend/colleague at another organization Website/internet
Mailing/flyer Conference (please name)
Other: (describe)



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CUCS, 198 E. 121st Street, New York, New York 10035
Phone: 212-801 3300 | Fax: 212-801-3325 | Email: cucsinfo@cucs.org

Copyright ©2005 Center for Urban Community Services, Inc. All rights reserved.