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* 1. Are you a resident of Costa Mesa?

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* 2. Are you currently or have you ever experienced homelessness?

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* 3. How familiar are you with the HOME-ARP program?

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* 4. Do you work or volunteer for an organization that serves individuals/families who are homeless; at-risk of homelessness; fleeing domestic violence, sexual assault, stalking or human trafficking; veterans; families; or other vulnerable populations? (If YES, please check the organization below)

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* 5. What is your organization's geographic service area? (i.e. Orange County, City of Costa Mesa, Zip Code, Neighborhood)

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* 6. Among the following who are eligible for HOME-ARP funding, where is the most need in your community? Please rank the following options (1 is highest need)

  1. People experiencing unsheltered/street homelessness
  2. People sheltered in emergency shelter and needing permanent housing
  3. People experiencing chronic homelessness and needing permanent supportive housing
  4. People at-risk of experiencing homelessness, needing homelessness prevention services

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* 7. Please rank the following needs in the City of Costa Mesa from highest priority to lowest priority for individuals experiencing homelessness or at risk of homelessness? (1 is highest, 5 is lowest needed)

  1. More emergency shelters or beds
  2. Rental assistance to help prevent people from losing their housing
  3. More affordable housing units with supportive services
  4. Supportive Services and/or Move-in Assistance for persons experiencing homelessness
  5. Nonprofit Operating and Capacity Building Assistance (only 5% of funding is eligible)

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* 8. Among the following services, where are the largest gaps (difference between resources available and people needing those resources) in your community’s homelessness response system? Please identify the top 5

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* 9. Among members of your community who are in the Qualifying Populations, please identify the group that is most likely to face additional barriers to ending their homelessness.

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* 10. Are there specific racial and ethnic groups, cultural groups, cultural and/or linguistic communities that are not being reached through the homeless service system in Costa Mesa?

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* 11. Please provide any additional feedback regarding the allocation of HOME-ARP funds here.

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* 12. Contact Information

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