Project Homeless Connect Santa Cruz County is pleased to announce that we will again be having our event in Watsonville on Wednesday, November 13, 2019. The event will be held at the Watsonville Veteran's Hall, located at 215 East Beach Street, Watsonville, CA 95076 from 11:00am - 3:00pm. 

Please complete this form to verify your participation in the 2019 Watsonville Connect event.

The deadline for submitting this form is Wednesday, November 6, 2019.
Due to coordination and space restrictions, we will not be accepting forms after this date.

Fees for services are prohibited and conditional service delivery is strongly discouraged.

Question Title

* 1. What is the name of your agency/organization?

Question Title

* 2. What would you like printed on your organization's sign? This will be displayed at your booth on the day of the event.

Question Title

* 3. Is your organization a...

Question Title

* 4. Please describe the service(s) your organization will provide on November 13, 2019 for our event brochure. Maximum three sentences please.

Question Title

* 5. How would you categorize the services you will be providing?

Question Title

* 6. How many people from your organization will be attending to provide services?

Question Title

* 7. On the day of the event, how many of the following items will you need?

Question Title

* 8. Does your organization require any additional items/support on the day of the event?

Question Title

* 9. Do you have a mobile unit? If so, please specify the length of your vehicle.

Question Title

* 10. Who will be the primary contact for this event?

Question Title

* 11. Email Address:

Question Title

* 12. Phone Number:

Thank you for verifying your participation in the 2019 Watsonville Connect Event! You will be contacted with more information closer to the event date.

Please contact phcsantacruzcounty@gmail.com with any questions.

T