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2018 PIT Count Volunteer Form

Please correct the field(s) marked in red below:

Thank you for interest in helping with the 2018 Point-In-Time Count of homelessness. With your help we can get an accurate count of the number of homeless households in Chelan and Douglas counties. This assessment will help unlock federal and state funds to combat homelessness. 

Please take a moment to answer the questions below so that we can contact you about how to get involved.

1
Name
 *
Name
2
Contact Information
 *
Contact Information
3
Address:
Address:
4
Tell us a little about yourself.
5
I would be interested in helping with...
I would be interested in helping with...
6

How did you hear about the 2018 PIT count and the "You Count!" event?

(select all that apply)

How did you hear about the 2018 PIT count and the "You Count!" event? (select all that apply)
Thank you for your interest!
  1. To receive a copy of your submission, please fill out your email address below and submit.
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