Intent to Apply for 2017 HUD Continuum of Care Funds
This form is designed to collect information from agencies and organizations that intend to seek funds in the 2017 HUD Continuum of Care (CoC) funding round via the River Valleys CoC (MN 502 - Rochester/Southeast Minnesota).

ALL potential project applicants seeking renewal grants and new grants should complete this form. Your response will be used in planning for 2017 HUD CoC funding applications, and you will be informed of your approval to submit a full application once HUD releases details of its 2017 funding round. Note: If you were not previously on the River Valleys CoC email listserv, you will be added after you complete this form. This ensures that you receive notifications about the funding round and ongoing CoC planning.

River Valleys CoC has identified its priorities for new Rapid Re-Housing and Permanent Supportive Housing in 2017 and 2018 HUD CoC funding rounds. Applicants are highly encouraged to review the River Valleys CoC priorities and the HUD CoC eligibility guidelines before completing the form.

> For information on the River Valleys CoC, visit http://threeriverscap.org/continuum-of-care.
> For information on program types and descriptions of budget lines, visit
https://www.hudexchange.info/programs/coc/coc-program-eligibility-requirements/.
> If you have further questions, please contact the CoC Coordinator Jennifer Prins at jprins@threeriverscap.org.

Name of person completing this form
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Agency/organization affiliation
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I certify that I am authorized to submit this Intent to Apply form on behalf of the project applicant or project sponsor.
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I am submitting this Intent to Apply form for a:
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