Project Homeless Connect KC - Service Provider Interest Form
Thank you for your interest in Project Homeless Connect KC! We are excited to create a productive, valuable and efficient day of helping homeless Kansas Citians move their lives forward. Please fill out this form if you're interested in providing your service to the clients that day.

LOGISTICS NOTES: We are planning for 300 homeless clients. The event will be Tuesday, September 12, 2017 with doors open to the clients from 9AM-3PM. Setup will be available that morning and need to be completed by 8:00AM that day. You will not be able to break down your table any earlier than 3PM.

Please feel free to contact us with any questions: projecthomelesskc@gmail.com

Company/Organization *
Your answer
Main Contact Full Name *
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Phone *
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Email *
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Type of Organization *
Select all that apply
Required
Please describe what kind of services you offer to fully homeless clients in general *
Your answer
What services will you offer at Project Homeless Connect KC? *
Your answer
Are you available to send someone to staff the event? *
What will you need to properly provide your service at the event? *
Power, hookups, internet, printer, special equipment, etc.
Your answer
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