Project Homeless Connect KC - Service Provider Interest Form
COVID 19 precautions will be made. More information will be shared as we draw closer to the event. 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 21, 2021 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:
Main Contact Full Name
Type of Organization
Select all that apply
Substance Abuse Recovery
Domestic Violence Shelter
Government (City, State, Fed)
Personal Needs (photo, haircuts, etc.)
Please describe what kind of services you offer to fully homeless clients in general
What services will you offer at Project Homeless Connect KC?
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.
A copy of your responses will be emailed to the address you provided.
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