AWHA & CELC Dashboards - Monthly Reporting Form
Please report each month's data by the 15th of the following month. (ie. January's data should be reported by February 15th.)

If your community is not collecting a particular data point, you may just leave the field blank.

For questions about completing this form, please contact Megan Gibbard at A Way Home America ( and Margaret Woley at MEMconsultants (

For the purposes of this project, "youth" refers to unaccompanied youth and young adults between the ages of 12 and 24. If your community has a different definition for youth, please let Megan and Margaret know.

Email address *
Report Information
For which month are you reporting? *
For which community are you reporting? *
Your name: *
Your answer
Your agency/entity: *
Your answer
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