2019 Homeless Point-in-Time Homeless Count Volunteer Registration Form Montgomery County, Maryland
The point in time is an annual survey of homeless persons in Montgomery County who are residing in sheltered and unsheltered environments. This year the count for the unsheltered will be conducted on:

Wednesday night January 23 and Thursday morning January 24 | 9:00 p.m.

We need help completing the point-in-time survey. Volunteers will receive training with refreshments on Wednesday, January 23 and will be going out in teams to designated locations, where we believe unsheltered homeless persons may be located.

If you are able to volunteer, please register by filling out the registration form: 2019 Homeless Point-in-time Volunteer Registration Form.

Training with light refreshments will be provided on:

Wednesday, January 23, 2019 at 9 p.m.
EveryMind, Inc., 1000 Twinbrook Parkway, Rockville, MD
and
Silver Spring Civic Building, 1 Veteran Place, Silver Spring, MD 20910, specific room TBD

All volunteer must preregister by Monday, January 21, 2019. If you have any questions, please contact us at HHSPIT@montgomerycountymd.gov

Please click the link or cut and paste to view this 8-minute video. http://pathprogram.samhsa.gov/Resource/View.aspx?id=49498. If you have access to YouTube click the picture below.
After watching the video, please make your commitment to the survey by completing the registration form below.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Telephone Number *
Please provide your best number for contact before and on the night of the PIT. Your number will not be shared and will not be used in the future unless specified.
Your answer
Which location will you attend training? *
I certify that I am at least 18 years of older. *
Volunteers must be 18 years or older to participate
Please provide a contact person in case of emergency. *
Your answer
Emergency contact person's home or cell telephone number. *
Your answer
Another number to reach your Emergency contact (optional)
Your answer
Do you speak another language? *
Which language(s) do you speak?
List all languages you are fluent in and would be willing to interpret for.
Your answer
If yes, are you available to help as an interpreter?
1. The point in time is an annual survey and count of homeless persons in Montgomery County who are residing in sheltered and unsheltered environments. These numbers are reported to Congress, State, and Local Government / County Council each year and effects the funding we receive in Montgomery County. The PIT demonstrates trends in our community for additional housing. *
How are the PIT numbers utilized?
2. Homelessness is defined as a lack of regular or adequate nighttime residence. A person may be temporarily living either in an emergency shelter, transitional housing, or sleeping in a public or private place not designed for human habitation, such as a bus stop, parking garage, or woods. *
A person evicted from their apartment, is now sleeping on a friend's couch. This person is homeless. True or False
Things To Remember
Dress for the weather, it will be cold and some locations are in wooded areas. Ensure you have a flashlight and cell phone that is fully charged.
How did you do?
Answers: 1. All of the Above and 2. False (sleeping on a friend's couch is not considered homelessness)
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