Macomb County Continuum of Care Membership Application
Purpose of the CoC: To promote community-wide planning and strategic use of resources to address homelessness; improve coordination and integration with mainstream resources and other programs targeted to people experiencing homelessness; improve data collection and performance measurement; and ensure that every individual and family in Macomb County has an affordable place to call home and the resources and supports to remain there.

Multiple people from the same agency should each submit their information individually. Multiple members from an agency are encouraged and welcome to join the CoC Membership. If there are items where a vote of the membership is taken, each agency has one vote and each agency is responsible for designating a voting representative for their vote.
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Name of Member: *
Organization you represent (if you do not represent an organization, please enter "individual"): *
Street Address:
City and ZIP code:
Phone number:
Fax number:
Email address (This email address will be added to the Macomb CoC Membership Google Group to receive future meeting information and community announcements.): *
Please check off ALL THAT APPLY to the organization you represent or that apply to you if you are an individual member: *
These are specific HUD categories to demonstrate that the CoC has an inclusive structure and participation.
Required
Statement of Commitment: By typing my name below, I support the purpose of the CoC and I commit to regularly attending CoC membership meetings and being an active participant in our community efforts to end homelessness.  As specified in the Macomb CoC Governance Charter, I understand that if I miss three consecutive meetings my member voting privileges may be removed. I understand that CoC Conflict of Interest Policy is contained in the Governance Charter and applies to CoC members. *
Please type your name below to serve as your electronic signature.
Today's date: *
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