Continuum of Care Homeless Assistance Grant Application

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Overview

1- Emergency Shelter
2-Transitional Housing
3- Permanent Supportive Housing
4- Safe Haven Housing
5- Unmet Need
6- Bed Utilization Rates

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Sheet 1: 1- Emergency Shelter

		Housing Inventory Chart: Emergency Shelters
		Total Year-Round Beds - Individuals					KEY: Inventory type
		1. Current Year-Round Individual Emergency Shelter (ES) Beds			0	#dv in hmis	C: Current Inventory
		1A. Number of DV Year-Round Individual ES Beds			0	0.00	N: New Inventory
		1B. Subtotal, non-DV Year-Round Individual ES Beds			0		U: Under development
		2. New Year-Round Individual ES beds			0	# u in hmis
		3. Under Development Year-Round Individual Beds			0	0
		3. Total Year Round Individual ES Beds in HMIS			0
		4. HMIS Bed Coverage: Individual ES Beds
							KEY: Target Population A and B
		Total Year-Round Beds - Families					SM: single males			YF: youth females
		5. Current Year-Round Family Emergency Shelter (ES) Beds:			0	#dv in hmis	SF: single females			YMF: youth males and females
		5A. Number of DV Year-Round Family ES Beds:			0	0	SMF: single males and females			SMF + HC: Single male and female plus households with children
		5B. Subtotal, non-DV Year-Round Family ES Beds			0		CO: couples only, no children
		5. New Year-Round Family ES Beds			0	# u in hmis	SMHC: single males and households with children
		6. Under Development Year-Round Family ES Beds			0	0	SFHC: single females and households with children			DV - Domestic Violence victims only
		7. Total Year-Round Family ES Beds in HMIS			0		HC: households with children			VET - Veterans only
		8. HMIS Bed Coverage: Family ES Beds					YM: youth males			HIV - HIV/AIDS populations only
		Error Messages
		ERROR MSG: PROGRAM DETAILS		None
		ERROR MSG: FAMILY BEDS/UNITS		None
		ERROR MSG: DV HMIS COVERAGE		None
	Program Information						Target Population		HUD Funding Information	All Year-Round Beds/Units					Year-Round Beds covered in HMIS				Seasonal Beds				O/V Beds	PIT Counts	Utilization Rates
		#	Provider	Facility Name	Geo Code	Inventory type	A	B	Does this facility receive HUD McKinney-Vento funding?	Family Beds	Family Units	Individual Beds	Total Year-Round Beds	Year-Round Family beds covered in HMIS	Year-Round Individual Beds covered in HMIS	Percentage family beds covered in HMIS	Percentage individual beds covered in HMIS	Total Seasonal Beds	Number Available in HMIS	Availability Start Date	Availability End Date	O/V Beds	Point-in-Time Homeless Count	Program Utilization Rate
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		C
		N
		U
	SM
	SF
	SMF
	CO
	SMHC
	SFHC
	HC
	YM
	YF
	YMF
	SMF+HC
	DV
	VET
	HIV
	Yes	Yes
	No	No
	Oct-07
	Nov-07
	Dec-07
	Jan-08
	Feb-08
	Mar-08
	Apr-08
	May-08
	Jun-08
	Jul-08
	Aug-08
	Sep-08

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Sheet 2: 2-Transitional Housing

	Housing Inventory Chart: Transitional Housing
	Total Year-Round Beds - Individuals					KEY: Inventory type
	1. Current Year-Round Individual Transitional Housing (TH) Beds			0	#dv in hmis	C: Current Inventory
	1A. Number of DV Year-Round Individual TH Beds			0	0.00	N: New Inventory
	1B. Subtotal, non-DV Year-Round Individual TH Beds			0		U: Under development
	2. New Year-Round Individual TH beds			0	# u in hmis
	3. Under Development Year-Round Individual Beds			0	0
	4. Total Year Round Individual TH Beds in HMIS			0
	5. HMISBed Coverage: Individual TH Beds
						KEY: Target Population A and B
	Total Year-Round Beds - Families					SM: single males			YF: youth females
	6. Current Year-Round Family Transitional Housing (TH) Beds:			0	#dv in hmis	SF: single females			YMF: youth males and females
	6A. Number of DV Year-Round Family TH Beds:			0	0	SMF: single males and females			SMF + HC: Single male and female plus households with children
	6B. Subtotal, non-DV Year-Round Family TH Beds			0		CO: couples only, no children
	7. New Year-Round Family TH Beds			0	# u in hmis	SMHC: single males and households with children
	8. Under Development Year-Round Family TH Beds			0	0	SFHC: single females and households with children			DV - Domestic Violence victims only
	9. Total Year-Round Family TH Beds in HMIS			0		HC: households with children			VET - Veterans only
	10. HMIS Bed Coverage: Family TH Beds					YM: youth males			HIV - HIV/AIDS populations only
	Error Messages
	ERROR MSG: PROGRAM DETAILS		None
	ERROR MSG: FAMILY BEDS/UNITS		None
	ERROR MSG: DV HMIS COVERAGE		None
	Target Population		HUD Funding Information	All Year-Round Beds/Units					Year-Round Beds covered in HMIS				PIT Counts	Utilization Rates
	#	Provider	Facility Name	Geo Code	Inventory type	A	B	Does this facility receive HUD McKinney-Vento funding?	Family Beds	Family Units	Individual Beds	Total Year-Round Beds	Year-Round Family beds covered in HMIS	Year-Round Individual Beds covered in HMIS	Percentage family beds covered in HMIS	Percentage individual beds covered in HMIS	Point-in-Time Homeless Count	Program Utilization Rate
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		Insert provider name										0
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		Insert provider name										0
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		Insert provider name										0
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		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
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		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
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		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
C
N
U
Yes
No

---

Sheet 3: 3- Permanent Supportive Housing

	Housing Inventory Chart: Permanent Supportive Housing
	Total Year-Round Beds - Individuals					KEY: Inventory type
	1. Current Year-Round Individual Permanent Housing (PH) Beds			0	#dv in hmis	C: Current Inventory
	1A. Number of DV Year-Round Individual PH Beds			0	0.00	N: New Inventory
	1B. Subtotal, non-DV Year-Round Individual PH Beds			0		U: Under development
	2. New Year-Round Individual PH beds			0	# u in hmis
	3. Under Development Year-Round Individual Beds			0	0
	4. Total Year Round Individual PH Beds in HMIS			0
	5. HMIS Bed Coverage: Individual PH Beds
						KEY: Target Population A and B
	Total Year-Round Beds - Families					SM: single males			YF: youth females
	6. Current Year-Round Family Permanent Housing (PH) Beds:			0	#dv in hmis	SF: single females			YMF: youth males and females
	6A. Number of DV Year-Round Family PH Beds:			0	0	SMF: single males and females			SMF + HC: Single male and female plus households with children
	6B. Subtotal, non-DV Year-Round Family PH Beds			0		CO: couples only, no children
	7. New Year-Round Family PH Beds			0	# u in hmis	SMHC: single males and households with children
	8. Under Development Year-Round Family PH Beds			0	0	SFHC: single females and households with children			DV - Domestic Violence victims only
	9. Total Year-Round Family PH Beds in HMIS			0		HC: households with children			VET - Veterans only
	10. HMIS Bed Coverage: Family PH Beds					YM: youth males			HIV - HIV/AIDS populations only
	Error Messages
	ERROR MSG: PROGRAM DETAILS		None
	ERROR MSG: FAMILY BEDS/UNITS		None
	ERROR MSG: DV HMIS COVERAGE		None
	Target Population		HUD Funding Information	All Year-Round Beds/Units					Year-Round Beds covered in HMIS				PIT Counts	Utilization Rates
	#	Provider	Facility Name	Geo Code	Inventory type	A	B	Does this facility receive HUD McKinney-Vento funding?	Family Beds	Family Units	Individual Beds	CH Beds	Total Year-Round Beds	Year-Round Family beds covered in HMIS	Year-Round Individual Beds covered in HMIS	Percentage family beds covered in HMIS	Percentage individual beds covered in HMIS	Point-in-Time Homeless Count	Program Utilization Rate
		Insert provider name											0
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		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
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		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
		Insert provider name											0
C
N
U
Yes
No

---

Sheet 4: 4- Safe Haven Housing

	Housing Inventory Chart: Safe Haven Housing
	Total Year-Round Beds - Individuals					KEY: Inventory type
	1. Current Year-Round Individual Safe Haven (SH) Beds			0	#dv in hmis	C: Current Inventory
	1A. Number of DV Year-Round Individual SH Beds			0	0.00	N: New Inventory
	1B. Subtotal, non-DV Year-Round Individual SH Beds			0		U: Under development
	2. New Year-Round Individual SH beds			0	# u in hmis
	3. Under Development Year-Round Individual Beds			0	0
	4. Total Year Round Individual SH Beds in HMIS			0
	5. HMIS Bed Coverage: Individual SH Beds
						KEY: Target Population A and B
	Total Year-Round Beds - Families					SM: single males			YF: youth females
	6. Current Year-Round Family Save Haven (SH) Beds:			0	#dv in hmis	SF: single females			YMF: youth males and females
	6A. Number of DV Year-Round Family SH Beds:			0	0	SMF: single males and females			SMF + HC: Single male and female plus households with children
	6B. Subtotal, non-DV Year-Round Family SH Beds			0		CO: couples only, no children
	7. New Year-Round Family SH Beds			0	# u in hmis	SMHC: single males and households with children
	8. Under Development Year-Round Family SH Beds			0	0	SFHC: single females and households with children			DV - Domestic Violence victims only
	9. Total Year-Round Family SH Beds in HMIS			0		HC: households with children			VET - Veterans only
	10. HMIS Bed Coverage: Family SH Beds					YM: youth males			HIV - HIV/AIDS populations only
	Error Messages
	ERROR MSG: PROGRAM DETAILS		None
	ERROR MSG: FAMILY BEDS/UNITS		None
	ERROR MSG: DV HMIS COVERAGE		None
	Target Population		HUD Funding Information	All Year-Round Beds/Units					Year-Round Beds covered in HMIS				PIT Counts	Utilization Rates
	#	Provider	Facility Name	Geo Code	Inventory type	A	B	Does this facility receive HUD McKinney-Vento funding?	Family Beds	Family Units	Individual Beds	Total Year-Round Beds	Year-Round Family beds covered in HMIS	Year-Round Individual Beds covered in HMIS	Percentage family beds covered in HMIS	Percentage individual beds covered in HMIS	Point-in-Time Homeless Count	Program Utilization Rate
		Insert provider name										0
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		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
		Insert provider name										0
Yes
No
C
N
U

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Sheet 5: 5- Unmet Need

Housing Inventory Chart: Unmet Need Totals
All Year-Round Beds/Units				Seasonal Beds	Overflow Beds
Family Beds	Family Units	Individual Beds	Total Year-Round Beds	Total Seasonal Beds	Overflow Beds
Emergency Shelters
Transitional Housing
Permanent Supportive Housing
Safe Havens
				0

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Sheet 6: 6- Bed Utilization Rates

Program Type	Average Bed Utilization Rates
Emergency Shelters
Transitional Housing
Permanent Supportive Housing
Safe Havens