№ files_lp_3_process_7_061656
File format: docx
Character count: 9279
File size: 57 KB
This form is used to gather information on the discharge process of runaway homeless youth from a specific project or service program.
Note:
Year
Topic:
Homelessness, Youth Services
Document Type:
Form
Target Audience:
Homeless youth, case managers, service providers
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
1836
Region:
Texas, United States
Theme:
History, Revolution
Document Type:
Primary source excerpts
Authors:
Noah Smithwick, Angelina Peyton Eberly, Creed Taylor, Fanny Menefee, Thomas Jefferson Rusk
Institution:
University of North Texas, Sons of DeWitt Colony Texas, Texas State Historical Association
Target Audience:
Students, researchers
Period Covered:
Spring 1836
Events Described:
Runaway Scrape, aftermath of the Alamo
Format:
Letters, memoirs, historical recollections
Contextual Note:
Focus on experiences of women and families during military retreat
Year:
2019
Region / City:
Washington, D.C.
Topic:
Runaway and Homeless Youth, Data Collection, Technical Assistance
Document Type:
Grantee Assessment Form
Organization:
Family and Youth Services Bureau (FYSB), Administration for Children and Families (ACF)
Author:
Ana Cody, FYSB Human Trafficking Specialist
Target Audience:
FYSB/RHY grantees
Effective Period:
March 2019
Approval Date:
March 2019
Modification Date:
None
Year:
2016
Region / City:
New York State
Topic:
Youth Services
Document Type:
Application Form
Agency / Institution:
Office of Children and Family Services
Author:
Office of Children and Family Services
Target Audience:
County Youth Bureau, Program Directors
Period of Action:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Organization:
United Nations Economic and Social Council
Document code:
ECE/TRANS/GRSP/year/xx
Distribution:
General
Original language:
English
Date:
14.09.2016
Subject:
Thermal runaway propagation in REESS for electric vehicles
Document type:
Technical rationale and draft regulatory test procedure
Related sections:
Paragraphs 5.3.x and 6.2.x
Scope:
Multi-cell thermal runaway propagation at battery pack level
Referenced standards:
UN 38.3; UN R100; SAE-J2464; IEC-62133; GB/T-31485
Applicable system:
Rechargeable Energy Storage System (REESS)
Context:
Electric vehicle battery safety regulation development
Year:
2026
Region / City:
United States
Subject:
Services and training for runaway and homeless youth
Document Type:
Survey and needs assessment
Organization / Agency:
Family and Youth Services Bureau (FYSB) and RHYTTAC
Author:
Dr. Melissa Kull
Target Audience:
RHY grantees and program staff
Data Collection Period:
12 months prior to survey
Survey Duration:
20-30 minutes per response
Legal Reference:
Paperwork Reduction Act of 1995 (Pub. L. 104-13)
OMB Control Number:
0970-0531
Expiration Date:
May 31, 2022
Year:
2021
Region / City:
United States
Topic:
Runaway and Homeless Youth, Homeless Services
Document Type:
Government Report
Agency:
Administration for Children and Families, Family and Youth Services Bureau
Author:
U.S. Department of Health and Human Services
Target Audience:
Public and Private Organizations, Policymakers
Period of Action:
2021-2022
Approval Date:
February 2021
Date of Changes:
N/A
Note:
Contextual Description
Year:
2000s
Location:
United Kingdom
Topic:
Teenage pregnancy, runaway youth experiences
Document type:
Transcript of a recorded narrative / informal interview
Participants:
Jessy, Gemma, Shaz, Todd, Josh, Dan, Lucy, Matt, Abbi, Bone, Scratch
Author / Narrator:
Jessy (main speaker)
Target audience:
General public interested in youth social issues
Context:
Runaway community interactions and personal stories
Format:
Script / transcript with dialogue
Main events period:
Early 2000s
Key themes:
First sexual experiences, peer interactions, teenage pregnancy, runaway life, personal storytelling
Year:
Not specified
Region / City:
Not specified
Subject:
Rapid Rehousing (RRH) program documentation and eligibility forms
Document Type:
Internal program guideline
Agency / Institution:
Not specified
Author:
Not specified
Target Audience:
Staff involved in RRH program administration
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2013-14
Region / City:
Mizoram
Subject:
Health Data Analysis
Document Type:
Report
Organization / Institution:
National Health Systems Resource Centre
Author:
Dr. Sandhya Ahuja
Target Audience:
District level Programme Managers
Approval Date:
June’14
Date of Last Update:
N/A
Year:
2024
Region / City:
Nebraska
Topic:
Homelessness, Point-in-Time Count
Document Type:
Procedure
Organization:
CCFL
Author:
Not specified
Target Audience:
Clarity HMIS System Administrators, Housing Projects, Non-Clarity HMIS Users, Street Outreach Staff
Period of Validity:
January 23, 2024 – February 9, 2024
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2026
Region / City:
Not specified
Subject:
Homelessness, Housing Services
Document Type:
Enrollment Form
Organization:
RHY Program
Author:
Not specified
Target Audience:
Service providers for homeless youth
Duration:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
FY24
Program:
CARES Collaborative
Data System:
Homeless Management Information System (HMIS)
Programs Covered:
Supportive Services for Veteran Families (SSVF); Rapid Re-Housing (RRH)
Document Type:
Client Intake Form
Applicable To:
All Clients and Household Members; Adults and Heads of Household
Geographic Scope:
United States
Administering Context:
Homeless Services and Housing Assistance Programs
Required Accompanying Forms:
CCHMIS Client Inclusion Disclosure; Release of Information
Data Elements:
Universal Data Elements; Prior Living Situation; Chronic Homelessness History; Income and Benefits; Health Insurance Coverage
Intended Use:
Project Entry Documentation
Year:
2021
Region / City:
King County, WA
Topic:
Homelessness management, client intake
Document Type:
Form
Organization / Institution:
HMIS
Author:
Not specified
Target Audience:
Service providers, clients
Period of Validity:
Ongoing
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2023
Program:
KC VA Services
Region/City:
King County, WA
Document Type:
Status Form
Target Audience:
Individuals receiving VA services, case managers
Date of Issue:
Not specified
Date of Last Revision:
Not specified
Relevant Programs:
HUD VASH, SSVF, GPD
Keywords:
Domestic violence, physical disability, mental health, substance abuse, housing status, income
Context:
A status form used to collect information from individuals applying for VA services, including domestic violence history, health conditions, and housing details.
Document Type:
Client Intake Form
Program:
ESG Rapid Re-Housing and ESG Prevention
System:
Homeless Management Information System (HMIS)
Funding Sources:
City of Pittsburgh ESG; Allegheny County ESG; State of PA ESG; ESG CV 1; ESG CV 2
Geographic Scope:
Pittsburgh and Allegheny County, Pennsylvania
Target Population:
Adult and Child Program Participants
Data Categories:
Demographics; Household Composition; Domestic Violence; Employment; Income; Non-cash Benefits; Health Insurance; Physical and Mental Health
Includes:
Funding Details; Payment Type; Monthly Income; Disabling Conditions
Signatures Required:
Client Signature; Staff Signature
Assessment Requirement:
Demographic Verification and Data Completion in HMIS
Year:
2024
Region / City:
United States
Theme:
Emergency shelter intake, client data collection
Document type:
Client intake form
Organization / Institution:
CCHMIS (Coordinated Entry and Homeless Management Information System)
Author:
Not specified
Target Audience:
Homeless shelter staff, service providers
Period of Action:
FY24
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
A form used for collecting essential data from clients and household members entering emergency shelter programs, including demographic and housing information.
Note:
MCI ID
Year:
2026
Region/County:
United States (specific county to be entered)
Document Type:
Enrollment Form
Organization:
Homeless Management Information System (HMIS)
Target Audience:
Street Outreach Program Staff and Case Managers
Purpose:
Record client information, housing history, disabling conditions, and domestic violence status
Program Enrollment Date:
To be entered per client
Head of Household:
To be entered per client
Household Members:
To be entered per client
Prior Living Situation:
To be entered per client
Length of Homelessness:
To be entered per client
Disabling Conditions:
To be entered per client
Domestic Violence Experience:
To be entered per client
Data Collected:
Individual client information for case management and program tracking
Fiscal Year:
FY24
Program:
CARES Collaborative HMIS
Thematic Area:
Homelessness services and emergency shelter intake
Document Type:
Client intake form
System:
Homeless Management Information System (HMIS)
Program Component:
Emergency Shelter
Country:
United States
Responsible Program:
CARES Collaborative
Target Population:
Individuals and households entering emergency shelter programs
Data Categories:
Universal data elements; Program specific data elements
Key Data Collected:
Personal identification, demographic information, prior living situation, homelessness history, income sources, non-cash benefits, health insurance coverage, disability and health conditions, domestic violence status, language assistance needs, last permanent address
Client Information Fields:
Name, Social Security Number, gender identity, race and ethnicity, date of birth, veteran status
Housing Status Fields:
Prior living situation, duration of stay, date homelessness began, frequency and duration of homelessness
Economic Information Fields:
Earned and unearned income sources, public benefits, retirement income, unemployment benefits
Health and Social Conditions Fields:
Physical disability, developmental disability, chronic health condition, HIV/AIDS status, mental health disorder, substance use disorder
Safety Information:
Domestic violence survivor status and recency
Administrative Instructions:
One form completed per client or household member at project entry
Required Responses:
Starred questions must be asked of each client, with response options for unknown or declined answers
Year:
2025
Organization Type:
Nonprofit Agency
Funding Program:
Emergency Solutions Grant (ESG)
Document Type:
Grant Application Form
Jurisdiction:
City of Canton, Stark County, Ohio, USA
Contact Person:
Specified within document
Required Attachments:
Organizational chart, position descriptions, audit report, financial statement, operating budget, IRS 501(c)(3) designation, Articles of Incorporation, bylaws, Certificate of Good Standing, board members list, recent board minutes, conflict of interest policy, facility accessibility statement, program goals summary, participant termination policy, proof of tax compliance, employment practices certification
Scope:
Homelessness prevention, rapid re-housing, emergency shelter, street outreach, HMIS activities
Funding Requirements:
1:1 cash match for all activities
Submission Certification:
Signed by CEO/Executive Director