• AIRS – Alliance of Information and Referral Systems
  • AHAR – Annual Homeless Assessment Report
  • APR – Annual Performance Report
  • ATA – Agency Technical Administrator
  • CAPER – Consolidated Annual Performance and Evaluation Report
  • CES – Coordinated Entry System
  • CDBG – Community Development Block Grant CoC - Continuum of Care
  • CH – Chronically Homeless
  • CoC – Continuum of Care
  • DOB – Date of Birth
  • DQSC – Data Quality Sub-Committee
  • DV – Domestic Violence
  • ES – Emergency Shelter
  • ESG – Emergency Solutions Grant
  • EVHI – Ending Veteran Homelessness Initiative
  • Homeless Emergency Assistance and Rapid Transition to Housing HIPAA - Health Insurance Portability and Accountability Act of 1996
  • HMIS – Homeless Management Information System
  • HoH – Head of Household
  • HOPWA – Housing Opportunities for Persons with AIDS
  • HPCC – Homeless Prevention Call Center
  • HUD – Housing and Urban Development
  • NOFA – Notice of Funding Availability PIT - Point in Time
  • NP - Non-Participating (Agency is listed as not using ServicePoint or no longer in operation)
  • PATH - Projects for Assistance in Transition from Homelessness
  • PPI – Personal Protected Information
  • PSH – Permanent Supportive Housing
  • RHY – Runaway and Homeless Youth
  • ROI – Release of Information
  • RRH – Rapid Re-Housing
  • SH – Safe Haven
  • SHP – Supportive Housing Program
  • SRO – Single Room Occupancy
  • SSI – Supplemental Security Income
  • SSN – Social Security Numbe
  • SSO – Supportive Services Only
  • SSVF – Supportive Services for Veteran Families
  • UDE – Universal Data Element
  • TANF – Temporary Assistance for Needy Families
  • TFA – Temporary Financial Assistance
  • VASH – Veteran Affairs Supportive Housing

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    Funding Specific Enrollment Forms (Universal Intakes)

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    Alexander Fuller
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    The Funding Specific Enrollment forms list all the necessary universal data elements and custom CoC elements for the following projects:

    • HUD CoC and ESG funded
    • HUD HOPWA funded
    • HHS RHY funded
    • HHS PATH funded
    • VA funded

     

    We encourage agencies to add questions or manipulate these forms in a way that best fits the workflow of the agency, particularly if servicing multi-person households.

    Universal_Intake_Screenshot.png

     

    Updates (10/2021):

    • Forms updated to the 2022 HUD Data Standards

     

    CoC and ESG Assessments

    1. CoC and ESG Entry Assessment
    2. CoC and ESG Update Assessment
    3. CoC and ESG Exit Assessment

    HOPWA Assessments

    1. HUD HOPWA Entry Assessment
    2. HUD HOPWA Update Assessment
    3. HUD HOPWA Exit Assessment

    RHY Assessments

    1. HHS RHY Entry Assessment
    2. HHS RHY Update Assessment
    3. HHS RHY Exit Assessment

    PATH Assessments

    1. HHS PATH Entry Assessment
    2. HHS PATH Update Assessment
    3. HHS PATH Exit Assessment

    VA Assessments

    1. VA Entry Assessment
    2. VA Update Assessment
    3. VA Exit Assessment

     

     

    Download ALL Forms:

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