Name *

First Name

Last Name

What sector(s) best represent your Organization/Institution? *

Select all that apply.

Nonprofit Homeless Service Provider

People with Lived Experience of Homelessness

Domestic Violence Service Provider

Faith-based Organization

State Government

Borough or City Government

Community Leader

Public Housing Authority

Affordable Housing Developer

Homeless and Formerly Homeless Veterans Service Provider

BIPOC and People from Marginalized Communities

ESG Recipient Agency

CoC Recipient Agency

Funder

Law Enforcement

Landlord

Hospital or Healthcare Provider

Mental Health Provider

University or post-secondary

School District (McKinney-Vento/Homeless Education Liaison)

Youth Service Provider

Youth Action/Advocacy Board Member

Alaska Native Tribal Affiliation

Regional and/or Village Organization

None

Member e-Signature

By clicking here I confirm I have read and agree to the above statements of the Membership Agreement.

Name *

First Name

Last Name

Are you the designated voting member on behalf of your organization? *

Yes

No

Your Organization's Region(s) *

Select all that apply.

Northern Alaska

Western Alaska

Southwestern Alaska

Southcentral Alaska

Southeast Alaska

Interior Alaska