Local Homeless Coordinating Board

City and County of San Francisco

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Please share this application with homeless and formerly homeless San Francisco residents

Application for Appointment to the San Francisco Shelter Monitoring Committee

Application DEADLINE: 5:00 pm Friday November 21, 2014

Please note the required documents for each seat, and please submit the required documents with your application.

Seat #1: Member shall have experience providing direct service to the homeless through a community setting

Seat #1 Required Documents:

  • Application form
  • Letter verifying experience providing direct service to the homeless through a community setting
  • Brief statement explaining why you are a qualified applicant for membership on the Shelter Monitoring Committee and list the skills and experience that make you qualified for the position.

Seat #2: Member shall have experience providing direct service to the homeless through a community setting and be formerly homeless

Seat #2 Required Documents:

  • Application form
  • Letter verifying current or former homelessness
  • Letter verifying experience providing direct service to the homeless through a community setting
  • Brief statement explaining why you are a qualified applicant for membership on the Shelter Monitoring Committee and list the skills and experience that make you qualified for the position.

Seat #3: Member shall be selected from a list of candidates that are nominated by community agencies that provide behavioral health, housing placement, or other services to homeless individuals.

Seat #3 Required Documents:

  • Application form
  • Nomination letter from a community agency that provides health, housing placement or other services to homeless people
  • Brief statement explaining why you are a qualified applicant for membership on the Shelter Monitoring Committee and list the skills and experience that make you qualified for the position.

Seat #4: Member shall be homeless or formerly homeless and selected from a list of candidates that are nominated by community agencies that provide behavioral health, housing placement, or other services to homeless individuals.

Seat #4Required Documents:

  • Application form
  • Letter verifying current or former homelessness
  • Nomination letter from a community agency that provides health, housing placement or other services to homeless people
  • Brief statement explaining why you are a qualified applicant for membership on the Shelter Monitoring Committee and list the skills and experience that make you qualified for the position.

Application packets should be submitted with all documentation at the time of application.

Incomplete applications will not be considered.

Please apply for all seats that you are interested in. If you wish to apply for multiple seats, please include all of the documents on the checklist for each seat.

Application Form

Print Name: ______

Address: ______

Phone:______Occupation: ______

Work Phone:______Employer: ______

Email Address:______

Education: ______

Professional Experience: ______

***Please attach a brief statement explaining why you are a qualified applicant for membership on the Shelter Monitoring Committee. Please list the skills and experience that make you qualified for the position.

Please list two personal references (such as current or former employer, volunteer supervisor, or friend)

(1) Name______Phone # ______

(2) Name ______Phone # ______

SEND ALL COMPLETED APPLICTIONS TO

OR

Local Homeless Coordinating Board

Attention: Megan Owens

ZB25 , PO box 7988

San Francisco, CA94103

Must be present at the December 1, 2014 Local Homeless Coordinating Board Meeting in order to be considered.

Process for Appointment to Shelter Monitoring Committee

  1. Interested applicants submit completed applications to LHCB staff member via email, fax or mail by 5:00 pm December November 21, 2014
  2. LHCB reviews nominated applicants at December 1, 2014 meetingand action is taken by Local Homeless Coordinating Board for appointment of new committee members.

Local Homeless Coordinating Board

11:00 am to 1:00 pm

Born Auditorium

170 Otis St.

San Francisco, CA 94103

Applicants for Seats 1, 2, 3 and/or 4 who are not present at the December 1, 2014 Local Homeless Coordinating Board meeting will not be considered.

If you have questions regarding the roles and responsibilities of the Shelter Monitoring Committee, please visit the Shelter Monitoring Committee website at: or contact the staff to the Committee, at (415) 255-3653.

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