2015 Santa Monica Homeless Count

Thank you for offering to volunteer for the 2015 Homeless Count!  We do not need any more volunteers in Santa Monica.  To participate in the count, please register with LAHSA. 

First name:

 

Last name:

 

Your Primary Phone Number:

 

Organization (if applicable):

 

Your Email Address:

 
 
  How did you hear about this event?
                      
 

Have you participated in a Homeless Count before?

                                     

Will you need any special accommodations?

 

Do you have any restrictions that prevent you from walking long distances?

                               

Do you have a car you would be willing to use for the count?

                                 

 

   
   
    
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