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Housing Committee
Housing Committee Roster: New Item
   
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Last Name * 
First Name 
Full Name 
E-mail Address 
Business Phone 
Fax Number 
Address (multi-line) 
City 
State 
Postal Code 
Web Page 
Notes 
Affiliation 
Country 
Mobile Phone 
Home Phone 
Job Title 
Agency 
Origin 
Origin of the data - either "Old collabscc.org" or "Active Directory" or "Hand Data Entry"
Exists in Active Directory? 
Indicates whether the email address for this user is on our mail list.
Technology CommitteeMember of Technology Committee?  Chair?  Secretary?
Steering CommitteeMember of Steering Committee?  Chair?  Secretary?
Shelter Provider NetworkMember of Shelter Provider Network (SPN)?  Chair?  Secretary?
Executive Committee Member
Housing Committee Member?
Outreach Committee Member?
Prevention Committee Member?
Income and Treatment Committee Member?
Address 

*  indicates a required field