Welcome to our community’s Coordinated Entry. The information provided on this form will help us determine if youare eligible for Coordinated Entry. Upon receipt, you will be contacted regarding your eligibility. If you are eligible, anIntake appointment will be scheduled. If you are not, we will discuss the reasons for this determination and provideyou with information on other resources that may be able to assist. If you have not received a response from us within10 business days of submission, or if you need help completing this form, please contact us.