HMIS Project Set-Up

Project Information

Desired Project Name *

Organization Name *

Which organization is this project a part of?

Description of Project *

Is this project a shelter? *

Address

Address Type *

Street Address *

City *

Zip Code *

Is this the primary address? *

Project Manager Contact Information

Name *

Title *

Phone Number *

Email *

Contract Manager Contact Information

Who can we contact regarding the grant/funding for this project?

Name

Title

Phone Number

Who should be given an EDA to this project? *

Please provide names of each person who needs permission to enter data for this project.

Project Descriptor Data Elements

Victim Services Provider? *

Project Operating Start Date *

Project Operating End Date

Is this a Continuum of Care Project? *

This refers to a project that may or may not be funded by HUD or any Federal Partners, whose primary purpose is to provide services and/or lodging specifically for the homeless and is identified by the Continuum as part of its service system.

Project Type *

Housing Type

Skip if this is not a housing project.

Target Population *

Secondary Target Population (OPTIONAL)

Principal Site *

Provider Grant Type *

Funding/ Grant Information

Please provide information on any Federal or Local grants or funding sources that fund this project.

Federal Grant Type *

If this is not a federally funded grant, select "Local or Other Funding Source".

(Please Specify) Local or Other Funding Source

If this project has a local or other funding source (not federally funded), please specify the name of the grantee or funding source.

Grant Identifier *

Please specify the ID number assigned by the grant or funding source. If no ID Specified, write N/A.

Grant Start Date *

Grant End Date

If there is no grant/ funding source end date, put the date that the grant cycle/funding cycle ends as specified in the grant contract or the date the grant/funding source is to be renewed.

Bed/ Unit Inventory

Skip this section if this project does not provide housing or shelter.

The 'Bed Inventory' is a count of the total number of beds available for occupancy as of the ‘Inventory Start Date.' The number of beds is generally equivalent to the number of persons a lodging project can house on a given night.

The 'Unit Inventory' is a count of the total number of units (e.g., rooms, apartments, etc) available for occupancy as of the ‘Inventory Start Date.' Projects that do not have a fixed number of units (e.g., a congregate shelter project) may record the bed inventory, the number of residential facilities operated by the project, or the number of rooms available as the unit integer.

Inventory Start Date

Inventory End Date

Skip if N/A

Bed Type

Total Number of Family Beds

Includes HOHs plus any Children

Total Number of Singles Beds

Total Number of Units

Are any beds dedicated to the following options

Chronically Homeless
Veterans
Youth
N/A (all beds are non-dedicated)

Is this project McKinney Vento Funded?

Additional Information

Would you like to schedule a short follow-up meeting with the HMIS Administrator to review the project set-up after it is complete?

Do you have any other additional details to add regarding this project?

(Example: "This project's set up should be similar to another project's set-up", additional project contacts, questions, etc.)

HMIS Project Set-Up