HomeMy WebLinkAbout2021 FMCoC Membership Application Fresno Madera Continuum of Care (FMCoC)
2021 General Membership Application and Annual Agreement
The Fresno Madera Continuum of Care (FMCoC) invites nonprofit service providers, government entities,
businesses, groups and individuals to join in the effort to end homelessness in our community by becoming a
member of the FMCOC.
The FMCoC serves as the Continuum of Care for the cities of Fresno, Clovis, Madera and all the municipalities
within the Fresno and Madera Counties. We are dedicated to increasing the awareness of the problems of people
who are homeless and to the development and strategies to create permanent solutions to homelessness in our
community. In the coming year, the FMCoC will carry out its mission by promoting and implementing strategies to
end homelessness.
General Membership:
General membership shall consist of homeless supportive and housing service providers, homeless prevention
service-agencies, homeless individuals, interested community members, public & nonprofit service providers, local
government and local government systems-service entities, businesses, and faith-based organizations. The FMCoC
members will share information, receive notices of CoC activities, trainings, HUD homeless funding, and members
in good standing will be eligible to receive FMCoC participant letters-confirming their role in the CoC
coordinated regional efforts.
General Members, in good standing of the FMCOC are eligible to:
Apply for new and/or renewal funding from the U.S. Department of Housing and Urban Development (HUD).
Apply for new and/or renewal funding from the City and Counties of Fresno and Madera during 2020.
Submit applications to outside organizations with the supportive documentation and letters from the
FMCoC, of belonging to the regional effort addressing and ending homelessness.
General Membership Fees
Membership in FMCoC is determined by organization size (including individual membership). Using the table on
the application, members will self-select their category. The annual membership fee is due no later than Friday,
January 15, 2021, for the 2021 year.
To join the FMCoC, or to renew your membership, please complete the enclosed application signed by the
organization’s authorized representative. Completed applications are to be scanned and emailed to the Secretary
(mirhadi@poverellohouse.org) and Treasurer (misty.gattie-blanco@fresnoeoc.org).
Membership Fees can be paid either by check/money order or online.
Checks or Money Orders are to be made payable to Central Valley Community Foundation and mailed to the FMCoC
Treasurer. Please send to Fresno Madera Continuum of Care, C/O: Fresno EOC, Misty Gattie -Blanco, 1900 Mariposa
Street, Suite #100, Fresno, CA 93721.
Online payments can be made at www.centralvalleycf.org. Please follow the instructions.
o On the top right-hand side of home page, click the DONATE button;
o Click the blue box that says OUR FUNDS located on the right-hand side in the middle of the page;
o Click on FRESNO MADERA CONTINUUM OF CARE FUND listed in Designated Organization and Project Funds;
o Enter the membership amount (based on table in this application) in the price per item box, then click
CONTINUE;
o Payments can be made either by then logging in & paying with PayPal or by entering a debit or credit card;
then enter the necessary information to complete transaction.
o Either print confirmation page or confirmation email and send to both the Secretary and Treasurer (same
addresses listed for the membership application).
NOTE: Memberships are not complete until the completed application is received along with either check/money
order or confirmation of online payment. All memberships expire December 31, 2021 and fees will not be prorated
for late additions.
Fresno Madera Continuum of Care (FMCoC)
2021 General Membership Application and Annual Agreement
1
Please Check General Membership Affiliation and Annual Budget:
Non-Government Organizations Fee
Schedule
City and County Government Agency Fee
Schedule
Annual Budget Dues Population Size Dues
Up to $100,000 $100/year 500,000+ $5,000/year
$100,001 - $300,000 $200/year 100,000 – 499,000 $2,500/year
$301,000 - $500,000 $300/year Up top 99,999 $1,000/year
$500,001 - $800,000 $400/year
$801,000 – 1,500,000 $500/year Individual Member Fee Schedule
Over $1,500,0000 $650/year Individual Member $100/year
MEMBER NAME:
ADMINISTRATIVE ADDRESS:
CITY: STATE: ZIP: FAX:
PHONE: WEBSITE:
Agency Designation: Government: 501(c)(3): for profit: other (explain):
Please identify one primary and one alternate person to serves as the FMCoC Director and Alternate Director representing
your agency. These persons will be the official representatives documenting your agency attendance and as recipients of
agenda’s, notices, etc.
These individual(s) will have the following responsibilities: 1) Regularly attend FMCoC’s monthly membership meetings; and
2) Communicate back to their own organization, as appropriate, information that is shared at the membership meetings,
events, and/or through email communications.
PRIMARY DIRECTOR CONTACT NAME:
PHONE: E-MAIL (please print clearly:
ALTERNATE DIRECTOR CONTACT NAME:
PHONE: E-MAIL (please print clearly:
Please note: Due to the large number of individuals and organizations we communicate with, FMCoC uses email as the primary/sole
contact. By giving your email address here you agree to have it added to this service. Be assured that your email address will only be used to
send you information pertaining to FMCoC and/or activates beneficial to your clients.
2
Organization Information
Please help us to get to know you better by checking below the populations your organization serves and the
services you provide.
Primary /Target Service/Area of Interest:
Fresno County Madera County City of Clovis City of Fresno City of Madera
Populations served (check all that apply)
Seriously Mentally Ill
Substance Abusers
Veterans
Persons with HIV/AIDS
Survivors of Domestic Violence
Youth
Chronically Homeless (A “chronically homeless” individual is someone who has experienced homelessness
for a year or longer, or who has experienced at least four episodes of homelessness in the last three years and
has a disabling condition. A family with an adult member who meets this description would also be considered
chronically homeless.)
Other populations not included above:
Services Provided (check all that apply)
Rapid Rehousing/
Homeless Prevention Outreach Supportive Services Housing
Mortgage Assistance Street Outreach Case Management Emergency
Rental Assistance Mobile Clinic Life Skills Triage
Utilities Assistance Alcohol & Drug Abuse Bridge
Counseling/Advocacy Mental Health Counseling Transitional
Legal Assistance Healthcare Permanent
HIV/AIDS
Education
Employment
Child Care
Transportation
Additional services provided not included in this list:
SIGNATURE: DATE:
(Organization’s Authorized Representative)
PRINTED NAME: TITLE OF PERSON SIGNING: