Jackson County Continuum of Care

Notice
To participate in election of CoC Board members, the General Membership Application must
be submitted to the Board Secretary no later than 1 week prior to the call for vote of election,
and approved no later than 2 days prior to the call for vote of election.

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Membership Type

• Individual
• Grantee Organization
• Non-Grantee Organization
• Government Agency
• For-Profit Business/Organization
• Other

Name *

First

Last

Address

Address Line 1

City

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Zip Code

Phone

Email *

If you or your organization is a community service provider, please select the services you or your organization provides: (Please select all that apply)

• Food or Nutrition Services
• Sheltering Services
• Rehousing Services
• Eviction Prevention Services
• Legal Services
• Medical or Medical Navigation Services
• Energy or Utility Assistance Services
• Social Justice Services
• Behavioral Health Services
• Educational Services
• Employment Services
• Childcare Youth Services
• Veteran Services
• Senior Services
• Substance Use Recovery Services
• Immigration and Naturalization Services
• Disability Services

Do you have lived experience with homelessness, sheltered or unsheltered?

• Yes
• No

Curent Areas of Operation: (Please select all that apply)

• Ashland
• Butte Falls
• Central Point
• Eagle Point
• Gold Hill
• Jacksonville
• Medford (county seat)
• Phoenix
• Rogue River
• Shady Cove
• Talent
• Prospect
• Foots Creek
• Ruch
• Trail
• White City
• Wimer
• Applegate
• Beagle
• Bitter Lick
• Brownsboro
• Buckhorn Springs
• Buncom
• Cascade Gorge
• Climax
• Colestin
• Dardanelles
• Four Corners
• Lake Creek
• Lincoln
• McKee Bridge
• McLeod
• Mountain View
• Persist
• Pinehurst
• Provolt
• Rock Point
• Rogue Elk
• Sams Valley
• Seven Oaks
• Starvation Heights
• Steamboat
• Table Rock
• Tolo
• Union Creek

Please describe your and your organization’s impact on Jackson County. Please also provide details of impact duration.

Please list your experience (Professional, or lived experience) working with marginalized and underrepresented groups?

Are you interested in serving on the Board of Directors or a Workgroup?

• Yes
• No

Submit

CoC Purpose:
The Jackson County Continuum of Care (CoC) is a HUD-mandated, community-wide effort to end
homelessness by providing stable housing for those experiencing homelessness and offering
preventative services to those at risk of becoming homeless. The Jackson County CoC seeks to
end homelessness in Jackson County through the collaborative efforts and resources of all
sectors of our community.

Board Member Roles and Responsibilities:
The CoC Board will act on behalf of the CoC to fulfill the responsibilities assigned to the
Continuum of Care by HUD, as well as represent the CoC on issues related to homelessness in
Jackson County. The CoC Board will operate through workgroups that will draft and annually
review policies and procedures and monitor operations relating to their discrete areas of
responsibility. Unless otherwise specified in the Charter or approved by the CoC, no workgroup
may adopt policies or procedures or take any action on behalf of the CoC without the approval
of or ratification by the CoC Board. In addition, the CoC Board will:
1) Solicit recommendations for CoC members for candidates to fill available director and
officer positions;
2) Select the chairs and members of workgroups;
3) Work with committees and workgroups to coordinate the implementation of a housing and
service system for the CoC;
4) Work with committees and workgroups to Coordinate with local jurisdictions/ESG/other
systems of care;
5) Attend at least quarterly meetings of the full CoC membership;
6) Review and update the written process to elect new board members at least every 5 years;
7) Conduct an annual review/update of the CoC Governance Charter;
8) Review membership and appoint CoC Board members to lead Work Groups at least every
two years;
9) Draft and update written standards and policies for the CoC at least annually;
10) Review and approve privacy, security, and data quality plans;
11) Monitor the performance of the coordinated entry system;
12) Develop and share with all CoC members at the beginning of each fiscal year a description
of the work that each workgroup will undertake during the year; and
13) Solicit feedback on and review the performance of the Lead Agency’s Staff, which will
include the HMIS/CES Lead on an annual basis.

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Name *

First

Last

Email *

Phone

Organization you are representing:

Organization’s Website:

Please describe your and your organization’simpact on Jackson County. Please also provide details of impact duration.

Please list your involvement with other organizations and your current level of participation.

Do you agree to chair a Committee or Workgroup if needed?

• Yes
• No

Please list your experience (Professional, or lived experience) working with marginalized and underrepresented groups?

What skills do you have that you feel will add value to the CoC Board?

Are you interested in a CoC Board leadership role?

Do you have lived experience with homelessness?

I certify that the above information is current and accurate to the best of my knowledge.

• I certify that the above information is current and accurate to the best of my knowledge.

Name *

First

Last

Please sign your name to certify that the above information is current and accurate to the best of your knowledge.

Date / Time

Submit