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Organization Profile and Contact Information











Primary Contact





General Information


Which services does your organization provide
 Emergency shelter beds  
 Drop-in  
 Outreach  
 Other  


Who does your organization serve?
 Women  
 Men  
 Non-Binary  
 Families  
 Aboriginal/Indigenous  
 Youth (under 19)  
 Youth (19-25)  
 LGBTQ2+  
 Seniors (55+)  
 Individuals experiencing mental health issues  
 Individuals experiencing substance use issues  
 Other  



Is your organization funded by BC Housing?
 Y    N

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