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Community Partner & Landlord Interest Form

Building partnerships. Expanding housing opportunities.

We are building a network of community organizations, businesses, landlords, property owners, service providers, and other partners interested in helping strengthen resources throughout the North Country.

Contact Information

Name *

Organization/Business

Title/Role

Phone

Email *

Town(s)/Area Served

I am a:

Partnership Opportunities

How would you or your organization be interested in partnering with J & D Family Services? Check all that apply.

Other:

What services or resources do you/your organization provide?

Who do you primarily serve?

What geographic area do you serve?

Landlord & Property Owner Interest

Complete this section if you are a landlord, property owner, property manager, developer, or are interested in housing partnerships.

Do you currently have rental properties?

Location of rental property/properties

Type of housing available or potentially available

Do you currently have any units available?

Approximate number of units

Would you consider:

Other:

What would make you more willing or able to rent to individuals experiencing housing instability?

Other:

What concerns or barriers make it difficult for landlords to participate in housing programs?

Community Housing Needs

From your perspective, what types of housing are most needed in the North Country?

Other:

What do you believe is the greatest housing barrier in our area?

Future Collaboration

Would you be interested in meeting with J & D Family Services to discuss a partnership?

Would you like to receive information about future J & D programs, events, or partnership opportunities?

Would your organization/business consider providing a letter of support for a future J & D Family Services grant or community initiative when appropriate?

Would you be interested in participating in a future North Country housing/community needs discussion or stakeholder meeting?

Additional comments or partnership ideas

Permission to Contact

Signature (optional)

Date

Your responses are stored securely and reviewed by J & D Family Services staff.