Instructions: The applicant/developer completes Sections A and B. Once completed, the applicant/developer provides the form to the CoC for their review and completion. Refer to additional instructions and CoC contact information on subsequent pages. 
A.	General Information	
Continuum of Care Region	     	
Developer/Applicant Organization	     	
Name of Proposed Project	     	Total number of Housing Units	     	
Project Location	     	
Service Provider – HPH units	     	
Service Provider – PWD units	     	

Key: HPH = High Priority Homeless; PWD = People with Disabilities; SH = Supportive Housing; HH = Households; SRO = Single Room Occupancy; Eff = Efficiency; BR = Bedroom; Youth is defined as age 24 and under
B.	Unit Information	HPH Units	PWD Units	Other SH Units	
Total Number of Units	     	     	     	
Number of Units by HH Type (family, single, youth single or family)	Family:      
Single:       
Youth single:        
Youth family:       	Family:      
Single:       
Youth single:        
Youth family:       	Family:      
Single:       
Youth single:        
Youth family:       	
Number of Units by Size
(SRO, Eff, 1 BR, etc.)	     	     	     	
Population Characteristics and Referral Sources of Each Unit Type	Additional Population Characteristics
     
	Disability Type(s): 
     
Referral Sources:
     	Population Characteristics
     
Referral Sources:
     	
Other Eligibility Requirements	     	     	     	
Rental Assistance Source(s)** / Number of Units	     /     
     /     	     /     
     /     	     /     
     /     	
Service Funding Source(s),* including funds from the operating budget 	     	     	     	
*If using Housing Support for rental assistance or services, indicate if it will be regular Housing Support or Long-term Homeless (LTH) Housing Support. If LTH, include “LTH” under “Other Eligibility Requirements.” If there is not a rental assistance source, indicate that rents will be underwritten at supportive housing levels. 

C. 	Section C to be Completed by the CoC Coordinator or Committee Chair
1.	The CoC has reviewed the proposal to determine (a) if the proposed units meet an identified need for supportive housing in the proposed location, (b) that there is a demonstrated market of eligible households for the units as proposed, and (c) the planned resources for rental assistance and services are appropriate.   Yes    No

2.	The CoC has discussed and agreed upon the following feedback:
a.	HPH Units: Feedback on the eligible population and the need and market for the units
	     
b.	HPH Units: Feedback on the planned resources for rental assistance and services
     
c.	PWD Units: Feedback on the eligible population and the need and market for the units
		     
d.	PWD Units: Feedback on the planned resources for rental assistance and services
     
e.	Other SH Units: Feedback on the eligible population and the need and market for the units
		     
f.	Other SH Units: Feedback on the planned resources for rental assistance and services
		     

3.	The applicant agrees to use Coordinated Entry to fill the HPH units and report HPH household information in the Homeless Management Information System (HMIS):    Yes   No

4.	The applicant followed the CoC process and timelines:	  Yes   No

5.	The CoC has the following recommendations or comments:      

     	     	
CoC Committee Chair or Coordinator Name	Signature 	
     	     	
Title	Date 	

D.	Instructions for Applicants/Developers
This CoC confirmation form is required as a part of the Minnesota Housing application process for all developments with supportive housing units. The application is not considered complete without this form and will not be eligible for points for HPH units unless this form is included with the application. 

Note that applicant/developers who create supportive housing units to serve the household type identified in the CoC Priorities for Supportive Housing are eligible to receive additional CoC points on their application for funding.

Applicants are required to adhere to Housing First principles for the supportive housing units and follow Minnesota Housing Tenant Selection Plan Guidelines to develop a tenant selection plan.

Developers are expected to contact the CoC early in the planning process to discuss supportive housing needs in the community and develop an appropriate plan to address the needs. The service provider(s) should be involved in the planning process, the presentations to the CoC, and should remain engaged with the CoC as part of the homeless response system. Developers must follow the steps outlined below when submitting an application for capital funding to Minnesota Housing:
1.	The developer must contact the local CoC coordinator to request completion of this form as early as possible in the application process. CoC committees generally meet monthly, but some only meet bi-monthly, so consider the meeting schedule when planning your application. Note that most meetings are currently conducted on virtual platforms.
2.	The developer and service provider are expected to present their proposals to the CoC committee before the CoC will sign this Continuum of Care Confirmation form. Keep in mind that the CoC may request additional information about the development, and committee members may ask questions. They may also request changes to the proposed plan to better address the need in the community. Remember to allow enough time to accommodate such requests.
3.	When the CoC review is complete, the CoC coordinator or committee chair will complete and sign this form and send back to the applicant. The applicant/developer will then submit the completed and signed form with all application materials by the due date. 

CoC Region	CoC Coordinator Contact Info	Meeting Schedule	
Suburban Metro Area Counties (SMAC): Anoka, Carver, Dakota, Scott, and Washington Counties	Abby Guilford
SMAC Coordinator
763.458.9790
abby@mesh-mn.org	•	Contact Abby for the SMAC process and meeting date, time, and location	
Hennepin County	Laura DeRosier
Hennepin County 
218.391.6734
Laura.DeRosier@hennepin.us 	•	Contact Laura for meeting date, time, and location	
Ramsey County	Loni Aadalen 
Ramsey County 
651.266.4116
loni.aadalen@CO.RAMSEY.MN.US	•	Contact Loni for meeting date, time, and location	
Central	Tim Poland
Central MN Housing Partnership 
320.258.0677
tpoland@cmhp.net 	•	First Tuesday of the month from 1:00 to 3:00 p.m.
•	Contact Tim for meeting location	
Northwest	Cory Boushee
Northwest CoC Coordinator
218.759.2057
coryb@nwmf.org 	•	Contact Cory for NWCOC process and meeting date, time, and location	
Northeast	Cara Lundquist
Northeast MN CoC Co-Coordinator
218.213.1306
clundquist@live.com 

Patty Beech-Dziuk 
Northeast MN CoC Co-Coordinator 
218.525.4957
pattybeechconsulting@gmail.com	•	Bimonthly, 10:00 a.m. to noon, second Thursday of the month (February, April, June, August, October, December) 
•	Meeting schedule can be found at www.neminnesotacontinuumofcare.org 	
Southeast	Jennifer Prins
River Valleys CoC
507.208.9883
jennifer.prins@rivervalleyscoc.org
	•	Third Thursday of the month from 10:00 a.m. to noon 
•	Meeting information can be found at https://www.rivervalleyscoc.org/coc-meetings.html	
Southwest	Justin Vorbach
Southwest Minnesota CoC Coordinator
507.530.2942
justinv@swmhp.org	•	Second Thursday of the month from 10:00 a.m. to noon 
•	Contact Justin for information on joining the meeting remotely via GoToMeeting	
St. Louis County	Courtney Cochran 	
St. Louis County
218.725.5158
CochranC@StLouisCountyMN.gov 	•	Third Wednesday of the month from 1:00 p.m. to 3:00 p.m. 
•	Contact Courtney for meeting location	
West Central	Carla Solem
West Central MN CoC Coordinator
701.306.1944
h2hcoordinator@gmail.com	•	Second Thursday of the month from 1:00 to 3:00 p.m. 
•	Contact Carla for meeting information