Client Acknowledgment

I confirm that the information provided during my Coordinated Entry assessment is accurate to the best of my knowledge. I understand that this information will be used to determine my eligibility and prioritization for housing services. I agree to be placed on the By-Name List and to participate in the Coordinated Entry process.

Note:
Please note that our community partners may require proof if a referral is provided. Examples include:
a letter from a church or service provider, mail received at a local address, verification from a case worker, school records, or any documentation showing that you reside in Gwinnett County, such as recent mail, proof of recent residence in Gwinnett, or proof of employment in the area.

Email will be the primary means by which you receive information, updates, and Inquiries related to your application. Please ensure that you check your email and spam folder regularly. The sender will have an email address ending in @thelaa.org.

By clicking on the submit button below, I acknowledge that I understand the information listed above.  All information during the intake process will be discussed.  Additionally, I consent to share my information with the Latin American Association & Gwinnett County Coordinated Entry