Form Hud-40118 - Annual Progress Report Page 3

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Answer questions 6 - 10 only for participants who entered the project during the operating year (from 2b, columns 1 & 2).
The term participant means single persons and adults in families. It does not include children or caregivers. NOTE: The total
for questions, 7, 8 and 10 below should be the same; respond to each of those questions for all participants.
6.
Veterans Status. A veteran is anyone who has ever been on active military duty status.
How many participants were veterans?
7.
Ethnicity. How many participants are in the following ethnic categories?
a.
Hispanic or Latino
b.
Non-Hispanic or Non-Latino
8.
Race. How many participants are in the following racial categories?
a.
American Indian or Alaskan Native
b.
Asian
c.
Black or African American
d.
Native Hawaiian or Other Pacific Islander
e.
White
9.
Special Needs. How many participants have the following? Participants
may have more than one. If so, count them in all applicable categories.
a.
Mental illness
b.
Alcohol abuse
c.
Drug abuse
d.
HIV/AIDS and related diseases
e.
Developmental disability
f.
Physical disability
g.
Domestic violence
h.
Other (please specify)
10. Prior Living Situation. How many participants slept in the following places
in the week prior to entering the project? (Choose one)
a.
Non-housing (street, park, car, bus station, etc.)
b.
Emergency shelter
c.
Transitional housing for homeless persons
d.
Psychiatric facility*
e.
Substance abuse treatment facility*
f.
Hospital*
g.
Jail/prison*
h.
Domestic violence situation
i.
Living with relatives/friends
j.
Rental housing
k.
Other (please specify)
*If a participant came from an institution but was there less than 30 days and was living on the street or in
emergency shelter before entering the treatment facility, he/she should be counted in either the street or shelter
category, as appropriate.
6
HUD-40118 (11/00)

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