FM Coalition to End Homelessness Organizational Membership Form

FM Coalition to End Homelessness

2026 Annual Membership Form for Organizations
Membership Agreement
As a member of the Fargo-Moorhead Coalition to End Homelessness
the Organization* affirms & supports the mission, vision, & values of the Coalition:
MISSION: The mission of the FM Coalition is to work in partnership to achieve permanent solutions to prevent and end homelessness, making homelessness rare, brief, and one-time.

VISION: The FM Coalition envisions a compassionate community in which no one experiences long-term homelessness and those experiencing short-term homelessness easily access the resource that lead to stable housing.

VALUES:
- Interdependence: We empower one another by recognizing mutual goals.
- Collaboration: We recognize that working together on solutions is more efficient and impactful than working in isolation.
- Respect: We assert that everyone has inherent dignity and self-worth and deserves respect regardless of the barriers they face.
- Transparency: We strive for open, honest communication in all our dealings, guided by the ideals of compassion and integrity.
As a member of the Fargo-Moorhead Coalition to End Homelessness
the Organization* supports the shared work of the Coalition by:
- Actively participating in the Coalition through regular meeting attendance and supporting collaborative initiatives.
- Supporting implementation of evidence based, housing-focused best practices in the community.
- Holding the value that everyone who is homeless should be provided with the opportunity to access shelter, housing, and supportive services.
- A commitment to accurate and collaborative data collection and reporting.
- Providing leadership in the prevention and eradication of homelessness in the Fargo-Moorhead area (including North Dakota Region 5, and West Central Minnesota).
Do you affirm the Membership Agreement?*
Organizational Representation

Please provide the names and emails for the primary and alternate voting members of your organization. Coalition Membership applies to all organizational employees, but the individuals listed below will be the only organizational representatives with voting authority.
Primary Voting Delegate*

First NameLast Name
Primary Voting Delegate Email*
example@example.com
Alternate Voting Delegate

First NameLast Name
Alternate Voting Delegate Email
example@example.com
Membership Submission

Please sign this form if you are the authorized representative for your organization participating in the FM Coalition to End Homelessness. It is not requried that this be the CEO or Executive Director at your agency. However, it should be the person responsible for ensuring your agency will participate in the FM Coalition to End Homelessness as outlined in the agreement.
Organization*
Name*

First NameLast Name
Email*
example@example.com
Signature*

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Date*

MonthDayYear
Date
Organizational Membership Dues

Organizational Dues are self-selected. Your organization's budget (or portion of budget appropriate to homeless-related services) can serve as a guide to your dues selection. No organization is refused membership because of the inability to pay or due to a restriction on payment. Anyone can request a waiver.

Membership Dues Matrix

Budget	Dues
$1M or less	$100
$1M - $2M	$200
$2M - $3M	$300
$3M - $4M	$400
$4M - $5M or more	$500

Please select the appropriate Membership Due amount based on your organization's budget.*

$1M or less

$100.00

$1M - $2M

$200.00

$2M - $3M

$300.00

$3M - $4M

$400.00

$4M - $5M or more

$500.00

My organization requests a waiver.If you select this option, the Executive Director will reach out to you to confirm waiver approval.

$ Free

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Organizational Billing Information*

Organization Name

Billing Address

CityState / Province

Postal / Zip Code
Should be Empty:

FM Coalition to End Homelessness

Membership Agreement

Organizational Representation

Membership Submission

Organizational Membership Dues