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The Cost of Homelessness in Oklahoma City April 1, 2009 to March ...

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<strong>Oklahoma</strong> <strong>City</strong> <strong>Cost</strong> <strong>of</strong> <strong>Homelessness</strong> Study <strong>2009</strong>‐2010<br />

Appendix 3<br />

Data Collection Instruments<br />

Agency Name<br />

Program Name:<br />

Month:<br />

Budget Information<br />

Monthly<br />

In-K<strong>in</strong>d<br />

Budget<br />

Volunteer<br />

Total<br />

Budget<br />

Service <strong>Cost</strong> Calculation<br />

Total #<br />

Served<br />

<strong>Cost</strong> Per<br />

Person<br />

Total #<br />

Visits<br />

<strong>Cost</strong> Per<br />

Visit<br />

$0.00 #DIV/0! #DIV/0!<br />

51-61 0<br />

31-50 0<br />

18-30 0<br />

17 and<br />

under 0<br />

Total 0 0 0 0<br />

51-61 0<br />

31-50 0<br />

18-30 0<br />

17 and<br />

under 0<br />

Total 0 0 0 0<br />

Age - S<strong>in</strong>gle Persons<br />

Age Male Female<br />

Transgendered<br />

Total<br />

62 and<br />

over 0<br />

Age - Persons <strong>in</strong><br />

Families<br />

Age Male Female<br />

Transgendered<br />

Total<br />

62 and<br />

over 0<br />

Racial/Ethnic<br />

Information<br />

Race Male Female<br />

Transgendered<br />

Total<br />

Asian 0<br />

Black 0<br />

Spangler & Associates, Inc. Page 47

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