{"id":185,"date":"2024-05-09T20:19:46","date_gmt":"2024-05-09T20:19:46","guid":{"rendered":"https:\/\/crisishouse.org\/?page_id=185"},"modified":"2026-05-22T23:01:14","modified_gmt":"2026-05-22T23:01:14","slug":"hmis-notice-of-privacy-practices","status":"publish","type":"page","link":"https:\/\/crisishouse.org\/ar\/hmis-notice-of-privacy-practices\/","title":{"rendered":"\u0625\u0634\u0639\u0627\u0631 HMIS \u0644\u0645\u0645\u0627\u0631\u0633\u0627\u062a \u0627\u0644\u062e\u0635\u0648\u0635\u064a\u0629"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"185\" class=\"elementor elementor-185\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c2aa733 e-flex e-con-boxed e-con e-parent\" data-id=\"4c2aa733\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6399f8c e-con-full e-flex e-con e-child\" data-id=\"6399f8c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4cf7b869 e-con-full e-flex e-con e-child\" data-id=\"4cf7b869\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5aa18cfb elementor-widget elementor-widget-heading\" data-id=\"5aa18cfb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">San Diego County CoC<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-155dc986 elementor-widget elementor-widget-heading\" data-id=\"155dc986\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Homeless management Information Systems (HMIS)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-535cfa48 e-con-full e-flex e-con e-child\" data-id=\"535cfa48\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-339bb1a9 e-flex e-con-boxed e-con e-parent\" data-id=\"339bb1a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a4a0d43 e-con-full e-flex e-con e-child\" data-id=\"a4a0d43\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-78b2cf09 e-con-full e-flex e-con e-child\" data-id=\"78b2cf09\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4dd6ccb3 e-con-full e-flex e-con e-child\" data-id=\"4dd6ccb3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77fa97eb elementor-widget elementor-widget-heading\" data-id=\"77fa97eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Notice of HMIS Privacy Practices<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c669632 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"6c669632\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/wp-content\/uploads\/2024\/07\/HMIS_PP_Appendices_NPP_7.6.2022.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-external-link-alt\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M432,320H400a16,16,0,0,0-16,16V448H64V128H208a16,16,0,0,0,16-16V80a16,16,0,0,0-16-16H48A48,48,0,0,0,0,112V464a48,48,0,0,0,48,48H400a48,48,0,0,0,48-48V336A16,16,0,0,0,432,320ZM488,0h-128c-21.37,0-32.05,25.91-17,41l35.73,35.73L135,320.37a24,24,0,0,0,0,34L157.67,377a24,24,0,0,0,34,0L435.28,133.32,471,169c15,15,41,4.5,41-17V24A24,24,0,0,0,488,0Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">English<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/wp-content\/uploads\/2024\/07\/HMIS-Notice-of-Privacy-Practices-SPANISH-04-20-2020-PDF.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-external-link-alt\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M432,320H400a16,16,0,0,0-16,16V448H64V128H208a16,16,0,0,0,16-16V80a16,16,0,0,0-16-16H48A48,48,0,0,0,0,112V464a48,48,0,0,0,48,48H400a48,48,0,0,0,48-48V336A16,16,0,0,0,432,320ZM488,0h-128c-21.37,0-32.05,25.91-17,41l35.73,35.73L135,320.37a24,24,0,0,0,0,34L157.67,377a24,24,0,0,0,34,0L435.28,133.32,471,169c15,15,41,4.5,41-17V24A24,24,0,0,0,488,0Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Spanish<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b365cdb e-con-full e-flex e-con e-child\" data-id=\"b365cdb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a9dabe0 elementor-widget elementor-widget-heading\" data-id=\"a9dabe0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Notice of General Privacy Practices<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-994056e elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"994056e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/crisishouse.org\/wp-content\/uploads\/2026\/05\/Crisis-House-Privacy-Policy.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-external-link-alt\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M432,320H400a16,16,0,0,0-16,16V448H64V128H208a16,16,0,0,0,16-16V80a16,16,0,0,0-16-16H48A48,48,0,0,0,0,112V464a48,48,0,0,0,48,48H400a48,48,0,0,0,48-48V336A16,16,0,0,0,432,320ZM488,0h-128c-21.37,0-32.05,25.91-17,41l35.73,35.73L135,320.37a24,24,0,0,0,0,34L157.67,377a24,24,0,0,0,34,0L435.28,133.32,471,169c15,15,41,4.5,41-17V24A24,24,0,0,0,488,0Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">English<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-574f18d6 e-con-full e-flex e-con e-child\" data-id=\"574f18d6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-1121d047 e-con-full e-flex e-con e-child\" data-id=\"1121d047\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-13df53df elementor-widget elementor-widget-heading\" data-id=\"13df53df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Questions?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c62bb37 eael-gravity-form-button-full-width elementor-widget elementor-widget-eael-gravity-form\" data-id=\"c62bb37\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form eael-contact-form-align-center\">\n\t\t        \n            <script type=\"text\/javascript\">\n                \/* EA Gravity Forms - 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GF's multi-file uploader calls\n                 * `new plupload.Uploader()` on every post_render with no idempotency guard\n                 * (gravityforms\/js\/gravityforms.js), so a second dispatch binds a second\n                 * uploader to the same field and every selected file is submitted twice. GF's\n                 * own guard is function-local to the script it prints and cannot be read from\n                 * here, so we watch for the event instead and only step in if it never comes.\n                 *\n                 * This is the single fallback for this widget. Tickets 84410 and 84529 each\n                 * added one independently and both were merged, leaving two mutually-blind\n                 * shims that raced (issue #894). Do not add another - extend this one, and\n                 * keep the `window.__eaelGfPostRender*` flags as the shared source of truth.\n                 *\n                 * Printed before the form markup so the listeners are in place ahead of any\n                 * GF init script for this form, whether printed inline or in the footer.\n                 *\/\n                ( function () {\n                    var formId    = 2;\n                    var seenFlag  = '__eaelGfPostRenderSeen_'  + formId; \/\/ dispatched, by anyone\n                    var boundFlag = '__eaelGfPostRenderBound_' + formId; \/\/ this shim is installed\n\n                    if ( window[ boundFlag ] ) {\n                        return;\n                    }\n                    window[ boundFlag ] = true;\n\n                    function markSeen( id ) {\n                        if ( parseInt( id, 10 ) === formId ) {\n                            window[ seenFlag ] = true;\n                        }\n                    }\n\n                    \/\/ triggerPostRenderEvents() always fires the jQuery event first and the\n                    \/\/ gform.utils one after, whoever calls it - so between them these observe\n                    \/\/ GF core's own dispatch as well as any other caller's.\n                    if ( window.jQuery ) {\n                        window.jQuery( document ).on( 'gform_post_render', function ( event, id ) {\n                            markSeen( typeof id !== 'undefined' ? id : formId );\n                        } );\n                    }\n                    if ( window.gform && window.gform.utils\n                         && typeof window.gform.utils.addEventListener === 'function' ) {\n                        window.gform.utils.addEventListener( 'gform\/post_render', function ( e ) {\n                            markSeen( e && e.detail && typeof e.detail.formId !== 'undefined'\n                                      ? e.detail.formId : formId );\n                        } );\n                    }\n\n                    function maybeDispatch() {\n                        if ( window[ seenFlag ] ) {\n                            return;\n                        }\n\n                        \/\/ GF leaves this marker beside a hidden form while it waits for the\n                        \/\/ form to become visible, and removes it once it dispatches. Still\n                        \/\/ present means GF's script did run and will dispatch on its own -\n                        \/\/ firing now is the double-dispatch that duplicates file uploads.\n                        if ( document.getElementById( 'gform_visibility_test_' + formId ) ) {\n                            return;\n                        }\n\n                        if ( ! window.gform || ! window.gform.core\n                             || typeof window.gform.core.triggerPostRenderEvents !== 'function' ) {\n                            return;\n                        }\n\n                        var pageInput   = document.getElementById( 'gform_source_page_number_' + formId );\n                        var currentPage = pageInput ? parseInt( pageInput.value, 10 ) : 1;\n\n                        window[ seenFlag ] = true;\n                        window.gform.core.triggerPostRenderEvents( formId, currentPage || 1 );\n                    }\n\n                    \/\/ Wait for the window load event and then for GF's own gate, which needs\n                    \/\/ DOMContentLoaded plus its main and theme script events. Registering the\n                    \/\/ callback this late puts it behind GF's in the queue, and the timeout\n                    \/\/ puts it in a later task again, so GF always gets to dispatch first.\n                    function schedule() {\n                        if ( window.gform && typeof window.gform.initializeOnLoaded === 'function' ) {\n                            window.gform.initializeOnLoaded( function () {\n                                setTimeout( maybeDispatch, 0 );\n                            } );\n                        } else {\n                            setTimeout( maybeDispatch, 0 );\n                        }\n                    }\n\n                    if ( document.readyState === 'complete' ) {\n                        schedule();\n                    } else {\n                        window.addEventListener( 'load', schedule );\n                    }\n                } )();\n            <\/script>\n\n            <script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_2' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/ar\/wp-json\/wp\/v2\/pages\/185' data-formid='2' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdWkhgqAAAAAGM3CrbkI6Td-LXbdooD2jnhkQHh' data-tabindex='0'><input id=\"input_82373f5ac5e09977bfd4a6856a47209b\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_82373f5ac5e09977bfd4a6856a47209b\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_17\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'><span class='gform-field-label__text'>Comments<\/span><\/label><div class='ginput_container'><input name='input_17' id='input_2_17' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_17'>\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0644\u0623\u063a\u0631\u0627\u0636 \u0627\u0644\u062a\u062d\u0642\u0642 \u0648\u064a\u062c\u0628 \u062a\u0631\u0643\u0647 \u062f\u0648\u0646 \u062a\u063a\u064a\u064a\u0631.<\/div><\/div><fieldset id=\"field_2_14\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_14'>\n                            \n                            <span id='input_2_14_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.3' id='input_2_14_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_14_3' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0648\u0644<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_14_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.6' id='input_2_14_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_14_6' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u062e\u064a\u0631<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_2_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_15'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_2_15' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_16\" class=\"gfield gfield--type-post_content gfield--input-type-post_content gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_16'><span class='gform-field-label__text'>Question or Message<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_2_16' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_2_6' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><fieldset id=\"field_2_7\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_city has_zip ginput_container_address gform-grid-row' id='input_2_7' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_7_3_container' >\n                                    <input type='text' name='input_7.3' id='input_2_7_3' value=''    aria-required='true'    \/>\n                                    <label for='input_2_7_3' id='input_2_7_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0645\u062f\u064a\u0646\u0629<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_7.4' id='input_2_7_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_2_7_5_container' >\n                                    <input type='text' name='input_7.5' id='input_2_7_5' value=''    aria-required='true'    \/>\n                                    <label for='input_2_7_5' id='input_2_7_5_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0631\u0645\u0632 \u0627\u0644\u0628\u0631\u064a\u062f\u0649<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_7.6' id='input_2_7_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_2_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Interest<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_9'><div class='gchoice gchoice_2_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='Homeless Services'  id='choice_2_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_9_1' id='label_2_9_1' class='gform-field-label gform-field-label--type-inline'>Homeless Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='Domestic Violence'  id='choice_2_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_9_2' id='label_2_9_2' class='gform-field-label gform-field-label--type-inline'>Domestic Violence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='Other'  id='choice_2_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_9_3' id='label_2_9_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Please Note: Crisis House Is Not a Shelter<\/h3><div class='gsection_description' id='gfield_description_2_12'>Crisis House does not operate a congregant shelter and does not have beds available for overnight stays.\n\nIf you are seeking immediate shelter or emergency housing, please contact 211 San Diego for information about available shelter and housing resources.<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_2' class='gform_button button' 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