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Fss Application

Fss Application

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Published by townspeople

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Published by: townspeople on Mar 30, 2011
Copyright:Attribution Non-commercial

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03/30/2011

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DAVID ESTRELLADirectorTODD HENDERSONAssistant Director
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
3989 RUFFIN ROAD, SAN DIEGO, CALIFORNIA 92123-1815
Tel.: (858) 694-4801Fax. (858) 694-4871TDD: (858) 694-4884Toll-free: 1 (877) 478-5478
 
<Please turn over>
FAMILY SELF-SUFFICIENCY APPLICATION
Name of Head of Household (
please print 
)_________________________________________________________________________Social Security Number (SSN): __ __ __ -__ __ -__ __ __ __ Daytime Phone Number: (__ __ __) __ __ __ -__ __ __ __Email Address: ______________________________________________________________________________________________Is your family currently on Section 8 with the County of San Diego? (
check one
)
YES
NOHave you participated in any FSS program?______________ Where/when?_______________________________________________
Employment/Income
Are you currently employed? (
check one
)
NO
PART TIME (
34 hours or less
)
FULL TIME (
35+ hours/wk 
)What is your job title? ___________________________________________________Start date?_____________________________Do you have any health benefits from your job?
HEALTH
RETIREMENT
NONE
OTHER_______________How do you feel you can excel in your job or current field? ______________________________________________________________________________________________________________________________________________________________________If you are not employed, what do you see as your major difficulty in finding employment? ______________________________________________________________________________________________________________________________________________Are you currently receiving welfare benefits?_______________________________________________________________________
Education/Training
How many years of school have you completed? Includes college. ___________________________________________________Have you received your High School Diploma or GED?: (
check one
)
DIPLOMA
GED
NEITHERIf neither, would you be interested in obtaining one? (
check one
)
YES
NODo you have any college degrees?____________If yes, what degree(s)? _________________________________________________Are you currently attending school or job training (
including CalWorks
)? _____________ When will you finish?_________________If yes, what is the name of the school or training program and city where is it located?________________________________________________________________________________________________________________________________________________If no, do you have any plans to attend school or job training?________What would your goals be?___________________________________________________________________________________________________________________________________
 
The Family Self-Sufficiency (FSS) program promotes economic independence and self-sufficiency. Families must be on Section 8 to qualify forthe program. When a family enrolls in FSS, they must sign a 5 year contract of participation to outline a series of steps that will help the familybecome more self-sufficient. The final goals are to be employed and to be off of all ongoing cash aid programs for at least 1 full year before thecontract ends. As a participating family increases their earnings and pays more of the rent, the Housing Authority may deposit the savings intoan escrow account for the family. After 5 years, the family may be eligible to receive the money that has accumulated in the escrow account.

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