FSP Adult Application

 

Family Strengthening Program Overview

The Family Strengthening Program (FSP) is a farm-based residential program offering support to single moms to build economic independence and their ability to transition to permanent housing.


While enrolled in the Family Strengthening Program, participants will be focused on achieving outcomes related to transition to housing, gainful employment, verifiable income, securing adequate childcare, positive parenting, and self-advocacy.


This application is used to determine eligibility and whether the FSP can offer your family the support and assistance you need. The questions in this application are included solely as a way of establishing whether this program is a good fit for your needs and situation. Determination of acceptance into the Family Strengthening Program (FSP) will be made on a case by case basis.

 

FSP Program Services


Participants in the Family Strengthening Program commit to participating in the following program services and activities:


• Meeting weekly with a Case Manager

• Pursuing a Family Transition Plan that details measurable goals, services, activities, and timelines.

• Participating in Community Garden, weekly garden activities for the whole family on the farm.

• Participating in Malama Pono’i (MPI), weekly women's empowerment classes.

• Participating in Ho'olana Keiki Education Program, educational activities and lessons for children.

• Participating in daily farm chores, such as animal feedings, animal husbandry, caring for the gardens and nursery, and special projects.

 

 

INSTRUCTIONS

Step 1: Fill out this FSP Adult Application below.


Step 2: Fill out FSP Minor Application for each minor that will be enrolling in the program with you.

Use the APPLICATION CODE sent to the email provided on your adult application.


Step 3: If you are being referred by another agency, request your case worker to fill out the FSP Referral Form.

 
 
mm/dd/yyyy
 

First & Last Name

 
 
 
 
mm/dd/yyyy
 
 
 

Please choose the identification type

 
 

 

Health

 

Please select all that apply

 

Have you been affected by the August 2023 Maui Wildfires?

 
 

Do you have any health conditions that we should be aware of? (ex. Bee allergy- requires EpiPen)

If none, type "None"

 
 

Do you have any disabilities that require reasonable accommodation? If so, what accommodations do you need?

 
 

 

Housing

 

Where were you living prior to your current living arrangement?

 
 

Is your name on any property or rentals?

 

Please describe your current living arrangement. Be specific.

 
 

 

Employment

 
 

Please describe your employment history below. Include company you worked for, position title and dates that you were employed for that company.


(ex. Kindergarten teacher at Paia School from March 2020 - September 2021)

 
 
 

 

Income

 

Please provide your monthly NET income.

 

Please select one below.

 

Please select all that apply.

 

Please select all that apply

 
 

 

Child Welfare

 
 

(Ex. 5 year old female, 9 year old male)

 
 

How many children will be residing with you at The Maui Farm?

**Please note that you will be required to fill out an FSP Minor Application for each child

 

 

Legal

 
 

Are you currently involved in any open legal matters? If so, please explain. (ex. TRO, custody, divorce, domestic violence, truancy)

 
 

 

Safety & Support Network

 
 

Name and title of the employee you are working with at referral agency

 

What other agencies or organizations are you currently working with?

 

 

Please describe your 'ohana including strengths and values.

 
 

What challenges and needs do you anticipate for you and your 'ohana in the next 6 months?

 
 

What do you think you can feasibly accomplish in the next 6 months?

 
 

How will your participation in TMF's Family Strengthening Program support your goals?

 
 

What is your weekly schedule? Please include work, school, appointments, and all weekly commitments.

 
 

Please upload all of the documents below:

Drivers License or ID

2 months of paystubs (if applicable)

TRO

Drop your files here
 

Any questions or additional information you would like to share?

 
 

 

The Maui Farm is NOT an emergency shelter.

Program admission is subject to availability of space, verification of eligibility/need, and completed application, screening, and interview.


If you have any questions or need assistance with your application, please contact The Maui Farm Office at (808) 579-8271 or info@themauifarm.org