FSS Pre-Application

Congratulations! By completing this form, you are on the first step toward your participation in the Family Self-Sufficiency program at Flint Housing Commission! Please note: this program is for current FHC residents ONLY. This is NOT an application for Section 8 or Public Housing. FSS has a lot of benefits like individualized help with creating goals and reaching them! Plus, FSS has a savings account (called an escrow) that will grow along with your hard work in the program! Please complete as much of this form as you can. If you need help call Allie at 810-736-3112 and she will be able to answer your questions!

First Name

Last Name

Date

Last Four Numbers of your Social Security Number

Leave this box blank if you do not know

Best Phone Number to Reach You

Which program are you in?

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Are you currently employed?

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About how many hours per week do you work?

Do you receive cash assistance like TANF?

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Do you have a Bridge Card (food stamps)?

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What is the highest level of education you have completed?

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Do you want to go back to school?

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Are you currently enrolled in an education program?

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Do you have your own transportation?

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Do you have enough childcare?

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Do you have a computer at home (NOT including smartphones with internet access)?

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What are some goals you would like to reach in the next 5 years?

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What are your two biggest challenges right now that are keeping you from reaching your goals?

Have you been in an FSS program before?

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Thank you for completing the FSS pre-application!

You will be contacted at the number you provided within 7 business days to talk about your questions about FSS!

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