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City of Santa Ana

Housing Authority
Family Self-Sufficiency program
Family Self-Sufficiency program Application

Applicants Learn about our Section 8 rental programs Family Self-Sufficiency program Tenant resources Landlord resources General resources OIG Hotline Contact us Housing Authority Quarterly Reports

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Family Self-Sufficiency program Application

Date * Required
MM slash DD slash YYYY

Today's date
Tenant code * Required

Please provide your tenant code/voucher code. If you do not know your tenant code, please contact your Housing Specialist.
Contact Information
Name * Required
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
Email * Required
Education information
What is the highest grade level you've completed? * Required
Are you currently enrolled in any job training or educational programs? * Required
If yes, please give details: * Required
Do you need to work on your finances? * Required
If yes, please give details: * Required
Household information
1. Is there any reason that would prevent you from starting training or a job at this time? * Required
1 a. If yes, please provide details: * Required
2. Have you ever been employed before? * Required
3. Are you currently working? * Required
3 a. If yes, what is the name of your employer, occupation, salary, and how many hours per week? * Required
4. What type of work have you done in the past? * Required
What industry have you worked in? Which occupations have you held in the past?
5. Are you currently paying for child care? * Required
5 a. If yes, how much per week/month? * Required
6. Are you currently receiving child care assistance with another agency? * Required
Are you receiving assistance from agencies such as the Department of Education or Children's Home Society?
6 a. If yes, how much per month? * Required
7. Are you currently receiving CalWORKs/Cash aid assistance? * Required
8. What kind of support services do you need? * Required
- Child care
- Education
- Job placement
- Job training
- Career counseling
- Resume
- Financial literacy
- Computer skills
- Transportation assistance
- Mental health
- Food
- Credit counseling
- Family/individual counseling
9. What kind of job would you like to have? * Required
10. Do you require any accommodation to fully utilize our program? * Required
10 a. If yes, please list accommodation * Required
11. Is there any additional information you would like to tell us so we can help you achieve your goals?
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Santa Ana City Hall
20 Civic Center Plaza
Santa Ana, CA 92701

(714) 647-5400

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Family Self-Sufficiency program Application

Contact Information

Education information

Household information