Statement of Interest Form

When opportunity knocks, will you answer? If so, the Family Self Sufficiency (FSS) Program is for you!! With the help of our staff and HADC’s partners, you and your family, while still on our Housing Choice Voucher Program, will be connected to supportive services to assist you in completing your goals.

Some of the services coordinated through the FSS Program include:

  • Child care
  • Transportation
  • Education/ Job Training
  • Employment counseling
  • Financial literacy
  • Homeownership counseling

The goal of the FSS Program is to assist you with becoming more independent.

Interested? Complete the form below



Telephone No:


Number of Family Members:

Primary Language Spoken:EnglishSpanish Other

Are you employed?YesNo

If you selected No, have you been unemployed for more than 1 year?YesNo

Why are you interested in the Family Self Sufficiency Program?

If you have questions regarding this program, please contact