HomeMy WebLinkAboutFSS Interest Form A (Updated) William P.Kenoi `' Stephen J.Arnett
Mayor — Housing Administrator
'1Tp OF•M�'�
OFFICE OF HOUSING AND
COMMUNITY DEVELOPMENT
1990 Kinoole Street,Suite 105•Hilo,Hawai'i 96720-5293
V/TT(808)959-4642•FAX(808)959-9308
FAMILY SELF-SUFFICIENCY (FSS) PROGRAM
INTEREST FORM (please write legibly)
All active Section 8 families are eligible,
Applications will be mailed to interested families,
Families shall go on the waiting list,
To receive help with higher education and/or job skills training
To receive help finding a job or increase in pay
To receive help working towards financial independence & self-
sufficiency
To receive tax free money in a secured FSS sponsored escrow account
FOR MORE INFORMATION CONTACT: HOW THE ESCROW ACCOUNT WORKS
Office of Housing and Community Development EXAMPLE CURRENT WITH FSS
Family Self-Sufficiency Program Contract Rent $500 $500
Attn: Glen Shigehara Tenant Rent $100 $200
1990 Kinoole Street, Suite 105 Housing $400 $300
Hilo, Hawaii 96720 Assistance
Phone: 959-4642
Fax: 959-9308 A portion of the $100 increase
in tenant' s rent goes into the
Escrow Account.
Detach Here
❑ Yes, I am a Section 8 tenant and the Head of Household. I am interested
in the FSS Program.
Last Name:
First Name:
Phone number where I can be reached:
Mailing Address:
❑ Yes, I am interested in the FSS Program but I am not the Head of
Household.
Last Name:
First Name:
Phone number where I can be reached:
Mailing Address:
IF YOU ARE INTERESTED - RETURN DETACHED PORTION TO THE
OFFICE OF HOUSING (address noted above) AND AN
APPLICATION FORM WILL BE MAILED TO YOU.
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EQUAL HOUSING OPPORTUNITY
"HAWAI'I COUNTY IS AN EQUAL OPPORTUNITY
PROVIDER AND EMPLOYER"