Housing Stability Services Program

Available 24/7

Housing Stability Services Program

Available 24/7

Funded by Texas Department of Housing and Community Affairs

Client Log In

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Client Questionnaire

Your answers to this questionnaire will determine whether you may now be eligible for Housing Stability Services, if you are still in need of permanent housing.

Please read each question carefully and provide your best answer. Our goal is to help in any way possible according to our State Guidelines. You will be contacted by a case manager if you are still in need of assistance.

Name(Required)

First Last

Email(Required)

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Case Manager

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Case Manager Email

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Application ID

Are you still interested in receiving HSS Services?(Required)

Yes

Please Answer Every Question Below

Are you prepared to make regular rent payments if HSS pays your application fee and security deposit?(Required)

Yes

Do you need help with utility deposits?(Required)

Yes

Are you in need of temporary childcare so you can maintain employment?(Required)

Yes

Are you in need of public transportation?(Required)

Yes

Do you need help with budgeting?(Required)

Yes

Do you need help with employment?(Required)

Yes

Comments

This field is for validation purposes and should be left unchanged.