Supportive Housing Program

Applicant must complete SHP Application, STEP General Registration, Household form, Service Assessment, and provide proof of income (if applicable). If an applicant does not provide all required information, eligibility determination will not occur until all documents are received.

If Tier II is selected, a referral partner is required. If you are not working with another agency, please select Tier I. Thank you!

HUD defines income as money or nonmonetary sources which go to the family or are provided on behalf of the family, head or spouse or to any other family member, or that is anticipated to be received from a source outside the family during the 12-month period following this application.

Please list each person in the household who is receiving any source of income. Please provide a copy of each form of income.

Sources of Income include: Net wages from employment or self-employment, income after business deductions, welfare/cash assistance, Social Security, SSI, unemployment, workers’ compensation, strike benefits, VA benefits, alimony, pension and annuity payments, training allowances and income from rent, estate, royalties, dividends and interest, and child support.

YOUR SIGNATURE BELOW REPRESENTS AGREEMENT TO THE FOLLOWING:

Warning: §1001 of Title 18 of the United States Code makes it a criminal offense to make a willfully false statement or misrepresentation to a Department or agency of the United States as to any matter within its jurisdiction.

I certify that the information I have provided is complete and true to the best of my knowledge. I understand that omission of pertinent information and willful or serious misrepresentation in the application procedure can result in my ineligibility for participation in STEP’s Supportive Housing Program. 

I understand that in signing this application, I authorize STEP, Inc. to obtain verification of the above information for the processing and approval of my eligibility for STEP’s Supportive Housing Program.

I have listed above the total current income received by every member of my household.

I have read the application packet and understand the materials provided explaining the eligibility criteria and objectives of the applicable programs.

The information provided in this application packet is complete and accurate to the best of my ability. I authorize STEP, Inc. to exchange, with other agencies and STEP programs, any information that is pertinent to the delivery of services requested. A photostatic copy of this authorization shall be considered valid.

 

After completing this form, you will be directed to STEP's General Registration. You must also complete this form as part of applying to the Supportive Housing Program!