Fill out the online enrollment form below, or scroll past the form to find a printable version. If you print your enrollment form, you must return it to the Resident Services Department located at 40 Elgin Blvd.

Remember: you must be a public housing resident or HCV holder through Hagerstown Housing Authority to be considered for the FSS program.

FSS Enrollment Form

Below is your form to enroll in the Family Self Sufficiency Program. By joining the Family Self-Sufficiency (FSS) Program, you receive the following:

  • An individual Case Manager to identify and reach written goals within specific time frames.
  • Referrals to community support services to help you attain your goals.
  • Assistance with financial planning when requested.
  • Opportunity to participate in various workshops to help you reach self-sufficiency.
  • For eligible participants, as employment is obtained or earnings increase, monthly deposits are made to an escrow account that is held by the Housing Authority.
  • When you successfully complete your FSS Contract and are free of welfare assistance programs, you receive the escrow monies

Please read each field carefully before you begin filling out the form. Some fields you must type a response to. Other fields, you may be required to select from a drop down menu. Others, you must click checkboxes with answers that apply to you. To fill out the form, hover your cursor over the text field, click, and type or choose your answer. You will not be able to submit the form unless all the required fields have been filled out. If a field does not appear to apply to you, type “N/A” in the answer field.


I am interested in the FSS program!

I participate in the following Programs and Agencies

Translate »