Family Success Center - Interest Form

Family Success Center - Interest Form
The goal of the Family Success Center is to help individuals and families located in the Greater Greensboro area. We focus on the following pillars: Career Readiness, Education, Financial Literacy, and Health & Wellness. Our program goal is to help all members find a sustainable career. Please complete this brief interest form and an FSC staff member will follow up with you within the next 24-48 business hours/ We look forward to having you join FSC!!
How did you hear about us?
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is this a mobile phone?
What services are you seeking from the Family Success Center?
Are you employed?
All members must have an employment goal (Ex: A job, A better job, or A career). Do you agree with this goal?
Employment: Where is your current status?
The following questions are only asked to determine if you may need additional resources/support. It does not determine eligibility for enrollment into the FSC.
Do you have health insurance?
Do you have adequate transportation?
Do you have a valid driver's license? (You do not need a driver's license to be a FSC member)
Do you have adequate/safe housing?
Do you currently live in a Greensboro Housing Authority (GHA) property?
Do you have enough food each month?
Do you receive SNAP or TANF, etc.?
Do you have childcare?
FSC works with a variety of community partners and organizations. Please check the areas in which you may need support/referrals to other organizations for yourself and/or others IN YOUR HOUSEHOLD.
Best Way to Connect With You
If you choose OTHER, in the previous question please type who or what program referred you to the FSC below.
Should be Empty:

Family Success Center - Interest Form

The following questions are only asked to determine if you may need additional resources/support. It does not determine eligibility for enrollment into the FSC.