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Page 1

PROGRAM APPLICATION
Thank you for your interest in Project Self-Sufficiency! We provide intensive support, information and assistance to low-income, single parents who are ready to focus on education and career goals.

Your time is important to us. Please review our eligibility criteria below to see if you are a good fit for our program.

If you meet our criteria, you will be able to continue with completing the program application on the following pages.

If you'd like to save your request form before submitting and come back to it later, use the option at the top or bottom of each page. (NOTE: you do not need to check the box at the top of this first page – use this option only after you have completed some of the form fields on the next page.)

If you do not meet all of our eligibility criteria, you will be given direct contact information to reach us on the next page, so that you can ask questions or get referrals for other resources that may meet your needs. Please do not click the submit button, if you do not meet our eligibility criteria.
ELIGIBILITY












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Unfortunately, you do not meet one or more of our eligibility criteria and unfortunately, you will not be able to submit an application. Please do not click the Submit button on this page.

If you have questions about our criteria, please feel free to contact us at 970-635-5912.

If you would like referrals and information about other resources to meet your needs, you are invited to talk with an Advisor directly.
In Loveland, please call 635-5912 and ask to speak to an available Advisor.
In Fort Collins, please call 407-0305 extension 5 and ask to speak to an available Advisor.
You may also find more community resources, by visiting: www.211.org or viewing this document.

Thank you for your interest in Project Self-Sufficiency.

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Page 3

CHILDREN
PRIMARY CUSTODY STATEMENT

CHILDREN (List all children in your household living with you more than 50% of the time)
First Name Last Name Date of Birth
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6

Page 4

EDUCATION





Transcript File
(25 MB limit)
FINANCIAL AID INFORMATION
To access your Financial Aid Summary, follow the steps below:
  1. Log into the National Student Loan Data System (NSLDS) Student Access website.
  2. Select the option for 'Financial Aid Review.'
  3. Read the Privacy Statement. You must click 'Accept' to the terms to use NSLDS.
  4. Have your Federal Student Aid (FSA) ID available.
  5. If you already have an FSA ID, enter your username and password and select LOG IN.
  6. If you do not have an FSA ID, select the Create An FSA ID tab.

Financial Aid File
(25 MB limit)
EMPLOYMENT




$
MONTHLY INCOME
Enter monthly income below. If no income is received from the source below, enter 0.
Monthly Amount
Employment
$
TANF
$
SNAP/Food Stamps
$
Child Support/Alimony
$
Child Support/Alimony
$
Supplemental Security Income (SSI)
$
Other
$
$

Page 5

PERSONAL STATEMENT
Answer the questions below to tell us more about you and the things you have already achieved on your own.





Page 6

LETTER OF REFERENCE

A letter of reference is required. It should be from someone who can comment on your strengths and desire to become self-sufficient. Examples of people who can write letters are counselors, supervisors, co-workers, or a leader from your place of worship.


Reference Letter File
(25 MB Limit)
APPLICANT CERTIFICATION

By typing my name below, I affirm that all information on this application is correct to the best of my knowledge. I also understand that I must keep Project Self-Sufficiency informed of any changes to my application (i.e., address or phone number) or my name will be removed from the waiting list.

WALK-IN HELP SESSIONS
  1. Click the Submit button below to submit your application.
  2. You will have an opportunity to review your entire application and make edits on the next page before final submission.
  3. After submitting, we invite you to complete two walk-in help sessions within six months with one of our Advisors at the office listed below.
  4. Walk-in Help Sessions are approximately 20 minutes and allow you to become more informed about our program services, benefits, and receive immediate assistance or referrals to address any critical needs you are facing.
  5. Walk-In Help Sessions for both offices are every week on Wednesdays from 3pm-5pm and Thursdays from 11am-1pm. Note: there are no Walk-ins the weeks of Thanksgiving, Christmas, and New Year's.
QUESTIONS
Questions, applications, and reference letters may be directed to info@bringthepower.org or one of the following offices:

LOVELAND OFFICE:
375 West 37th Street, Suite 150
Loveland, Colorado 80538

Phone: 970.635.5912 | Fax: 970.635.5910
Office Hours: Monday-Thursday 9am-5pm or by appointment              


FORT COLLINS OFFICE:
2001 South Shields Street, Unit D-203
Fort Collins, CO 80526

Phone: 970.407.0305 | Fax: 970.407.0309
Office Hours: Monday-Thursday 9am-5pm or by appointment  

Project Self-Sufficiency of Loveland-Fort Collins is a local nonprofit organization supported by United Way, local governments, and private funders. Project Self-Sufficiency is an equal opportunity employer and does not discriminate against individuals on the basis of race, ethnicity, religion, gender, gender identity, gender expression, sexual orientation, national origin, marital status, military or veteran status, or age in the admission, access, or appointment to, or treatment or employment in its programs or activities.

Click Submit below. You will have a final opportunity to review your entire application and make edits on the next page before final submission.