City of Oceanside Housing Stability Screening

Please Note:

Interfaith Community Services Coastal Service Center located in Oceanside, CA is able to provide housing stabilization support to residents within the City of Oceanside.

Completion of this screening * does not qualify nor disqualify you from any supportive services (including rental subsidies).

Based on the needs of each household, support could include housing stability case management, subsidized rental assistance, late fees, utility assistance, landlord mediation/advocacy, new move-in expenses and employment assistance.

*This is a screening for informational purposes only. This is not an application.

Question Title

* Who is completing this screening?

Self; Head of Household

Friend, Caregiver, Other (please provide your name below0

Interfaith Representative (please provide your name below)

If other, please specify your name, relationship to head of household, and whether the client knows that you are completing this screening on his/her behalf:

Question Title

* Please provide the following contact information.
We will only utilize this information to contact you regarding your screening.

Full Name *

Apartment Complex Name

City/Town *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* Date of Birth (Head of Household)

This will only be utilized for identification purposes.

Date

Question Title

* Do you live or will you be moving to the City of Oceanside?
If you are planning to move to Oceanside but do not have a confirmed lease select "No".

Yes

Question Title

* Are you currently employed or seeking employment? If not, will you be within the next 30-60 days?

Yes, currently

Yes, currently and/or seeking (unemployed or underemployed)

Yes, seeking

Not Employed & Not Seeking Employment

N/A - Unable to work

Other (please specify)

City of Oceanside Housing Stability Screening

Please Note:

Question Title

* Who is completing this screening?

Question Title

* Please provide the following contact information. We will only utilize this information to contact you regarding your screening.

Question Title

* Date of Birth (Head of Household)

Question Title

* Do you live or will you be moving to the City of Oceanside? If you are planning to move to Oceanside but do not have a confirmed lease select "No".

Question Title

* Are you currently employed or seeking employment? If not, will you be within the next 30-60 days?

* Please provide the following contact information.
We will only utilize this information to contact you regarding your screening.

* Do you live or will you be moving to the City of Oceanside?
If you are planning to move to Oceanside but do not have a confirmed lease select "No".