SSF Eligibility Check – Moving Stones

Let's start with your contact information

We'll use this to follow up on your application, whatever the outcome.

Full Name

Phone Number

Yes, you may keep my contact information. Moving Stones may have other grants or funding opportunities available - contact me about other ways of being funded.

Your answers are used only to decide Self-Sufficiency Fund eligibility. Authority: Texas Labor Code Ch. 309 and 40 TAC Ch. 835.

I understand that Moving Stones may share the information in this application with the City of Fort Worth and with the Texas Workforce Commission and Workforce Solutions for Tarrant County, for funding and reporting purposes.

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Calculated age

A bit more about you

We need these details to confirm you are in our service area and to set up your file.

Date of birth

Street Address

City

State

ZIP Code

Do you currently live in Tarrant County?

Yes

This program is designed for Tarrant County residents. Please contact us at 817-898-8093 to discuss your eligibility before continuing.

Last 4 digits of Social Security Number

Program applying for

CNA - Certified Nurse Aide

EKG Technician

Phlebotomy Technician

All Three (PCT - Patient Care Technician)

Undecided - Need guidance

Important: PCT needs a second funder

Moving Stones pays only a small portion of the Patient Care Technician (PCT) cost. To enroll in PCT you must also be co-enrolled with one outside funder: Arlington Public Library, AVA / TCC, or Fort Worth ISD.

Pick the one whose orientation schedule fits you best below. We will give you their full details, with links, on the last screen and by email, so you do not need to leave this page.

Yes, I understand that PCT requires co-enrollment with one of the three funders above, and I will register and attend their orientation.

Which funder will you co-enroll with?

Arlington Public Library

AVA / TCC

Fort Worth ISD

Not decided yet - please help me choose

Pick the one whose orientation schedule fits you best. You can change this later by calling us.

Do you owe money to Tarrant County College (TCC)?

Yes

I am not sure

This does not stop your application. It only affects which funder is easiest for you.

If you owe TCC

TCC may not let you enroll again until the balance is cleared. You can still apply. Arlington Public Library or Fort Worth ISD may be the easier route for you, or you can clear the balance with TCC first. A team member will go through it with you.

Primary language spoken at home

English

Spanish

Other

Which language?

Free English classes

Fort Worth ISD runs free adult ESL classes. The link is waiting on the last screen of this application, so finish these questions first and you can register straight after.

The following fields are collected for Equal Opportunity and federal reporting purposes only. Completion is voluntary and will not affect your eligibility.

Gender (optional)

Male

Female

Non-binary

Prefer to self-describe

Prefer not to answer

Race / Ethnicity (optional)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian / Pacific Islander

White / Caucasian

Two or More Races

Prefer Not to Answer

Do you currently receive or take part in any of these?

Select all that apply.

SNAP

TANF

CHIP (Children's Health Insurance Program)

WIC

Subsidized childcare

Subsidized public housing

Free or reduced-price school lunch

WIOA youth services

Ages 18 to 24 and in a low income household

At risk of becoming dependent on public assistance (unemployed/underemployed)

Homeless or at risk of homelessness

None of the above

Do you have any supporting proof?

I have supporting proof

I don't have proof available right now

An award letter or other official document from the city, state or local authority that pays the benefit. A clear photo or screenshot is fine, as long as your name and the name of the agency can be read. For the last two options on the list there is no letter to upload, so just tell us your situation in your own words.

Tell us about your situation, where your money comes from and how much

In your own words. We know there is no letter to upload for this, so what you write here is what we go on.

Anything you want to tell us while we wait for your document? (optional)

Not required. Leave it blank if you prefer.

Are you currently unhoused, meaning sleeping outside, in a car, or in a shelter?

Yes

Is there an address where mail can reach you?

Yes

We need somewhere to send your documents and your decision.

Help with somewhere to stay

We work with housing services and we will send you their details at the end of this application. Keep going, you can finish this first.

Are you the parent of a child?

This includes a parent whose child lives with them, and a noncustodial parent.

Yes

Is your individual gross annual income at or below the current SSF income limit?

Current limit used by Moving Stones: $37,000/year. This is reviewed periodically by the Texas Workforce Commission.

Yes - I have a regular paycheck

Yes - cash, odd jobs, or self-employment

Yes - I have no income

No - my income is over the limit

Zero income

A few questions so we can complete a zero-income certification.

Do you receive wages?

Yes

A zero-income statement cannot be used if you receive wages. Please use Previous to go back and choose a different income option.

Do you perform cash work or odd jobs?

Yes

Does anyone regularly give you money?

How are your food and housing paid for?

I certify I have zero income (electronic signature).

Tell us about this work

What work did you perform?

When and how often did you work?

How much gross money did you receive?

Over what period? (so we can check against the annual limit)

Estimated gross amount per year

Calculated from your answers above.

Heads up - that works out to more than the current SSF limit of $37,000 a year. You can still submit, and your application will be sent to staff for review instead of automatic approval.

I attest that my individual gross income is $37,000 or under per year, and that this cash-income statement is true and complete (electronic signature).

About the person who supports you

Because you chose a youth category, we need the income of the main earner in your household, the person who supports you. We do not need anyone else’s income.

Yes - and I can provide proof

Yes - but I don't have proof right now

Tell us about the person who supports you and roughly what they earn

Do you have childcare in place?

If you do not know your class times yet, just answer for your situation today.

Yes, I have childcare arranged

No, I need help with childcare

Not applicable

Where people usually get childcare help

Child Care Associates helps with children aged 0 to 5, including Head Start and child care scholarships.

If you need emergency childcare, tell us and we will point you to the right place. Their details are on the last screen of this application.

What is your highest level of education completed?

Graduated college (associate degree or higher)

Attended some college but did not get a degree

Graduated high school with a diploma

Have a GED / high school equivalency certificate

Attended through 12th grade but did not graduate or receive a diploma

Completed 9th-11th grade

Completed 8th grade

Completed less than 8th grade

⚠️ Action required: register for GED classes

Stone Academy programs need a high school diploma or GED (CNA accepts 8th grade or higher). Without one, your certification can be revoked after one year.

Free GED registration with Fort Worth ISD is waiting for you on the last screen of this application. Finish these questions first, then use the link there.

A college degree changes your PCT funding

Because you already have a college degree, the outside funder will not pay for Patient Care Technician. Moving Stones can still fully fund CNA, EKG Technician or Phlebotomy Technician. Carry on and submit this application; a team member will talk it through with you.

Admission note: CNA enrollment requires at least an 8th grade education. All other Stone Academy programs (including PCT) require a GED or high school diploma; applicants without one will be referred to GED or high school equivalency services. A provisional license may be granted for up to one year, but state accreditors will revoke certification if a diploma or GED is not obtained within that year. Some grant funders also require a diploma or GED specifically for PCT enrollment. Applicants without a diploma or GED may also need to complete an ability-to-benefit assessment, such as CASAS or TABE, before enrolling.

A few required documents

These are required to move forward with enrollment. If you do not have one on hand, tick "I will upload it later" and a staff member will follow up.

That is everything we need

Press Submit Application to send your answers to Moving Stones. A team member will review them and be in touch.

Proof of your qualifying program required

Choose File

I will upload it later

Pay stub or employer verification

Optional, but without it your application is marked pending documents.

Choose File

Optional. Without it your application will be marked as needing documents.

I will upload it later

Record of your cash or odd job income

Your last pay stubs, a photo of a hand written note of what you earned, or a short written statement. We need the last 60 days.

Choose File

I will upload it later

Proof for the person who supports you required

An award letter, pay stub or other official document showing their income.

Choose File

I will upload it later

Diploma, GED certificate or college transcript required

Any one of these is enough. You do not need all three.

Choose File

If you do not have it on hand, tick the box below and bring it in person.

I will upload it later

Proof of residence required

A current utility bill, lease, or similar document showing your address.

Choose File

I will upload it later

Birth certificate, Green Card, Certificate of Citizenship, or work authorization card required

This document must show that you are legally authorized to work in the United States.

Choose File

I will upload it later

Social Security card required

Choose File

I will upload it later

Photo ID required

A driver’s license, state ID, or similar.

Choose File

I will upload it later

Nothing is approved until every document is in

Ticking I will upload it later is fine, and your application is kept open. It is marked pending documents and cannot move forward until the missing ones reach us.

We will email you a link so you can send them later without filling this form again.

If you cannot get a document at all, ask the office that holds it for a letter saying so, and send us that instead. Stuck? Call 817-898-8093.