1
Your Information
2
Your Family
3
Your Address
4
Your Income
5
Your Assets
6
General Questions
7
Apply
8
Your Lists
9
Additional Questions
10
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1 Head
2 Family
3 Address
4 Income
5 Assets
6 Questions
7 Summary
8 List(s)
9 More
10 Done
 

Tell Us About The Head Of Household

Head Of Household

(You'll add your family members later)
First Name
Middle Name
Last Name
Gender
Social Security Number
Birth Date
Race(s) (select all that apply)
Ethnicity
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Are you disabled?
Phone Number
Email Address
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Head Of House Help Info


Make sure you have answered all required fields – you may need to scroll down to see them. You can contact us by email at PHWaitList@stpha.org OR leave a voice mail message at 651-298-5551. Once you have left your message, you do not need to leave another one, a staff person will get back to you. Thank you.