Opportunity Housing Partnership  
	
Housing Support Program Participation Agreement

_____	I will treat my case manager and other staff with respect and will be treated respectfully by the staff.

_____	I will sign a consent form so my case manager can talk to my landlord (Aeon Site Management). 

_____	I will sign a consent form so my case manager can talk to Hennepin County staff and verify my eligibility for the program and my ongoing participation in the program.

_____	I will meet weekly with my case manager.  I will let my case manager visit me in my apartment, at least once a month. Failure to comply will result in NO monthly bus card or quarters.

_____	If I get a written lease violation notice from my landlord, I will tell my case manager right away so we can plan what to do to help keep my housing.

_____	I will talk with my case manager about what my lease requires and prohibits so 
that I am clear about what is allowed and expected of me as a tenant.

_____	I will comply with my lease to the best of my abilities.  I will talk with my case manager if I feel that I am having a hard time complying with my lease so we can 
plan what to do to keep my housing.

_____  I understand that Aeon’s OHP properties have a 24 hour front desk and staff that
monitor house rules and guest policies for all residents in the building.  Violating 
any house rule or guest policy is considered a lease violation.

_____	If I want repairs made in my apartment, I will contact site management.  If site management does not make the repairs, I will contact my case manager to help me resolve the issue.

_____	I understand that while I am in the program, Hennepin County is vendoring Housing Support funds to Simpson Housing Services on a monthly basis to pay my housing costs.  These funds may be available to help pay my utilities, phone service, laundry costs, and other household needs.  Expenses not covered by Housing Support funds or in excess of the Housing Support monthly allowance are my responsibility.

_____  I will turn over my Xcel bill to my case manager every monthly for Simpson to pay my bill.  Failure to comply would result in a monthly shortage of spending allowance.

_____   If I am receiving Social Security Income, I agree to sign an “Rent Obligation Agreement” Letter that states I will pay my rent obligations by the 1st of each month. Those receiving Social Security and wishing to remain in the program, agree to have a payee if one monthly payment is missed to Simpson Housing Services.

_____	If my income changes because I start working or receiving Social Security benefits, I will be responsible for paying most of my income to Simpson Housing Services each month.  I will notify my case manager immediately when I start working or receive notice that I have been approved for Social Security benefits.  

_____	I will give notice as required in my lease when I want to move from my apartment.

_____	I can choose to leave the program at any time.  If I leave the program, I will be responsible for giving proper notice to my landlord (30 day notice), and for finding new housing on my own.  

_____  I understand that the Housing Support funds I receive from Hennepin County does not go directly to me.  These funds go towards my rent and any left over money goes towards my utility and allowable living expenses. 

_____  Once you leave the program, Simpson Housing Services OHP program does not give clients the balance of any funds available in their budget.  All funds roll over to the pool. 

_____	Other:  ____________________________________________________________

By signing this, I am stating that I understand all of the above agreement terms and I agree to follow them while I am a participant in the Opportunity Housing Partnership Housing Support program.

Participant:  ________________________________________

Date:  _____________________________________________

Simpson Housing Services Case Manager:  ______________________________