CalWORKS/GAIN

Welcome, CalWORKS/GAIN students:

We are delighted that you chose to attend Cal State Northridge and wish you the very best of success in your educational endeavors! Across the campus, our faculty and staff are prepared to provide you with the information needed to enhance your Cal State Northridge experience.

We are dedicated to your success!

The CalWORKS/GAIN office is here to provide support assistance in order for you to meet compliance requirements with the Los Angeles County Department of Social Services during the following business hours:

WEDNESDAYS: 10:00 A.M. – 12:30 P.M. & 2:00 P.M. – 4:30 P.M.
THURSDAYS:   8:00 A.M. – 12:30 P.M. & 2:00 P.M. – 4:30 P.M.

Our office is located in Bayramian Hall, Room 130.

Your CalWORKS/GAIN Campus Liaison is:
Lillian Lewis
Phone: (818) 677-5874
Email: lillian.lewis@csun.edu

Lillian will be available to assist you with any questions you may have related to your CalWorks/GAIN paperwork during the days and hours listed above.

Before your first visit, we ask you to do the following:

  1. Contact your case worker for a GN 6005 or GN 6006 form, or an appropriate (other agency document) appointment referral.
  2. Contact Lillian Lewis to schedule your first appointment by phone at (818) 677-5874, or email: lillian.lewis@csun.edu
  3. Contact your major department advisement personnel to request an advisement appointment.
  4. Obtain an unofficial copy of your CSUN transcript, a copy of your CSUN DPR (Degree Progress Report), a printout of your current class schedule, and your CSUN Student i.d. Bring this documentation to your first appointment with the CSUN Campus Liaison.

General Information Regarding our Forms:

The following information is provided as a guide for filling out the various forms associated with the CalWORKS/GAIN initiative at CSUN. Please review the instruction for each respective form carefully. Thank you.

CalWORKS/GAIN Student Information Form:

This form is to be used by the CalWORKS/GAIN participant when referred to the CalWORKS/GAIN Liaison staff by the DPSS CalWORKS/GAIN caseworker and/or CalWORKS/GAIN director at the referring community college program.

Please adhere to the following instructions:

  • Download and complete the student demographic section of the form and bring it to the initial contact meeting with the CSUN CalWorks/GAIN liaison.
  • If you are unsure about a response, leave it blank and discuss with the CSUN liaison staff during your initial contact meeting.
  • Form must be signed and dated in the presence of the CSUN intake staff.
  • Bring your CSUN Identification Card to your first meeting.

CalWORKS/GAIN Book Request Form:

This form is to be used by the CalWORKS/GAIN participant when requesting a reimbursement for books, fees, and supplies relating to their SIP program at CSUN.

Please adhere to the following instructions:

  • Download and complete top portion of the form indicating the term in which the request is being made.
  • Fill out the top portion of the form only.
  • Read the instructions for completing the remaining section of the form.
  • Form must be signed and dated in the presence of the CSUN CalWORKS/GAIN liaison.

CalWORKS/GAIN Work-related Activity Checklist Form:

This form is to be used by CalWORKS/GAIN participants in accounting for the required SIP regulation hours.

Please adhere to the following instructions:

  • Download and complete the form according to the information being requested.
  • Only fill in hours that have been pre-approved by your DPSS CalWORKS/GAIN caseworker.
  • Form must be signed and dated in presence of CSUN CalWORKS/GAIN liaison staff.

Downloadable Forms: