CCCApply Questions
Question | Field Type | Banner Integration | ||
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Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with Dependent Children (AFDC)?
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Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with Dependent Children (AFDC)?
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Are you a recipient of Supplemental Security Income (SSI)?
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Pre-Registration Survey
Field Name
Field Type
Banner Integration
My Campus:
Select the campus that you will attend most/all of your classes:
Dropdown:
Visalia Campus
Hanford Campus
Tulare CampusAre you |
Yes/No Radio Boxes
Are you interested in receiving information about housing and/or homeless resources?
Yes/No Radio Boxes
Choose which apply from the list below:
CalWORKs/TANF/AFDC recipient
SSI recipient
General Assistance recipient
Other economically disadvantaged status
None of the above
a |
vt1
Yes/No Radio Boxes
Are you a displaced homemaker?
vt2
Yes/No Radio Boxes
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recipient of General Assistance or General Relief?
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Are you a recipient of Cal Fresh, food stamps, or the Supplemental Nutrition Assistance Program (SNAP)? | ||||
Are you otherwise economically disadvantaged? | ||||
Are you a single parent? | ||||
Are you a displaced homemaker? | ||||
Have you, your parent, or guardian been employed as a migrant farmworker at any time in the past 36 months? | ||||
Do you possess attitudes, beliefs, customs, or practices that serve as a hindrance to employment?
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If you are unemployed, have you been looking for work for 27 weeks or more? | ||||
Are you an ex-offender? | ||||
Are you or your parent/guardian employed on U.S. National Forest property within Tulare County: or, working in U.S. National Forest Service Facilities outside the National Forest but still within Tulare County boundaries? | ||||
Do you reside on U.S. National Forest land; or property leased from the U.S. Forest Service; or privately owned land (enclosed within the boundaries of the U.S. National Forest within Tulare County); or privately owned land within one mile of the boundaries of the U.S. National Forest? |
| Info |
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Consider including help text that can be shown while filling out the application. I didn’t see any for these supplemental questions. |
Emergency Contact (required)
Question | Field Type | Banner Integration |
|---|---|---|
First Name | ||
Last Name | ||
Area Code | ||
Phone | ||
Extension | ||
Address Line 1 | ||
Address Line 2 | ||
City | ||
Zip | ||
Their relationship to you: | ||
State | ||
Country |
The following question will help us place you in the most appropriate Math class.
If you are taking a math class currently, which class is it?
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Pre-Registration Survey | Field Name | Field Type | Banner Integration |
|---|---|---|---|
My Campus: Select the campus that you will attend most/all of your classes: | Dropdown: Visalia Campus Hanford Campus Tulare Campus | ||
Are you interested in resources for undocumented students? | Yes/No Radio Boxes | ||
Are you interested in receiving information about housing and/or homeless resources? | Yes/No Radio Boxes | ||
Choose which apply from the list below: | opt1 opt2 opt3 opt4 opt5 | CalWORKs/TANF/AFDC recipient SSI recipient General Assistance recipient Other economically disadvantaged status None of the above | |
Are you a single Parent? | vt1 | Yes/No Radio Boxes | |
Are you a displaced homemaker? | vt2 | Yes/No Radio Boxes |