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Supplemental Questions
| Field Name | Field Type | Banner Integration | Standard Application Question | Field Name | Field Type | Banner Integration | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with Dependent Children (AFDC)?
| Radio buttons:
| Are you receiving TANF/CalWORKs, SSI, or General Assistance? | tanf_ssi_ga | Yes [radio button] No [radio button] No selection | ||||||||||||||
Are you a recipient of Supplemental Security Income (SSI)? Does this need to be captured individually? | Radio buttons:
| Are you receiving TANF/CalWORKs, SSI, or General Assistance? | tanf_ssi_ga | Yes [radio button] No [radio button] No selection | ||||||||||||||
Are you a recipient of General Assistance or General Relief? Does this need to be captured individually?
| Radio buttons:
| Are you receiving TANF/CalWORKs, SSI, or General Assistance? | tanf_ssi_ga | Yes [radio button] No [radio button] No selection | ||||||||||||||
Are you a recipient of Cal Fresh, food stamps, or the Supplemental Nutrition Assistance Program (SNAP)? | Radio buttons:
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Are you otherwise economically disadvantaged? | Radio buttons:
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Are you a single parent? | Radio buttons:
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Are you a displaced homemaker? | Radio buttons:
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Have you, your parent, or guardian been employed as a migrant farmworker at any time in the past 36 months? | Radio buttons:
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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? | Radio buttons:
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Are you an ex-offender? | Radio buttons:
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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? | Radio buttons:
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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? | Radio buttons:
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Emergency Contact (required)
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