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Jira Legacy | ||||||
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Supplemental Questions
| Field Name | Field Type | Banner Integration | Standard Application Question | Field Name | Field Type | Banner Integration | Purpose of Question | |||||||||||
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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 | SV03 First Position = 1 SV03 Second Position = S | ||||||||||||||
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 | SV03 First Position = 2 SV03 Second Position = S | ||||||
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 | SV03 First Position = 3 SV03 Second Position = S | |||||
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:
| SV03 First Position = 4 SV03 Second Position = S | ||||||||
Are you a single parent? | Radio buttons:
| SV04 = P | ||||||||
Are you a displaced homemaker? | Radio buttons:
| SV05 = P | ||||||||
Have you, your parent, or guardian been employed as a migrant farmworker at any time in the past 36 months? | Radio buttons:
| SV09 = M | ||||||||
Do you possess attitudes, beliefs, customs, or practices that serve as a hindrance to employment? | Radio buttons:
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Radio buttons:
Yes
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)
Note |
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What is this used for? Is it still necessary to collect this information? Who would use this? |
Question | Field Name | Field Type | Banner Integration | ||||
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First Name Required field | Text box
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Last Name Required field | Text box
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Area Code Required field | Text box
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Phone Required field | Text box
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Extension Required field | Text box
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Address Line 1 Required field | Text box
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Address Line 2 Required field | Text box
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City Required field | Text box
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Zip Required field | Text box
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Their relationship to you: Required field | Dropdown:
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State Required field | Dropdown States (and Territories, Armed Forces) | ||||||
Countries Required field | Dropdown |
Current Math Class
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Question | Field Name | Field Type | Banner Integration |
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If you are taking a math class currently, which class is it? Required field | Dropdown
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Question | Field Name | Field Type | Banner Integration | Purpose of Question | ||
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My Campus: Select the campus that you will attend most/all of your classes: Required field | Dropdown: Visalia Campus Hanford Campus Tulare Campus | https://sequoias.atlassian.net/browse/AP-652 | ||||
Are you interested in resources for undocumented students? Required field | Yes/No Radio Boxes | https://sequoias.atlassian.net/browse/AP-653 | ||||
Are you interested in receiving information about housing and/or homeless resources? Required field | Yes/No Radio Boxes | https://sequoias.atlassian.net/browse/AP-654 | ||||
Choose which apply from the list below: Required field | opt1 opt2 opt3 opt4 opt5 | Checkboxes:
| https://sequoias.atlassian.net/browse/AP-655 | |||
Are you a single Parent? Required field | vt1 | Yes/No Radio Boxes | https://sequoias.atlassian.net/browse/AP-656 | SV04 = P | ||
Are you a displaced homemaker? Required field | vt2 | Yes/No Radio Boxes | https://sequoias.atlassian.net/browse/AP-657 | SV05 = P |