Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with Dependent Children (AFDC)?

SZRAPLY.SUPP_YESNO_03 to SZRCCAP_CALWORKS

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

SV03 First Position = 1

SV03 Second Position = S

Are you a recipient of Supplemental Security Income (SSI)?

SZRAPLY.SUPP_YESNO_04 to szrccap_SSI

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

SV03 First Position = 2

SV03 Second Position = S

Are you a recipient of General Assistance or General Relief?

SZRAPLY.SUPP_YESNO_05 to szrccap_GEN_ASSIST

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

SV03 First Position = 3

SV03 Second Position = S

Are you otherwise economically disadvantaged?

SZRAPLY.SUPP_YESNO_07 to SZRCCAP_ECON_DISADVANTAGE

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

SV03 First Position = 4

SV03 Second Position = S

CCCApply Standard Application Question

Are you receiving TANF/CalWORKs, SSI, or General Assistance?

tanf_ssi_ga

Yes [radio button]

No [radio button]

No selection

Imports into the szrccap table: szrccap_tanf_ssi_genasst, but we are not importing into Banner.

SV03, but it doesn’t match DED.

Are you a recipient of Cal Fresh, food stamps, or the Supplemental Nutrition Assistance Program (SNAP)?

SZRAPLY.SUPP_YESNO_06 to SZRCCAP_FOOD_STAMPS

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

Are you a single parent?

SZRAPLY.SUPP_YESNO_08 to szrccap_SINGLE_PARENT

Radio buttons:

• Yes

• No (defaulted)

sgbuser_sudd_code , if szrccap_SINGLE_PARENT = 1, then "P"

else “N”

SV04 = P

Are you a displaced homemaker?

SZRAPLY.SUPP_YESNO_09 to szrccap_DISPLACED_HOM

Radio buttons:

• Yes

• No (defaulted)

sgbuser_sude_code, if szrccap_SINGLE_PARENT = 1, then "D"

else “N”

SV05 = D

Have you, your parent, or guardian been employed as a migrant farmworker at any time in the past 36 months?

SZRAPLY.SUPP_YESNO_13 to SZRCCAP_FARMWORKER

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

SV09 = M

Do you possess attitudes, beliefs, customs, or practices that serve as a hindrance to employment?

SZRAPLY.SUPP_YESNO_10 to SZRCCAP_HINDERANCE_EMPLOY

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

If you are unemployed, have you been looking for work for 27 weeks or more?

SZRAPLY.SUPP_YESNO_11 to SZRCCAP_LONG_TERM_UNEMP

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

Are you an ex-offender?

SZRAPLY.SUPP_YESNO_12 to SZRCCAP_EXOFFENDER

Radio buttons:

• Yes

• No

Does not feed into Banner.

SZRAPLY.SUPP_YESNO_01 to szrccap_FOREST_SER

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.

SZRAPLY.SUPP_YESNO_02 to szrccap_LIVE_FOREST

Radio buttons:

• Yes

• No (defaulted)

Does not feed into Banner.