Supplemental Questions

CCCApply Question	Field Type	Banner Integration
Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with Dependent Children (AFDC)? CalWORKs, TANF are asked as part of Standard Application>tanf_ssi_ga. AFDC hasn’t been a program since 1997 when it was replaced by TANF. Should this even be a question anymore?
Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with Dependent Children (AFDC)? CalWORKs, TANF are asked as part of Standard Application>tanf_ssi_ga. AFDC hasn’t been a program since 1997 when it was replaced by TANF. Should this even be a question anymore?
Are you a recipient of Supplemental Security Income (SSI)? Asked as part of Standard Application>tanf_ssi_ga.

Consider including help text that can be shown while filling out the application. I didn’t see any for these supplemental questions.

Pre-Registration Survey	Field Name	Field Type
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:		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

“General Assistance” asked as part of Standard Application>tanf_ssi_ga. Does “General Relief” warrant an additional question or is it a synonym?

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?

What is this? Why do we ask this?

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?

Emergency Contact (required)