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CCCApply

Supplemental Questions

AP-658 - Getting issue details... STATUS

Supplemental Questions

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

Field Name

Field Type

Banner Integration

Purpose of Question

Standard Application Question

Field Name

Field Type

Banner Integration

Purpose of Question

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

AFDC hasn’t been a program since 1997 when it was replaced by TANF. Should this even be a question anymore?

Radio buttons:

  • Yes

  • No (defaulted)

SV03 First Position = 1

SV03 Second Position = S

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)?

Radio buttons:

  • Yes

  • No (defaulted)

SV03 First Position = 2

SV03 Second Position = S

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?

Does “General Relief” warrant an additional question or is it a synonym?

Radio buttons:

  • Yes

  • No (defaulted)

SV03 First Position = 3

SV03 Second Position = S

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:

  • Yes

  • No (defaulted)

Unknown

Are you otherwise economically disadvantaged?

Radio buttons:

  • Yes

  • No (defaulted)

SV03 First Position = 4

SV03 Second Position = S

Are you a single parent?

Radio buttons:

  • Yes

  • No (defaulted)

SV04 = P

Are you a displaced homemaker?

Radio buttons:

  • Yes

  • No (defaulted)

SV05 = P

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

Radio buttons:

  • Yes

  • No (defaulted)

SV09 = M

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

Radio buttons:

  • Yes

  • No (defaulted)

What is this? Why do we ask this?

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

Radio buttons:

  • Yes

  • No (defaulted)

Are you an ex-offender?

Radio buttons:

  • Yes

  • No

Why do we ask this question?

SV07 hasn’t been collected since

SG15 is still be reported. SVBWIOA_EXOF_CODE

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:

  • Yes

  • No (defaulted)

Why do we ask this question?

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:

  • Yes

  • No (defaulted)

Why do we ask this question?

Emergency Contact (required)

What is this used for? Is it still necessary to collect this information? Who would use this?

Question

Field Name

Field Type

Banner Integration

First Name

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Last Name

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Area Code

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Phone

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Extension

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Address Line 1

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Address Line 2

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

City

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Zip

Required field

Text box

Unvalidated; user can enter blatantly false data.

Required field

Their relationship to you:

Required field

Dropdown:

  • Mother

  • Father

  • Spuse

  • Brother

  • Sister

  • Ex-spouse

  • Grandparent

  • Relative

  • Guardian

  • Domestic Partner

  • Significant Other

  • Child

  • Doctor

  • Employer

  • Neighbor

  • Friend

State

Required field

Dropdown

States (and Territories, Armed Forces)

Countries

Required field

Dropdown

Current Math Class

The following question will help us place you in the most appropriate Math class.

Question

Field Name

Field Type

Banner Integration

If you are taking a math class currently, which class is it?

Required field

Dropdown

  • Pre-algebra or lower

  • Algebra 1

  • Integrated Math 1

  • Integrated Math 2

  • Geometry

  • Algebra 2

  • Integrated Math 3

  • Statistics

  • Integrated Math 4

  • Trigonometry

  • Pre-Calculas

  • Calculus or higher

  • None of the Above

  • I am not currently taking a math class

Pre-Registration Survey

Question

Field Name

Field Type

Banner Integration

Purpose of Question

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:

  • CalWORKs/TANF/AFDC recipient

  • SSI recipient

  • General Assistance recipient

  • Other economically disadvantaged status

  • None of the above

None of the above can be selected in addition to any/all of the above. Don’t know how the ingest is handling this.

https://sequoias.atlassian.net/browse/AP-655

  • CalWORKs/TANF/AFDC recipient

    • SV03 First Position = 1

      SV03 Second Position = S

  • SSI recipient

    • SV03 First Position = 2

      SV03 Second Position = S

  • General Assistance recipient

    • SV03 First Position = 3

      SV03 Second Position = S

  • Other economically disadvantaged status

    • SV03 First Position = 4

      SV03 Second Position = S

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

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