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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 Type	Purpose of Question	Standard Application Question	Field Name	Field Type
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? Why include “General Relief”?	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 01 Oct 2000 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	SZRDURT.SZRDURT_COSCAMP_CODE	Dropdown: Visalia Campus Hanford Campus Tulare Campus	https://sequoias.atlassian.net/browse/AP-652	From what I could find, it is used primarily by the counseling office for the old student ed plan and the new program change form to determine the student’s primary campus, which is updated by the student each term. It uses the following procedure: cos_general.get_Stu_Main_Campus_From_Pidm.
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

Student Survey Platforms & Questions