SER Farmworkers Application

SER Farmworkers Program Application

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Employment Type(Required)
Applicant Status(Required)
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Foster Child?(Required)
Veteran/Spouse of Veteran?(Required)
Public Assistance (Select all received)(Required)
Are you a farmworker or have you worked on a farm within the past 24 months?(Required)
Are you a dependent of a farmworker?(Required)
Have you or anyone in your family worked on a farm or in food processing in the last 2 years?(Required)
Did you have other employment where you were paid in cash?(Required)
Are you a single parent with sole custody of your child(ren)?(Required)
Have you moved or traveled and stayed away from your home to work?(Required)
Mode of transportation:(Required)
Highest grade you completed:(Required)
Can you read/write/speak English at a functional level?(Required)
Is there anything that affects the type of work you are able to do?(Required)
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