Santa Rosa Junior College - CTEA Student Information Survey Fall 2012
Please help us by completing the following survey - your cooperation is vital.  The information will help ensure that SRJC continues to receive adequate funding from the state for career technical education programs.  YOUR RESPONSES WILL BE TREATED WITH COMPLETE CONFIDENTIALITY.  Please be sure to answer all survey questions, then click the SUBMIT button at the bottom of the page when you are through.  Thank you.
Q1
Q2 Are you a single parent? (A "single parent" is a person with custody - including joint custody - of a child or children, or a person who expects to be a single parent within the next year due to pregnancy.)
 
 
Q3 Are you a displaced homemaker?  (A "displaced homemaker" is an adult who has worked to care for home and family and because of this responsibility is currently unable to find a job, or better paying job, due to lack of training or labor market experience.)
 
 
Q4 Are you a dislocated worker?  (A "dislocated worker" is one who has been laid off from full-time employment within the last 24 months.)
 
 
 
Q5 Are you receiving any of the following types of aid:
   
  CalWORKs/TANF (formerly AFDC)  
  SSI - Supplementary Security Income  
  GA (General Assistance)  
  Section 8 Housing Assistance  
  Foster Care  
Q6 Please use the table below when you answer this question to assess your eligibility for a Board of Governors (BOG) fee waiver.  

Does your family income level qualify you for a Board of Governors (BOG) fee waiver based on the number of people in your family and your 2011 Total Family Income (Adjusted Gross Income and/or untaxed income)?
 
 
 
Family Size                        2011 Income was less than:
1 (yourself only).................................$16,335
2........................................................$22,065
3........................................................$27,795
4........................................................$33,525
5........................................................$39,255
6........................................................$44,985
7........................................................$50,715
For each additional family member, add $5,730