Youth Employment Supplemental Data Sheet adminJuly 3, 2016Uncategorized1 Comment If you are a human and are seeing this field, please leave it blank. Any information submitted through this form is optional, anonymous and will remain distinct from your application. If you do not wish to submit any information, please click "Next" at the bottom of this page to move on to the City Youth Jobs Registration. Are you a U.S. citizen? YesNo Are you in the U.S. on a visa that prohibits you from working? YesNo If you would like to be identified as a member of any of the following groups, please select them: Asian Black or African-American Hispanic or Latino Native American Native Hawaiian or Other Pacific Islander White Other (Please specify) If other, specify group Other than English, which language(s) are you most comfortable speaking? Spanish Chinese Russian Korean Arabic Haitian Creole Other (Please specify) If other, specify language Does your family receive TANF (Temporary Assistance for Needy Families) or SAIF (Supportive Assistance to Individuals and Families)? YesNo Does your family receive NJ SNAP (NJ Supplemental Nutrition Assistance Program)/food stamp benefits? YesNo If your family income is less than the stated amount below, please select: Family of 1: $43,200Family of 2: $49,400Family of 3: $55,550Family of 4: $61,700Family of 5: $66,650Family of 6: $71,600Family of 7: $76,550Family of 8: $81,450N/A
