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- Additional Household Members: Names
- Applicant Gender
- Additional Household Members: Gender
- Applicant Birthday
- Additional Household Members: Birthdays
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- Additional Household Members: SS Numbers
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- Additional Household Members: Family Relationship
- Are you currently living in the household?
- Does anyone in the household have a disability?
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- What language(s) do you speak most frequently?
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- Is your mailing address different from your physical address?
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- Household Type:
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- Additional Household Members: Highest education level completed
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- Additional Household Members: Military Affiliation
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- Additional Household Members: Work Status
- Health Insurance
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- Additional Household Members: Race
- Applicant Ethnicity
- Additional Household Members: Ethnicity
- Monthly Income Sources for Each Household Member
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