Cal-Fresh Food Aid Questionnair "*" indicates required fields This field is hidden when viewing the formHidden Submit Field Hide Show Is at least one person in your household a US Citizen or lawful permanent resident?* Yes No Please select Yes or NoAre you enrolled in at least 6 units?* Yes No Please select Yes or NoDo you have a state certified disability? Yes No Please answer Yes or NoAre you working at least 20 hours per week? Yes No Please answer Yes or NoAre you awarded or approved for work-study? Yes No Please answer Yes or NoAre you in EOPS, CARE, or DSPS? Yes No Please answer Yes or NoDo you have dependents under the age of 12? Yes No Please answer Yes or NoEligibility StatusYour household is likely not eligible for CalFresh Benefits.Your household may be eligible for CalFresh. Please contact our office for more information on how to apply.
