"Signer's Name & Signature" Zoning and Application Review Flow Chart

Signer's First Name and Signer's Last name do not affect the "Signature" status of an application. Only the Signer's Full Name, Signature, or combination of both will result in a Signed status.

Signer's Full Name	Signature	Result
Not Zoned	Exists	Pass
Zoned & Blank	Exists	Pass
Zoned & Exists	Blank	Pass
Zoned & Exists	Exists	Pass
Not Zoned	Blank	Fail

Signer Info
Signer's First Name Signer's Last Name Signer's printed name (Exists) Adult Signature (Exists)	Adult Signature Date Adult SSN Last 4 No Adult SSN Checkbox Emancipated Minor Checkbox (No Adult SSN)

Snap Tanf *(Repeated for each Student Row in Scan Form Settings)**
Alternate Household Case Number Household Case Number Household Case Number Recipient Alternate Household Case Number Recipient Household Case Type: SNAP Household Case Type: TANF	Household Case Type: FDPIR Student Case Number* Alternate Student Case Number* Student Case Type: SNAP* Student Case Type: TANF* Student Case Type: FDPIR*

Special Circumstances *(Repeated for each Student Row in Scan Form Settings)**
Household Special Circumstances: Homeless Household Special Circumstances: Migrant Household Special Circumstances: Per Administrator Household Special Circumstances: Registered Indian Household Special Circumstances: Runaway Household Special Circumstances: Headstart	Student Special Circumstances: Homeless* Student Special Circumstances: Migrant* Student Special Circumstances: Per Administrator* Student Special Circumstances: Registered Indian* Student Special Circumstances: Runaway* Student Special Circumstances: Headstart*

Student (*Repeated for each Student Row in Scan Form Settings)

Student ID Number*
Student First Name*
Student Middle Name*
Student Last Name (or Fullname)*
Student Birthdate*
Student Birthdate Day*
Student Birthdate Month*
Student Birthdate Year*
Gender (M/F)*
Gender (Female)*
Gender (Male)*
Grade*
School Number*
School Name*
Student No Income*

Student Income #1-6 Amount*
Student Income #1-6 Dollars*
Student Income #1-6 Cents*
Student Income #1-6 Frequency*
Foster Child*
Child Row Is Student*
Child Row in Non-Student*
Student Ethnicity (American Indian/Alaska Native)*
Student Ethnicity (Asian)*
Student Ethnicity (Black/African American)*
Student Ethnicity (Native Hawaiian/Pacific Islander)*
Student Ethnicity (Hispanic/Latino)*
Student Ethnicity (Not Hispanic/Latino)*
Student Age*

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