Transcription of WSHFC | Forms | Household Demographics
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WSHFC | Forms | Household Demographics
Household Demographics . Property Name: Unit #: Household Name: Household COMPOSITION. RELATIONSHIP TO HEAD-OF- Household . Adult Foster Co- Child/ Live-in Mbr # FIRST NAME LAST NAME MI Head Spouse Resident Child Adult Caretaker Other 1 . 2 . 3 . 4 . 5 . 6 . 7 . Check ALL that apply for each Household member. HOH. (A) RACIAL CATEGORIES* Member Member Member Member Member Member Member #1 #2 #3 #4 #5 #6 #7. White . Black or African American . American Indian or Alaska Native . Asian . Native Hawaiian or Other Pacific Islander . Choose Not to Disclose.
www.wshfc.org/managers/forms-RC.htm Household Demographics | Rev. January 2014 . tonbar . Page 2 of 2. THIS FORM TO BE COMPLETED BY APPLICANT/ RESIDENT
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