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1. Within the past 3 years, have you or your
family moved from town to town or school district to school district to
seek or obtain agricultural work?
Examples of migrant qualifying work:
| A. Production/Processing |
- Planting
- Cultivation
- Harvesting
- Preparing land
- Transporting to processor, storing,
refining, & canning
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| B. Dairy Products |
- Cutting, chopping hay
- Harvesting, storing, raking, bailing hay
- irrigating, spraying fertilizing
- Milking
- Transporting animals
- Building, repairing fences
- Cleaning fence rows
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| C. Livestock |
- Produced, raised
- Slaughtered
- Building pens, stalls, barns
- Fencing, building & repairing
- Irrigating, fertilizing, controlling brush
growth
- Clipping, harvesting, grinding
- Ground preparation for planting hay, grain,
etc.
- Herding-goats, sheep, rabbits, horses, deer
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| D. Poultry |
- Cleaning coops
- Gathering eggs
- Transporting to broiler houses or
hatcheries
- Debeaking
- Hatcheries, boxing, pulling trays
- Preparing and maintaining equipment
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Yes
No |
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Name of Father/Guardian:
Name of Mother/Guardian:
Home Address:
Home City:
Home State:
Home Zip Code:
Home Phone Number:
Father's Employer:
Mother's Employer:
Child's Name(1):
Grade:
School:
Child's Name(2):
Grade:
School:
Child's Name(3):
Grade:
School:
Child's Name(4):
Grade:
School:
Name of person completing the form:
Date:
FAX COMPLETED FORM TO RUBY VIDAURRE
IN FEDERAL PROGRAMS (806) 766-1253
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