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Privacy Notice:
Information provided in this survey is considered a public record and may be subject to public disclosure. For more information, see the Public Records Act, RCW Chapter 42.56. To learn more about how we manage your information, see our Privacy Statement. 
 
Please complete the short questionnaire below. Before completing the form, please check if you live in an eligible property. If you need a replacement card, please call or text (206)256-6722 or email ORCAOpportunity@seattle.gov. 

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* 1. Magacaa?

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* 2. What is your t-code? (It's on your rent statement)

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* 3. Waa maxay ciwaankaagu?

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* 4. Hadda ma ka faaiidaysata barnaamijka SHA ee kaarka Gaadiidka lagu raaco? (ie, hadda ma ka heshaa kaadhka ORCA oo bilaash ah SHA?)

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* 5. Waa kee Guriga ka mid ah hantida Seattle housing ee aad ku nooshahay?

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* 6. Waa maxay taariikhda dhalashadaada?

Date

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* 7. Waa maxay isirkaagu ama jinsigaagu? Dooro dhammaan kuwa khuseeya.

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* 8. Waa maxay luqadda aad doorbidayso markaa aan taleefanka kaala soo xariirno?

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* 9. Sidee ku maqashay Barnaamijkan (Inta haboon dhamaan calamadee)

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* 10. Waa maxay habka ugu wanaagsan ee aan kugula soo xiriiri karno? Fadlan ogow: macluumaadkaaga xiriirka lama wadaagi doono ogolaanshahaaga la'aantiis. Waxaan u isticmaali doonaa tan si aan u xaqiijino u-qalmitaanka, aan ku ogeysiinana wixii ku cusub ama isbedelada barnaamijka, ama kuugu soo dirno mustaqbalka sahan ku saabsan sida barnaamijku u shaqeeyo.

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