eligibiality

*During the past 18 months, have you worked as a civilian for the Federal Government?:

Yes No

*During the past 18 months, have you worked in a state other than NC?:

Yes No

*During the past 12 months, have you filed for or are you now receiving unemployment benefits in a state other than NC?:

Yes No

*Have you refused any work since you became unemployed?:

Yes No

*Are you currently working?:

Yes No

*Are you currently in school or receiving training?:

Yes No

*Are you receiving or applying for disability benefits under a state or federal law?:

Yes No

*Have you received, are you receiving, or are you entitled to receive vacation pay, severance pay, or bonus pay?:

Yes No

*Are you receiving, or will you receive, a pension, retirement pay, annuity or similar periodic payment, (not Social Security) contributed to by an employer for which you worked in the past 18 months, or Railroad Retirement Act payments?: