Form LS-3 Person record
What is this person's name?
KayFirst name
WilsonLast name
What is this person's date of birth and age?
November 18, 2008Date of birth
17Age
What is this person's sex?
- Male (selected)
- Female
What is this person's race or origin?
- White (selected)
- Black or African American
- American Indian or Alaska Native
- Asian
- Hispanic or Latino
- Two or more races
Where does this person live?
Eugene, ORCity and state
UrbanSetting
Is this home owned or rented?
- Owned
- Rented (selected)
ApartmentKind of home
What is the highest degree or level of school this person has finished?
Secondary SchoolEducation
Does this person work?
Employed at a small businessWork status
Monday-Friday, 8:00 to 16:00Schedule
What was this person's income in the last 12 months?
$61,963Total income
Is this person now married?
- Now married
- Not married (selected)
NoneChildren