{"id":1641,"date":"2022-09-16T19:00:34","date_gmt":"2022-09-16T19:00:25","guid":{"rendered":"https:\/\/owlinc.net\/?page_id=1641"},"modified":"2023-10-31T23:18:53","modified_gmt":"2023-10-31T23:18:53","slug":"skilled-trade-academy-app","status":"publish","type":"page","link":"https:\/\/owlinc.net\/skilled-trade\/skilled-trade-academy-app\/","title":{"rendered":"Skilled Trade Academy Application"},"content":{"rendered":"<p><div class=\"fusion-bg-parallax\" data-bg-align=\"center center\" data-direction=\"down\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.3\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/owlinc.net\/wp-content\/uploads\/2022\/06\/ales-krivec-4miBe6zg5r0-unsplash-scaled.jpg\" data-bg-repeat=\"false\" data-bg-color=\"hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) + 80%))\" data-blend-mode=\"overlay\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container faded-background fusion-parallax-down nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload\" style=\"--awb-background-blend-mode:overlay;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-bg=\"https:\/\/owlinc.net\/wp-content\/uploads\/2022\/06\/ales-krivec-4miBe6zg5r0-unsplash-scaled.jpg\" ><div class=\"fullwidth-faded lazyload\" style=\"--awb-background-color:hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) + 80%));--awb-background-blend-mode:overlay;--awb-background-size:cover;\" data-bg=\"https:\/\/owlinc.net\/wp-content\/uploads\/2022\/06\/ales-krivec-4miBe6zg5r0-unsplash-scaled.jpg\" ><\/div><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:50px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:50px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:15px;--awb-margin-bottom:15px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;text-transform:uppercase;\"><div class=\"page\" title=\"Page 2\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Skilled Trade Academy Application<\/p>\n<\/div>\n<\/div>\n<\/div><\/h1><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:15px;--awb-padding-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-flex-align-self-center\" style=\"--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-space-around fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"--awb-max-width:150px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"300\" height=\"300\" alt=\"Skilled Trade Academy Logo\" title=\"Skilled Trade Academy\" src=\"https:\/\/owlinc.net\/wp-content\/uploads\/2022\/09\/Skilled-Trade-Academy-Yellow.png\" data-orig-src=\"https:\/\/owlinc.net\/wp-content\/uploads\/2022\/09\/Skilled-Trade-Academy-Yellow-300x300.png\" class=\"lazyload img-responsive wp-image-1645\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273125%27%20height%3D%273125%27%20viewBox%3D%270%200%203125%203125%27%3E%3Crect%20width%3D%273125%27%20height%3D%273125%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/owlinc.net\/wp-content\/uploads\/2022\/09\/Skilled-Trade-Academy-Yellow-200x200.png 200w, https:\/\/owlinc.net\/wp-content\/uploads\/2022\/09\/Skilled-Trade-Academy-Yellow-400x400.png 400w, https:\/\/owlinc.net\/wp-content\/uploads\/2022\/09\/Skilled-Trade-Academy-Yellow-600x600.png 600w, https:\/\/owlinc.net\/wp-content\/uploads\/2022\/09\/Skilled-Trade-Academy-Yellow-800x800.png 800w, https:\/\/owlinc.net\/wp-content\/uploads\/2022\/09\/Skilled-Trade-Academy-Yellow-1200x1200.png 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 850px) 100vw, 400px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column fusion-flex-align-self-center\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-space-around fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-title-center fusion-title-text fusion-title-size-two\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h2 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;text-transform:uppercase;\"><div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Skilled Trade Academy Application<\/p>\n<\/div>\n<\/div>\n<\/div><\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" data-token=\"3dbc556cc87cdf9085eadb2292724fa1\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_skilledtradeacademyapplication\"  data-token=\"3dbc556cc87cdf9085eadb2292724fa1\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Skilled Trade Academy Application<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"skilledtradeacademyapplication\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"2ce838d04c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/1641\" \/><div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_cv4a5_label\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_cv4a5_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_34\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_34-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_cv4a5_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_cv4a5_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[34][first]\"  data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_34_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_34-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_cv4a5_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_cv4a5_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[34][last]\"  data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_34_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_zvf5h\" id=\"field_zvf5h_label\" class=\"frm_primary_label\">Referral Source \/ How did you hear about us?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zvf5h\" name=\"item_meta[35]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_h0dx6\" id=\"field_h0dx6_label\" class=\"frm_primary_label\">Date of Birth\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_h0dx6\" name=\"item_meta[36]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_2giqm\" id=\"field_2giqm_label\" class=\"frm_primary_label\">Age\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_2giqm\" name=\"item_meta[37]\" value=\"\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_two_col\">\r\n    <div  id=\"field_lmpd6_label\" class=\"frm_primary_label\">\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_lmpd6_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_38-0\"><label for=\"field_lmpd6-0\">\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_lmpd6-0\" value=\"Male\"\n\t\t   data-invmsg=\"This field is invalid\" aria-invalid=\"false\"  \/> Male<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_38-1\"><label for=\"field_lmpd6-1\">\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_lmpd6-1\" value=\"Female\"\n\t\t   data-invmsg=\"This field is invalid\" aria-invalid=\"false\"  \/> Female<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_cp749_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_cp749_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAddress<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_39-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_cp749_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_cp749_line1\" value=\"\" name=\"item_meta[39][line1]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_39-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_cp749_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_cp749_line2\" value=\"\" name=\"item_meta[39][line2]\"  data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_39-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_cp749_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_cp749_city\" value=\"\" name=\"item_meta[39][city]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_39-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_cp749_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[39][state]\" id=\"field_cp749_state\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_39-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_cp749_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_cp749_zip\" value=\"\" name=\"item_meta[39][zip]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_w8n6\" id=\"field_w8n6_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_w8n6\" name=\"item_meta[40]\" value=\"\"  data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_top_container frm_four_col\">\r\n    <div  id=\"field_g90ts_label\" class=\"frm_primary_label\">Preferred method of contact?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_g90ts_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-0\"><label for=\"field_g90ts-0\"><input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_g90ts-0\" value=\"Phone\"  data-invmsg=\"Preferred method of contact? is invalid\" aria-invalid=\"false\"   \/> Phone<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-1\"><label for=\"field_g90ts-1\"><input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_g90ts-1\" value=\"Text\"  data-invmsg=\"Preferred method of contact? is invalid\" aria-invalid=\"false\"   \/> Text<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-2\"><label for=\"field_g90ts-2\"><input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_g90ts-2\" value=\"Email\"  data-invmsg=\"Preferred method of contact? is invalid\" aria-invalid=\"false\"   \/> Email<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-3\"><label for=\"field_g90ts-3\"><input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_g90ts-3\" value=\"Mail\"  data-invmsg=\"Preferred method of contact? is invalid\" aria-invalid=\"false\"   \/> Mail<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_42_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Emergency contact information:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_p1tx5_label\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_p1tx5_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_44\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_44-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_p1tx5_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_p1tx5_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[44][first]\"  data-sectionid=\"42\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_44_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_44-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_p1tx5_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_p1tx5_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[44][last]\"  data-sectionid=\"42\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_44_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_p25sq_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_p25sq_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAddress<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_45-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_p25sq_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_p25sq_line1\" value=\"\" name=\"item_meta[45][line1]\"  data-sectionid=\"42\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_45-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_p25sq_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_p25sq_line2\" value=\"\" name=\"item_meta[45][line2]\"  data-sectionid=\"42\" data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_45-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_p25sq_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_p25sq_city\" value=\"\" name=\"item_meta[45][city]\"  data-sectionid=\"42\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_45-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_p25sq_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[45][state]\" id=\"field_p25sq_state\"  data-sectionid=\"42\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_45-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_p25sq_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_p25sq_zip\" value=\"\" name=\"item_meta[45][zip]\"  data-sectionid=\"42\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_arhe1\" id=\"field_arhe1_label\" class=\"frm_primary_label\">Relationship\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_arhe1\" name=\"item_meta[47]\" value=\"\"  data-sectionid=\"42\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_hhj7l\" id=\"field_hhj7l_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_hhj7l\" name=\"item_meta[48]\" value=\"\"  data-sectionid=\"42\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_l5mu7\" id=\"field_l5mu7_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_l5mu7\" name=\"item_meta[46]\" value=\"\"  data-sectionid=\"42\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field form-field  frm_top_container frm_four_col frm_other_container\">\r\n    <div  id=\"field_uuff2_label\" class=\"frm_primary_label\">Housing\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_uuff2_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_49-0\"><label for=\"field_uuff2-0\"><input type=\"checkbox\" name=\"item_meta[49][]\" id=\"field_uuff2-0\" value=\"Rent\"  data-invmsg=\"Housing is invalid\" aria-invalid=\"false\"   \/> Rent<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_49-1\"><label for=\"field_uuff2-1\"><input type=\"checkbox\" name=\"item_meta[49][]\" id=\"field_uuff2-1\" value=\"Rent with Assistance\"  data-invmsg=\"Housing is invalid\" aria-invalid=\"false\"   \/> Rent with Assistance<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_49-2\"><label for=\"field_uuff2-2\"><input type=\"checkbox\" name=\"item_meta[49][]\" id=\"field_uuff2-2\" value=\"Own\"  data-invmsg=\"Housing is invalid\" aria-invalid=\"false\"   \/> Own<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_49-3\"><label for=\"field_uuff2-3\"><input type=\"checkbox\" name=\"item_meta[49][]\" id=\"field_uuff2-3\" value=\"Transitional\"  data-invmsg=\"Housing is invalid\" aria-invalid=\"false\"   \/> Transitional<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_49-4\"><label for=\"field_uuff2-4\"><input type=\"checkbox\" name=\"item_meta[49][]\" id=\"field_uuff2-4\" value=\"Living with Friend or Relative\"  data-invmsg=\"Housing is invalid\" aria-invalid=\"false\"   \/> Living with Friend or Relative<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_49-other_5\"><label for=\"field_uuff2-other_5\"><input type=\"checkbox\" name=\"item_meta[49][other_5]\" id=\"field_uuff2-other_5\" value=\"Other\"  data-invmsg=\"Housing is invalid\" aria-invalid=\"false\"   \/> Other<\/label><label for=\"field_uuff2-other_5-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_uuff2-other_5-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][49][other_5]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_50_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_73kx9\" id=\"field_73kx9_label\" class=\"frm_primary_label\">In what other states nave vou lived\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[50]\" id=\"field_73kx9\" rows=\"2\"  data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_top_container frm_two_col frm_other_container\">\r\n    <div  id=\"field_549qm_label\" class=\"frm_primary_label\">Race\/Ethnic Heritage\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_549qm_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_51-0\"><label for=\"field_549qm-0\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-0\" value=\"AsIan\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> AsIan<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-1\"><label for=\"field_549qm-1\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-1\" value=\"Black\/African\/African American\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> Black\/African\/African American<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-2\"><label for=\"field_549qm-2\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-2\" value=\"Hispanic or Latino Descent\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> Hispanic or Latino Descent<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-3\"><label for=\"field_549qm-3\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-3\" value=\"Multi-Racial\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> Multi-Racial<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-4\"><label for=\"field_549qm-4\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-4\" value=\"Native American or Alaska Native\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> Native American or Alaska Native<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-5\"><label for=\"field_549qm-5\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-5\" value=\"Pacific Islander or Hawaiian Native\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> Pacific Islander or Hawaiian Native<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-6\"><label for=\"field_549qm-6\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-6\" value=\"White\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> White<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-7\"><label for=\"field_549qm-7\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-7\" value=\"Middle Eastern\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> Middle Eastern<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-other_8\"><label for=\"field_549qm-other_8\">\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_549qm-other_8\" value=\"Other\"\n\t\t   data-invmsg=\"Race\/Ethnic Heritage is invalid\" aria-invalid=\"false\"  \/> Other<\/label><label for=\"field_549qm-other_8-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_549qm-other_8-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][51]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Transportation<\/h3>\r\n\r\n\r\n<div id=\"frm_field_54_container\" class=\"frm_form_field form-field  frm_top_container frm_two_col\">\r\n    <div  id=\"field_iw31h_label\" class=\"frm_primary_label\">Do you have a Valid Driver's License\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_iw31h_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_54-52-0\"><label for=\"field_iw31h-0\">\t\t<input type=\"radio\" name=\"item_meta[54]\" id=\"field_iw31h-0\" value=\"Yes\"\n\t\t   data-sectionid=\"52\" data-invmsg=\"Do you have a Valid Driver&#039;s License is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_54-52-1\"><label for=\"field_iw31h-1\">\t\t<input type=\"radio\" name=\"item_meta[54]\" id=\"field_iw31h-1\" value=\"No\"\n\t\t   data-sectionid=\"52\" data-invmsg=\"Do you have a Valid Driver&#039;s License is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_55_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_28b42\" id=\"field_28b42_label\" class=\"frm_primary_label\">If no, please explain\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[55]\" id=\"field_28b42\" rows=\"2\"  data-sectionid=\"52\" data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_top_container frm_three_col frm_other_container\">\r\n    <div  id=\"field_w7j3w_label\" class=\"frm_primary_label\">What type(s) of transportation do you often use?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_w7j3w_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_56-52-0\"><label for=\"field_w7j3w-0\"><input type=\"checkbox\" name=\"item_meta[56][]\" id=\"field_w7j3w-0\" value=\"City Bus\"  data-sectionid=\"52\" data-invmsg=\"What type(s) of transportation do you often use? is invalid\" aria-invalid=\"false\"   \/> City Bus<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_56-52-1\"><label for=\"field_w7j3w-1\"><input type=\"checkbox\" name=\"item_meta[56][]\" id=\"field_w7j3w-1\" value=\"Carpool\"  data-sectionid=\"52\" data-invmsg=\"What type(s) of transportation do you often use? is invalid\" aria-invalid=\"false\"   \/> Carpool<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_56-52-2\"><label for=\"field_w7j3w-2\"><input type=\"checkbox\" name=\"item_meta[56][]\" id=\"field_w7j3w-2\" value=\"Personal Vehicle\"  data-sectionid=\"52\" data-invmsg=\"What type(s) of transportation do you often use? is invalid\" aria-invalid=\"false\"   \/> Personal Vehicle<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_56-52-3\"><label for=\"field_w7j3w-3\"><input type=\"checkbox\" name=\"item_meta[56][]\" id=\"field_w7j3w-3\" value=\"Wheels\"  data-sectionid=\"52\" data-invmsg=\"What type(s) of transportation do you often use? is invalid\" aria-invalid=\"false\"   \/> Wheels<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_56-52-other_4\"><label for=\"field_w7j3w-other_4\"><input type=\"checkbox\" name=\"item_meta[56][other_4]\" id=\"field_w7j3w-other_4\" value=\"Other\"  data-sectionid=\"52\" data-invmsg=\"What type(s) of transportation do you often use? is invalid\" aria-invalid=\"false\"   \/> Other<\/label><label for=\"field_w7j3w-other_4-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_w7j3w-other_4-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][56][other_4]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Education<\/h3>\r\n\r\n\r\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_qnxcr\" id=\"field_qnxcr_label\" class=\"frm_primary_label\">What is the highest grade level you have completed?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qnxcr\" name=\"item_meta[59]\" value=\"\"  data-sectionid=\"57\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div  id=\"field_t7nvp_label\" class=\"frm_primary_label\">Do you have a High School Diploma?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_t7nvp_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_60-57-0\"><label for=\"field_t7nvp-0\">\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_t7nvp-0\" value=\"Yes\"\n\t\t   data-sectionid=\"57\" data-invmsg=\"Do you have a High School Diploma? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_60-57-1\"><label for=\"field_t7nvp-1\">\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_t7nvp-1\" value=\"No\"\n\t\t   data-sectionid=\"57\" data-invmsg=\"Do you have a High School Diploma? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_cep8z\" id=\"field_cep8z_label\" class=\"frm_primary_label\">Year received\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_cep8z\" name=\"item_meta[61]\" value=\"\"  data-sectionid=\"57\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"1900\" max=\"3000\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_ptgfp\" id=\"field_ptgfp_label\" class=\"frm_primary_label\">Name of High School\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ptgfp\" name=\"item_meta[62]\" value=\"\"  data-sectionid=\"57\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ghiqh\" id=\"field_ghiqh_label\" class=\"frm_primary_label\">City, State\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ghiqh\" name=\"item_meta[63]\" value=\"\"  data-sectionid=\"57\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div  id=\"field_ukcui_label\" class=\"frm_primary_label\">Do you have a GED?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ukcui_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_64-57-0\"><label for=\"field_ukcui-0\">\t\t<input type=\"radio\" name=\"item_meta[64]\" id=\"field_ukcui-0\" value=\"Yes\"\n\t\t   data-sectionid=\"57\" data-invmsg=\"Do you have a GED? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_64-57-1\"><label for=\"field_ukcui-1\">\t\t<input type=\"radio\" name=\"item_meta[64]\" id=\"field_ukcui-1\" value=\"No\"\n\t\t   data-sectionid=\"57\" data-invmsg=\"Do you have a GED? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm6\">\r\n    <label for=\"field_sql75\" id=\"field_sql75_label\" class=\"frm_primary_label\">Year received\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_sql75\" name=\"item_meta[65]\" value=\"\"  data-sectionid=\"57\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_66_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_yywrl\" id=\"field_yywrl_label\" class=\"frm_primary_label\">Institution\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yywrl\" name=\"item_meta[66]\" value=\"\"  data-sectionid=\"57\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_bx8i1\" id=\"field_bx8i1_label\" class=\"frm_primary_label\">Work Licenses\/Certifications\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[67]\" id=\"field_bx8i1\" rows=\"2\"  data-sectionid=\"57\" data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_68_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_61el_label\" class=\"frm_primary_label\">Are you proficient in any additional languages?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_61el_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_68-57-0\"><label for=\"field_61el-0\">\t\t<input type=\"radio\" name=\"item_meta[68]\" id=\"field_61el-0\" value=\"Yes\"\n\t\t   data-sectionid=\"57\" data-invmsg=\"Are you proficient in any additional languages? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_68-57-1\"><label for=\"field_61el-1\">\t\t<input type=\"radio\" name=\"item_meta[68]\" id=\"field_61el-1\" value=\"No\"\n\t\t   data-sectionid=\"57\" data-invmsg=\"Are you proficient in any additional languages? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_i6ths\" id=\"field_i6ths_label\" class=\"frm_primary_label\">If yes, please list\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[69]\" id=\"field_i6ths\" rows=\"2\"  data-sectionid=\"57\" data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_70_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Military Service<\/h3>\r\n\r\n\r\n<div id=\"frm_field_72_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first vertical_radio\">\r\n    <div  id=\"field_16mk3_label\" class=\"frm_primary_label\">Did you serve in the military\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_16mk3_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_72-70-0\"><label for=\"field_16mk3-0\">\t\t<input type=\"radio\" name=\"item_meta[72]\" id=\"field_16mk3-0\" value=\"Yes\"\n\t\t   data-sectionid=\"70\" data-invmsg=\"Did you serve in the military is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_72-70-1\"><label for=\"field_16mk3-1\">\t\t<input type=\"radio\" name=\"item_meta[72]\" id=\"field_16mk3-1\" value=\"No\"\n\t\t   data-sectionid=\"70\" data-invmsg=\"Did you serve in the military is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_73_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_b7lrb\" id=\"field_b7lrb_label\" class=\"frm_primary_label\">Branch\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_b7lrb\" name=\"item_meta[73]\" value=\"\"  data-sectionid=\"70\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_74_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_i26du\" id=\"field_i26du_label\" class=\"frm_primary_label\">Rank\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_i26du\" name=\"item_meta[74]\" value=\"\"  data-sectionid=\"70\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm6 frm_first\">\r\n    <label for=\"field_2vd8g\" id=\"field_2vd8g_label\" class=\"frm_primary_label\">Duties Performed\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[75]\" id=\"field_2vd8g\" rows=\"2\"  data-sectionid=\"70\" data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_77_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_4cdtk\" id=\"field_4cdtk_label\" class=\"frm_primary_label\">Active Dates\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_4cdtk\" name=\"item_meta[77]\" value=\"\"  data-sectionid=\"70\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_78_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_yscu4\" id=\"field_yscu4_label\" class=\"frm_primary_label\">Type of Discharge\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yscu4\" name=\"item_meta[78]\" value=\"\"  data-sectionid=\"70\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_79_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_39845a_label\" class=\"frm_primary_label\"> Active in National Guard or Reserves?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_39845a_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_79-70-0\"><label for=\"field_39845a-0\">\t\t<input type=\"radio\" name=\"item_meta[79]\" id=\"field_39845a-0\" value=\"Yes\"\n\t\t   data-sectionid=\"70\" data-invmsg=\" Active in National Guard or Reserves? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_79-70-1\"><label for=\"field_39845a-1\">\t\t<input type=\"radio\" name=\"item_meta[79]\" id=\"field_39845a-1\" value=\"No\"\n\t\t   data-sectionid=\"70\" data-invmsg=\" Active in National Guard or Reserves? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_81_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Physical Skills\/Abilities<\/h3>\r\n\r\n\r\n<div id=\"frm_field_84_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div  id=\"field_vi3yu_label\" class=\"frm_primary_label\">Vision impairment?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_vi3yu_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_84-81-0\"><label for=\"field_vi3yu-0\">\t\t<input type=\"radio\" name=\"item_meta[84]\" id=\"field_vi3yu-0\" value=\"Yes\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"Vision impairment? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_84-81-1\"><label for=\"field_vi3yu-1\">\t\t<input type=\"radio\" name=\"item_meta[84]\" id=\"field_vi3yu-1\" value=\"No\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"Vision impairment? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_85_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div  id=\"field_tjpxd_label\" class=\"frm_primary_label\">If yes, is it corrected?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_tjpxd_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_85-81-0\"><label for=\"field_tjpxd-0\">\t\t<input type=\"radio\" name=\"item_meta[85]\" id=\"field_tjpxd-0\" value=\"Yes\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"If yes, is it corrected? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_85-81-1\"><label for=\"field_tjpxd-1\">\t\t<input type=\"radio\" name=\"item_meta[85]\" id=\"field_tjpxd-1\" value=\"No\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"If yes, is it corrected? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_87_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div  id=\"field_mra5k_label\" class=\"frm_primary_label\">Hearing impairment?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_mra5k_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_87-81-0\"><label for=\"field_mra5k-0\">\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_mra5k-0\" value=\"Yes\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"Hearing impairment? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_87-81-1\"><label for=\"field_mra5k-1\">\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_mra5k-1\" value=\"No\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"Hearing impairment? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_88_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div  id=\"field_mblwo_label\" class=\"frm_primary_label\">If yes, is it corrected?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_mblwo_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_88-81-0\"><label for=\"field_mblwo-0\">\t\t<input type=\"radio\" name=\"item_meta[88]\" id=\"field_mblwo-0\" value=\"Yes\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"If yes, is it corrected? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_88-81-1\"><label for=\"field_mblwo-1\">\t\t<input type=\"radio\" name=\"item_meta[88]\" id=\"field_mblwo-1\" value=\"No\"\n\t\t   data-sectionid=\"81\" data-invmsg=\"If yes, is it corrected? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_89_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Physical\/Vocational Limitations<\/h3>\r\n\r\n\r\n<div id=\"frm_field_91_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_j0nnf_label\" class=\"frm_primary_label\">Would you have trouble performing a job with repetitive activities\/tasks?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_j0nnf_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_91-89-0\"><label for=\"field_j0nnf-0\">\t\t<input type=\"radio\" name=\"item_meta[91]\" id=\"field_j0nnf-0\" value=\"Yes\"\n\t\t   data-sectionid=\"89\" data-invmsg=\"Would you have trouble performing a job with repetitive activities\/tasks? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_91-89-1\"><label for=\"field_j0nnf-1\">\t\t<input type=\"radio\" name=\"item_meta[91]\" id=\"field_j0nnf-1\" value=\"No\"\n\t\t   data-sectionid=\"89\" data-invmsg=\"Would you have trouble performing a job with repetitive activities\/tasks? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_92_container\" class=\"frm_form_field form-field  frm_top_container frm_three_col frm_other_container\">\r\n    <div  id=\"field_7sfpt_label\" class=\"frm_primary_label\">If yes, please check applicable box(es)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_7sfpt_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-0\"><label for=\"field_7sfpt-0\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-0\" value=\"Standing\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Standing<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-1\"><label for=\"field_7sfpt-1\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-1\" value=\"Bending\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Bending<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-2\"><label for=\"field_7sfpt-2\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-2\" value=\"Lifting\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Lifting<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-3\"><label for=\"field_7sfpt-3\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-3\" value=\"Sitting\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Sitting<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-4\"><label for=\"field_7sfpt-4\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-4\" value=\"Fine Motor Use of Hands\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Fine Motor Use of Hands<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-5\"><label for=\"field_7sfpt-5\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-5\" value=\"Walking\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Walking<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-6\"><label for=\"field_7sfpt-6\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-6\" value=\"Stooping\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Stooping<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-7\"><label for=\"field_7sfpt-7\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-7\" value=\"Reaching\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Reaching<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-8\"><label for=\"field_7sfpt-8\"><input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_7sfpt-8\" value=\"Climbing\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Climbing<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-89-other_9\"><label for=\"field_7sfpt-other_9\"><input type=\"checkbox\" name=\"item_meta[92][other_9]\" id=\"field_7sfpt-other_9\" value=\"Other\"  data-sectionid=\"89\" data-invmsg=\"If yes, please check applicable box(es) is invalid\" aria-invalid=\"false\"   \/> Other<\/label><label for=\"field_7sfpt-other_9-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_7sfpt-other_9-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][92][other_9]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_93_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_jbahg_label\" class=\"frm_primary_label\">Can you lift 50 pounds?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_jbahg_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_93-89-0\"><label for=\"field_jbahg-0\">\t\t<input type=\"radio\" name=\"item_meta[93]\" id=\"field_jbahg-0\" value=\"Yes\"\n\t\t   data-sectionid=\"89\" data-invmsg=\"Can you lift 50 pounds? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_93-89-1\"><label for=\"field_jbahg-1\">\t\t<input type=\"radio\" name=\"item_meta[93]\" id=\"field_jbahg-1\" value=\"No\"\n\t\t   data-sectionid=\"89\" data-invmsg=\"Can you lift 50 pounds? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_94_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Environmental Restrictions<\/h3>\r\n\r\n\r\n<div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_s8ph2_label\" class=\"frm_primary_label\">Would you have trouble performing a job in any of these conditions?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_s8ph2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_97-94-0\"><label for=\"field_s8ph2-0\">\t\t<input type=\"radio\" name=\"item_meta[97]\" id=\"field_s8ph2-0\" value=\"Yes\"\n\t\t   data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_97-94-1\"><label for=\"field_s8ph2-1\">\t\t<input type=\"radio\" name=\"item_meta[97]\" id=\"field_s8ph2-1\" value=\"No\"\n\t\t   data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_s8ph2\">If yes, please check the appropriate boxes below.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_96_container\" class=\"frm_form_field form-field  frm_top_container frm_three_col frm_other_container\">\r\n    <div  id=\"field_ynnw_label\" class=\"frm_primary_label\">Would you have trouble performing a job in any of these conditions?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ynnw_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-0\"><label for=\"field_ynnw-0\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-0\" value=\"Inside\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Inside<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-1\"><label for=\"field_ynnw-1\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-1\" value=\"Outside\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Outside<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-2\"><label for=\"field_ynnw-2\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-2\" value=\"Extreme Heat\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Extreme Heat<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-3\"><label for=\"field_ynnw-3\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-3\" value=\"Extreme Cold\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Extreme Cold<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-4\"><label for=\"field_ynnw-4\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-4\" value=\"Wet\/Humid\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Wet\/Humid<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-5\"><label for=\"field_ynnw-5\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-5\" value=\"Dusty\/Dirty\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Dusty\/Dirty<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-6\"><label for=\"field_ynnw-6\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-6\" value=\"Noise\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Noise<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-7\"><label for=\"field_ynnw-7\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-7\" value=\"Heights\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Heights<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-8\"><label for=\"field_ynnw-8\"><input type=\"checkbox\" name=\"item_meta[96][]\" id=\"field_ynnw-8\" value=\"Allergies\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Allergies<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_96-94-other_9\"><label for=\"field_ynnw-other_9\"><input type=\"checkbox\" name=\"item_meta[96][other_9]\" id=\"field_ynnw-other_9\" value=\"Other\"  data-sectionid=\"94\" data-invmsg=\"Would you have trouble performing a job in any of these conditions? is invalid\" aria-invalid=\"false\"   \/> Other<\/label><label for=\"field_ynnw-other_9-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_ynnw-other_9-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][96][other_9]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_8n0ow\" id=\"field_8n0ow_label\" class=\"frm_primary_label\">List any allergies\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[98]\" id=\"field_8n0ow\" rows=\"2\"  data-sectionid=\"94\" data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Employment Experience<\/h3>\r\n\r\n\r\n<div id=\"frm_field_101_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_21isv\" id=\"field_21isv_label\" class=\"frm_primary_label\">Most recent Employer\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_21isv\" name=\"item_meta[101]\" value=\"\"  data-sectionid=\"99\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_102_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_c0hsj\" id=\"field_c0hsj_label\" class=\"frm_primary_label\">City\/State\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c0hsj\" name=\"item_meta[102]\" value=\"\"  data-sectionid=\"99\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_103_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_aqprz\" id=\"field_aqprz_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_aqprz\" name=\"item_meta[103]\" value=\"\"  data-sectionid=\"99\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_104_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_x7vwn\" id=\"field_x7vwn_label\" class=\"frm_primary_label\">Employment Start Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_x7vwn\" name=\"item_meta[104]\" value=\"\"  data-sectionid=\"99\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_105_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_dhsuy\" id=\"field_dhsuy_label\" class=\"frm_primary_label\">Employment End Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dhsuy\" name=\"item_meta[105]\" value=\"\"  data-sectionid=\"99\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_106_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ou31\" id=\"field_ou31_label\" class=\"frm_primary_label\">Job Duties\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[106]\" id=\"field_ou31\" rows=\"2\"  data-sectionid=\"99\" data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_107_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_fzfc5\" id=\"field_fzfc5_label\" class=\"frm_primary_label\">How many total years of employment have you had?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_fzfc5\" name=\"item_meta[107]\" value=\"\"  data-sectionid=\"99\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"80\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_108_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div  id=\"field_yal35_label\" class=\"frm_primary_label\">Do you have any construction trades experience?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_yal35_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_108-99-0\"><label for=\"field_yal35-0\">\t\t<input type=\"radio\" name=\"item_meta[108]\" id=\"field_yal35-0\" value=\"Yes\"\n\t\t   data-sectionid=\"99\" data-invmsg=\"Do you have any construction trades experience? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_108-99-1\"><label for=\"field_yal35-1\">\t\t<input type=\"radio\" name=\"item_meta[108]\" id=\"field_yal35-1\" value=\"No\"\n\t\t   data-sectionid=\"99\" data-invmsg=\"Do you have any construction trades experience? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_7o83t\" id=\"field_7o83t_label\" class=\"frm_primary_label\">If yes, how many years?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_7o83t\" name=\"item_meta[109]\" value=\"\"  data-sectionid=\"99\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"80\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_112_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Legal History<\/h3>\r\n<div id=\"frm_desc_field_9ov06\" class=\"frm_description frm_section_spacing\"> *Skilled Trade Academy prohibits unlawful discrimination or harassment based on race, color, creed, national origin, sex, age, disability, marital status, sexual orientation, military status, prior record of arrest or conviction, citizenship status, current employment status, or caregiver status.<\/div>\r\n\r\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_top_container frm_two_col\">\r\n    <div  id=\"field_kv8nc_label\" class=\"frm_primary_label\">Do you consent to a criminal background check?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_kv8nc_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_114-112-0\"><label for=\"field_kv8nc-0\">\t\t<input type=\"radio\" name=\"item_meta[114]\" id=\"field_kv8nc-0\" value=\"Yes\"\n\t\t   data-sectionid=\"112\" data-invmsg=\"Do you consent to a criminal background check? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_114-112-1\"><label for=\"field_kv8nc-1\">\t\t<input type=\"radio\" name=\"item_meta[114]\" id=\"field_kv8nc-1\" value=\"No\"\n\t\t   data-sectionid=\"112\" data-invmsg=\"Do you consent to a criminal background check? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_d7smk_label\" class=\"frm_primary_label\">Do you have any pending charges?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_d7smk_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_115-112-0\"><label for=\"field_d7smk-0\">\t\t<input type=\"radio\" name=\"item_meta[115]\" id=\"field_d7smk-0\" value=\"Yes\"\n\t\t   data-sectionid=\"112\" data-invmsg=\"Do you have any pending charges? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_115-112-1\"><label for=\"field_d7smk-1\">\t\t<input type=\"radio\" name=\"item_meta[115]\" id=\"field_d7smk-1\" value=\"No\"\n\t\t   data-sectionid=\"112\" data-invmsg=\"Do you have any pending charges? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_d7smk\">(A conviction does not necessarily exclude applicant from acceptance into this program.)<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_fcngc_label\" class=\"frm_primary_label\">In consideration for admittance to OWL Skilled Trade Academy, I authorize OWL Skilled Trade Academy or its representative to conduct a criminal record background check. My signature below constitutes my request to any Federal, State, or Local Law Enforcement Agency to release whatever information is requested by OWL Skilled Trade Academy or its representative.\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_fcngc_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_116-112-0\"><label for=\"field_fcngc-0\"><input type=\"checkbox\" name=\"item_meta[116][]\" id=\"field_fcngc-0\" value=\"Confirm\"  data-sectionid=\"112\" data-invmsg=\"In consideration for admittance to OWL Skilled Trade Academy, I authorize OWL Skilled Trade Academy or its representative to conduct a criminal record background check. My signature below constitutes my request to any Federal, State, or Local Law Enforcement Agency to release whatever information is requested by OWL Skilled Trade Academy or its representative. is invalid\" aria-invalid=\"false\"   \/> Confirm<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_umt7e_label\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_umt7e_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_117\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_117-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_umt7e_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_umt7e_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[117][first]\"  data-sectionid=\"112\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_117_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_117-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_umt7e_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_umt7e_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[117][last]\"  data-sectionid=\"112\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_117_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_118_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ilvcm\" id=\"field_ilvcm_label\" class=\"frm_primary_label\">Social Security Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ilvcm\" name=\"item_meta[118]\" value=\"\"  data-sectionid=\"112\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_119_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_3198o_label\" class=\"frm_primary_label\">Street Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_3198o_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tStreet Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_119-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_3198o_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tStreet Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_3198o_line1\" value=\"\" name=\"item_meta[119][line1]\"  data-sectionid=\"112\" data-invmsg=\"Street Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_119-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_3198o_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tStreet Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_3198o_line2\" value=\"\" name=\"item_meta[119][line2]\"  data-sectionid=\"112\" data-invmsg=\"Street Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_119-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_3198o_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_3198o_city\" value=\"\" name=\"item_meta[119][city]\"  data-sectionid=\"112\" data-invmsg=\"Street Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_119-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_3198o_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[119][state]\" id=\"field_3198o_state\"  data-sectionid=\"112\" data-invmsg=\"Street Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_119-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_3198o_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_3198o_zip\" value=\"\" name=\"item_meta[119][zip]\"  data-sectionid=\"112\" data-invmsg=\"Street Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_re0pk_label\" class=\"frm_primary_label\">I would like to receive emails from OWL and Skilled Trade Academy.\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_re0pk_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_139-0\"><label for=\"field_re0pk-0\">\t\t<input type=\"radio\" name=\"item_meta[139]\" id=\"field_re0pk-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"I would like to receive emails from OWL and Skilled Trade Academy. 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