{"id":13,"date":"2019-04-02T18:25:47","date_gmt":"2019-04-02T18:25:47","guid":{"rendered":"http:\/\/www.nhvweb.net\/registration\/?page_id=13"},"modified":"2019-06-27T19:35:45","modified_gmt":"2019-06-27T19:35:45","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/www.nhvweb.net\/registration\/","title":{"rendered":"Registration Form"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/registration\/wp-json\/wp\/v2\/pages\/13#gf_1'><div id='gf_page_steps_1' class='gf_page_steps'><div id='gf_step_1_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span>&nbsp;<span class='gf_step_label'>Introduction<\/span><\/div><div id='gf_step_1_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span>&nbsp;<span class='gf_step_label'>Student Demographic Information<\/span><\/div><div id='gf_step_1_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span>&nbsp;<span class='gf_step_label'>Home Language Survey<\/span><\/div><div id='gf_step_1_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span>&nbsp;<span class='gf_step_label'>Grade and Athletics Information<\/span><\/div><div id='gf_step_1_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span>&nbsp;<span class='gf_step_label'>Legal Information<\/span><\/div><div id='gf_step_1_6' class='gf_step gf_step_pending'><span class='gf_step_number'>6<\/span>&nbsp;<span class='gf_step_label'>Parent\/Legal Guardian Information<\/span><\/div><div id='gf_step_1_7' class='gf_step gf_step_pending'><span class='gf_step_number'>7<\/span>&nbsp;<span class='gf_step_label'>Previous School Information<\/span><\/div><div id='gf_step_1_8' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>8<\/span>&nbsp;<span class='gf_step_label'>Certification and Consent<\/span><\/div><div class='gf_step_clear'><\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_1_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_70'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p>Welcome to the North Hunterdon-Voorhees Regional High School District Student Registration Form.<p>\n<p>This form is used to request registration of a new student to the District. <b>Parents of any incoming student must file this form to start the registration process of their children into the school district<\/b>.<\/p>\n<p>This registration form has eight pages that need to be completed in full (mandatory items are highlighted with an * in the form):<p>\n<ol>\n<li>Introduction (this page)<\/li>\n<li>Student Demographic Information<\/li>\n<li>Home Language Survey<\/li>\n<li>Grade and Athletics Information<\/li>\n<li>Legal Information<\/li>\n<li>Parent\/Legal Guardian Information<\/li>\n<li>Previous School Information<\/li>\n<li>Certification and Consent<\/li>\n<\/ol>\n<\/p>\n<h5>Notes before you begin:<\/h5>\n<ul>\n<li><p>You need to complete all pages before your form can be fully submitted.<\/p><\/li>\n<li>\n<p>When selecting which School to Register, please follow this guidance:<\/p>\n<table style=\"border-collapse: collapse;width: 85.8669%;height: 177px\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 50%;text-align: center\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\"><strong>North Hunterdon High School<\/strong><\/span><\/td>\n<td style=\"width: 50%;text-align: center\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\"><strong>Voorhees High School<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Bethlehem Township<\/span><\/td>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Califon Borough<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Clinton Township<\/span><\/td>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Hampton Borough<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Franklin Township<\/span><\/td>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">High Bridge Borough<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Lebanon Borough<\/span><\/td>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Lebanon Township<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Union Township<\/span><\/td>\n<td style=\"width: 50%\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Tewksbury Township<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;text-align: center\" colspan=\"2\"><span style=\"font-family: 'times new roman', times, serif;font-size: 12pt\">Town of Clinton and Glen Gardner &#8211; student may choose North Hunterdon or Voorhees<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n<li><p>You need to register one student at a time.<p><\/li>\n<li><p>The form can be saved and you can continue later if you need more time to complete the form.<\/p><\/li>\n<li><p>The more information you provide, the faster the registration process will be.<\/p><\/li>\n<li><p>After you submit the form we will contact you to schedule an interview.<\/p><\/li>\n<\/ul>\n<p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Student Demographic Information)<\/p>\n<\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_1_69' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_1_2_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_81'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p style=\"font-style:italic;color: gray\">In this page, you will enter basic demographic information about the student you are registering.<\/p><\/li><li id='field_1_67'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >School<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_67'>Choose the school you are registering the student into.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_67'><li class='gchoice_1_67_0'><input name='input_67' type='radio' value='North Hunterdon High School'  id='choice_1_67_0'    \/><label for='choice_1_67_0' id='label_1_67_0'>North Hunterdon High School<\/label><\/li><li class='gchoice_1_67_1'><input name='input_67' type='radio' value='Voorhees High School'  id='choice_1_67_1'    \/><label for='choice_1_67_1' id='label_1_67_1'>Voorhees High School<\/label><\/li><\/ul><\/div><\/li><li id='field_1_2'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Student Name<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_2'>Enter the student's name as it appears in the student's legal documents (e.g. birth certificate, passport). You can specify a preferred name in the next field (Student Nickname)<\/div><div class='ginput_complex ginput_container no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name' id='input_1_2'>\n                            \n                            <span id='input_1_2_3_container' class='name_first' >\n                                                    <label for='input_1_2_3' >First<\/label>\n                                                    <input type='text' name='input_2.3' id='input_1_2_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                <\/span>\n                            <span id='input_1_2_4_container' class='name_middle' >\n                                                    <label for='input_1_2_4' >Middle<\/label>\n                                                    <input type='text' name='input_2.4' id='input_1_2_4' value='' aria-label='Middle name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                <\/span>\n                            <span id='input_1_2_6_container' class='name_last' >\n                                                            <label for='input_1_2_6' >Last<\/label>\n                                                            <input type='text' name='input_2.6' id='input_1_2_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_1_6'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_6' >Student Nickname<\/label><div class='gfield_description' id='gfield_description_1_6'>Enter the student's preferred name here.<\/div><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1_6' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_6\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_3'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Student Gender<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_3'>Enter the student's gender as it currently appears on the student's legal documents (e.g. in the birth certificate, SS Card, or passport)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_3'><li class='gchoice_1_3_0'><input name='input_3' type='radio' value='Male'  id='choice_1_3_0'    \/><label for='choice_1_3_0' id='label_1_3_0'>Male<\/label><\/li><li class='gchoice_1_3_1'><input name='input_3' type='radio' value='Female'  id='choice_1_3_1'    \/><label for='choice_1_3_1' id='label_1_3_1'>Female<\/label><\/li><\/ul><\/div><\/li><li id='field_1_4'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_4' >Student Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_4'>Enter the student's Date of Birth.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_1_4' type='text' value='' class='datepicker medium mdy datepicker_with_icon'    aria-describedby='input_1_4_date_format' \/>\n                            <span id='input_1_4_date_format' class='screen-reader-text'>Date Format: MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_4' class='gform_hidden' value='https:\/\/www.nhvweb.net\/registration\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_84'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Has the student previously attended North Hunterdon or Voorhees High Schools?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_84'>Indicate if in the past the student has attended North Hunterdon or Voorhees (e.g. student started HS in the District, then moved and now is coming back)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_84'><li class='gchoice_1_84_0'><input name='input_84' type='radio' value='Yes'  id='choice_1_84_0'    \/><label for='choice_1_84_0' id='label_1_84_0'>Yes<\/label><\/li><li class='gchoice_1_84_1'><input name='input_84' type='radio' value='No'  id='choice_1_84_1'    \/><label for='choice_1_84_1' id='label_1_84_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_7'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Has a sibling ever attended North Hunterdon or Voorhees?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_7'>Indicate if in the past (i.e. in prior school years) any sibling has attended North Hunterdon or Voorhees.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_7'><li class='gchoice_1_7_0'><input name='input_7' type='radio' value='Yes'  id='choice_1_7_0'    \/><label for='choice_1_7_0' id='label_1_7_0'>Yes<\/label><\/li><li class='gchoice_1_7_1'><input name='input_7' type='radio' value='No'  id='choice_1_7_1'    \/><label for='choice_1_7_1' id='label_1_7_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_8'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_8' >Name of Sibling:<\/label><div class='gfield_description' id='gfield_description_1_8'>Enter the name of the sibling who attended North Hunterdon or Voorhees.<\/div><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_8\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_9'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Student Home Address<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_9'>Enter the student's home address within the District.<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_1_9' >\n                         <span class='ginput_full address_line_1' id='input_1_9_1_container' >\n                                        <label for='input_1_9_1' id='input_1_9_1_label' >Street Address<\/label>\n                                        <input type='text' name='input_9.1' id='input_1_9_1' value=''    aria-required=\"true\"\/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_1_9_2_container' >\n                                        <label for='input_1_9_2' id='input_1_9_2_label' >Address Line 2<\/label>\n                                        <input type='text' name='input_9.2' id='input_1_9_2' value=''   \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_9_3_container' >\n                                    <label for='input_1_9_3' id='input_1_9_3_label' >City<\/label>\n                                    <input type='text' name='input_9.3' id='input_1_9_3' value=''    aria-required=\"true\"\/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_9_4_container' >\n                                        <label for='input_1_9_4' id='input_1_9_4_label' >State<\/label>\n                                        <select name='input_9.4' id='input_1_9_4'     aria-required=\"true\"><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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' selected='selected'>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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_9_5_container' >\n                                    <label for='input_1_9_5' id='input_1_9_5_label' >ZIP Code<\/label>\n                                    <input type='text' name='input_9.5' id='input_1_9_5' value=''    aria-required=\"true\"\/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_9.6' id='input_1_9_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_90'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Will this location provide a consistent, fixed, regular and adequate nighttime residence for the student?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_90'>This question pertains to the student's home address you entered above.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_90'><li class='gchoice_1_90_0'><input name='input_90' type='radio' value='Yes'  id='choice_1_90_0'    \/><label for='choice_1_90_0' id='label_1_90_0'>Yes<\/label><\/li><li class='gchoice_1_90_1'><input name='input_90' type='radio' value='No'  id='choice_1_90_1'    \/><label for='choice_1_90_1' id='label_1_90_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_10'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Student Mailing Address<\/label><div class='gfield_description' id='gfield_description_1_10'>Indicate the mailing address for the student<\/div>    <div id='input_1_10_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_1_10_copy_values_activated' class='copy_values_activated' value='1' name='input_10_copy_values_activated'   checked='checked'\/>\n                                        <label for='input_1_10_copy_values_activated' id='input_1_10_copy_values_option_label' class='copy_values_option_label inline'>Same as Home Address<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_1_10' style='display:none;'>\n                         <span class='ginput_full address_line_1' id='input_1_10_1_container' >\n                                        <label for='input_1_10_1' id='input_1_10_1_label' >Street Address<\/label>\n                                        <input type='text' name='input_10.1' id='input_1_10_1' value=''    \/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_1_10_2_container' >\n                                        <label for='input_1_10_2' id='input_1_10_2_label' >Address Line 2<\/label>\n                                        <input type='text' name='input_10.2' id='input_1_10_2' value=''   \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_10_3_container' >\n                                    <label for='input_1_10_3' id='input_1_10_3_label' >City<\/label>\n                                    <input type='text' name='input_10.3' id='input_1_10_3' value=''    \/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_10_4_container' >\n                                        <label for='input_1_10_4' id='input_1_10_4_label' >State<\/label>\n                                        <select name='input_10.4' id='input_1_10_4'     ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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' selected='selected'>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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_10_5_container' >\n                                    <label for='input_1_10_5' id='input_1_10_5_label' >ZIP Code<\/label>\n                                    <input type='text' name='input_10.5' id='input_1_10_5' value=''    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_1_10_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_18'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Race\/Ethnicity<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_18'>Indicate the student's Race\/Ethnicity<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_18'><li class='gchoice_1_18_0'><input name='input_18' type='radio' value='Asian'  id='choice_1_18_0'    \/><label for='choice_1_18_0' id='label_1_18_0'>Asian<\/label><\/li><li class='gchoice_1_18_1'><input name='input_18' type='radio' value='Black'  id='choice_1_18_1'    \/><label for='choice_1_18_1' id='label_1_18_1'>Black<\/label><\/li><li class='gchoice_1_18_2'><input name='input_18' type='radio' value='Hispanic'  id='choice_1_18_2'    \/><label for='choice_1_18_2' id='label_1_18_2'>Hispanic<\/label><\/li><li class='gchoice_1_18_3'><input name='input_18' type='radio' value='Native American'  id='choice_1_18_3'    \/><label for='choice_1_18_3' id='label_1_18_3'>Native American<\/label><\/li><li class='gchoice_1_18_4'><input name='input_18' type='radio' value='White'  id='choice_1_18_4'    \/><label for='choice_1_18_4' id='label_1_18_4'>White<\/label><\/li><\/ul><\/div><\/li><li id='field_1_21'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Student Birthplace<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_21'>Indicate the birthplace of the student.<\/div>    \n                    <div class='ginput_complex ginput_container has_city has_state has_country ginput_container_address' id='input_1_21' >\n                        <span class='ginput_left address_city' id='input_1_21_3_container' >\n                                    <label for='input_1_21_3' id='input_1_21_3_label' >City<\/label>\n                                    <input type='text' name='input_21.3' id='input_1_21_3' value=''    aria-required=\"true\"\/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_21_4_container' >\n                                        <label for='input_1_21_4' id='input_1_21_4_label' >State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_21.4' id='input_1_21_4' value=''      aria-required=\"true\"\/>\n                                      <\/span><span class='ginput_right address_country' id='input_1_21_6_container' >\n                                        <label for='input_1_21_6' id='input_1_21_6_label' >Country<\/label>\n                                        <select name='input_21.6' id='input_1_21_6'   aria-required=\"true\"><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_22'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Has student attended school outside the United States?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_22'>Indicate if the student has attended a school outside the U.S. in the past.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_22'><li class='gchoice_1_22_0'><input name='input_22' type='radio' value='Yes'  id='choice_1_22_0'    \/><label for='choice_1_22_0' id='label_1_22_0'>Yes<\/label><\/li><li class='gchoice_1_22_1'><input name='input_22' type='radio' value='No'  id='choice_1_22_1'    \/><label for='choice_1_22_1' id='label_1_22_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_23'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_23' >Date First Attended a US School<\/label><div class='gfield_description' id='gfield_description_1_23'>Indicate the date when the student first attended a US school. If the student has never attended a US school leave this field blank.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_23' id='input_1_23' type='text' value='' class='datepicker medium mdy datepicker_with_icon'    aria-describedby='input_1_23_date_format' \/>\n                            <span id='input_1_23_date_format' class='screen-reader-text'>Date Format: MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_23' class='gform_hidden' value='https:\/\/www.nhvweb.net\/registration\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_24'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Does student have an Accomodations plan?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_24'>Indicate if the student currently has an accommodation plan (IEP, 504, I&amp;RS, or ESL)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_24'><li class='gchoice_1_24_0'><input name='input_24' type='radio' value='Yes'  id='choice_1_24_0'    \/><label for='choice_1_24_0' id='label_1_24_0'>Yes<\/label><\/li><li class='gchoice_1_24_1'><input name='input_24' type='radio' value='No'  id='choice_1_24_1'    \/><label for='choice_1_24_1' id='label_1_24_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_25'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Student Accomodation(s)<\/label><div class='gfield_description' id='gfield_description_1_25'>Since you indicated the student currently has an accommodation plan, please choose which plan(s) currently applies.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_25'><li class='gchoice_1_25_1'>\n\t\t\t\t\t\t\t\t<input name='input_25.1' type='checkbox'  value='IEP'  id='choice_1_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_25_1' id='label_1_25_1'>IEP<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_25_2'>\n\t\t\t\t\t\t\t\t<input name='input_25.2' type='checkbox'  value='504'  id='choice_1_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_25_2' id='label_1_25_2'>504<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_25_3'>\n\t\t\t\t\t\t\t\t<input name='input_25.3' type='checkbox'  value='I&amp;RS'  id='choice_1_25_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_25_3' id='label_1_25_3'>I&amp;RS<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_25_4'>\n\t\t\t\t\t\t\t\t<input name='input_25.4' type='checkbox'  value='ESL'  id='choice_1_25_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_25_4' id='label_1_25_4'>ESL<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_80'  class='gfield gfield_html gfield_html_formatted field_sublabel_above field_description_above gfield_visibility_visible' ><p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Home Language Survey)<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_91' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_91' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_1_3_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_3' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_16'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Languange(s) Spoken at Home<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_16'>Indicate the languages spoken at home (multiple selections possible)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_16'><li class='gchoice_1_16_1'>\n\t\t\t\t\t\t\t\t<input name='input_16.1' type='checkbox'  value='English'  id='choice_1_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_1' id='label_1_16_1'>English<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_16_2'>\n\t\t\t\t\t\t\t\t<input name='input_16.2' type='checkbox'  value='Spanish'  id='choice_1_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_2' id='label_1_16_2'>Spanish<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_16_3'>\n\t\t\t\t\t\t\t\t<input name='input_16.3' type='checkbox'  value='Other(s)'  id='choice_1_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_3' id='label_1_16_3'>Other(s)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_17'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_17' >Other(s) Languages:<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_1_17' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_99'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p>&nbsp;<\/p>\n<p>The reminder questions on this page are part of the Home Language Survey Form (HLS), required by the state of NJ.<\/p><p>This survey is the first of three steps to identify whether or not a student is eligible to be an English language learner (ELL). <\/p><\/li><li id='field_1_92'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >(1) What was the first language used by the student?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_92'><li class='gchoice_1_92_0'><input name='input_92' type='radio' value='A language other than English.'  id='choice_1_92_0'    \/><label for='choice_1_92_0' id='label_1_92_0'>A language other than English.<\/label><\/li><li class='gchoice_1_92_1'><input name='input_92' type='radio' value='English'  id='choice_1_92_1'    \/><label for='choice_1_92_1' id='label_1_92_1'>English<\/label><\/li><\/ul><\/div><\/li><li id='field_1_93'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >(2a) At home, does the student hear or use a language other than English more than half of the time?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_93'><li class='gchoice_1_93_0'><input name='input_93' type='radio' value='Yes'  id='choice_1_93_0'    \/><label for='choice_1_93_0' id='label_1_93_0'>Yes<\/label><\/li><li class='gchoice_1_93_1'><input name='input_93' type='radio' value='No'  id='choice_1_93_1'    \/><label for='choice_1_93_1' id='label_1_93_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_101'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >(2b) At home, does the student hear or use a language other than English more than half of the time?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_101'><li class='gchoice_1_101_0'><input name='input_101' type='radio' value='Yes'  id='choice_1_101_0'    \/><label for='choice_1_101_0' id='label_1_101_0'>Yes<\/label><\/li><li class='gchoice_1_101_1'><input name='input_101' type='radio' value='No'  id='choice_1_101_1'    \/><label for='choice_1_101_1' id='label_1_101_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_94'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >(3) Does the student understand a language other than English?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_94'><li class='gchoice_1_94_0'><input name='input_94' type='radio' value='Yes'  id='choice_1_94_0'    \/><label for='choice_1_94_0' id='label_1_94_0'>Yes<\/label><\/li><li class='gchoice_1_94_1'><input name='input_94' type='radio' value='No'  id='choice_1_94_1'    \/><label for='choice_1_94_1' id='label_1_94_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_100'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >(4) When interacting with his\/her parents or guardians, does the student use a language other than English more than half of the time?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_100'><li class='gchoice_1_100_0'><input name='input_100' type='radio' value='Yes'  id='choice_1_100_0'    \/><label for='choice_1_100_0' id='label_1_100_0'>Yes<\/label><\/li><li class='gchoice_1_100_1'><input name='input_100' type='radio' value='No'  id='choice_1_100_1'    \/><label for='choice_1_100_1' id='label_1_100_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_96'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >(5) When interacting with caregivers other than their parents or guardians, does the student use a language other than English more than half of the time?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_96'><li class='gchoice_1_96_0'><input name='input_96' type='radio' value='Yes'  id='choice_1_96_0'    \/><label for='choice_1_96_0' id='label_1_96_0'>Yes<\/label><\/li><li class='gchoice_1_96_1'><input name='input_96' type='radio' value='No'  id='choice_1_96_1'    \/><label for='choice_1_96_1' id='label_1_96_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_104'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >(6) Has the student recently moved from another school district\/charter school where he\/she was identified as an English language learner?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_104'><li class='gchoice_1_104_0'><input name='input_104' type='radio' value='Yes'  id='choice_1_104_0'    \/><label for='choice_1_104_0' id='label_1_104_0'>Yes<\/label><\/li><li class='gchoice_1_104_1'><input name='input_104' type='radio' value='No'  id='choice_1_104_1'    \/><label for='choice_1_104_1' id='label_1_104_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_98'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_98' >(7) What are the home languages spoken? List below<\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_1_98' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_102'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p>&nbsp;<\/p>\n<p>Home Language Survey questions are complete.<\/p>\n<p>Please continue with the rest of the registration form.<\/p>\n<p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Grade and Athletics Informationn)<\/p><\/li><li id='field_1_103'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p>Home Language Survey questions are complete.<\/p>\n<p>Student is not an English-Language Learner (ELL).<\/p>\n<p>Please continue with the rest of the registration form.<\/p>\n<p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Grade and Athletics Informationn)<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_75' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_75' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_1_4_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_4' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_73'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Grade<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_73'>Which grade are you registering your student to?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_73'><li class='gchoice_1_73_0'><input name='input_73' type='radio' value='9'  id='choice_1_73_0'    \/><label for='choice_1_73_0' id='label_1_73_0'>9<\/label><\/li><li class='gchoice_1_73_1'><input name='input_73' type='radio' value='10'  id='choice_1_73_1'    \/><label for='choice_1_73_1' id='label_1_73_1'>10<\/label><\/li><li class='gchoice_1_73_2'><input name='input_73' type='radio' value='11'  id='choice_1_73_2'    \/><label for='choice_1_73_2' id='label_1_73_2'>11<\/label><\/li><li class='gchoice_1_73_3'><input name='input_73' type='radio' value='12'  id='choice_1_73_3'    \/><label for='choice_1_73_3' id='label_1_73_3'>12<\/label><\/li><\/ul><\/div><\/li><li id='field_1_72'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Previous HS Athletic Participation<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_72'>Prior to entering the ninth grade, did the student ever play on a high school athletic team? (This includes\nplaying for a high school team while still in 8th grade, but does not include athletic camps, recreation, traveling teams or AAU teams).\n<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_72'><li class='gchoice_1_72_0'><input name='input_72' type='radio' value='Yes'  id='choice_1_72_0'    \/><label for='choice_1_72_0' id='label_1_72_0'>Yes<\/label><\/li><li class='gchoice_1_72_1'><input name='input_72' type='radio' value='No'  id='choice_1_72_1'    \/><label for='choice_1_72_1' id='label_1_72_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_74'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_74' >Explain previous HS Athletic participation<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_1_74' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_86'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Legal Information)<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_79' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_79' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_1_5_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_5' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_76'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Is there a Custody Agreement in place for this student?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_76'>Indicate if there is a custody agreement\/settlement in place for this student.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_76'><li class='gchoice_1_76_0'><input name='input_76' type='radio' value='Yes'  id='choice_1_76_0'    \/><label for='choice_1_76_0' id='label_1_76_0'>Yes<\/label><\/li><li class='gchoice_1_76_1'><input name='input_76' type='radio' value='No'  id='choice_1_76_1'    \/><label for='choice_1_76_1' id='label_1_76_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_77'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Is there a Legal Guardianship in place for this student?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_77'><li class='gchoice_1_77_0'><input name='input_77' type='radio' value='Yes'  id='choice_1_77_0'    \/><label for='choice_1_77_0' id='label_1_77_0'>Yes<\/label><\/li><li class='gchoice_1_77_1'><input name='input_77' type='radio' value='No'  id='choice_1_77_1'    \/><label for='choice_1_77_1' id='label_1_77_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_1_87'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Parent\/Legal Guardian Information)<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_26' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_26' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_1_6_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_6' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_6' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_68'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p>You must enter information for at least ONE Parent\/Legal Guardian.<\/p>\n<p>At least one contact must live with the student (i.e. share the same Home Address). Please enter that contact as the first contact below.<\/p>\n<p>You can enter up to THREE contacts.<p><\/li><li id='field_1_28'  class='gfield gsection field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Parent\/Legal Guardian 1<\/h2><div class='gsection_description' id='gfield_description_1_28'>This will be considered the main contact for the student and MUST live with the student.<\/div><\/li><li id='field_1_31'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Relationship to Student<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_31'><li class='gchoice_1_31_0'><input name='input_31' type='radio' value='Father'  id='choice_1_31_0'    \/><label for='choice_1_31_0' id='label_1_31_0'>Father<\/label><\/li><li class='gchoice_1_31_1'><input name='input_31' type='radio' value='Mother'  id='choice_1_31_1'    \/><label for='choice_1_31_1' id='label_1_31_1'>Mother<\/label><\/li><li class='gchoice_1_31_2'><input name='input_31' type='radio' value='Stepparent'  id='choice_1_31_2'    \/><label for='choice_1_31_2' id='label_1_31_2'>Stepparent<\/label><\/li><li class='gchoice_1_31_3'><input name='input_31' type='radio' value='Legal Guardian (court documents required)'  id='choice_1_31_3'    \/><label for='choice_1_31_3' id='label_1_31_3'>Legal Guardian (court documents required)<\/label><\/li><\/ul><\/div><\/li><li id='field_1_29'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_29'>\n                            \n                            <span id='input_1_29_3_container' class='name_first' >\n                                                    <label for='input_1_29_3' >First<\/label>\n                                                    <input type='text' name='input_29.3' id='input_1_29_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_29_6_container' class='name_last' >\n                                                            <label for='input_1_29_6' >Last<\/label>\n                                                            <input type='text' name='input_29.6' id='input_1_29_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_1_35'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_1_35_container'>\n                                <span id='input_1_35_1_container' class='ginput_left'>\n                                    <label for='input_1_35'>Enter Email<\/label>\n                                    <input class='' type='text' name='input_35' id='input_1_35' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                <\/span>\n                                <span id='input_1_35_2_container' class='ginput_right'>\n                                    <label for='input_1_35_2' >Confirm Email<\/label>\n                                    <input class='' type='text' name='input_35_2' id='input_1_35_2' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_1_30'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_30' >Home Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_30' id='input_1_30' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_32'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_32' >Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_1_32' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_33'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_33' >Business Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_33' id='input_1_33' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_34'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    <div id='input_1_34_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_1_34_copy_values_activated' class='copy_values_activated' value='1' name='input_34_copy_values_activated'   checked='checked'\/>\n                                        <label for='input_1_34_copy_values_activated' id='input_1_34_copy_values_option_label' class='copy_values_option_label inline'>Same as Student Home Addres<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_1_34' style='display:none;'>\n                         <span class='ginput_full address_line_1' id='input_1_34_1_container' >\n                                        <label for='input_1_34_1' id='input_1_34_1_label' >Street Address<\/label>\n                                        <input type='text' name='input_34.1' id='input_1_34_1' value=''    aria-required=\"true\"\/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_1_34_2_container' >\n                                        <label for='input_1_34_2' id='input_1_34_2_label' >Address Line 2<\/label>\n                                        <input type='text' name='input_34.2' id='input_1_34_2' value=''   \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_34_3_container' >\n                                    <label for='input_1_34_3' id='input_1_34_3_label' >City<\/label>\n                                    <input type='text' name='input_34.3' id='input_1_34_3' value=''    aria-required=\"true\"\/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_34_4_container' >\n                                        <label for='input_1_34_4' id='input_1_34_4_label' >State<\/label>\n                                        <select name='input_34.4' id='input_1_34_4'     aria-required=\"true\"><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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' selected='selected'>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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_34_5_container' >\n                                    <label for='input_1_34_5' id='input_1_34_5_label' >ZIP Code<\/label>\n                                    <input type='text' name='input_34.5' id='input_1_34_5' value=''    aria-required=\"true\"\/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_34.6' id='input_1_34_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_38'  class='gfield gsection field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Parent\/Legal Guardian 2<\/h2><\/li><li id='field_1_39'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Relationship to Student<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_39'><li class='gchoice_1_39_0'><input name='input_39' type='radio' value='Father'  id='choice_1_39_0'    \/><label for='choice_1_39_0' id='label_1_39_0'>Father<\/label><\/li><li class='gchoice_1_39_1'><input name='input_39' type='radio' value='Mother'  id='choice_1_39_1'    \/><label for='choice_1_39_1' id='label_1_39_1'>Mother<\/label><\/li><li class='gchoice_1_39_2'><input name='input_39' type='radio' value='Stepparent'  id='choice_1_39_2'    \/><label for='choice_1_39_2' id='label_1_39_2'>Stepparent<\/label><\/li><li class='gchoice_1_39_3'><input name='input_39' type='radio' value='Legal Guardian (court documents required)'  id='choice_1_39_3'    \/><label for='choice_1_39_3' id='label_1_39_3'>Legal Guardian (court documents required)<\/label><\/li><\/ul><\/div><\/li><li id='field_1_40'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_40'>\n                            \n                            <span id='input_1_40_3_container' class='name_first' >\n                                                    <label for='input_1_40_3' >First<\/label>\n                                                    <input type='text' name='input_40.3' id='input_1_40_3' value='' aria-label='First name'    aria-invalid=\"false\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_40_6_container' class='name_last' >\n                                                            <label for='input_1_40_6' >Last<\/label>\n                                                            <input type='text' name='input_40.6' id='input_1_40_6' value='' aria-label='Last name'    aria-invalid=\"false\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_1_41'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Email<\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_1_41_container'>\n                                <span id='input_1_41_1_container' class='ginput_left'>\n                                    <label for='input_1_41'>Enter Email<\/label>\n                                    <input class='' type='text' name='input_41' id='input_1_41' value=''     aria-invalid=\"false\"\/>\n                                <\/span>\n                                <span id='input_1_41_2_container' class='ginput_right'>\n                                    <label for='input_1_41_2' >Confirm Email<\/label>\n                                    <input class='' type='text' name='input_41_2' id='input_1_41_2' value=''     aria-invalid=\"false\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_1_42'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_42' >Home Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_42' id='input_1_42' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_43'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_43' >Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_1_43' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_44'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_44' >Business Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_44' id='input_1_44' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_45'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    <div id='input_1_45_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_1_45_copy_values_activated' class='copy_values_activated' value='1' name='input_45_copy_values_activated'  \/>\n                                        <label for='input_1_45_copy_values_activated' id='input_1_45_copy_values_option_label' class='copy_values_option_label inline'>Same as Student Home Address<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_1_45' >\n                         <span class='ginput_full address_line_1' id='input_1_45_1_container' >\n                                        <label for='input_1_45_1' id='input_1_45_1_label' >Street Address<\/label>\n                                        <input type='text' name='input_45.1' id='input_1_45_1' value=''    \/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_1_45_2_container' >\n                                        <label for='input_1_45_2' id='input_1_45_2_label' >Address Line 2<\/label>\n                                        <input type='text' name='input_45.2' id='input_1_45_2' value=''   \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_45_3_container' >\n                                    <label for='input_1_45_3' id='input_1_45_3_label' >City<\/label>\n                                    <input type='text' name='input_45.3' id='input_1_45_3' value=''    \/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_45_4_container' >\n                                        <label for='input_1_45_4' id='input_1_45_4_label' >State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_45.4' id='input_1_45_4' value=''      \/>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_45_5_container' >\n                                    <label for='input_1_45_5' id='input_1_45_5_label' >ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_45.5' id='input_1_45_5' value=''    \/>\n                                <\/span><span class='ginput_right address_country' id='input_1_45_6_container' >\n                                        <label for='input_1_45_6' id='input_1_45_6_label' >Country<\/label>\n                                        <select name='input_45.6' id='input_1_45_6'   ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_46'  class='gfield gsection field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Parent\/Legal Guardian 3<\/h2><\/li><li id='field_1_53'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Relationship to Student<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_53'><li class='gchoice_1_53_0'><input name='input_53' type='radio' value='Relative'  id='choice_1_53_0'    \/><label for='choice_1_53_0' id='label_1_53_0'>Relative<\/label><\/li><li class='gchoice_1_53_1'><input name='input_53' type='radio' value='Legal Guardian (court documents required)'  id='choice_1_53_1'    \/><label for='choice_1_53_1' id='label_1_53_1'>Legal Guardian (court documents required)<\/label><\/li><\/ul><\/div><\/li><li id='field_1_47'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_47'>\n                            \n                            <span id='input_1_47_3_container' class='name_first' >\n                                                    <label for='input_1_47_3' >First<\/label>\n                                                    <input type='text' name='input_47.3' id='input_1_47_3' value='' aria-label='First name'    aria-invalid=\"false\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_47_6_container' class='name_last' >\n                                                            <label for='input_1_47_6' >Last<\/label>\n                                                            <input type='text' name='input_47.6' id='input_1_47_6' value='' aria-label='Last name'    aria-invalid=\"false\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_1_48'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Email<\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_1_48_container'>\n                                <span id='input_1_48_1_container' class='ginput_left'>\n                                    <label for='input_1_48'>Enter Email<\/label>\n                                    <input class='' type='text' name='input_48' id='input_1_48' value=''     aria-invalid=\"false\"\/>\n                                <\/span>\n                                <span id='input_1_48_2_container' class='ginput_right'>\n                                    <label for='input_1_48_2' >Confirm Email<\/label>\n                                    <input class='' type='text' name='input_48_2' id='input_1_48_2' value=''     aria-invalid=\"false\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_1_49'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_49' >Home Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_49' id='input_1_49' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_50'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_50' >Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_50' id='input_1_50' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_51'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_51' >Business Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_51' id='input_1_51' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_52'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    <div id='input_1_52_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_1_52_copy_values_activated' class='copy_values_activated' value='1' name='input_52_copy_values_activated'  \/>\n                                        <label for='input_1_52_copy_values_activated' id='input_1_52_copy_values_option_label' class='copy_values_option_label inline'>Same as Student Home Address<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_1_52' >\n                         <span class='ginput_full address_line_1' id='input_1_52_1_container' >\n                                        <label for='input_1_52_1' id='input_1_52_1_label' >Street Address<\/label>\n                                        <input type='text' name='input_52.1' id='input_1_52_1' value=''    \/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_1_52_2_container' >\n                                        <label for='input_1_52_2' id='input_1_52_2_label' >Address Line 2<\/label>\n                                        <input type='text' name='input_52.2' id='input_1_52_2' value=''   \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_52_3_container' >\n                                    <label for='input_1_52_3' id='input_1_52_3_label' >City<\/label>\n                                    <input type='text' name='input_52.3' id='input_1_52_3' value=''    \/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_52_4_container' >\n                                        <label for='input_1_52_4' id='input_1_52_4_label' >State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_52.4' id='input_1_52_4' value=''      \/>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_52_5_container' >\n                                    <label for='input_1_52_5' id='input_1_52_5_label' >ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_52.5' id='input_1_52_5' value=''    \/>\n                                <\/span><span class='ginput_right address_country' id='input_1_52_6_container' >\n                                        <label for='input_1_52_6' id='input_1_52_6_label' >Country<\/label>\n                                        <select name='input_52.6' id='input_1_52_6'   ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_88'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Previous School Information)<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_54' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_54' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_1_7_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_7' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_7' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_55'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_55' >Previous School Name<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_1_55'>Enter the name of the school your student was attending (e.g. middle school, primary school, or other high school).<\/div><div class='ginput_container ginput_container_text'><input name='input_55' id='input_1_55' type='text' value='' class='medium' maxlength='50' aria-describedby=\"gfield_description_1_55\"   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_85'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_85' >Select the option that best describes the type and location of the previous school<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_1_85' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Public School in NJ' >Public School in NJ<\/option><option value='Non-Public School in NJ' >Non-Public School in NJ<\/option><option value='Public or Non-Publc School outside of NJ' >Public or Non-Publc School outside of NJ<\/option><option value='Public or Non-Public School outside of USA' >Public or Non-Public School outside of USA<\/option><\/select><\/div><\/li><li id='field_1_56'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_56' >Previous School Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_56' id='input_1_56' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_57'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_57' >Previous School Fax<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_57' id='input_1_57' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_58'  class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Previous School Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_1_58' >\n                         <span class='ginput_full address_line_1' id='input_1_58_1_container' >\n                                        <label for='input_1_58_1' id='input_1_58_1_label' >Street Address<\/label>\n                                        <input type='text' name='input_58.1' id='input_1_58_1' value=''    \/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_1_58_2_container' >\n                                        <label for='input_1_58_2' id='input_1_58_2_label' >Address Line 2<\/label>\n                                        <input type='text' name='input_58.2' id='input_1_58_2' value=''   \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_58_3_container' >\n                                    <label for='input_1_58_3' id='input_1_58_3_label' >City<\/label>\n                                    <input type='text' name='input_58.3' id='input_1_58_3' value=''    \/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_58_4_container' >\n                                        <label for='input_1_58_4' id='input_1_58_4_label' >State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_58.4' id='input_1_58_4' value=''      \/>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_58_5_container' >\n                                    <label for='input_1_58_5' id='input_1_58_5_label' >ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_58.5' id='input_1_58_5' value=''    \/>\n                                <\/span><span class='ginput_right address_country' id='input_1_58_6_container' >\n                                        <label for='input_1_58_6' id='input_1_58_6_label' >Country<\/label>\n                                        <select name='input_58.6' id='input_1_58_6'   ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_89'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above gfield_visibility_visible' ><p style=\"font-style:italic;font-size:small;color: gray;margin-top:20px\">Click the \"Next\" button below to move to the next page (Certification and Consent Information)<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_60' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_60' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_1_8_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_8' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_8' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_64'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name of the Person Submitting this Form<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_64'>\n                            \n                            <span id='input_1_64_3_container' class='name_first' >\n                                                    <label for='input_1_64_3' >First<\/label>\n                                                    <input type='text' name='input_64.3' id='input_1_64_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_64_6_container' class='name_last' >\n                                                            <label for='input_1_64_6' >Last<\/label>\n                                                            <input type='text' name='input_64.6' id='input_1_64_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_1_82'  class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Email of the Person Submitting this Form<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_1_82_container'>\n                                <span id='input_1_82_1_container' class='ginput_left'>\n                                    <label for='input_1_82'>Enter Email<\/label>\n                                    <input class='' type='text' name='input_82' id='input_1_82' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                <\/span>\n                                <span id='input_1_82_2_container' class='ginput_right'>\n                                    <label for='input_1_82_2' >Confirm Email<\/label>\n                                    <input class='' type='text' name='input_82_2' id='input_1_82_2' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                       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