{"id":2735,"date":"2021-03-15T23:52:48","date_gmt":"2021-03-16T03:52:48","guid":{"rendered":"https:\/\/cmhwc.com\/new\/?page_id=2735"},"modified":"2021-03-17T11:02:13","modified_gmt":"2021-03-17T15:02:13","slug":"job-application","status":"publish","type":"page","link":"https:\/\/cmhwc.com\/index.php\/job-application\/","title":{"rendered":"Job Application"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]<style type=\"text\/css\">#nex-forms{display:none;}<\/style><div id=\"nf_form_29309\">\r\n\t\t\t\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-spinner div:after {background: #40C4FF; }\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-grid div {background: #40C4FF; }\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-ellipsis div { background: #40C4FF;}\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-default div {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-roller div:after {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-heart div,\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-heart div:after,\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-heart div:before {background: #40C4FF;}\r\n\t\r\n\t\t\t\t\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-facebook div {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-circle > div {background: #40C4FF;}\r\n\t\t\t\t\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-dual-ring:after {border: 6px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-ring div {border: 8px solid #40C4FF;border-color: #40C4FF transparent transparent transparent;}\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-hourglass:after {border: 32px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t\t#nex-forms.employment_application_form .nf-loader-lds-ripple div {border: 4px solid #40C4FF;}\r\n\t\t\t<\/style>\r\n\t\t\t\r\n\t\t\t\r\n\t\t\t<div id=\"nex-forms\" data-loader=\"ellipsis\" data-msg-hide-form=\"yes\" data-msg-position=\"top\" data-msg-placement=\"outside\"  class=\"nex-forms employment_application_form  \"><div class=\"pre_fill_fields\"><\/div><div class=\"set_form_theme theme-base\"><div class=\"nex_success_message msg_top msgv2 animated hidden\" style=\"display:none;\"><div class=\"nex_success_message_container\" style=\"background: #fff; box-shadow: #00000033 0px 7px 16px 0px; border-radius: 4px; padding: 30px; border-color:#ddd;\"><div class=\"msg_text\"><div class=\"form_field all_fields icon html_fields wow bounceInUp\" data-settings=\".s-icon\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_21501\" data-animation-name=\"bounceInUp\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"icon_container_wrapper icon_center\">\n\t\t\t\t\t\t\t\t  <div class=\"icon_container\" id=\"field_container\" style=\"border-width: 0px; background-color: transparent;\">\n\t\t\t\t\t\t\t\t\t<div class=\"\">\n\t\t\t\t\t\t\t\t\t  <div class=\"input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element icon_element\" style=\"font-size: 50px; color: #8bc34a;\"><span class=\"fas fa-check-circle\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields html html_fields wow fadeInDown\" data-settings=\".s-html\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings, #math-settings\" style=\"margin-bottom: 15px;\" data-animation-name=\"fadeInDown\" data-wow-delay=\"0.5s\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t  <div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t\t  <div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Thank you for filling out our online employment application.  We will be in touch.<\/div>\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both;\"><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div data-timer-start=\"1\" data-timer-end=\"0\" class=\"inner-canvas-container ui-nex-forms-container ui-nex-forms-container-fe  bootstrap\" id=\"ui-nex-forms-container-3\"  ><div class=\"current_step\" style=\"display:none;\">1<\/div><div class=\"last_visited_step\" style=\"display:none;\">1<\/div><div class=\"nex-forms-header-footer nex-forms-header timer_inline timer_right \"><\/div><div id=\"the_plugin_url\" style=\"display:none;\">https:\/\/cmhwc.com\/wp-content\/plugins\/nex-forms<\/div><div id=\"nf_save_form_progress\" style=\"display:none;\">false<\/div><div id=\"confirmation_page\" class=\"confirmation_page\" style=\"display:none;\"><\/div><div id=\"on_form_submmision\" class=\"on_form_submmision\" style=\"display:none;\">message<\/div><div class=\"hidden\" id=\"nf_ajax_url\" style=\"display:none;\">https:\/\/cmhwc.com\/wp-admin\/admin-ajax.php<\/div><div class=\"hidden\" id=\"paypal_return_url\" style=\"display:none;\">https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/pages\/2735<\/div><div class=\"hidden\" id=\"ms_scroll_to_top\" style=\"display:none;\">yes<\/div><div class=\"v7_container form_type_normal   \" style=\"padding: 0px;\"><div class=\"current_field_on_focus\" style=\"display:none\">1<\/div><form id=\"3\" class=\"submit-nex-form nex-forms-3\" data-form-id=\"3\" name=\"nex_form\" action=\"https:\/\/cmhwc.com\/wp-admin\/admin-ajax.php\" method=\"post\" enctype=\"multipart\/form-data\"><div class=\"step_transition_in\" style=\"display:none;\">fadeIn<\/div><div class=\"step_transition_out\" style=\"display:none;\">fadeOut<\/div><input type=\"hidden\" name=\"nex_forms_Id\" value=\"3\"><input type=\"hidden\" name=\"page\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/2735\"><input type=\"hidden\" name=\"ip\" value=\"216.73.216.2\"><input type=\"hidden\" name=\"nf_page_id\" value=\"2735\"><input type=\"hidden\" name=\"nf_page_title\" value=\"Job Application\"><input type=\"text\" name=\"company_url\" value=\"\" placeholder=\"enter company url\" class=\"form-control req\">\n\t\t\t\t\t\t\t<div class=\"form_field hidden\" style=\"\" data-id=\"_11256\" id=\"_11256\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" style=\"position: relative; top: 0px;\" data-settings-tabs=\"#input-settings, #animation-settings\" data-settings=\".s-headings\" data-id=\"_70382\" id=\"_70382\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h3 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_center\"><br>CMHWC Employment Application<br><br><\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 50px;\" data-id=\"_23835\" id=\"_23835\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Positions Appling For (you may select more than one) <\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__administrative_assistant\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__administrative_assistant\" value=\"Administrative Assistant\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Administrative Assistant<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__clinical_director\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__clinical_director\" value=\"Clinical Director\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Clinical Director<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__clinical_supervisor\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__clinical_supervisor\" value=\"Clinical Supervisor\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Clinical Supervisor<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__community_support_program_worker_csp\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__community_support_program_worker_csp\" value=\"Community Support Program Worker (CSP)\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Community Support Program Worker (CSP)<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__master\u2019s_level_clinician_iht\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__master\u2019s_level_clinician_iht\" value=\"Master\u2019s Level Clinician (IHT)\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Master\u2019s Level Clinician (IHT)<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__master\u2019s_level_clinician_outpatient\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__master\u2019s_level_clinician_outpatient\" value=\"Master\u2019s Level Clinician (Outpatient)\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Master\u2019s Level Clinician (Outpatient)<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__recovery_specialist\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__recovery_specialist\" value=\"Recovery Specialist\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Recovery Specialist<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__therapeutic_mentor\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__therapeutic_mentor\" value=\"Therapeutic Mentor\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Therapeutic Mentor<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"positions_appling_for_you_may_select_more_than_one__therapeutic_training_and_support\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"positions_appling_for_you_may_select_more_than_one_[]\" id=\"positions_appling_for_you_may_select_more_than_one__therapeutic_training_and_support\" value=\"Therapeutic Training and Support\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Therapeutic Training and Support<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_56151\" id=\"_56151\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_56151 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields name preset_fields required has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_738\" id=\"_738\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-2\"><label class=\"nf_title \"><span class=\"the_label\">*Firstname<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-user\"><\/span><\/span><input type=\"text\" name=\"firstname_\" class=\"error_message required form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" style=\"background-position: left 0%; font-size: 15px;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_56151 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields name preset_fields required has_prefix_icon moving_batch\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_60275\" id=\"_60275\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-2\"><label class=\"nf_title \"><span class=\"the_label\">*Lastname<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-user\"><\/span><\/span><input type=\"text\" name=\"lastname_\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_82709\" id=\"_82709\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_82709 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields email email preset_fields required has_prefix_icon\" data-settings=\".s-text, .s-v-text\" style=\"position: relative; top: 0px;\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" data-id=\"_95358\" id=\"_95358\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-2\"><label class=\"nf_title \"><span class=\"the_label\">*Email<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-envelope\"><\/span><\/span><input type=\"text\" name=\"email_\" class=\"error_message required email form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_82709 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields phone_number phone_number preset_fields required has_prefix_icon\" data-settings=\".s-text, .s-v-text\" style=\"position: relative; top: 0px;\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" data-id=\"_36437\" id=\"_36437\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-2\"><label class=\"nf_title \"><span class=\"the_label\">*Phone <\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"phone_\" class=\"error_message required phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_1376\" id=\"_1376\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-1\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-11\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_64488\" id=\"_64488\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_64488 col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_34228\" id=\"_34228\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-3\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">City<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"city_\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_64488 col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields select common_fields selection_fields\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_17128\" id=\"_17128\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-3\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">State<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><select name=\"state_\" class=\"the_input_element error_message text pre-format form-control aling_left align_left\" data-content=\"Required\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\"><option value=\"0\" selected=\"selected\">--- Select ---<\/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=\"Florida\">Florida<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Hawaii\">Hawaii<\/option><option value=\"Idaho\">Idaho<\/option><option value=\"Illinois\">Illinois<\/option><option value=\"Indiana\">Indiana<\/option><option value=\"Iowa\">Iowa<\/option><option value=\"Kansas\">Kansas<\/option><option value=\"Kentucky\">Kentucky<\/option><option value=\"Louisiana\">Louisiana<\/option><option value=\"Maine\">Maine<\/option><option value=\"Maryland\">Maryland<\/option><option value=\"Massachusetts\">Massachusetts<\/option><option value=\"Michigan\">Michigan<\/option><option value=\"Minnesota\">Minnesota<\/option><option value=\"Mississippi\">Mississippi<\/option><option value=\"Missouri\">Missouri<\/option><option value=\"Montana\">Montana<\/option><option value=\"Nebraska\">Nebraska<\/option><option value=\"Nevada\">Nevada<\/option><option value=\"New Hampshire\">New Hampshire<\/option><option value=\"New Jersey\">New Jersey<\/option><option value=\"New Mexico\">New Mexico<\/option><option value=\"New York\">New York<\/option><option value=\"North Carolina\">North Carolina<\/option><option value=\"North Dakota\">North Dakota<\/option><option value=\"Ohio\">Ohio<\/option><option value=\"Oklahoma\">Oklahoma<\/option><option value=\"Oregon\">Oregon<\/option><option value=\"Pennsylvania\">Pennsylvania<\/option><option value=\"Rhode Island\">Rhode Island<\/option><option value=\"South Carolina\">South Carolina<\/option><option value=\"South Dakota\">South Dakota<\/option><option value=\"Tennessee\">Tennessee<\/option><option value=\"Texas\">Texas<\/option><option value=\"Utah\">Utah<\/option><option value=\"Vermont\">Vermont<\/option><option value=\"Virginia\">Virginia<\/option><option value=\"Washington\">Washington<\/option><option value=\"West Virginia\">West Virginia<\/option><option value=\"Wisconsin\">Wisconsin<\/option><option value=\"Wyoming\">Wyoming<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_64488 col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_2509\" id=\"_2509\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Zip <\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"zip_\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_33136\" id=\"_33136\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_33136 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_39456\" id=\"_39456\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Date Of Birth<\/span><small class=\"sub-text style_italic\" style=\"font-size: 11px; margin-bottom: 0px;\">Date<\/small><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"date_of_birth\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background:  0% 0% \/ cover white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_33136 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"panel-default\"><div class=\"panel-body\" style=\"\"><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_97098\" id=\"_97098\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_97098 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_11819\" id=\"_11819\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Available<\/span><small class=\"sub-text style_italic\" style=\"font-size: 11px; margin-bottom: 0px;\">Date<\/small><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"available\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background:  0% 0% \/ cover white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_97098 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; left: 0px;\" data-id=\"_39956\" id=\"_39956\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Salary<\/span><small class=\"sub-text style_italic\">Desired<\/small><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-dollar-sign\"><\/span><\/span><input type=\"text\" name=\"salary\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_22256\" id=\"_22256\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_22256 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields radio-group common_fields selection_fields required is_arrow for_rule__99850\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_67220\" id=\"_67220\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-6\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Are you a citizens of the United States?<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"the-radios input_container error_message col-sm-6\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"are_you_a_citizens_of_the_united_states_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"are_you_a_citizens_of_the_united_states\" id=\"are_you_a_citizens_of_the_united_states_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline\" for=\"are_you_a_citizens_of_the_united_states_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"are_you_a_citizens_of_the_united_states\" id=\"are_you_a_citizens_of_the_united_states_no\" value=\"No\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_22256 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields radio-group common_fields selection_fields is_target for_rule__99850 hidden\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; display: none;\" data-id=\"_99850\" id=\"_99850\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-7\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Are you authorized to work in the United States?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-5\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"are_you_authorized_to_work_in_the_united_states_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"are_you_authorized_to_work_in_the_united_states\" id=\"are_you_authorized_to_work_in_the_united_states_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"are_you_authorized_to_work_in_the_united_states_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"are_you_authorized_to_work_in_the_united_states\" id=\"are_you_authorized_to_work_in_the_united_states_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider html_fields\" data-settings=\".s-divider\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 30px; position: relative; top: 0px;\" data-id=\"_41488\" id=\"_41488\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 0px 0px 3px;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px; position: relative; left: 0px; top: 0px;\" data-id=\"_3555\" id=\"_3555\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"padding-bottom: 0px; padding-top: 15px;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-size: 21px;\">EDUCATION<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_32637\" id=\"_32637\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_32637 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_19541\" id=\"_19541\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">High School<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_3361\" id=\"_3361\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"high_school_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_67139\" id=\"_67139\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"high_school_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_58998\" id=\"_58998\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"high_school_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_29080\" id=\"_29080\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"high_school_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_62013\" id=\"_62013\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Did you graduate?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"high_school_graduate\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"high_school_graduate\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_50316\" id=\"_50316\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Dipolma<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"high_school_dipolma\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_32637 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_87977\" id=\"_87977\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default \"><div class=\"panel-heading\">College<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_89015\" id=\"_89015\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college1_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_67813\" id=\"_67813\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college1_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_59559\" id=\"_59559\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"college1_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_56802\" id=\"_56802\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"college1_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_92701\" id=\"_92701\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Did you graduate?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"college1_graduate\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"college1_graduate\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_70046\" id=\"_70046\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Dipolma<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college1_dipolma\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_99428\" id=\"_99428\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_99428 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_78249\" id=\"_78249\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default \"><div class=\"panel-heading\">College<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_79920\" id=\"_79920\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college2_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_89255\" id=\"_89255\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college2_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_15318\" id=\"_15318\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"college2_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_84852\" id=\"_84852\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"college2_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_16167\" id=\"_16167\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Did you graduate?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"college2_graduate\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"college2_graduate\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_77153\" id=\"_77153\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Dipolma<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college2_dipolma\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_99428 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_58536\" id=\"_58536\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">College<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; left: 0px;\" data-id=\"_27591\" id=\"_27591\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college3_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_44164\" id=\"_44164\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college3_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_8467\" id=\"_8467\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"college3_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_52863\" id=\"_52863\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"college3_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_98661\" id=\"_98661\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Did you graduate?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"college3_graduate\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"college3_graduate\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_12741\" id=\"_12741\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Dipolma<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"college3_dipolma\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider html_fields\" data-settings=\".s-divider\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 30px; position: relative; top: 0px; margin-top: 30px;\" data-id=\"_45672\" id=\"_45672\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 0px 0px 3px;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_63874\" id=\"_63874\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"padding-bottom: 0px; padding-top: 15px;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-size: 21px;\">REFERENCES<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_68746\" id=\"_68746\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_68746 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_33054\" id=\"_33054\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">Reference #1<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_74326\" id=\"_74326\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"reference1_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_23037\" id=\"_23037\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-exchange-alt\"><\/span><\/span><input type=\"text\" name=\"reference1_relationship\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_67381\" id=\"_67381\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"reference1_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_20962\" id=\"_20962\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"reference1_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_63778\" id=\"_63778\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Email<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fas fa-envelope\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference1_email\" class=\"error_message email form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_60428\" id=\"_60428\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference1_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_68746 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_88030\" id=\"_88030\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default \"><div class=\"panel-heading\">Reference #2<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_49552\" id=\"_49552\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"reference2_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_70985\" id=\"_70985\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-exchange-alt\"><\/span><\/span><input type=\"text\" name=\"reference2_relationship\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_67632\" id=\"_67632\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"reference2_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_78358\" id=\"_78358\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"reference2_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_63191\" id=\"_63191\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Email<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fas fa-envelope\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference2_email\" class=\"error_message email form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_83971\" id=\"_83971\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference2_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_77404\" id=\"_77404\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_77404 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_48068\" id=\"_48068\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">Reference #3<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_19914\" id=\"_19914\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"reference3_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_85728\" id=\"_85728\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-exchange-alt\"><\/span><\/span><input type=\"text\" name=\"reference3_relationship\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_70281\" id=\"_70281\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"reference3_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_30349\" id=\"_30349\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"reference3_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_60768\" id=\"_60768\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Email<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fas fa-envelope\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference3_email\" class=\"error_message email form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_45657\" id=\"_45657\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference3_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_77404 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px; left: 0px;\" data-id=\"_49307\" id=\"_49307\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">Reference #4 (optional)<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_67243\" id=\"_67243\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"reference4_name\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_9059\" id=\"_9059\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-exchange-alt\"><\/span><\/span><input type=\"text\" name=\"reference4_relationship\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_19109\" id=\"_19109\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"reference4_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_43822\" id=\"_43822\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"reference4_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_37415\" id=\"_37415\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Email<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fas fa-envelope\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference4_email\" class=\"error_message email form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_35112\" id=\"_35112\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"reference4_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider html_fields\" data-settings=\".s-divider\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 30px; position: relative; top: 0px; margin-top: 30px;\" data-id=\"_31203\" id=\"_31203\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 0px 0px 3px;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_22927\" id=\"_22927\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"padding-bottom: 0px; padding-top: 15px;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-size: 21px;\">PREVIOUS EMPLOYEMENT<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_22089\" id=\"_22089\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_22089 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_3251\" id=\"_3251\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">Previous Employment #1<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_32275\" id=\"_32275\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"employment1_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_18834\" id=\"_18834\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"employment1_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_57385\" id=\"_57385\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment1_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_7051\" id=\"_7051\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Supervisor<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"employment1_supervisor\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_65751\" id=\"_65751\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment1_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_52441\" id=\"_52441\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment1_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields\" data-settings=\".s-text, .s-texarea, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_45326\" id=\"_45326\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Reason for leaving?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"employment1_reason_for_leaving\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_80565\" id=\"_80565\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">May we contact Supervisor?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment1_contactsupervisor\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment1_contactsupervisor\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_22089 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_98387\" id=\"_98387\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">Previous Employment #2<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_96048\" id=\"_96048\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"employment2_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_38728\" id=\"_38728\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"employment2_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_64782\" id=\"_64782\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment2_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_70381\" id=\"_70381\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Supervisor<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"employment2_supervisor\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_20688\" id=\"_20688\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment2_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_90896\" id=\"_90896\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment2_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields\" data-settings=\".s-text, .s-texarea, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_50534\" id=\"_50534\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Reason for leaving?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"employment2_reason_for_leaving\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_34536\" id=\"_34536\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">May we contact Supervisor?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment2_contact_supervisor\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment2_contact_supervisor\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_38947\" id=\"_38947\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_38947 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_22128\" id=\"_22128\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">Previous Employment #3<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_92705\" id=\"_92705\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"employment3_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_17272\" id=\"_17272\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"employment3_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_34242\" id=\"_34242\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment3_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_41362\" id=\"_41362\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Supervisor<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"employment3_supervisor\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_44642\" id=\"_44642\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment3_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_75696\" id=\"_75696\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment3_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields\" data-settings=\".s-text, .s-texarea, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_71616\" id=\"_71616\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Reason for leaving?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"employment3_reason_for_leaving\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_55158\" id=\"_55158\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">May we contact Supervisor?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment3_may_we_contact_supervisor\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment3_may_we_contact_supervisor\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_38947 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"other-elements is_panel has_prefix_icon is_grid\" data-settings=\".s-panel\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-top: 20px;\" data-id=\"_15800\" id=\"_15800\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default\"><div class=\"panel-heading\">Previous Employment #4<\/div><div class=\"panel-body the-panel-body\" style=\"\"><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_59115\" id=\"_59115\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Company<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-building\"><\/span><\/span><input type=\"text\" name=\"employment4_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_43037\" id=\"_43037\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Address<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-map-signs\"><\/span><\/span><input type=\"text\" name=\"employment4_address\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields has_prefix_icon\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_62177\" id=\"_62177\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment4_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_84041\" id=\"_84041\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Supervisor<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-user\"><\/span><\/span><input type=\"text\" name=\"employment4_supervisor\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_16146\" id=\"_16146\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment4_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_61616\" id=\"_61616\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"employment4_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields\" data-settings=\".s-text, .s-texarea, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_8690\" id=\"_8690\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Reason for leaving?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"employment4_reason_for_leaving\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_57371\" id=\"_57371\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let align_left col-sm-5\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">May we contact Supervisor?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-7\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"did_you_graduate_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment4_may_we_contact_supervisor\" id=\"did_you_graduate_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"did_you_graduate_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"employment4_may_we_contact_supervisor\" id=\"did_you_graduate_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider html_fields\" data-settings=\".s-divider\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 30px; position: relative; top: 0px; margin-top: 30px;\" data-id=\"_14342\" id=\"_14342\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 0px 0px 3px;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_86782\" id=\"_86782\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"padding-bottom: 0px; padding-top: 15px;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-size: 21px;\">MILITARY SERVICES<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_43797\" id=\"_43797\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_43797 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_98518\" id=\"_98518\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Branch<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"military_branch\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_43021\" id=\"_43021\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Rank<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><input type=\"text\" name=\"military_rank\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_53635\" id=\"_53635\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Discharge<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><select name=\"military_discharge\" class=\"the_input_element error_message text pre-format form-control aling_left align_left\" data-content=\"Required\" style=\"font-size: 15px; color: #9e9e9e; background: #ffffff; border-color: #dddddd; border-width: 2px;\" data-default-selected-value=\"0\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"honorable discharge\">honorable discharge<\/option><option value=\"general discharge under honorable conditions\">general discharge under honorable conditions<\/option><option value=\"other than honorable (OTH) discharge\">other than honorable (OTH) discharge<\/option><option value=\"bad conduct discharge\">bad conduct discharge<\/option><option value=\"dishonorable discharge\">dishonorable discharge<\/option><option value=\"entry-level separation\">entry-level separation<\/option><option value=\"medical separation\">medical separation<\/option><option value=\"separation for convenience of the government.\">separation for convenience of the government.<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_43797 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_56263\" id=\"_56263\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">From<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"military_from\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_10974\" id=\"_10974\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-2\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">To<\/span><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"military_to\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider html_fields\" data-settings=\".s-divider\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 50px; position: relative; top: 0px; margin-top: 30px;\" data-id=\"_19767\" id=\"_19767\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 0px 0px 3px;\"><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-1 has_postfix_icon has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_67836\" id=\"_67836\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_67836 col-sm-12 grid-target-0\" data-grid-width=\"12\" data-grid-num=\"0\"><div class=\"form_field all_fields upload-single upload_fields has_postfix_icon\" data-settings=\".s-upload-file, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" data-id=\"_62995\" style=\"position: relative; top: 0px;\" id=\"_62995\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-2\"><label class=\"nf_title \"><span class=\"the_label\">Upload your resume<\/span><small class=\"sub-text style_italic\">format in .pdf, .doc or .docx<\/small><\/label><\/div><div class=\"input_container col-sm-10\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\"><input type=\"hidden\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element form-control aling_left uneditable-input span3 error_message\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\" name=\"upload_your_resume\"><i class=\"glyphicon glyphicon-file fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"input-group-addon btn-default btn-file postfix\"><span class=\"fa fa-cloud-upload\"><\/span><input type=\"file\" name=\"upload_your_resume\" class=\"the_input_element\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"input-group-addon btn btn-default fileinput-exists\" data-dismiss=\"fileinput\"><span class=\"fa fa-close\"><\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none;\">doc\ndocx\npdf<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_75173\" id=\"_75173\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Disclaimer and Signature<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"check_boxes_i_certify_that_my_answers_are_true_and_complete_to_the_best_of_my_knowledge_if_this_application_leads_to_employment_i_understand_that_false_or_misleading_information_in_my_application_or_interview_may_result_in_my_release\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element required\" type=\"checkbox\" name=\"disclaimer_and_signature[]\" id=\"check_boxes_i_certify_that_my_answers_are_true_and_complete_to_the_best_of_my_knowledge_if_this_application_leads_to_employment_i_understand_that_false_or_misleading_information_in_my_application_or_interview_may_result_in_my_release\" value=\"I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label check-label\">I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"\" data-id=\"_50328\" id=\"_50328\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_50328 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields name preset_fields required has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_81711\" id=\"_81711\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Name<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix \" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fas fa-user\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"signature_name\" class=\"error_message required form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_50328 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields date special_fields has_prefix_icon required\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_94110\" id=\"_94110\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Date<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"signature_date\" class=\"error_message form-control the_input_element aling_left align_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-1 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px;\" data-id=\"_52213\" id=\"_52213\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_52213 col-sm-12 grid-target-0\" data-grid-width=\"12\" data-grid-num=\"0\"><div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; top: 0px; margin-bottom: 50px; margin-top: 30px;\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" data-settings=\".s-submit\" data-id=\"_53012\" id=\"_53012\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"nex-submit svg_ready the_input_element btn btn-default col-sm-12\" data-ga=\"\" style=\"background-color: #e5e5e5;\">Submit Application<\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/form><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\">.job_application_head {\n    margin-top: -46px;\n}<\/style>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2735","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/pages\/2735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/comments?post=2735"}],"version-history":[{"count":12,"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/pages\/2735\/revisions"}],"predecessor-version":[{"id":2829,"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/pages\/2735\/revisions\/2829"}],"wp:attachment":[{"href":"https:\/\/cmhwc.com\/index.php\/wp-json\/wp\/v2\/media?parent=2735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}