{"id":92050,"date":"2020-03-27T16:05:06","date_gmt":"2020-03-27T21:05:06","guid":{"rendered":"https:\/\/urbanleaguela.org\/?page_id=92050"},"modified":"2023-04-18T11:14:32","modified_gmt":"2023-04-18T16:14:32","slug":"virtual-job","status":"publish","type":"page","link":"https:\/\/urbanleaguela.org\/virtual-job\/","title":{"rendered":"Virtual Job"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_fullwidth_slider use_bg_overlay=&#8221;off&#8221; admin_label=&#8221;SECOND CHANCE&#8221; _builder_version=&#8221;4.20.4&#8243; background_position=&#8221;top_center&#8221; min_height=&#8221;511px&#8221; custom_padding=&#8221;1px||2px|||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_slide admin_title=&#8221;Second Chance&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/urbanleaguela.org\/wp-content\/uploads\/2023\/04\/Second-Chance_Hero-Image.png&#8221; background_enable_image=&#8221;on&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_transition=&#8221;on&#8221; title_text=&#8221;Second Chance_Hero Image&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_slide][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_fullwidth_menu menu_id=&#8221;13&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; mobile_menu_bg_color=&#8221;#000000&#8243; module_id=&#8221;sticky&#8221; _builder_version=&#8221;4.20.4&#8243; menu_font=&#8221;Lato|on|||&#8221; menu_text_color=&#8221;#ffffff&#8221; menu_font_size=&#8221;16px&#8221; menu_letter_spacing=&#8221;1px&#8221; background_color=&#8221;#000000&#8243; text_orientation=&#8221;center&#8221; background_layout=&#8221;dark&#8221; hover_enabled=&#8221;0&#8243; menu_font_size_tablet=&#8221;&#8221; menu_font_size_phone=&#8221;16px&#8221; menu_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_fullwidth_menu][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(244,252,245,0.47)&#8221; custom_padding=&#8221;5px||8px|||&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;details&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;15px|0px|0px|0px&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|10px||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.20.4&#8243; text_font=&#8221;Lato||||||||&#8221; text_font_size=&#8221;24px&#8221; text_line_height=&#8221;1.4em&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Urban League of Louisiana&#8217;s Office of Workforce Development is continuing to address the critical need to fill vacant positions for our employer partners. We collaborate with employers to help create ongoing pipelines of skilled candidates to fill immediate roles.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; module_id=&#8221;registerjob&#8221; _builder_version=&#8221;4.20.4&#8243; background_color=&#8221;#16123F&#8221; custom_padding=&#8221;15px|0px|0px|0px&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;26px||2px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|10px||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;31px&#8221; text_line_height=&#8221;1.4em&#8221; background_layout=&#8221;dark&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>JOB SEEKER REGISTRATION<\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;19px&#8221; text_line_height=&#8221;1.4em&#8221; background_layout=&#8221;dark&#8221; min_height=&#8221;49px&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>STEP ONE: Please complete the form below.<\/p>\n<p>STEP TWO: Immediately after hitting the submit button, you will be redirected to Part 2 of registration on our virtual fair site.\u00a0 \u00a0You will receive a confirmation by email once you complete the registration.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.20.4&#8243; background_color=&#8221;#16123F&#8221; custom_padding=&#8221;0px||7px|||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; 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.form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"1\" data-id=\"69\" class=\"fc-form fc-form-69 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left  \" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field111\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field111 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 >JUSTICE-INVOLVED<span id=\"selectionBoundary_1619269779760_5009319715451069\" class=\"rangySelectionBoundary\">\ufeff<\/span> <span id=\"selectionBoundary_1619269736748_3188925770520097\" class=\"rangySelectionBoundary\">\ufeff<\/span>INFO:<span id=\"selectionBoundary_1619269726597_12314965863031668\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269719951_7893047327796621\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269711976_07979096854682144\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269704047_6392473680413855\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269695719_07431525114330373\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269684585_7602702174881307\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269669553_4096803480712843\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269637918_8823387530539873\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269627470_8677315329486398\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269648165_33257370000653663\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269658619_38692835234664136\" class=\"rangySelectionBoundary\">\ufeff<\/span><\/h3><\/div><input type=\"hidden\" name=\"field111\" data-field-id=\"field111\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field107\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field107 options-false form-element-1 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you have ever been incarcerated, please list facility<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field107\" name=\"field107[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field101\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field101 options-false form-element-2 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please list DOC #:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field101\" name=\"field101[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field100\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field100 options-false form-element-3 default-false form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you on parole?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field100\" type=\"radio\" data-is-required=\"false\" name=\"field100[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field100\" type=\"radio\" data-is-required=\"false\" name=\"field100[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field103\" data-index=\"4\" style=\"width: 100%\" class=\" form-element form-element-field103 options-false form-element-4 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the facility you were released from:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field103\" name=\"field103[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field108\" data-index=\"5\" style=\"width: 100%\" class=\" even form-element form-element-field108 options-false form-element-5 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the DOC#:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field108\" name=\"field108[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field104\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field104 options-false form-element-6 default-false form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you on probation?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field104\" type=\"radio\" data-is-required=\"false\" name=\"field104[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field104\" type=\"radio\" data-is-required=\"false\" name=\"field104[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field105\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field105 options-false form-element-7 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the Parish were you supervised in:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field105\" name=\"field105[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field109\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field109 options-false form-element-8 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the DOC #:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field109\" name=\"field109[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field23\" data-index=\"9\" style=\"width: 50\" class=\" even form-element form-element-field23 options-false form-element-9 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Prefix<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field23\" name=\"field23\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Mr.\" class=\" \">Mr.<\/option><option value=\"Ms.\" class=\" \">Ms.<\/option><option value=\"Mrs.\" class=\" \">Mrs.<\/option><option value=\"Dr.\" class=\" \">Dr.<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"10\" style=\"width: 35\" class=\" form-element form-element-field6 options-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"11\" style=\"width: 35\" class=\" even form-element form-element-field8 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"12\" style=\"width: 50\" class=\" form-element form-element-field9 options-false form-element-12 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field93\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field93 options-false form-element-13 default-false form-element-type-email is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field93\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field93\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-14 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Date of birth:<\/span><\/span><span class=\"sub-label\"><span >Please format 00\/00\/0000<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field25\" name=\"field25[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field81\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field81 options-false form-element-15 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Gender<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field81\" name=\"field81\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Female \" class=\" \">Female <\/option><option value=\"Male \" class=\" \">Male <\/option><option value=\"Non-binary\/third gender\" class=\" \">Non-binary\/third gender<\/option><option value=\"Prefer to self-describe\" class=\" \">Prefer to self-describe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field82\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field82 options-false form-element-16 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Ethnicity<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field82\" name=\"field82\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"African American \" class=\" \">African American <\/option><option value=\"Asian \" class=\" \">Asian <\/option><option value=\"Caucasian\" class=\" \">Caucasian<\/option><option value=\"Hispanic Latino \" class=\" \">Hispanic Latino <\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field56 options-false form-element-17 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Street Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"18\" style=\"width: 33\" class=\" form-element form-element-field26 options-false form-element-18 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field26\" name=\"field26[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"19\" style=\"width: 33\" class=\" even form-element form-element-field27 options-false form-element-19 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"20\" style=\"width: 33\" class=\" form-element form-element-field28 options-false form-element-20 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field83\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field83 options-false form-element-21 default-true form-element-type-textarea is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you selected 'other', please list below:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field83\" placeholder=\"\" class=\"validation-lenient\" name=\"field83\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field80\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field80 form-element-22 default-false form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Select all the virtual job fair dates you are interested in.<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"checkbox\" data-is-required=\"true\" name=\"field80[]\" value=\"Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023\" class=\"validation-lenient\"><span><span >Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field79\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field79 options-false form-element-23 default-false form-element-type- is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field69\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field69 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a  smart phone with camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field70\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field70 options-false form-element-25 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a computer with internet and camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field90\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field90 options-false form-element-26 default-true form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you a veteran?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field90\" name=\"field90\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Yes\" class=\" \">Yes<\/option><option value=\"No\" class=\" \">No<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field86\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field86 options-false form-element-27 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please enter your military separation date:<\/span><\/span><span class=\"sub-label\"><span >MM\/DD\/YYYY<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field86\" name=\"field86[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field87\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field87 options-false form-element-28 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your rank leaving the miliatry?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field87\" name=\"field87[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field88\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field88 options-false form-element-29 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your job (MOS) in the military?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field88\" name=\"field88[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field89\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field89 options-false form-element-30 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What type of position are you seeking?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field89\" name=\"field89[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field53\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field53 options-false form-element-31 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in homeownership<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"true\" name=\"field53[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"true\" name=\"field53[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"32\" style=\"width: 100%\" class=\" form-element form-element-field55 options-false form-element-32 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Do you have a bank account?<\/span><\/span><span class=\"sub-label\"><span >(This information is only used for statistical purposes and is not shared with a third party)<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"No.\" class=\"validation-lenient\"><span><span >No.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"Yes, I have a checking account.\" class=\"validation-lenient\"><span><span >Yes, I have a checking account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"Yes, I have a savings account.\" class=\"validation-lenient\"><span><span >Yes, I have a savings account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"Yes, I have both checking and savings.\" class=\"validation-lenient\"><span><span >Yes, I have both checking and savings.<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field50\" data-index=\"33\" style=\"width: 100%\" class=\" even form-element form-element-field50 options-false form-element-33 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in learning about  managing your personal finances in the future?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"34\" style=\"width: 100%\" class=\" form-element form-element-field64 options-false form-element-34 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Did you receive your high school diploma or equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"I'm in the process\" class=\"validation-lenient\"><span><span >I'm in the process<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field40\" data-index=\"35\" style=\"width: 100%\" class=\" even form-element form-element-field40 options-false form-element-35 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in working toward your high school equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"36\" style=\"width: 100%\" class=\" form-element form-element-field32 options-false form-element-36 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you currently enrolled in school?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Yes, I'm enrolled in college\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in college<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Yes, I'm enrolled in high school\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in high school<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"37\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-false form-element-37 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What high school are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"38\" style=\"width: 100%\" class=\" form-element form-element-field38 options-false form-element-38 default-true form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Baton Rouge Community College\" class=\" \">Baton Rouge Community College<\/option><option value=\"Delgado Community College\" class=\" \">Delgado Community College<\/option><option value=\"Fletcher Technical Community College\" class=\" \">Fletcher Technical Community College<\/option><option value=\"Northshore Technical Community College\" class=\" \">Northshore Technical Community College<\/option><option value=\"Nunez Community College\" class=\" \">Nunez Community College<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"39\" style=\"width: 100%\" class=\" even form-element form-element-field39 options-false form-element-39 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field39\" name=\"field39[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"40\" style=\"width: 100%\" class=\" form-element form-element-field44 options-false form-element-40 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How did you hear about the virtual job fair?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Facebook\" class=\"validation-lenient\"><span><span >Facebook<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Email\" class=\"validation-lenient\"><span><span >Email<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Twitter\" class=\"validation-lenient\"><span><span >Twitter<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"LinkedIn\" class=\"validation-lenient\"><span><span >LinkedIn<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Word of Mouth\" class=\"validation-lenient\"><span><span >Word of Mouth<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Community organization\" class=\"validation-lenient\"><span><span >Community organization<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Instagram\" class=\"validation-lenient\"><span><span >Instagram<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"41\" style=\"width: 100%\" class=\" even form-element form-element-field59 options-false form-element-41 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 >COVID-19 RELATED QUESTIONS<\/h3><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field78\" data-index=\"42\" style=\"width: 100%\" class=\" form-element form-element-field78 options-false form-element-42 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you receive SNAP benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"43\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-43 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have Heatlh Insurance?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field72\" data-index=\"44\" style=\"width: 100%\" class=\" form-element form-element-field72 options-false form-element-44 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What type of healh insurance do you have?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Private Health Insurance&nbsp; \" class=\"validation-lenient\"><span><span >Private Health Insurance&nbsp; <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Obamacare\/Affordable Care Act&nbsp;\" class=\"validation-lenient\"><span><span >Obamacare\/Affordable Care Act&nbsp;<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Medicaid&nbsp; \" class=\"validation-lenient\"><span><span >Medicaid&nbsp; <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Medicare\" class=\"validation-lenient\"><span><span >Medicare<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"45\" style=\"width: 100%\" class=\" even form-element form-element-field60 options-false form-element-45 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were you laid off because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field66\" data-index=\"46\" style=\"width: 100%\" class=\" form-element form-element-field66 options-false form-element-46 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were your hours reduced because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"47\" style=\"width: 100%\" class=\" even form-element form-element-field65 options-false form-element-47 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you eligible for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field67\" data-index=\"48\" style=\"width: 100%\" class=\" form-element form-element-field67 options-false form-element-48 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Have you had any difficulty applying for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field73\" data-index=\"49\" style=\"width: 100%\" class=\" even form-element form-element-field73 options-false form-element-49 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you have children, do they need help with homework?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field73\" type=\"radio\" data-is-required=\"true\" name=\"field73[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field73\" type=\"radio\" data-is-required=\"true\" name=\"field73[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field74\" data-index=\"50\" style=\"width: 100%\" class=\" form-element form-element-field74 options-false form-element-50 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have sufficient consumer goods (food, water, disinfectant, diapers)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field74\" type=\"radio\" data-is-required=\"true\" name=\"field74[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field74\" type=\"radio\" data-is-required=\"true\" name=\"field74[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field75\" data-index=\"51\" style=\"width: 100%\" class=\" even form-element form-element-field75 options-false form-element-51 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please select the consumer goods needed?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Food\" class=\"validation-lenient\"><span><span >Food<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Water\" class=\"validation-lenient\"><span><span >Water<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Disinfectant\" class=\"validation-lenient\"><span><span >Disinfectant<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Diapers&nbsp; \" class=\"validation-lenient\"><span><span >Diapers&nbsp; <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field77\" data-index=\"52\" style=\"width: 100%\" class=\" form-element form-element-field77 options-false form-element-52 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If other, please list:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field77\" name=\"field77[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field71\" data-index=\"53\" style=\"width: 100%\" class=\" even form-element form-element-field71 options-false form-element-53 default-false form-element-type-fileupload is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >Upload your resume (optional)<\/span><\/span><span class=\"sub-label\"><span >PDFs ONLY PLEASE<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"Upload a PDF of your resume.  REQUIRED!\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >UPLOAD RESUME<\/span><input type=\"file\" data-name-list=\"field71\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" data-min-files=\"0\" data-max-files=\"2\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field84\" data-index=\"54\" style=\"width: 100%\" class=\" form-element form-element-field84 options-false form-element-54 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Media Release Statement  I hereby grant Urban League of Louisiana permission to use my digital image, along with my name, and additional relevant information in all of its advertisements, publications, promotional materials and online platforms, without payment or any other consideration. I understand and agree that these images will become the property of the Urban League of Louisiana and will not be returned. I hereby irrevocably authorize Urban League of Louisiana to edit, alter, copy, exhibit, publish, or distribute these images for purposes of publicizing our workforce programs or for any other lawful purpose related to the work of the Urban League of Louisiana. In addition, I waive the right to inspect or approve the finished products, including written or electronic copy, wherein my image appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the digital images. I hereby hold harmless and release and forever discharge Urban League of Louisiana from all claims, demands, and causes of action which I, my heirs, representatives, executor, administrators, or any other person acting on my behalf or on behalf of my estate may have or may have by reason of this authorization.  I am 18 years of age and am competent to sign this release. I have read this release before signing and I fully understand the contents, meaning, and impact of this release.<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field92\" data-index=\"55\" style=\"width: 100%\" class=\" even form-element form-element-field92 form-element-55 default-false form-element-type-customText is-required-false -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #c1272c !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PLEASE NOTE <\/b>-<i> After hitting submit, you will be taken to <b>PART 2<\/b> of this registration on a different website.&nbsp; You will not be fully registered until you complete part 2 of the registration. <span id=\"selectionBoundary_1653654229149_9726264337855204\" class=\"rangySelectionBoundary\">\ufeff<\/span><\/i><i><span id=\"selectionBoundary_1653654224245_515462294688218\" class=\"rangySelectionBoundary\">\ufeff<\/span>Once on the site, please select \u201cRegister\u201d.<\/i><\/p><p ><i><b><br><\/b><\/i><\/p><p ><i><b><u>PLEASE USE THE SAME EMAIL ADDRESS THAT YOU USED TO COMPLETE THE ABOVE FORM.&nbsp;<\/u><\/b><\/i><\/p><\/div><input type=\"hidden\" name=\"field92\" data-field-id=\"field92\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"56\" style=\"width: 100%\" class=\" form-element form-element-field20 options-false form-element-56 default-false form-element-type-submit is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>[\/et_pb_code][et_pb_code disabled_on=&#8221;on|on|on&#8221; admin_label=&#8221;Virtual Job Fair Employee Form Code&#8221; _builder_version=&#8221;4.20.4&#8243; hover_enabled=&#8221;0&#8243; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<div data-uniq='69a43e6b179f2' class='uniq-69a43e6b179f2 formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[50] = [[[[\"field51\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field72\"]],\"and\"],[[[\"field74\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field75\"],[\"show_fields\",\"field18\"],[\"show_fields\",\"field16\"]],\"and\"],[[[\"field75\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field77\"]],\"and\"],[[[\"\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field19\"]],\"and\"],[[[\"field22\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field30\"]],\"and\"],[[[\"field35\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field40\"]],\"and\"],[[[\"field32\",\"equal_to\",\"Yes, I'm enrolled in college\"]],[[\"show_fields\",\"field38\"]],\"and\"],[[[\"field38\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field39\"]],\"and\"],[[[\"field32\",\"equal_to\",\"Yes, I'm enrolled in high school\"]],[[\"show_fields\",\"field36\"]],\"and\"],[[[\"field44\",\"equal_to\",\"Community organization\"]],[[\"show_fields\",\"field45\"]],\"and\"],[[[\"field45\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field46\"]],\"and\"],[[[\"field22\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field83\"]],\"and\"],[[[\"field49\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field86,field87,field88,field89\"]],\"and\"],[[[\"field94\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field96\"]],\"and\"],[[[\"field102\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field99\"],[\"show_fields\",\"field106\"]],\"and\"],[[[\"field98\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field107\"],[\"show_fields\",\"field101\"]],\"and\"],[[[\"field100\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field103\"],[\"show_fields\",\"field108\"]],\"and\"],[[[\"field104\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field105\"],[\"show_fields\",\"field109\"]],\"and\"],[[[\"field94\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field102,field98,field100,field104\"]],\"and\"],[[[\"field80\",\"equal_to\",\"Walgreens Job Fair - Wednesday, August 11, 2021\"]],[[\"show_fields\",\"field22\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-50 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #a92226;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-50.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #a92226;\n\t\t\t\tbackground: #c1272c;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #a92226 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"1\" data-id=\"50\" class=\"fc-form fc-form-50 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 600 px; color: #666666; font-size: 110%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field114\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field114 options-false form-element-0 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.6em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >VIRTUAL JOB FAIR INTAKE FORM - PART 1<\/span><\/div><input type=\"hidden\" data-field-id=\"field114\" name=\"field114[]\" value=\"VIRTUAL JOB FAIR INTAKE FORM - PART 1\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field92\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field92 options-false form-element-1 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #c1272c !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PLEASE NOTE -<\/b><i><b> After hitting submit, you will be taken to PART 2 of this registration on a different website.&nbsp; You will not be fully registered until you complete part 2 of the registration.<\/b>\u200b<\/i><\/p><\/div><input type=\"hidden\" name=\"field92\" data-field-id=\"field92\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field23\" data-index=\"2\" style=\"width: 50\" class=\" form-element form-element-field23 options-false form-element-2 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Prefix<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field23\" name=\"field23\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Mr.\" class=\" \">Mr.<\/option><option value=\"Ms.\" class=\" \">Ms.<\/option><option value=\"Mrs.\" class=\" \">Mrs.<\/option><option value=\"Dr.\" class=\" \">Dr.<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"3\" style=\"width: 35\" class=\" even form-element form-element-field6 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"4\" style=\"width: 35\" class=\" form-element form-element-field8 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"5\" style=\"width: 50\" class=\" even form-element form-element-field9 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field93\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field93 options-false form-element-6 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field93\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field93\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field25 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Date of birth:<\/span><\/span><span class=\"sub-label\"><span >Please format 00\/00\/0000<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field25\" name=\"field25[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field81\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field81 options-false form-element-8 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Gender<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field81\" name=\"field81\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Female \" class=\" \">Female <\/option><option value=\"Male \" class=\" \">Male <\/option><option value=\"Non-binary\/third gender\" class=\" \">Non-binary\/third gender<\/option><option value=\"Prefer to self-describe\" class=\" \">Prefer to self-describe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field82\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field82 options-false form-element-9 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Ethnicity<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field82\" name=\"field82\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"African American \" class=\" \">African American <\/option><option value=\"Asian \" class=\" \">Asian <\/option><option value=\"Caucasian\" class=\" \">Caucasian<\/option><option value=\"Hispanic Latino \" class=\" \">Hispanic Latino <\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field56 options-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Street Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"11\" style=\"width: 33\" class=\" even form-element form-element-field26 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field26\" name=\"field26[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"12\" style=\"width: 33\" class=\" form-element form-element-field27 options-false form-element-12 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"13\" style=\"width: 33\" class=\" even form-element form-element-field28 options-false form-element-13 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field83\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field83 options-false form-element-14 default-true form-element-type-textarea is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you selected 'other', please list below:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field83\" placeholder=\"\" class=\"validation-lenient\" name=\"field83\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 121.683px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field80\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field80 options-true form-element-15 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Select all the virtual job fair dates you are interested in.<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"checkbox\" data-is-required=\"true\" name=\"field80[]\" value=\"Second Chance Career and Resource Expo For Returning Citizens and Justice Involved Individuals - Wednesday, April 27, 2022\" class=\"validation-lenient\"><span><span >Second Chance Career and Resource Expo For Returning Citizens and Justice Involved Individuals - Wednesday, April 27, 2022<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field22 options-true form-element-16 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >I am interested in jobs in the following industries:<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Retail (Pharmacies\/Grocers)\" class=\"validation-lenient\"><span><span >Retail (Pharmacies\/Grocers)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Food Service (Restaurants)\" class=\"validation-lenient\"><span><span >Food Service (Restaurants)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Transportation\" class=\"validation-lenient\"><span><span >Transportation<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Healthcare\" class=\"validation-lenient\"><span><span >Healthcare<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Hospitality (Food Service)\" class=\"validation-lenient\"><span><span >Hospitality (Food Service)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Construction\" class=\"validation-lenient\"><span><span >Construction<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Administration\" class=\"validation-lenient\"><span><span >Administration<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Technology\" class=\"validation-lenient\"><span><span >Technology<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Oil &amp; Gas\" class=\"validation-lenient\"><span><span >Oil &amp; Gas<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field79\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field79 options-false form-element-17 default-false form-element-type- is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field69\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field69 options-false form-element-18 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a  smart phone with camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field70\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field70 options-false form-element-19 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a computer with internet and camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field90\" data-index=\"20\" style=\"width: 100%\" class=\" form-element form-element-field90 options-false form-element-20 default-true form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you a veteran?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field90\" name=\"field90\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Yes\" class=\" \">Yes<\/option><option value=\"No\" class=\" \">No<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field86\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field86 options-false form-element-21 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please enter your military separation date:<\/span><\/span><span class=\"sub-label\"><span >MM\/DD\/YYYY<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field86\" name=\"field86[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field87\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field87 options-false form-element-22 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your rank leaving the miliatry?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field87\" name=\"field87[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field88\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field88 options-false form-element-23 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your job (MOS) in the military?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field88\" name=\"field88[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field89\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field89 options-false form-element-24 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What type of position are you seeking?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field89\" name=\"field89[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field53\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field53 options-false form-element-25 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in homeownership<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"false\" name=\"field53[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"false\" name=\"field53[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field55 options-false form-element-26 default-true form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Do you have a bank account?<\/span><\/span><span class=\"sub-label\"><span >(This information is only used for statistical purposes and is not shared with a third party)<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"No.\" class=\"validation-lenient\"><span><span >No.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"Yes, I have a checking account.\" class=\"validation-lenient\"><span><span >Yes, I have a checking account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"Yes, I have a savings account.\" class=\"validation-lenient\"><span><span >Yes, I have a savings account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"Yes, I have both checking and savings.\" class=\"validation-lenient\"><span><span >Yes, I have both checking and savings.<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field50\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field50 options-false form-element-27 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in learning about  managing your personal finances in the future?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"false\" name=\"field50[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"false\" name=\"field50[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field64 options-false form-element-28 default-true form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Did you receive your high school diploma or equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"I'm in the process\" class=\"validation-lenient\"><span><span >I'm in the process<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field40\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field40 options-false form-element-29 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in working toward your high school equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field32 options-false form-element-30 default-true form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you currently enrolled in school?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"false\" name=\"field32[]\" value=\"Yes, I'm enrolled in college\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in college<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"false\" name=\"field32[]\" value=\"Yes, I'm enrolled in high school\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in high school<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"false\" name=\"field32[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-false form-element-31 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What high school are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"32\" style=\"width: 100%\" class=\" form-element form-element-field38 options-false form-element-32 default-true form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Baton Rouge Community College\" class=\" \">Baton Rouge Community College<\/option><option value=\"Delgado Community College\" class=\" \">Delgado Community College<\/option><option value=\"Fletcher Technical Community College\" class=\" \">Fletcher Technical Community College<\/option><option value=\"Northshore Technical Community College\" class=\" \">Northshore Technical Community College<\/option><option value=\"Nunez Community College\" class=\" \">Nunez Community College<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"33\" style=\"width: 100%\" class=\" even form-element form-element-field39 options-false form-element-33 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field39\" name=\"field39[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"34\" style=\"width: 100%\" class=\" form-element form-element-field44 options-false form-element-34 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How did you hear about the virtual job fair?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Facebook\" class=\"validation-lenient\"><span><span >Facebook<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Email\" class=\"validation-lenient\"><span><span >Email<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Twitter\" class=\"validation-lenient\"><span><span >Twitter<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"LinkedIn\" class=\"validation-lenient\"><span><span >LinkedIn<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Word of mouth\" class=\"validation-lenient\"><span><span >Word of mouth<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Community organization\" class=\"validation-lenient\"><span><span >Community organization<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Instagram\" class=\"validation-lenient\"><span><span >Instagram<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Urban League Staff\" class=\"validation-lenient\"><span><span >Urban League Staff<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field110\" data-index=\"35\" style=\"width: 100%\" class=\" even form-element form-element-field110 options-false form-element-35 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in learning more about our professional development training program?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field110\" type=\"radio\" data-is-required=\"true\" name=\"field110[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field110\" type=\"radio\" data-is-required=\"true\" name=\"field110[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"36\" style=\"width: 100%\" class=\" form-element form-element-field59 options-false form-element-36 default-true form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 >COVID-19 RELATED QUESTIONS<\/h3><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"37\" style=\"width: 100%\" class=\" even form-element form-element-field60 options-false form-element-37 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were you laid off because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field66\" data-index=\"38\" style=\"width: 100%\" class=\" form-element form-element-field66 options-false form-element-38 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were your hours reduced because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"39\" style=\"width: 100%\" class=\" even form-element form-element-field65 options-false form-element-39 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you eligible for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field67\" data-index=\"40\" style=\"width: 100%\" class=\" form-element form-element-field67 options-false form-element-40 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Have you had any difficulty applying for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field77\" data-index=\"41\" style=\"width: 100%\" class=\" even form-element form-element-field77 options-false form-element-41 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If other, please list:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field77\" name=\"field77[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field71\" data-index=\"42\" style=\"width: 100%\" class=\" form-element form-element-field71 options-false form-element-42 default-false form-element-type-fileupload is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >Upload your resume (optional)<\/span><\/span><span class=\"sub-label\"><span >PDFs ONLY PLEASE<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"Upload a PDF of your resume.  REQUIRED!\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >UPLOAD RESUME<\/span><input type=\"file\" data-name-list=\"field71\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" data-min-files=\"0\" data-max-files=\"2\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field112\" data-index=\"43\" style=\"width: 100%\" class=\" even form-element form-element-field112 options-false form-element-43 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #c1272c !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 ><\/h3><h3 ><b>PLEASE NOTE <\/b>-<i> After hitting submit, you will be taken to <b>PART 2<\/b> of this registration on a different website.&nbsp; You will not be fully registered until you complete part 2 of the registration. \u200b<br><b>Click the REGISTER NOW button to continue registration.<\/b><\/i><\/h3><h3 ><br><\/h3><h3 ><i><b><u>PLEASE USE THE SAME EMAIL ADDRESS THAT YOU USED TO COMPLETE THE ABOVE FORM.&nbsp;<\/u><\/b><\/i><\/h3><\/div><input type=\"hidden\" name=\"field112\" data-field-id=\"field112\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field84\" data-index=\"44\" style=\"width: 100%\" class=\" form-element form-element-field84 options-false form-element-44 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Media Release Statement  I hereby grant Urban League of Louisiana permission to use my digital image, along with my name, and additional relevant information in all of its advertisements, publications, promotional materials and online platforms, without payment or any other consideration. I understand and agree that these images will become the property of the Urban League of Louisiana and will not be returned. I hereby irrevocably authorize Urban League of Louisiana to edit, alter, copy, exhibit, publish, or distribute these images for purposes of publicizing our workforce programs or for any other lawful purpose related to the work of the Urban League of Louisiana. In addition, I waive the right to inspect or approve the finished products, including written or electronic copy, wherein my image appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the digital images. I hereby hold harmless and release and forever discharge Urban League of Louisiana from all claims, demands, and causes of action which I, my heirs, representatives, executor, administrators, or any other person acting on my behalf or on behalf of my estate may have or may have by reason of this authorization.  I am 18 years of age and am competent to sign this release. I have read this release before signing and I fully understand the contents, meaning, and impact of this release.<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"45\" style=\"width: 100%\" class=\" even form-element form-element-field20 options-true form-element-45 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 110%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>[\/et_pb_code][et_pb_text _builder_version=&#8221;4.20.4&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;19px&#8221; text_line_height=&#8221;1.4em&#8221; background_layout=&#8221;dark&#8221; min_height=&#8221;49px&#8221; custom_padding=&#8221;26px|||||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; header_font=&#8221;Lato||||||||&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h1 style=\"text-align: center;\">Having issues with registration?<\/h1>\n<h1 style=\"text-align: center;\">Call <a href=\"tel:5043244444\" target=\"_blank\" rel=\"noopener noreferrer\">(504) 324-4444<\/a><\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; module_id=&#8221;registercompany&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ba030c&#8221; custom_padding=&#8221;15px|0px|0px|0px&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;26px||2px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|10px||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; text_font_size=&#8221;31px&#8221; text_line_height=&#8221;1.4em&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>EMPLOYER REGISTRATION<\/strong><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;19px&#8221; text_line_height=&#8221;1.4em&#8221; background_layout=&#8221;dark&#8221; min_height=&#8221;49px&#8221; hover_enabled=&#8221;0&#8243; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p><em>Employer Registration is now closed.<\/em><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;19px&#8221; text_line_height=&#8221;1.4em&#8221; background_layout=&#8221;dark&#8221; min_height=&#8221;49px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>The Urban League of Louisiana is ready and able to assist you in recruiting workers for your essential industry business.\u00a0 Complete our form below and we will be in touch you within 24 hours or sooner.\u00a0<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ba030c&#8221; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_code _builder_version=&#8221;4.20.4&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<div data-uniq='69a43e6b1da49' class='uniq-69a43e6b1da49 formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[51] = 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Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-51 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #c1272c;\n\t\t\t\tcolor: 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.fc-form.fc-form-51\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"51\" class=\"fc-form fc-form-51 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field28\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field28 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><span style=\"text-align: justify;font-size: 10pt;border: 1pt none windowtext\"><\/span><\/p><div ><div style=\"font-size: 10pt;text-align: center\"><span style=\"font-size: 10pt;text-align: justify\"><\/span><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\"><b style=\"font-size: 13px;text-align: center\">\u200b<\/b><span style=\"text-align: center;font-size: 19.5px;float: none\"><b>CLEAN ENERGY CAREER AND RESOURCE FAIR<\/b><\/span><\/span><\/div><div style=\"text-align: center\"><span style=\"font-size: 19.5px\"><b>Employer Registration<br><\/b><\/span><br><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\">SEPTEMBER 27, 2023 | 10AM - 12:30PM<\/span><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\">TULANE MEMORIAL BAPTIST CHURCH<\/span><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\">3601 PARIS AVENUE, NEW ORLEANS, LA<\/span><\/div><!--EndFragment--><br><span style=\"font-size: 10pt;text-align: justify\">Urban League of Louisiana\u2019s Center for Workforce Development continues to address the critical need to fill vacant positions for our employer partners. We collaborate with employers to create ongoing pipelines of skilled candidates to fill immediate roles. Join us in building a talent pipeline by participating in an Urban League of Louisiana Career Fair.<\/span><br><\/div><p class=\"xmsonormal \" style=\"text-align: justify\"><span style=\"font-size: 10.0pt;color: #201f1e;border: none windowtext 1.0pt\"><span style=\"color: inherit\"><\/span><\/span><\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field28\" data-field-id=\"field28\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field6 options-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Org. Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field22 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Org. Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field22\" name=\"field22[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"3\" style=\"width: 28\" class=\" even form-element form-element-field56 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"4\" style=\"width: 28\" class=\" form-element form-element-field57 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field57\" name=\"field57[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field58\" data-index=\"5\" style=\"width: 28\" class=\" even form-element form-element-field58 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field58\" name=\"field58[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field8 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Contact for Person Tabling<\/span><\/span><span class=\"sub-label\"><span >First and Last name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field59 options-false form-element-8 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field59\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field59\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field53\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field53 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Select Your Business\/Industry<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field53\" name=\"field53\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Residential Energy Efficiency\" class=\" \">Residential Energy Efficiency<\/option><option value=\"Commercial Energy Efficiency\" class=\" \">Commercial Energy Efficiency<\/option><option value=\"Solar Energy\" class=\" \">Solar Energy<\/option><option value=\"Wind Energy\" class=\" \">Wind Energy<\/option><option value=\"Architecture, engineering\" class=\" \">Architecture, engineering<\/option><option value=\"Construction, building trades\" class=\" \">Construction, building trades<\/option><option value=\"Healthcare\" class=\" \">Healthcare<\/option><option value=\"Education, training or library sciences\" class=\" \">Education, training or library sciences<\/option><option value=\"Farming, fisheries or forestry\" class=\" \">Farming, fisheries or forestry<\/option><option value=\"Firefighter, police or safety\" class=\" \">Firefighter, police or safety<\/option><option value=\"Food services\" class=\" \">Food services<\/option><option value=\"Government\" class=\" \">Government<\/option><option value=\"Legal\" class=\" \">Legal<\/option><option value=\"Media\" class=\" \">Media<\/option><option value=\"Military\" class=\" \">Military<\/option><option value=\"Non-profit\" class=\" \">Non-profit<\/option><option value=\"Technology\" class=\" \">Technology<\/option><option value=\"Transportation\" class=\" \">Transportation<\/option><option value=\"Sales\" class=\" \">Sales<\/option><option value=\"Social sciences\" class=\" \">Social sciences<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field52\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field52 options-false form-element-10 default-true form-element-type-textarea is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you selected 'Other' please describe below:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field52\" placeholder=\"\" class=\"validation-lenient\" name=\"field52\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field41\" data-index=\"11\" style=\"width: 100%\" class=\" even form-element form-element-field41 options-false form-element-11 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How many job openings are available?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field41\" name=\"field41\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><option value=\"1\" class=\" \">1<\/option><option value=\"2\" class=\" \">2<\/option><option value=\"3\" class=\" \">3<\/option><option value=\"4\" class=\" \">4<\/option><option value=\"5\" class=\" \">5<\/option><option value=\"6\" class=\" \">6<\/option><option value=\"7\" class=\" \">7<\/option><option value=\"8\" class=\" \">8<\/option><option value=\"9\" class=\" \">9<\/option><option value=\"10\" class=\" \">10<\/option><option value=\"10+\" class=\" \">10+<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field43\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field43 options-false form-element-12 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Are you willing to serve as a host employer for any of the following:<\/span><\/span><span class=\"sub-label\"><span >Check all that apply.<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Apprenticeship\" class=\"validation-lenient\"><span><span >Apprenticeship<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Internship\" class=\"validation-lenient\"><span><span >Internship<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"On-the-Job-Training\" class=\"validation-lenient\"><span><span >On-the-Job-Training<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Work Experience\" class=\"validation-lenient\"><span><span >Work Experience<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Not at this time\" class=\"validation-lenient\"><span><span >Not at this time<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field42\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field42 form-element-13 default-false form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you hire Previously Incarcerated or Returning citizens?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field44 form-element-14 default-false form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you agree to provide the Urban League of Louisiana with data on the number of prospects hired as a result of our job\/career fairs?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"Willing to Discuss the possibility\" class=\"validation-lenient\"><span><span >Willing to Discuss the possibility<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-15 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><u>COVID-19 Related Questions<br><\/u><\/b><br>To become an employer partner of the Urban League of Louisiana\u2019s Office of Workforce Development, a company&nbsp;must demonstrate the ability to adhere to the Center of Disease Control (CDC) guidelines, as it relates to the control, prevention, and spread of COVID-19 and must&nbsp;respond to the following questions:<br><\/p><\/div><input type=\"hidden\" name=\"field32\" data-field-id=\"field32\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field36 options-false form-element-16 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What safety materials or equipment do you provide to your employees in the wake of the Covid-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field36\" placeholder=\"\" class=\"validation-lenient\" name=\"field36\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field29\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field29 form-element-17 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have Health and Safety posters regarding control and prevention of the Covid-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field29\" type=\"radio\" data-is-required=\"true\" name=\"field29[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field29\" type=\"radio\" data-is-required=\"true\" name=\"field29[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field29\" type=\"radio\" data-is-required=\"true\" name=\"field29[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-18 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If so, where are they located?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field31\" name=\"field31[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field33\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field33 form-element-19 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you provide Covid-19 safety training to your employees?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field33\" type=\"radio\" data-is-required=\"true\" name=\"field33[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field33\" type=\"radio\" data-is-required=\"true\" name=\"field33[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field33\" type=\"radio\" data-is-required=\"true\" name=\"field33[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"20\" style=\"width: 100%\" class=\" form-element form-element-field35 options-false form-element-20 default-true form-element-type-textarea is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If yes, please provide a list of the training(s).<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field35\" placeholder=\"\" class=\"validation-lenient\" name=\"field35\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field45\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field45 form-element-21 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your organization developed an infectious disease preparedness and response plan that can help guide protective actions against COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"radio\" data-is-required=\"true\" name=\"field45[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"radio\" data-is-required=\"true\" name=\"field45[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"radio\" data-is-required=\"true\" name=\"field45[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field46\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field46 form-element-22 default-true form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your company implemented basic infection prevention and safety measures emphasizing good hygiene and infection control practices?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field47\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field47 form-element-23 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your company implemented basic infection prevention and safety measures emphasizing good hygiene and infection control practices?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field48\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field48 form-element-24 default-true form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your organization reviewed human resources policies to make sure that policies and practices are consistent with public health recommendations and are consistent with existing state and federal workplace laws?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field49 options-false form-element-25 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >For employers that do not currently offer sick leave to some or all employees, has your organization drafted non-punitive \u201cemergency sick leave\u201d policies?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field37 form-element-26 default-true form-element-type-dropdown is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How is your business since the start of COVID-19 quarantine?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field37\" name=\"field37\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Better\" class=\" \">Better<\/option><option value=\"Worse\" class=\" \">Worse<\/option><option value=\"No change\" class=\" \">No change<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field38 form-element-27 default-true form-element-type-dropdown is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How has hiring employees been since the COVID-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Difficult\" class=\" \">Difficult<\/option><option value=\"Not Difficult\" class=\" \">Not Difficult<\/option><option value=\"Somewhat Difficult\" class=\" \">Somewhat Difficult<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-28 default-true form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How has retaining employees been since the COVID-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field39\" name=\"field39\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Difficult\" class=\" \">Difficult<\/option><option value=\"Not Difficult\" class=\" \">Not Difficult<\/option><option value=\"Somewhat Difficult\" class=\" \">Somewhat Difficult<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field21\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field21 options-false form-element-29 default-false form-element-type-fileupload is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >Upload your company\/org. logo (Please be patient as this may take a few moments.)<\/span><\/span><span class=\"sub-label\"><span >Logo will be displayed at the job fair and on our site.<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >Upload<\/span><input type=\"file\" data-name-list=\"field21\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" data-min-files=\"0\" data-max-files=\"\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field19\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field19 options-false form-element-30 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please provide links to your current job openings with descriptions:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field19\" placeholder=\"\" class=\"validation-lenient\" name=\"field19\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field20 options-false form-element-31 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; module_id=&#8221;other&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#000000&#8243; custom_padding=&#8221;15px|0px|0px|0px&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;26px||2px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|10px||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_font_size=&#8221;31px&#8221; text_line_height=&#8221;1.4em&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"color: #ffffff;\"><strong>OTHER RESOURCE PROVIDER REGISTRATION<\/strong><\/span><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;19px&#8221; text_line_height=&#8221;1.4em&#8221; background_layout=&#8221;dark&#8221; min_height=&#8221;49px&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>STEP ONE: Please complete the form and make sure to upload your resume.\u00a0 You will receive a confirmation once you submit.<\/p>\n<p>STEP TWO: You will receive an email with a link to our virtual interview portal as well as all necessary instructions.<\/p>\n<p>STEP THREE: JOIN US FOR A VIRTUAL CAREER FAIR!<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#000000&#8243; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.16&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<div data-uniq='69a43e6b364d5' class='uniq-69a43e6b364d5 formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[70] = []; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-70 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #a92226;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-70.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #a92226;\n\t\t\t\tbackground: #c1272c;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #a92226 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"70\" class=\"fc-form fc-form-70 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left options-fade  \" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field28\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field28 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><div style=\"font-size: 10pt\" ><span style=\"text-align: justify;font-size: 10pt;border: 1pt none windowtext\">Urban League of Louisiana\u2019s Office of Workforce Development is\u202fcontinuing to address<span id=\"selectionBoundary_1645733384967_49673965675992426\" class=\"rangySelectionBoundary\">\ufeff<\/span> <span id=\"selectionBoundary_1645733380257_04018346392792871\" class=\"rangySelectionBoundary\">\ufeff<\/span>the <span id=\"selectionBoundary_1645733388432_13378108464904437\" class=\"rangySelectionBoundary\">\ufeff<\/span>critical need to fill vacant positions<span id=\"selectionBoundary_1645733396554_38868041013618293\" class=\"rangySelectionBoundary\">\ufeff<\/span>.<span id=\"selectionBoundary_1645733402357_3112212512508358\" class=\"rangySelectionBoundary\">\ufeff<\/span><br><\/span><\/div><p ><br><\/p><\/div><input type=\"hidden\" name=\"field28\" data-field-id=\"field28\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field55 options-false form-element-1 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Select your role for the event:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field55\" name=\"field55\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Vendor\" class=\" \">Vendor<\/option><option value=\"Resource Provider\" class=\" \">Resource Provider<\/option><option value=\"Education\/Training Provider\" class=\" \">Education\/Training Provider<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Org. Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field22 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Organization Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field22\" name=\"field22[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"4\" style=\"width: 28\" class=\" form-element form-element-field56 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"5\" style=\"width: 28\" class=\" even form-element form-element-field57 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field57\" name=\"field57[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field58\" data-index=\"6\" style=\"width: 28\" class=\" form-element form-element-field58 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field58\" name=\"field58[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field26 options-false form-element-7 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Select all virtual job fair dates you are able to participate in:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"checkbox\" data-is-required=\"true\" name=\"field26[]\" value=\"Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023\" class=\"validation-lenient\"><span><span >Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Contact Person<\/span><\/span><span class=\"sub-label\"><span >First and Last name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field59 options-false form-element-10 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field59\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field59\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field42\" data-index=\"11\" style=\"width: 100%\" class=\" even form-element form-element-field42 options-false form-element-11 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you also participating as an employer?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"radio\" data-is-required=\"true\" name=\"field42[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"radio\" data-is-required=\"true\" name=\"field42[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field60 form-element-12 default-false form-element-type-customText is-required-false odd -handle options-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><i>NOTE: Once you submit this form, please email your logo to bburkes@urbanleaguela.org.<\/i><\/b><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field20 options-false form-element-13 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;on|on|on&#8221; module_id=&#8221;incarcerated&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#5b5b5b&#8221; custom_padding=&#8221;15px|0px|0px|0px&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;26px||2px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|10px||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_font_size=&#8221;31px&#8221; text_line_height=&#8221;1.4em&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"color: #ffffff;\"><strong>INCARCERATED JOB SEEKER REGISTRATION<\/strong><\/span><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;Lato|700|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;19px&#8221; text_line_height=&#8221;1.4em&#8221; background_layout=&#8221;dark&#8221; min_height=&#8221;49px&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>STEP ONE: Please complete the form and make sure to upload your resume.\u00a0 You will receive a confirmation once you submit.<\/p>\n<p>STEP TWO: You will receive an email with a link to our virtual interview portal as well as all necessary instructions.<\/p>\n<p>STEP THREE: JOIN US FOR A VIRTUAL CAREER FAIR!<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#5b5b5b&#8221; custom_padding=&#8221;0px|||||&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221; da_disable_devices=&#8221;off|off|off&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<div data-uniq='69a43e6b4d350' class='uniq-69a43e6b4d350 formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[68] = 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<\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-68 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker 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#a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #a92226 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-68 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-68\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"1\" data-id=\"68\" class=\"fc-form fc-form-68 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left options-fade\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field102\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field102 options-false form-element-0 default-false form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you currently incarcerated?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field102\" type=\"radio\" data-is-required=\"false\" name=\"field102[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field102\" type=\"radio\" data-is-required=\"false\" name=\"field102[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field99\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field99 options-false form-element-1 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please list facility:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field99\" name=\"field99[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field106\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field106 options-false form-element-2 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please list DOC #:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field106\" name=\"field106[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field104\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field104 options-false form-element-3 default-false form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you in pre-release?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field104\" type=\"radio\" data-is-required=\"false\" name=\"field104[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field104\" type=\"radio\" data-is-required=\"false\" name=\"field104[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field23\" data-index=\"4\" style=\"width: 50\" class=\" form-element form-element-field23 options-false form-element-4 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Prefix<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field23\" name=\"field23\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Mr.\" class=\" \">Mr.<\/option><option value=\"Ms.\" class=\" \">Ms.<\/option><option value=\"Mrs.\" class=\" \">Mrs.<\/option><option value=\"Dr.\" class=\" \">Dr.<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"5\" style=\"width: 35\" class=\" even form-element form-element-field6 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"6\" style=\"width: 35\" class=\" form-element form-element-field8 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"7\" style=\"width: 50\" class=\" even form-element form-element-field9 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field93\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field93 options-false form-element-8 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field93\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field93\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field25 options-false form-element-9 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Date of birth:<\/span><\/span><span class=\"sub-label\"><span >Please format 00\/00\/0000<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field25\" name=\"field25[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field81\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field81 options-false form-element-10 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Gender<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field81\" name=\"field81\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Female \" class=\" \">Female <\/option><option value=\"Male \" class=\" \">Male <\/option><option value=\"Non-binary\/third gender\" class=\" \">Non-binary\/third gender<\/option><option value=\"Prefer to self-describe\" class=\" \">Prefer to self-describe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field82\" data-index=\"11\" style=\"width: 100%\" class=\" even form-element form-element-field82 options-false form-element-11 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Ethnicity<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field82\" name=\"field82\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"African American \" class=\" \">African American <\/option><option value=\"Asian \" class=\" \">Asian <\/option><option value=\"Caucasian\" class=\" \">Caucasian<\/option><option value=\"Hispanic Latino \" class=\" \">Hispanic Latino <\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field56 options-false form-element-12 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Street Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"13\" style=\"width: 33\" class=\" even form-element form-element-field26 options-false form-element-13 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field26\" name=\"field26[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"14\" style=\"width: 33\" class=\" form-element form-element-field27 options-false form-element-14 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"15\" style=\"width: 33\" class=\" even form-element form-element-field28 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field110\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field110 options-false form-element-16 default-false form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Parish returning to after incarceration:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field110\" name=\"field110\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"\" class=\" \"><\/option><option value=\"Acadia Parish\" class=\" \">Acadia Parish<\/option><option value=\"Allen Parish\" class=\" \">Allen Parish<\/option><option value=\"Ascension Parish\" class=\" \">Ascension Parish<\/option><option value=\"Assumption Parish\" class=\" \">Assumption Parish<\/option><option value=\"Avoyelles Parish\" class=\" \">Avoyelles Parish<\/option><option value=\"Beauregard Parish\" class=\" \">Beauregard Parish<\/option><option value=\"Bienville Parish\" class=\" \">Bienville Parish<\/option><option value=\"Bossier Parish\" class=\" \">Bossier Parish<\/option><option value=\"Caddo Parish\" class=\" \">Caddo Parish<\/option><option value=\"Calcasieu Parish\" class=\" \">Calcasieu Parish<\/option><option value=\"Caldwell Parish\" class=\" \">Caldwell Parish<\/option><option value=\"Cameron Parish\" class=\" \">Cameron Parish<\/option><option value=\"Catahoula Parish\" class=\" \">Catahoula Parish<\/option><option value=\"Claiborne Parish\" class=\" \">Claiborne Parish<\/option><option value=\"Concordia Parish\" class=\" \">Concordia Parish<\/option><option value=\"De Soto Parish\" class=\" \">De Soto Parish<\/option><option value=\"East Baton Rouge Parish\" class=\" \">East Baton Rouge Parish<\/option><option value=\"East Carroll Parish\" class=\" \">East Carroll Parish<\/option><option value=\"East Feliciana Parish\" class=\" \">East Feliciana Parish<\/option><option value=\"Evangeline Parish\" class=\" \">Evangeline Parish<\/option><option value=\"Franklin Parish\" class=\" \">Franklin Parish<\/option><option value=\"Grant Parish\" class=\" \">Grant Parish<\/option><option value=\"Iberia Parish\" class=\" \">Iberia Parish<\/option><option value=\"Iberville Parish\" class=\" \">Iberville Parish<\/option><option value=\"Jackson Parish\" class=\" \">Jackson Parish<\/option><option value=\"Jefferson Parish\" class=\" \">Jefferson Parish<\/option><option value=\"Jefferson Davis Parish\" class=\" \">Jefferson Davis Parish<\/option><option value=\"La Salle Parish\" class=\" \">La Salle Parish<\/option><option value=\"Lafayette Parish\" class=\" \">Lafayette Parish<\/option><option value=\"Lafourche Parish\" class=\" \">Lafourche Parish<\/option><option value=\"Lincoln Parish\" class=\" \">Lincoln Parish<\/option><option value=\"Livingston Paris\" class=\" \">Livingston Paris<\/option><option value=\"Madison Parish\" class=\" \">Madison Parish<\/option><option value=\"Morehouse Parish\" class=\" \">Morehouse Parish<\/option><option value=\"Natchitoches Parish\" class=\" \">Natchitoches Parish<\/option><option value=\"Orleans Parish\" class=\" \">Orleans Parish<\/option><option value=\"Ouachita Parish\" class=\" \">Ouachita Parish<\/option><option value=\"Plaquemines Parish\" class=\" \">Plaquemines Parish<\/option><option value=\"Pointe Coupee Parish\" class=\" \">Pointe Coupee Parish<\/option><option value=\"Rapides Parish\" class=\" \">Rapides Parish<\/option><option value=\"Red River Parish\" class=\" \">Red River Parish<\/option><option value=\"Richland Parish\" class=\" \">Richland Parish<\/option><option value=\"Sabine Parish\" class=\" \">Sabine Parish<\/option><option value=\"St. Bernard Parish\" class=\" \">St. Bernard Parish<\/option><option value=\"St. Charles Parish\" class=\" \">St. Charles Parish<\/option><option value=\"St. Helena Parish\" class=\" \">St. Helena Parish<\/option><option value=\"St. James Parish\" class=\" \">St. James Parish<\/option><option value=\"St. John The Baptist Parish\" class=\" \">St. John The Baptist Parish<\/option><option value=\"St. Landry Parish\" class=\" \">St. Landry Parish<\/option><option value=\"St. Martin Parish\" class=\" \">St. Martin Parish<\/option><option value=\"St. Mary Parish\" class=\" \">St. Mary Parish<\/option><option value=\"St. Tammany Parish\" class=\" \">St. Tammany Parish<\/option><option value=\"Tangipahoa Parish\" class=\" \">Tangipahoa Parish<\/option><option value=\"Tensas Parish\" class=\" \">Tensas Parish<\/option><option value=\"Terrebonne Parish\" class=\" \">Terrebonne Parish<\/option><option value=\"Union Parish\" class=\" \">Union Parish<\/option><option value=\"Vermilion Parish\" class=\" \">Vermilion Parish<\/option><option value=\"Vernon Parish\" class=\" \">Vernon Parish<\/option><option value=\"Washington Parish\" class=\" \">Washington Parish<\/option><option value=\"Webster Parish\" class=\" \">Webster Parish<\/option><option value=\"West Baton Rouge Parish\" class=\" \">West Baton Rouge Parish<\/option><option value=\"West Carroll Parish\" class=\" \">West Carroll Parish<\/option><option value=\"West Feliciana Parish\" class=\" \">West Feliciana Parish<\/option><option value=\"Winn Parish\" class=\" \">Winn Parish<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field111\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field111 options-false form-element-17 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If other, please specify which state:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field111\" name=\"field111[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field22 options-false form-element-18 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >I am interested in jobs in the following essential industries:<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Retail (Pharmacies\/Grocers)\" class=\"validation-lenient\"><span><span >Retail (Pharmacies\/Grocers)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Food Service (Restaurants)\" class=\"validation-lenient\"><span><span >Food Service (Restaurants)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Transportation\" class=\"validation-lenient\"><span><span >Transportation<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Healthcare\" class=\"validation-lenient\"><span><span >Healthcare<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Hospitality (Food Service)\" class=\"validation-lenient\"><span><span >Hospitality (Food Service)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Construction\" class=\"validation-lenient\"><span><span >Construction<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Technology\" class=\"validation-lenient\"><span><span >Technology<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field83\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field83 options-false form-element-19 default-true form-element-type-textarea is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you selected 'other', please list below:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field83\" placeholder=\"\" class=\"validation-lenient\" name=\"field83\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field80\" data-index=\"20\" style=\"width: 100%\" class=\" form-element form-element-field80 options-false form-element-20 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Select all the virtual job fair dates you are interested in.<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"checkbox\" data-is-required=\"true\" name=\"field80[]\" value=\"Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023\" class=\"validation-lenient\"><span><span >Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field79\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field79 options-false form-element-21 default-false form-element-type- is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field69\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field69 options-false form-element-22 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a  smart phone with camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field70\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field70 options-false form-element-23 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a computer with internet and camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field90\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field90 options-false form-element-24 default-false form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you a veteran?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field90\" name=\"field90\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Yes\" class=\" \">Yes<\/option><option value=\"No\" class=\" \">No<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field86\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field86 options-false form-element-25 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please enter your military separation date:<\/span><\/span><span class=\"sub-label\"><span >MM\/DD\/YYYY<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field86\" name=\"field86[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field87\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field87 options-false form-element-26 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your rank leaving the miliatry?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field87\" name=\"field87[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field88\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field88 options-false form-element-27 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your job (MOS) in the military?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field88\" name=\"field88[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field89\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field89 options-false form-element-28 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What type of position are you seeking?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field89\" name=\"field89[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field64 options-false form-element-29 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Did you receive your high school diploma or equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"I'm in the process\" class=\"validation-lenient\"><span><span >I'm in the process<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field40\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field40 options-false form-element-30 default-true form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in working toward your high school equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-31 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you currently enrolled in school?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Yes, I'm enrolled in college\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in college<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Yes, I'm enrolled in high school\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in high school<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"32\" style=\"width: 100%\" class=\" form-element form-element-field36 options-false form-element-32 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What high school are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"33\" style=\"width: 100%\" class=\" even form-element form-element-field38 options-false form-element-33 default-true form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Baton Rouge Community College\" class=\" \">Baton Rouge Community College<\/option><option value=\"Delgado Community College\" class=\" \">Delgado Community College<\/option><option value=\"Fletcher Technical Community College\" class=\" \">Fletcher Technical Community College<\/option><option value=\"Northshore Technical Community College\" class=\" \">Northshore Technical Community College<\/option><option value=\"Nunez Community College\" class=\" \">Nunez Community College<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"34\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-34 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field39\" name=\"field39[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field71\" data-index=\"35\" style=\"width: 100%\" class=\" even form-element form-element-field71 options-false form-element-35 default-false form-element-type-fileupload is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >Upload your resume (optional)<\/span><\/span><span class=\"sub-label\"><span >PDFs ONLY PLEASE<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"Upload a PDF of your resume.  REQUIRED!\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >UPLOAD RESUME<\/span><input type=\"file\" data-name-list=\"field71\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" data-min-files=\"0\" data-max-files=\"2\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field84\" data-index=\"36\" style=\"width: 100%\" class=\" form-element form-element-field84 options-false form-element-36 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Media Release Statement  I hereby grant Urban League of Louisiana permission to use my digital image, along with my name, and additional relevant information in all of its advertisements, publications, promotional materials and online platforms, without payment or any other consideration. I understand and agree that these images will become the property of the Urban League of Louisiana and will not be returned. I hereby irrevocably authorize Urban League of Louisiana to edit, alter, copy, exhibit, publish, or distribute these images for purposes of publicizing our workforce programs or for any other lawful purpose related to the work of the Urban League of Louisiana. In addition, I waive the right to inspect or approve the finished products, including written or electronic copy, wherein my image appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the digital images. I hereby hold harmless and release and forever discharge Urban League of Louisiana from all claims, demands, and causes of action which I, my heirs, representatives, executor, administrators, or any other person acting on my behalf or on behalf of my estate may have or may have by reason of this authorization.  I am 18 years of age and am competent to sign this release. I have read this release before signing and I fully understand the contents, meaning, and impact of this release.<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field92\" data-index=\"37\" style=\"width: 100%\" class=\" even form-element form-element-field92 options-false form-element-37 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #c1272c !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PLEASE NOTE <\/b>-<i> After hitting submit, you will be taken to <b>PART 2<\/b> of this registration on a different website.&nbsp; You will not be fully registered until you complete part 2 of the registration.<\/i><\/p><p ><i><b><br><\/b><\/i><\/p><p ><i><b><u>PLEASE USE THE SAME EMAIL ADDRESS THAT YOU USED TO COMPLETE THE ABOVE FORM.&nbsp;<\/u><\/b><\/i><\/p><\/div><input type=\"hidden\" name=\"field92\" data-field-id=\"field92\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"38\" style=\"width: 100%\" class=\" form-element form-element-field20 form-element-38 default-false form-element-type-submit is-required-false odd -handle options-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Urban League of Louisiana&#8217;s Office of Workforce Development is continuing to address the critical need to fill vacant positions for our employer partners. We collaborate with employers to help create ongoing pipelines of skilled candidates to fill immediate roles.JOB SEEKER REGISTRATIONSTEP ONE: Please complete the form below. STEP TWO: Immediately after hitting the submit button, you will be redirected to Part 2 of registration on our virtual fair site.\u00a0 \u00a0You will receive a confirmation by email once you complete the registration.<div data-uniq='69a43e6bd3baf' class='uniq-69a43e6bd3baf formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[69] = [[[[\"field51\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field72\"]],\"and\"],[[[\"field74\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field75\"],[\"show_fields\",\"field18\"],[\"show_fields\",\"field16\"]],\"and\"],[[[\"field75\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field77\"]],\"and\"],[[[\"\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field19\"]],\"and\"],[[[\"field22\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field30\"]],\"and\"],[[[\"field35\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field40\"]],\"and\"],[[[\"field32\",\"equal_to\",\"Yes, I'm enrolled in college\"]],[[\"show_fields\",\"field38\"]],\"and\"],[[[\"field38\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field39\"]],\"and\"],[[[\"field32\",\"equal_to\",\"Yes, I'm enrolled in high school\"]],[[\"show_fields\",\"field36\"]],\"and\"],[[[\"field44\",\"equal_to\",\"Community organization\"]],[[\"show_fields\",\"field45\"]],\"and\"],[[[\"field45\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field46\"]],\"and\"],[[[\"field22\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field83\"]],\"and\"],[[[\"field49\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field86,field87,field88,field89\"]],\"and\"],[[[\"field94\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field96\"]],\"and\"],[[[\"field102\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field99\"],[\"show_fields\",\"field106\"]],\"and\"],[[[\"field98\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field107\"],[\"show_fields\",\"field101\"]],\"and\"],[[[\"field100\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field103\"],[\"show_fields\",\"field108\"]],\"and\"],[[[\"field104\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field105\"],[\"show_fields\",\"field109\"]],\"and\"],[[[\"field94\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field102,field98,field100,field104\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-69 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #a92226;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-69.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #a92226;\n\t\t\t\tbackground: #c1272c;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #a92226 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"1\" data-id=\"69\" class=\"fc-form fc-form-69 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left  \" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field111\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field111 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 >JUSTICE-INVOLVED<span id=\"selectionBoundary_1619269779760_5009319715451069\" class=\"rangySelectionBoundary\">\ufeff<\/span> <span id=\"selectionBoundary_1619269736748_3188925770520097\" class=\"rangySelectionBoundary\">\ufeff<\/span>INFO:<span id=\"selectionBoundary_1619269726597_12314965863031668\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269719951_7893047327796621\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269711976_07979096854682144\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269704047_6392473680413855\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269695719_07431525114330373\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269684585_7602702174881307\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269669553_4096803480712843\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269637918_8823387530539873\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269627470_8677315329486398\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269648165_33257370000653663\" class=\"rangySelectionBoundary\">\ufeff<\/span><span id=\"selectionBoundary_1619269658619_38692835234664136\" class=\"rangySelectionBoundary\">\ufeff<\/span><\/h3><\/div><input type=\"hidden\" name=\"field111\" data-field-id=\"field111\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field107\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field107 options-false form-element-1 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you have ever been incarcerated, please list facility<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field107\" name=\"field107[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field101\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field101 options-false form-element-2 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please list DOC #:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field101\" name=\"field101[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field100\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field100 options-false form-element-3 default-false form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you on parole?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field100\" type=\"radio\" data-is-required=\"false\" name=\"field100[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field100\" type=\"radio\" data-is-required=\"false\" name=\"field100[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field103\" data-index=\"4\" style=\"width: 100%\" class=\" form-element form-element-field103 options-false form-element-4 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the facility you were released from:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field103\" name=\"field103[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field108\" data-index=\"5\" style=\"width: 100%\" class=\" even form-element form-element-field108 options-false form-element-5 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the DOC#:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field108\" name=\"field108[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field104\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field104 options-false form-element-6 default-false form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you on probation?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field104\" type=\"radio\" data-is-required=\"false\" name=\"field104[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field104\" type=\"radio\" data-is-required=\"false\" name=\"field104[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field105\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field105 options-false form-element-7 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the Parish were you supervised in:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field105\" name=\"field105[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field109\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field109 options-false form-element-8 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >List the DOC #:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field109\" name=\"field109[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field23\" data-index=\"9\" style=\"width: 50\" class=\" even form-element form-element-field23 options-false form-element-9 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Prefix<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field23\" name=\"field23\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Mr.\" class=\" \">Mr.<\/option><option value=\"Ms.\" class=\" \">Ms.<\/option><option value=\"Mrs.\" class=\" \">Mrs.<\/option><option value=\"Dr.\" class=\" \">Dr.<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"10\" style=\"width: 35\" class=\" form-element form-element-field6 options-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"11\" style=\"width: 35\" class=\" even form-element form-element-field8 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"12\" style=\"width: 50\" class=\" form-element form-element-field9 options-false form-element-12 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field93\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field93 options-false form-element-13 default-false form-element-type-email is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field93\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field93\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-14 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Date of birth:<\/span><\/span><span class=\"sub-label\"><span >Please format 00\/00\/0000<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field25\" name=\"field25[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field81\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field81 options-false form-element-15 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Gender<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field81\" name=\"field81\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Female \" class=\" \">Female <\/option><option value=\"Male \" class=\" \">Male <\/option><option value=\"Non-binary\/third gender\" class=\" \">Non-binary\/third gender<\/option><option value=\"Prefer to self-describe\" class=\" \">Prefer to self-describe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field82\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field82 options-false form-element-16 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Ethnicity<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field82\" name=\"field82\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"African American \" class=\" \">African American <\/option><option value=\"Asian \" class=\" \">Asian <\/option><option value=\"Caucasian\" class=\" \">Caucasian<\/option><option value=\"Hispanic Latino \" class=\" \">Hispanic Latino <\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field56 options-false form-element-17 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Street Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"18\" style=\"width: 33\" class=\" form-element form-element-field26 options-false form-element-18 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field26\" name=\"field26[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"19\" style=\"width: 33\" class=\" even form-element form-element-field27 options-false form-element-19 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"20\" style=\"width: 33\" class=\" form-element form-element-field28 options-false form-element-20 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field83\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field83 options-false form-element-21 default-true form-element-type-textarea is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you selected 'other', please list below:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field83\" placeholder=\"\" class=\"validation-lenient\" name=\"field83\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field80\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field80 form-element-22 default-false form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Select all the virtual job fair dates you are interested in.<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"checkbox\" data-is-required=\"true\" name=\"field80[]\" value=\"Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023\" class=\"validation-lenient\"><span><span >Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field79\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field79 options-false form-element-23 default-false form-element-type- is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field69\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field69 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a  smart phone with camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field70\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field70 options-false form-element-25 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a computer with internet and camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field90\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field90 options-false form-element-26 default-true form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you a veteran?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field90\" name=\"field90\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Yes\" class=\" \">Yes<\/option><option value=\"No\" class=\" \">No<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field86\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field86 options-false form-element-27 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please enter your military separation date:<\/span><\/span><span class=\"sub-label\"><span >MM\/DD\/YYYY<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field86\" name=\"field86[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field87\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field87 options-false form-element-28 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your rank leaving the miliatry?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field87\" name=\"field87[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field88\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field88 options-false form-element-29 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your job (MOS) in the military?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field88\" name=\"field88[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field89\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field89 options-false form-element-30 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What type of position are you seeking?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field89\" name=\"field89[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field53\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field53 options-false form-element-31 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in homeownership<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"true\" name=\"field53[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"true\" name=\"field53[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"32\" style=\"width: 100%\" class=\" form-element form-element-field55 options-false form-element-32 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Do you have a bank account?<\/span><\/span><span class=\"sub-label\"><span >(This information is only used for statistical purposes and is not shared with a third party)<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"No.\" class=\"validation-lenient\"><span><span >No.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"Yes, I have a checking account.\" class=\"validation-lenient\"><span><span >Yes, I have a checking account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"Yes, I have a savings account.\" class=\"validation-lenient\"><span><span >Yes, I have a savings account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"Yes, I have both checking and savings.\" class=\"validation-lenient\"><span><span >Yes, I have both checking and savings.<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field50\" data-index=\"33\" style=\"width: 100%\" class=\" even form-element form-element-field50 options-false form-element-33 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in learning about  managing your personal finances in the future?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"34\" style=\"width: 100%\" class=\" form-element form-element-field64 options-false form-element-34 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Did you receive your high school diploma or equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"true\" name=\"field64[]\" value=\"I'm in the process\" class=\"validation-lenient\"><span><span >I'm in the process<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field40\" data-index=\"35\" style=\"width: 100%\" class=\" even form-element form-element-field40 options-false form-element-35 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in working toward your high school equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"36\" style=\"width: 100%\" class=\" form-element form-element-field32 options-false form-element-36 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you currently enrolled in school?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Yes, I'm enrolled in college\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in college<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Yes, I'm enrolled in high school\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in high school<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"37\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-false form-element-37 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What high school are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"38\" style=\"width: 100%\" class=\" form-element form-element-field38 options-false form-element-38 default-true form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Baton Rouge Community College\" class=\" \">Baton Rouge Community College<\/option><option value=\"Delgado Community College\" class=\" \">Delgado Community College<\/option><option value=\"Fletcher Technical Community College\" class=\" \">Fletcher Technical Community College<\/option><option value=\"Northshore Technical Community College\" class=\" \">Northshore Technical Community College<\/option><option value=\"Nunez Community College\" class=\" \">Nunez Community College<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"39\" style=\"width: 100%\" class=\" even form-element form-element-field39 options-false form-element-39 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field39\" name=\"field39[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"40\" style=\"width: 100%\" class=\" form-element form-element-field44 options-false form-element-40 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How did you hear about the virtual job fair?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Facebook\" class=\"validation-lenient\"><span><span >Facebook<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Email\" class=\"validation-lenient\"><span><span >Email<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Twitter\" class=\"validation-lenient\"><span><span >Twitter<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"LinkedIn\" class=\"validation-lenient\"><span><span >LinkedIn<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Word of Mouth\" class=\"validation-lenient\"><span><span >Word of Mouth<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Community organization\" class=\"validation-lenient\"><span><span >Community organization<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Instagram\" class=\"validation-lenient\"><span><span >Instagram<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"41\" style=\"width: 100%\" class=\" even form-element form-element-field59 options-false form-element-41 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 >COVID-19 RELATED QUESTIONS<\/h3><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field78\" data-index=\"42\" style=\"width: 100%\" class=\" form-element form-element-field78 options-false form-element-42 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you receive SNAP benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"43\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-43 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have Heatlh Insurance?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field72\" data-index=\"44\" style=\"width: 100%\" class=\" form-element form-element-field72 options-false form-element-44 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What type of healh insurance do you have?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Private Health Insurance&nbsp; \" class=\"validation-lenient\"><span><span >Private Health Insurance&nbsp; <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Obamacare\/Affordable Care Act&nbsp;\" class=\"validation-lenient\"><span><span >Obamacare\/Affordable Care Act&nbsp;<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Medicaid&nbsp; \" class=\"validation-lenient\"><span><span >Medicaid&nbsp; <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"Medicare\" class=\"validation-lenient\"><span><span >Medicare<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"45\" style=\"width: 100%\" class=\" even form-element form-element-field60 options-false form-element-45 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were you laid off because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field66\" data-index=\"46\" style=\"width: 100%\" class=\" form-element form-element-field66 options-false form-element-46 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were your hours reduced because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"47\" style=\"width: 100%\" class=\" even form-element form-element-field65 options-false form-element-47 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you eligible for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field67\" data-index=\"48\" style=\"width: 100%\" class=\" form-element form-element-field67 options-false form-element-48 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Have you had any difficulty applying for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field73\" data-index=\"49\" style=\"width: 100%\" class=\" even form-element form-element-field73 options-false form-element-49 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you have children, do they need help with homework?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field73\" type=\"radio\" data-is-required=\"true\" name=\"field73[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field73\" type=\"radio\" data-is-required=\"true\" name=\"field73[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field74\" data-index=\"50\" style=\"width: 100%\" class=\" form-element form-element-field74 options-false form-element-50 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have sufficient consumer goods (food, water, disinfectant, diapers)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field74\" type=\"radio\" data-is-required=\"true\" name=\"field74[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field74\" type=\"radio\" data-is-required=\"true\" name=\"field74[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field75\" data-index=\"51\" style=\"width: 100%\" class=\" even form-element form-element-field75 options-false form-element-51 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please select the consumer goods needed?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Food\" class=\"validation-lenient\"><span><span >Food<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Water\" class=\"validation-lenient\"><span><span >Water<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Disinfectant\" class=\"validation-lenient\"><span><span >Disinfectant<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Diapers&nbsp; \" class=\"validation-lenient\"><span><span >Diapers&nbsp; <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field75\" type=\"radio\" data-is-required=\"true\" name=\"field75[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field77\" data-index=\"52\" style=\"width: 100%\" class=\" form-element form-element-field77 options-false form-element-52 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If other, please list:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field77\" name=\"field77[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field71\" data-index=\"53\" style=\"width: 100%\" class=\" even form-element form-element-field71 options-false form-element-53 default-false form-element-type-fileupload is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >Upload your resume (optional)<\/span><\/span><span class=\"sub-label\"><span >PDFs ONLY PLEASE<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"Upload a PDF of your resume.  REQUIRED!\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >UPLOAD RESUME<\/span><input type=\"file\" data-name-list=\"field71\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" data-min-files=\"0\" data-max-files=\"2\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field84\" data-index=\"54\" style=\"width: 100%\" class=\" form-element form-element-field84 options-false form-element-54 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Media Release Statement  I hereby grant Urban League of Louisiana permission to use my digital image, along with my name, and additional relevant information in all of its advertisements, publications, promotional materials and online platforms, without payment or any other consideration. I understand and agree that these images will become the property of the Urban League of Louisiana and will not be returned. I hereby irrevocably authorize Urban League of Louisiana to edit, alter, copy, exhibit, publish, or distribute these images for purposes of publicizing our workforce programs or for any other lawful purpose related to the work of the Urban League of Louisiana. In addition, I waive the right to inspect or approve the finished products, including written or electronic copy, wherein my image appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the digital images. I hereby hold harmless and release and forever discharge Urban League of Louisiana from all claims, demands, and causes of action which I, my heirs, representatives, executor, administrators, or any other person acting on my behalf or on behalf of my estate may have or may have by reason of this authorization.  I am 18 years of age and am competent to sign this release. I have read this release before signing and I fully understand the contents, meaning, and impact of this release.<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field92\" data-index=\"55\" style=\"width: 100%\" class=\" even form-element form-element-field92 form-element-55 default-false form-element-type-customText is-required-false -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #c1272c !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PLEASE NOTE <\/b>-<i> After hitting submit, you will be taken to <b>PART 2<\/b> of this registration on a different website.&nbsp; You will not be fully registered until you complete part 2 of the registration. <span id=\"selectionBoundary_1653654229149_9726264337855204\" class=\"rangySelectionBoundary\">\ufeff<\/span><\/i><i><span id=\"selectionBoundary_1653654224245_515462294688218\" class=\"rangySelectionBoundary\">\ufeff<\/span>Once on the site, please select \u201cRegister\u201d.<\/i><\/p><p ><i><b><br><\/b><\/i><\/p><p ><i><b><u>PLEASE USE THE SAME EMAIL ADDRESS THAT YOU USED TO COMPLETE THE ABOVE FORM.&nbsp;<\/u><\/b><\/i><\/p><\/div><input type=\"hidden\" name=\"field92\" data-field-id=\"field92\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"56\" style=\"width: 100%\" class=\" form-element form-element-field20 options-false form-element-56 default-false form-element-type-submit is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div><div data-uniq='69a43e6beb4aa' class='uniq-69a43e6beb4aa formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[50] = [[[[\"field51\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field72\"]],\"and\"],[[[\"field74\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field75\"],[\"show_fields\",\"field18\"],[\"show_fields\",\"field16\"]],\"and\"],[[[\"field75\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field77\"]],\"and\"],[[[\"\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field19\"]],\"and\"],[[[\"field22\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field30\"]],\"and\"],[[[\"field35\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field40\"]],\"and\"],[[[\"field32\",\"equal_to\",\"Yes, I'm enrolled in college\"]],[[\"show_fields\",\"field38\"]],\"and\"],[[[\"field38\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field39\"]],\"and\"],[[[\"field32\",\"equal_to\",\"Yes, I'm enrolled in high school\"]],[[\"show_fields\",\"field36\"]],\"and\"],[[[\"field44\",\"equal_to\",\"Community organization\"]],[[\"show_fields\",\"field45\"]],\"and\"],[[[\"field45\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field46\"]],\"and\"],[[[\"field22\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field83\"]],\"and\"],[[[\"field49\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field86,field87,field88,field89\"]],\"and\"],[[[\"field94\",\"equal_to\",\"No\"]],[[\"show_fields\",\"field96\"]],\"and\"],[[[\"field102\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field99\"],[\"show_fields\",\"field106\"]],\"and\"],[[[\"field98\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field107\"],[\"show_fields\",\"field101\"]],\"and\"],[[[\"field100\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field103\"],[\"show_fields\",\"field108\"]],\"and\"],[[[\"field104\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field105\"],[\"show_fields\",\"field109\"]],\"and\"],[[[\"field94\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field102,field98,field100,field104\"]],\"and\"],[[[\"field80\",\"equal_to\",\"Walgreens Job Fair - Wednesday, August 11, 2021\"]],[[\"show_fields\",\"field22\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-50 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #a92226;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-50.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #a92226;\n\t\t\t\tbackground: #c1272c;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #a92226 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-50\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"1\" data-id=\"50\" class=\"fc-form fc-form-50 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 600 px; color: #666666; font-size: 110%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field114\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field114 options-false form-element-0 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.6em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >VIRTUAL JOB FAIR INTAKE FORM - PART 1<\/span><\/div><input type=\"hidden\" data-field-id=\"field114\" name=\"field114[]\" value=\"VIRTUAL JOB FAIR INTAKE FORM - PART 1\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field92\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field92 options-false form-element-1 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #c1272c !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PLEASE NOTE -<\/b><i><b> After hitting submit, you will be taken to PART 2 of this registration on a different website.&nbsp; You will not be fully registered until you complete part 2 of the registration.<\/b>\u200b<\/i><\/p><\/div><input type=\"hidden\" name=\"field92\" data-field-id=\"field92\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field23\" data-index=\"2\" style=\"width: 50\" class=\" form-element form-element-field23 options-false form-element-2 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Prefix<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field23\" name=\"field23\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Mr.\" class=\" \">Mr.<\/option><option value=\"Ms.\" class=\" \">Ms.<\/option><option value=\"Mrs.\" class=\" \">Mrs.<\/option><option value=\"Dr.\" class=\" \">Dr.<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"3\" style=\"width: 35\" class=\" even form-element form-element-field6 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"4\" style=\"width: 35\" class=\" form-element form-element-field8 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"5\" style=\"width: 50\" class=\" even form-element form-element-field9 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field93\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field93 options-false form-element-6 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field93\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field93\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field25 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Date of birth:<\/span><\/span><span class=\"sub-label\"><span >Please format 00\/00\/0000<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field25\" name=\"field25[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field81\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field81 options-false form-element-8 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Gender<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field81\" name=\"field81\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Female \" class=\" \">Female <\/option><option value=\"Male \" class=\" \">Male <\/option><option value=\"Non-binary\/third gender\" class=\" \">Non-binary\/third gender<\/option><option value=\"Prefer to self-describe\" class=\" \">Prefer to self-describe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field82\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field82 options-false form-element-9 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Ethnicity<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field82\" name=\"field82\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"African American \" class=\" \">African American <\/option><option value=\"Asian \" class=\" \">Asian <\/option><option value=\"Caucasian\" class=\" \">Caucasian<\/option><option value=\"Hispanic Latino \" class=\" \">Hispanic Latino <\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field56 options-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Street Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"11\" style=\"width: 33\" class=\" even form-element form-element-field26 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field26\" name=\"field26[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"12\" style=\"width: 33\" class=\" form-element form-element-field27 options-false form-element-12 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"13\" style=\"width: 33\" class=\" even form-element form-element-field28 options-false form-element-13 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field83\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field83 options-false form-element-14 default-true form-element-type-textarea is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you selected 'other', please list below:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field83\" placeholder=\"\" class=\"validation-lenient\" name=\"field83\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 121.683px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field80\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field80 options-true form-element-15 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Select all the virtual job fair dates you are interested in.<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"checkbox\" data-is-required=\"true\" name=\"field80[]\" value=\"Second Chance Career and Resource Expo For Returning Citizens and Justice Involved Individuals - Wednesday, April 27, 2022\" class=\"validation-lenient\"><span><span >Second Chance Career and Resource Expo For Returning Citizens and Justice Involved Individuals - Wednesday, April 27, 2022<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field22 options-true form-element-16 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >I am interested in jobs in the following industries:<\/span><\/span><span class=\"sub-label\"><span >Check all that apply<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Retail (Pharmacies\/Grocers)\" class=\"validation-lenient\"><span><span >Retail (Pharmacies\/Grocers)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Food Service (Restaurants)\" class=\"validation-lenient\"><span><span >Food Service (Restaurants)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Transportation\" class=\"validation-lenient\"><span><span >Transportation<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Healthcare\" class=\"validation-lenient\"><span><span >Healthcare<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Hospitality (Food Service)\" class=\"validation-lenient\"><span><span >Hospitality (Food Service)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Construction\" class=\"validation-lenient\"><span><span >Construction<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Administration\" class=\"validation-lenient\"><span><span >Administration<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Technology\" class=\"validation-lenient\"><span><span >Technology<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field22\" type=\"checkbox\" data-is-required=\"true\" name=\"field22[]\" value=\"Oil &amp; Gas\" class=\"validation-lenient\"><span><span >Oil &amp; Gas<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field79\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field79 options-false form-element-17 default-false form-element-type- is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field69\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field69 options-false form-element-18 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a  smart phone with camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field70\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field70 options-false form-element-19 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-true checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have access to a computer with internet and camera capabilities (to participate in a virtual interview)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field90\" data-index=\"20\" style=\"width: 100%\" class=\" form-element form-element-field90 options-false form-element-20 default-true form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you a veteran?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field90\" name=\"field90\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Yes\" class=\" \">Yes<\/option><option value=\"No\" class=\" \">No<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field86\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field86 options-false form-element-21 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please enter your military separation date:<\/span><\/span><span class=\"sub-label\"><span >MM\/DD\/YYYY<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field86\" name=\"field86[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field87\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field87 options-false form-element-22 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your rank leaving the miliatry?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field87\" name=\"field87[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field88\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field88 options-false form-element-23 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What was your job (MOS) in the military?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field88\" name=\"field88[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field89\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field89 options-false form-element-24 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What type of position are you seeking?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field89\" name=\"field89[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field53\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field53 options-false form-element-25 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in homeownership<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"false\" name=\"field53[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field53\" type=\"radio\" data-is-required=\"false\" name=\"field53[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field55 options-false form-element-26 default-true form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Do you have a bank account?<\/span><\/span><span class=\"sub-label\"><span >(This information is only used for statistical purposes and is not shared with a third party)<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"No.\" class=\"validation-lenient\"><span><span >No.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"Yes, I have a checking account.\" class=\"validation-lenient\"><span><span >Yes, I have a checking account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"Yes, I have a savings account.\" class=\"validation-lenient\"><span><span >Yes, I have a savings account.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"false\" name=\"field55[]\" value=\"Yes, I have both checking and savings.\" class=\"validation-lenient\"><span><span >Yes, I have both checking and savings.<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field50\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field50 options-false form-element-27 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in learning about  managing your personal finances in the future?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"false\" name=\"field50[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"false\" name=\"field50[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field64 options-false form-element-28 default-true form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Did you receive your high school diploma or equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"I'm in the process\" class=\"validation-lenient\"><span><span >I'm in the process<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field40\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field40 options-false form-element-29 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in working toward your high school equivalency?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"false\" name=\"field40[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field32 options-false form-element-30 default-true form-element-type-checkbox is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you currently enrolled in school?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"false\" name=\"field32[]\" value=\"Yes, I'm enrolled in college\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in college<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"false\" name=\"field32[]\" value=\"Yes, I'm enrolled in high school\" class=\"validation-lenient\"><span><span >Yes, I'm enrolled in high school<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"false\" name=\"field32[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-false form-element-31 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What high school are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"32\" style=\"width: 100%\" class=\" form-element form-element-field38 options-false form-element-32 default-true form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Baton Rouge Community College\" class=\" \">Baton Rouge Community College<\/option><option value=\"Delgado Community College\" class=\" \">Delgado Community College<\/option><option value=\"Fletcher Technical Community College\" class=\" \">Fletcher Technical Community College<\/option><option value=\"Northshore Technical Community College\" class=\" \">Northshore Technical Community College<\/option><option value=\"Nunez Community College\" class=\" \">Nunez Community College<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"33\" style=\"width: 100%\" class=\" even form-element form-element-field39 options-false form-element-33 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What college are you enrolled in?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field39\" name=\"field39[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"34\" style=\"width: 100%\" class=\" form-element form-element-field44 options-false form-element-34 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How did you hear about the virtual job fair?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Facebook\" class=\"validation-lenient\"><span><span >Facebook<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Email\" class=\"validation-lenient\"><span><span >Email<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Twitter\" class=\"validation-lenient\"><span><span >Twitter<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"LinkedIn\" class=\"validation-lenient\"><span><span >LinkedIn<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Word of mouth\" class=\"validation-lenient\"><span><span >Word of mouth<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Community organization\" class=\"validation-lenient\"><span><span >Community organization<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Instagram\" class=\"validation-lenient\"><span><span >Instagram<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"Urban League Staff\" class=\"validation-lenient\"><span><span >Urban League Staff<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field110\" data-index=\"35\" style=\"width: 100%\" class=\" even form-element form-element-field110 options-false form-element-35 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you interested in learning more about our professional development training program?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field110\" type=\"radio\" data-is-required=\"true\" name=\"field110[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field110\" type=\"radio\" data-is-required=\"true\" name=\"field110[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"36\" style=\"width: 100%\" class=\" form-element form-element-field59 options-false form-element-36 default-true form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 >COVID-19 RELATED QUESTIONS<\/h3><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"37\" style=\"width: 100%\" class=\" even form-element form-element-field60 options-false form-element-37 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were you laid off because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field60\" type=\"radio\" data-is-required=\"true\" name=\"field60[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field66\" data-index=\"38\" style=\"width: 100%\" class=\" form-element form-element-field66 options-false form-element-38 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Were your hours reduced because of COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"39\" style=\"width: 100%\" class=\" even form-element form-element-field65 options-false form-element-39 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you eligible for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field67\" data-index=\"40\" style=\"width: 100%\" class=\" form-element form-element-field67 options-false form-element-40 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Have you had any difficulty applying for unemployment benefits?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field77\" data-index=\"41\" style=\"width: 100%\" class=\" even form-element form-element-field77 options-false form-element-41 default-true form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If other, please list:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field77\" name=\"field77[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field71\" data-index=\"42\" style=\"width: 100%\" class=\" form-element form-element-field71 options-false form-element-42 default-false form-element-type-fileupload is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >Upload your resume (optional)<\/span><\/span><span class=\"sub-label\"><span >PDFs ONLY PLEASE<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"Upload a PDF of your resume.  REQUIRED!\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >UPLOAD RESUME<\/span><input type=\"file\" data-name-list=\"field71\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" data-min-files=\"0\" data-max-files=\"2\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field112\" data-index=\"43\" style=\"width: 100%\" class=\" even form-element form-element-field112 options-false form-element-43 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #c1272c !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><h3 ><\/h3><h3 ><b>PLEASE NOTE <\/b>-<i> After hitting submit, you will be taken to <b>PART 2<\/b> of this registration on a different website.&nbsp; You will not be fully registered until you complete part 2 of the registration. \u200b<br><b>Click the REGISTER NOW button to continue registration.<\/b><\/i><\/h3><h3 ><br><\/h3><h3 ><i><b><u>PLEASE USE THE SAME EMAIL ADDRESS THAT YOU USED TO COMPLETE THE ABOVE FORM.&nbsp;<\/u><\/b><\/i><\/h3><\/div><input type=\"hidden\" name=\"field112\" data-field-id=\"field112\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field84\" data-index=\"44\" style=\"width: 100%\" class=\" form-element form-element-field84 options-false form-element-44 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Media Release Statement  I hereby grant Urban League of Louisiana permission to use my digital image, along with my name, and additional relevant information in all of its advertisements, publications, promotional materials and online platforms, without payment or any other consideration. I understand and agree that these images will become the property of the Urban League of Louisiana and will not be returned. I hereby irrevocably authorize Urban League of Louisiana to edit, alter, copy, exhibit, publish, or distribute these images for purposes of publicizing our workforce programs or for any other lawful purpose related to the work of the Urban League of Louisiana. In addition, I waive the right to inspect or approve the finished products, including written or electronic copy, wherein my image appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the digital images. I hereby hold harmless and release and forever discharge Urban League of Louisiana from all claims, demands, and causes of action which I, my heirs, representatives, executor, administrators, or any other person acting on my behalf or on behalf of my estate may have or may have by reason of this authorization.  I am 18 years of age and am competent to sign this release. I have read this release before signing and I fully understand the contents, meaning, and impact of this release.<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field84\" type=\"checkbox\" data-is-required=\"true\" name=\"field84[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"45\" style=\"width: 100%\" class=\" even form-element form-element-field20 options-true form-element-45 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 110%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>Having issues with registration? Call (504) 324-4444EMPLOYER REGISTRATIONEmployer Registration is now closed.The Urban League of Louisiana is ready and able to assist you in recruiting workers for your essential industry business.\u00a0 Complete our form below and we will be in touch you within 24 hours or sooner.\u00a0<div data-uniq='69a43e6c100c2' class='uniq-69a43e6c100c2 formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[51] = [[[[\"field29\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field31\"]],\"and\"],[[[\"field33\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field35\"],[\"show_fields\",\"field18\"],[\"show_fields\",\"field16\"],[\"show_fields\",\"field21\"]],\"and\"],[[[\"field33\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field19\"]],\"and\"],[[[\"field18\",\"equal_to\",\"Yes\"]],[[\"show_fields\",\"field19\"]],\"and\"],[[[\"field40\",\"equal_to\",\"Other\"]],[[\"show_fields\",\"field52\"]],\"and\"],[[[\"field55\",\"equal_to\",\"Vendor\"],[\"field55\",\"equal_to\",\"Resource Provider\"],[\"field55\",\"equal_to\",\"Education\\\/Training Provider\"]],[[\"hide_fields\",\"field53,field52,field41,field43,field42,field44,field32,field36,field29,field31,field33,field35,field45,field46,field47,field48,field49,field37,field38,field39,field19\"]],\"or\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-51 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #a92226;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-51.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #a92226;\n\t\t\t\tbackground: #c1272c;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #a92226 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-51\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"51\" class=\"fc-form fc-form-51 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field28\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field28 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><span style=\"text-align: justify;font-size: 10pt;border: 1pt none windowtext\"><\/span><\/p><div ><div style=\"font-size: 10pt;text-align: center\"><span style=\"font-size: 10pt;text-align: justify\"><\/span><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\"><b style=\"font-size: 13px;text-align: center\">\u200b<\/b><span style=\"text-align: center;font-size: 19.5px;float: none\"><b>CLEAN ENERGY CAREER AND RESOURCE FAIR<\/b><\/span><\/span><\/div><div style=\"text-align: center\"><span style=\"font-size: 19.5px\"><b>Employer Registration<br><\/b><\/span><br><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\">SEPTEMBER 27, 2023 | 10AM - 12:30PM<\/span><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\">TULANE MEMORIAL BAPTIST CHURCH<\/span><\/div><div style=\"font-size: 13px;text-align: center\"><span style=\"font-size: inherit\">3601 PARIS AVENUE, NEW ORLEANS, LA<\/span><\/div><!--EndFragment--><br><span style=\"font-size: 10pt;text-align: justify\">Urban League of Louisiana\u2019s Center for Workforce Development continues to address the critical need to fill vacant positions for our employer partners. We collaborate with employers to create ongoing pipelines of skilled candidates to fill immediate roles. Join us in building a talent pipeline by participating in an Urban League of Louisiana Career Fair.<\/span><br><\/div><p class=\"xmsonormal \" style=\"text-align: justify\"><span style=\"font-size: 10.0pt;color: #201f1e;border: none windowtext 1.0pt\"><span style=\"color: inherit\"><\/span><\/span><\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field28\" data-field-id=\"field28\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field6 options-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Org. Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field22 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Org. Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field22\" name=\"field22[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"3\" style=\"width: 28\" class=\" even form-element form-element-field56 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"4\" style=\"width: 28\" class=\" form-element form-element-field57 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field57\" name=\"field57[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field58\" data-index=\"5\" style=\"width: 28\" class=\" even form-element form-element-field58 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field58\" name=\"field58[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field8 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Contact for Person Tabling<\/span><\/span><span class=\"sub-label\"><span >First and Last name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field59 options-false form-element-8 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field59\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field59\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field53\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field53 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Select Your Business\/Industry<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field53\" name=\"field53\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Residential Energy Efficiency\" class=\" \">Residential Energy Efficiency<\/option><option value=\"Commercial Energy Efficiency\" class=\" \">Commercial Energy Efficiency<\/option><option value=\"Solar Energy\" class=\" \">Solar Energy<\/option><option value=\"Wind Energy\" class=\" \">Wind Energy<\/option><option value=\"Architecture, engineering\" class=\" \">Architecture, engineering<\/option><option value=\"Construction, building trades\" class=\" \">Construction, building trades<\/option><option value=\"Healthcare\" class=\" \">Healthcare<\/option><option value=\"Education, training or library sciences\" class=\" \">Education, training or library sciences<\/option><option value=\"Farming, fisheries or forestry\" class=\" \">Farming, fisheries or forestry<\/option><option value=\"Firefighter, police or safety\" class=\" \">Firefighter, police or safety<\/option><option value=\"Food services\" class=\" \">Food services<\/option><option value=\"Government\" class=\" \">Government<\/option><option value=\"Legal\" class=\" \">Legal<\/option><option value=\"Media\" class=\" \">Media<\/option><option value=\"Military\" class=\" \">Military<\/option><option value=\"Non-profit\" class=\" \">Non-profit<\/option><option value=\"Technology\" class=\" \">Technology<\/option><option value=\"Transportation\" class=\" \">Transportation<\/option><option value=\"Sales\" class=\" \">Sales<\/option><option value=\"Social sciences\" class=\" \">Social sciences<\/option><option value=\"Other\" class=\" \">Other<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field52\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field52 options-false form-element-10 default-true form-element-type-textarea is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If you selected 'Other' please describe below:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field52\" placeholder=\"\" class=\"validation-lenient\" name=\"field52\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field41\" data-index=\"11\" style=\"width: 100%\" class=\" even form-element form-element-field41 options-false form-element-11 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How many job openings are available?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field41\" name=\"field41\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><option value=\"1\" class=\" \">1<\/option><option value=\"2\" class=\" \">2<\/option><option value=\"3\" class=\" \">3<\/option><option value=\"4\" class=\" \">4<\/option><option value=\"5\" class=\" \">5<\/option><option value=\"6\" class=\" \">6<\/option><option value=\"7\" class=\" \">7<\/option><option value=\"8\" class=\" \">8<\/option><option value=\"9\" class=\" \">9<\/option><option value=\"10\" class=\" \">10<\/option><option value=\"10+\" class=\" \">10+<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field43\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field43 options-false form-element-12 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Are you willing to serve as a host employer for any of the following:<\/span><\/span><span class=\"sub-label\"><span >Check all that apply.<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Apprenticeship\" class=\"validation-lenient\"><span><span >Apprenticeship<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Internship\" class=\"validation-lenient\"><span><span >Internship<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"On-the-Job-Training\" class=\"validation-lenient\"><span><span >On-the-Job-Training<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Work Experience\" class=\"validation-lenient\"><span><span >Work Experience<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"checkbox\" data-is-required=\"true\" name=\"field43[]\" value=\"Not at this time\" class=\"validation-lenient\"><span><span >Not at this time<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field42\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field42 form-element-13 default-false form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you hire Previously Incarcerated or Returning citizens?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field44 form-element-14 default-false form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you agree to provide the Urban League of Louisiana with data on the number of prospects hired as a result of our job\/career fairs?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"Willing to Discuss the possibility\" class=\"validation-lenient\"><span><span >Willing to Discuss the possibility<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"checkbox\" data-is-required=\"true\" name=\"field44[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-15 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><u>COVID-19 Related Questions<br><\/u><\/b><br>To become an employer partner of the Urban League of Louisiana\u2019s Office of Workforce Development, a company&nbsp;must demonstrate the ability to adhere to the Center of Disease Control (CDC) guidelines, as it relates to the control, prevention, and spread of COVID-19 and must&nbsp;respond to the following questions:<br><\/p><\/div><input type=\"hidden\" name=\"field32\" data-field-id=\"field32\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field36 options-false form-element-16 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What safety materials or equipment do you provide to your employees in the wake of the Covid-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field36\" placeholder=\"\" class=\"validation-lenient\" name=\"field36\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field29\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field29 form-element-17 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have Health and Safety posters regarding control and prevention of the Covid-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field29\" type=\"radio\" data-is-required=\"true\" name=\"field29[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field29\" type=\"radio\" data-is-required=\"true\" name=\"field29[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field29\" type=\"radio\" data-is-required=\"true\" name=\"field29[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-18 default-true form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If so, where are they located?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field31\" name=\"field31[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field33\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field33 form-element-19 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you provide Covid-19 safety training to your employees?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field33\" type=\"radio\" data-is-required=\"true\" name=\"field33[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field33\" type=\"radio\" data-is-required=\"true\" name=\"field33[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field33\" type=\"radio\" data-is-required=\"true\" name=\"field33[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"20\" style=\"width: 100%\" class=\" form-element form-element-field35 options-false form-element-20 default-true form-element-type-textarea is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >If yes, please provide a list of the training(s).<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field35\" placeholder=\"\" class=\"validation-lenient\" name=\"field35\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field45\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field45 form-element-21 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your organization developed an infectious disease preparedness and response plan that can help guide protective actions against COVID-19?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"radio\" data-is-required=\"true\" name=\"field45[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"radio\" data-is-required=\"true\" name=\"field45[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"radio\" data-is-required=\"true\" name=\"field45[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field46\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field46 form-element-22 default-true form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your company implemented basic infection prevention and safety measures emphasizing good hygiene and infection control practices?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field47\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field47 form-element-23 default-true form-element-type-checkbox is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your company implemented basic infection prevention and safety measures emphasizing good hygiene and infection control practices?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field48\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field48 form-element-24 default-true form-element-type-checkbox is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Has your organization reviewed human resources policies to make sure that policies and practices are consistent with public health recommendations and are consistent with existing state and federal workplace laws?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field49 options-false form-element-25 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >For employers that do not currently offer sick leave to some or all employees, has your organization drafted non-punitive \u201cemergency sick leave\u201d policies?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"N\/A\" class=\"validation-lenient\"><span><span >N\/A<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field37 form-element-26 default-true form-element-type-dropdown is-required-true odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How is your business since the start of COVID-19 quarantine?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field37\" name=\"field37\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Better\" class=\" \">Better<\/option><option value=\"Worse\" class=\" \">Worse<\/option><option value=\"No change\" class=\" \">No change<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field38 form-element-27 default-true form-element-type-dropdown is-required-true -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How has hiring employees been since the COVID-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Difficult\" class=\" \">Difficult<\/option><option value=\"Not Difficult\" class=\" \">Not Difficult<\/option><option value=\"Somewhat Difficult\" class=\" \">Somewhat Difficult<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-28 default-true form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >How has retaining employees been since the COVID-19 pandemic?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field39\" name=\"field39\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Difficult\" class=\" \">Difficult<\/option><option value=\"Not Difficult\" class=\" \">Not Difficult<\/option><option value=\"Somewhat Difficult\" class=\" \">Somewhat Difficult<\/option><option value=\"N\/A\" class=\" \">N\/A<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field21\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field21 options-false form-element-29 default-false form-element-type-fileupload is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >Upload your company\/org. logo (Please be patient as this may take a few moments.)<\/span><\/span><span class=\"sub-label\"><span >Logo will be displayed at the job fair and on our site.<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >Upload<\/span><input type=\"file\" data-name-list=\"field21\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" data-min-files=\"0\" data-max-files=\"\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field19\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field19 options-false form-element-30 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Please provide links to your current job openings with descriptions:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field19\" placeholder=\"\" class=\"validation-lenient\" name=\"field19\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field20 options-false form-element-31 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>OTHER RESOURCE PROVIDER REGISTRATIONSTEP ONE: Please complete the form and make sure to upload your resume.\u00a0 You will receive a confirmation once you submit. STEP TWO: You will receive an email with a link to our virtual interview portal as well as all necessary instructions. STEP THREE: JOIN US FOR A VIRTUAL CAREER FAIR!<div data-uniq='69a43e6c26d6e' class='uniq-69a43e6c26d6e formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[70] = []; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-70 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #c1272c;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #c1272c;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #a92226;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-70.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #a92226;\n\t\t\t\tbackground: #c1272c;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #a92226 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #a92226;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #c1272c;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-70\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"70\" class=\"fc-form fc-form-70 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left options-fade  \" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field28\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field28 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><div style=\"font-size: 10pt\" ><span style=\"text-align: justify;font-size: 10pt;border: 1pt none windowtext\">Urban League of Louisiana\u2019s Office of Workforce Development is\u202fcontinuing to address<span id=\"selectionBoundary_1645733384967_49673965675992426\" class=\"rangySelectionBoundary\">\ufeff<\/span> <span id=\"selectionBoundary_1645733380257_04018346392792871\" class=\"rangySelectionBoundary\">\ufeff<\/span>the <span id=\"selectionBoundary_1645733388432_13378108464904437\" class=\"rangySelectionBoundary\">\ufeff<\/span>critical need to fill vacant positions<span id=\"selectionBoundary_1645733396554_38868041013618293\" class=\"rangySelectionBoundary\">\ufeff<\/span>.<span id=\"selectionBoundary_1645733402357_3112212512508358\" class=\"rangySelectionBoundary\">\ufeff<\/span><br><\/span><\/div><p ><br><\/p><\/div><input type=\"hidden\" name=\"field28\" data-field-id=\"field28\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field55 options-false form-element-1 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Select your role for the event:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field55\" name=\"field55\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Vendor\" class=\" \">Vendor<\/option><option value=\"Resource Provider\" class=\" \">Resource Provider<\/option><option value=\"Education\/Training Provider\" class=\" \">Education\/Training Provider<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Org. Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field22 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company\/Organization Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field22\" name=\"field22[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"4\" style=\"width: 28\" class=\" form-element form-element-field56 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"5\" style=\"width: 28\" class=\" even form-element form-element-field57 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field57\" name=\"field57[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field58\" data-index=\"6\" style=\"width: 28\" class=\" form-element form-element-field58 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Zip<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field58\" name=\"field58[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field26 options-false form-element-7 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Select all virtual job fair dates you are able to participate in:<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"checkbox\" data-is-required=\"true\" name=\"field26[]\" value=\"Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023\" class=\"validation-lenient\"><span><span >Second Chance Career and Resource Expo for Returning Citizens - April 28, 2023<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Contact Person<\/span><\/span><span class=\"sub-label\"><span >First and Last name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field59 options-false form-element-10 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field59\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field59\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field42\" data-index=\"11\" style=\"width: 100%\" class=\" even form-element form-element-field42 options-false form-element-11 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Are you also participating as an employer?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"radio\" data-is-required=\"true\" name=\"field42[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"radio\" data-is-required=\"true\" name=\"field42[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field60 form-element-12 default-false form-element-type-customText is-required-false odd -handle options-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><i>NOTE: Once you submit this form, please email your logo to bburkes@urbanleaguela.org.<\/i><\/b><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field20 options-false form-element-13 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Submit Form<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 600 px; color: #666666; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>INCARCERATED JOB SEEKER REGISTRATIONSTEP ONE: Please complete the form and make sure to upload your resume.\u00a0 You [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-92050","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/pages\/92050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/comments?post=92050"}],"version-history":[{"count":143,"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/pages\/92050\/revisions"}],"predecessor-version":[{"id":245130,"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/pages\/92050\/revisions\/245130"}],"wp:attachment":[{"href":"https:\/\/urbanleaguela.org\/wp-json\/wp\/v2\/media?parent=92050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}