{"id":2523,"date":"2022-02-23T09:57:49","date_gmt":"2022-02-23T19:57:49","guid":{"rendered":"https:\/\/dod.hawaii.gov\/yca\/?page_id=2523"},"modified":"2026-08-05T16:36:19","modified_gmt":"2026-08-06T02:36:19","slug":"ycakmentorreport","status":"publish","type":"page","link":"https:\/\/dod.hawaii.gov\/yca\/whatismentor\/ycakmentorreport\/","title":{"rendered":"Mentor Monthly Report"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Aloha!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Your Monthly Report enables us to support you better; further, ensures your Graduate becomes PRODUCTIVE, RESPONSIBLE, and SUCCESSFUL!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You may fill out our online form below or the download Monthly Mentor Report here: <a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2025\/12\/MENTOR-REPORT-NEW.pdf\">Oahu Monthly Mentor Report<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Any questions, you may contact our Case Managers:<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><div class=\"su-table su-table-alternate\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;<\/p>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_9' style='display:none'><div id='gf_9' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Mentor Monthly Report &#8211; Oahu<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_9'  action='\/yca\/wp-json\/wp\/v2\/pages\/2523#gf_9' data-formid='9' novalidate>\n        <div id='gf_progressbar_wrapper_9' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>10<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_10' style='width:10%;'><span>10%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_9_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_133\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_133'><span class='gform-field-label__text'>Name<\/span><\/label><div class='ginput_container'><input name='input_133' id='input_9_133' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_9_133'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_9_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Contact Information<\/h3><\/div><fieldset id=\"field_9_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Graduate<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_3'>\n                            \n                            <span id='input_9_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_9_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_9_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_9_4\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_4'><span class='gform-field-label__text'>Class<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_9_4' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Class 63' >Class 63<\/option><option value='Class 64' >Class 64<\/option><\/select><\/div><\/div><div id=\"field_9_66\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_66'><span class='gform-field-label__text'>Graduate Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_66' id='input_9_66' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_9_132\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_132'><span class='gform-field-label__text'>Post Residential Month<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_132' id='input_9_132' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1 (DEC  08 - JAN 05. 2026)' >1 (DEC  08 &#8211; JAN 05. 2026)<\/option><option value='2 (JAN  06 - FEB 05. 2026)' >2 (JAN  06 &#8211; FEB 05. 2026)<\/option><option value='3 (FEB  06 - MAR 05. 2026)' >3 (FEB  06 &#8211; MAR 05. 2026)<\/option><option value='4 (MAR  06 - APR 05. 2026)' >4 (MAR  06 &#8211; APR 05. 2026)<\/option><option value='5 (APR  06 - MAY 05. 2026)' >5 (APR  06 &#8211; MAY 05. 2026)<\/option><option value='6 (MAY  06 - JUN 05. 2026)' >6 (MAY  06 &#8211; JUN 05. 2026)<\/option><option value='7 (JUN  06 - JUL 05. 2026)' >7 (JUN  06 &#8211; JUL 05. 2026)<\/option><option value='8 (JUL  06 - AUG 05. 2026)' >8 (JUL  06 &#8211; AUG 05. 2026)<\/option><option value='9 (AUG  06 - SEP 05. 2026)' >9 (AUG  06 &#8211; SEP 05. 2026)<\/option><option value='10 (SEP  06 - OCT 05. 2026)' >10 (SEP  06 &#8211; OCT 05. 2026)<\/option><option value='11 (OCT  06 - NOV 05. 2026)' >11 (OCT  06 &#8211; NOV 05. 2026)<\/option><option value='12 (NOV  06 - DEC 05. 2026)' >12 (NOV  06 &#8211; DEC 05. 2026)<\/option><\/select><\/div><\/div><div id=\"field_9_125\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_125'><span class='gform-field-label__text'>Post Residential Month<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_125' id='input_9_125' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1 (JUN  15 - JUL 10. 2026)' >1 (JUN  15 &#8211; JUL 10. 2026)<\/option><option value='2 (JUL 11 - AUG 10. 2026)' >2 (JUL 11 &#8211; AUG 10. 2026)<\/option><option value='3 (AUG  11 - SEP 10. 2026)' >3 (AUG  11 &#8211; SEP 10. 2026)<\/option><option value='4 (SEP  11 - OCT 10. 2026)' >4 (SEP  11 &#8211; OCT 10. 2026)<\/option><option value='5 (OCT  11 - NOV 10. 2026)' >5 (OCT  11 &#8211; NOV 10. 2026)<\/option><option value='6 (NOV  11 - DEC 10. 2026)' >6 (NOV  11 &#8211; DEC 10. 2026)<\/option><option value='7 (DEC  11 - JAN 10. 2026)' >7 (DEC  11 &#8211; JAN 10. 2026)<\/option><option value='8 (JAN  11 - FEB 10. 2026)' >8 (JAN  11 &#8211; FEB 10. 2026)<\/option><option value='9 (FEB  11 - MAR 10. 2026)' >9 (FEB  11 &#8211; MAR 10. 2026)<\/option><option value='10 (MAR  11 - APR 10. 2026)' >10 (MAR  11 &#8211; APR 10. 2026)<\/option><option value='11 (APR  10 - MAY 11. 2026)' >11 (APR  10 &#8211; MAY 11. 2026)<\/option><option value='12 (MAY  10 - JUN 11. 2026)' >12 (MAY  10 &#8211; JUN 11. 2026)<\/option><\/select><\/div><\/div><fieldset id=\"field_9_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Mentor<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_5'>\n                            \n                            <span id='input_9_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_9_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_9_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_9_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_6'><span class='gform-field-label__text'>Mentor Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_9_6' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_9_13' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_2' class='gform_page' data-js='page-field-id-13' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_9_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Graduate Status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_62'><div class='gchoice gchoice_9_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Higher Education'  id='choice_9_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_62_1' id='label_9_62_1' class='gform-field-label gform-field-label--type-inline'>Higher Education<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='Employed'  id='choice_9_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_62_2' id='label_9_62_2' class='gform-field-label gform-field-label--type-inline'>Employed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_62_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='Military'  id='choice_9_62_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_62_3' id='label_9_62_3' class='gform-field-label gform-field-label--type-inline'>Military<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_62_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.4' type='checkbox'  value='Volunteering'  id='choice_9_62_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_62_4' id='label_9_62_4' class='gform-field-label gform-field-label--type-inline'>Volunteering<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_62_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.5' type='checkbox'  value='Not Placed'  id='choice_9_62_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_62_5' id='label_9_62_5' class='gform-field-label gform-field-label--type-inline'>Not Placed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_62_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.6' type='checkbox'  value='Unknown\/ No Contact'  id='choice_9_62_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_62_6' id='label_9_62_6' class='gform-field-label gform-field-label--type-inline'>Unknown\/ No Contact<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_25' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_25' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_3' class='gform_page' data-js='page-field-id-25' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Higher Education<\/h3><\/div><div id=\"field_9_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_29'><span class='gform-field-label__text'>Name of School<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_9_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_30'><span class='gform-field-label__text'>Subject<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_9_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_31'>\n\t\t\t<div class='gchoice gchoice_9_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='Part Time'  id='choice_9_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_31_0' id='label_9_31_0' class='gform-field-label gform-field-label--type-inline'>Part Time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='Full Time'  id='choice_9_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_31_1' id='label_9_31_1' class='gform-field-label gform-field-label--type-inline'>Full Time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_107\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date Started<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_9_107' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_107_1_container'>\n                                        <input type='number' maxlength='2' name='input_107[]' id='input_9_107_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_107_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_107_2_container'>\n                                        <input type='number' maxlength='2' name='input_107[]' id='input_9_107_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_107_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_107_3_container'>\n                                        <input type='number' maxlength='4' name='input_107[]' id='input_9_107_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_107_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><fieldset id=\"field_9_33\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date Ended if Applicable<\/span><\/legend><div id='input_9_33' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_33_1_container'>\n                                        <input type='number' maxlength='2' name='input_33[]' id='input_9_33_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_33_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_33_2_container'>\n                                        <input type='number' maxlength='2' name='input_33[]' id='input_9_33_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_33_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_33_3_container'>\n                                        <input type='number' maxlength='4' name='input_33[]' id='input_9_33_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_33_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><div id=\"field_9_34\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_34'><span class='gform-field-label__text'>If ended, why?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_9_34' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_35' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_35' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_4' class='gform_page' data-js='page-field-id-35' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Employment Information<\/h3><\/div><div id=\"field_9_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_37'><span class='gform-field-label__text'>Name of Employer<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_9_37' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_38'><span class='gform-field-label__text'>Duty Title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_9_38' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_39\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Supervisor<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_39'>\n                            \n                            <span id='input_9_39_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_39.3' id='input_9_39_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_39_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_39_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_39.6' id='input_9_39_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_39_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_9_40\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_40'><span class='gform-field-label__text'>Supervisor Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_40' id='input_9_40' type='tel' value='' class='large'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_9_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_41'><span class='gform-field-label__text'>Wage\/ Salary<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_9_41' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_43'>\n\t\t\t<div class='gchoice gchoice_9_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Full-time'  id='choice_9_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_43_0' id='label_9_43_0' class='gform-field-label gform-field-label--type-inline'>Full-time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Part-time'  id='choice_9_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_43_1' id='label_9_43_1' class='gform-field-label gform-field-label--type-inline'>Part-time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_42\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_42'><span class='gform-field-label__text'>Number of hours per week<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_42' id='input_9_42' type='number' step='any' min='0'  value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_9_42\" \/><div class='gfield_description instruction ' id='gfield_instruction_9_42'>Please enter a number greater than or equal to <strong>0<\/strong>.<\/div><\/div><\/div><fieldset id=\"field_9_44\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date Started<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_9_44' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_44_1_container'>\n                                        <input type='number' maxlength='2' name='input_44[]' id='input_9_44_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_44_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_44_2_container'>\n                                        <input type='number' maxlength='2' name='input_44[]' id='input_9_44_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_44_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_44_3_container'>\n                                        <input type='number' maxlength='4' name='input_44[]' id='input_9_44_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_44_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><fieldset id=\"field_9_45\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date Ended (if Applicable)<\/span><\/legend><div id='input_9_45' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_45_1_container'>\n                                        <input type='number' maxlength='2' name='input_45[]' id='input_9_45_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_45_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_45_2_container'>\n                                        <input type='number' maxlength='2' name='input_45[]' id='input_9_45_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_45_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_45_3_container'>\n                                        <input type='number' maxlength='4' name='input_45[]' id='input_9_45_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_45_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><div id=\"field_9_46\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_46'><span class='gform-field-label__text'>If ended why?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_46' id='input_9_46' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_47' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_47' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_5' class='gform_page' data-js='page-field-id-47' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_48\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Military<\/h3><\/div><div id=\"field_9_49\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_49'><span class='gform-field-label__text'>Branch<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_9_49' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Army' >Army<\/option><option value='Air Force' >Air Force<\/option><option value='Coast Guard' >Coast Guard<\/option><option value='Marines' >Marines<\/option><option value='Navy' >Navy<\/option><option value='Space Force' >Space Force<\/option><\/select><\/div><\/div><fieldset id=\"field_9_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Type of Enlistment<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_53'>\n\t\t\t<div class='gchoice gchoice_9_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Active Duty'  id='choice_9_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_53_0' id='label_9_53_0' class='gform-field-label gform-field-label--type-inline'>Active Duty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Reserves'  id='choice_9_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_53_1' id='label_9_53_1' class='gform-field-label gform-field-label--type-inline'>Reserves<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='National Guard'  id='choice_9_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_53_2' id='label_9_53_2' class='gform-field-label gform-field-label--type-inline'>National Guard<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_51\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date of Enlistment<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_9_51' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_51_1_container'>\n                                        <input type='number' maxlength='2' name='input_51[]' id='input_9_51_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_51_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_51_2_container'>\n                                        <input type='number' maxlength='2' name='input_51[]' id='input_9_51_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_51_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_51_3_container'>\n                                        <input type='number' maxlength='4' name='input_51[]' id='input_9_51_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_51_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><fieldset id=\"field_9_52\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Ship Date<\/span><\/legend><div id='input_9_52' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_52_1_container'>\n                                        <input type='number' maxlength='2' name='input_52[]' id='input_9_52_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_52_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_52_2_container'>\n                                        <input type='number' maxlength='2' name='input_52[]' id='input_9_52_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_52_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_52_3_container'>\n                                        <input type='number' maxlength='4' name='input_52[]' id='input_9_52_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_52_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_101' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_101' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_6' class='gform_page' data-js='page-field-id-101' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_102\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Volunteering<\/h3><\/div><div id=\"field_9_103\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_103'><span class='gform-field-label__text'>Name of Organization<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_9_103' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_104\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Supervisor&#039;s Name<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_104'>\n                            \n                            <span id='input_9_104_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_104.3' id='input_9_104_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_104_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_104_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_104.6' id='input_9_104_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_104_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_9_108\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_108'>\n\t\t\t<div class='gchoice gchoice_9_108_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='Part Time'  id='choice_9_108_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_108_0' id='label_9_108_0' class='gform-field-label gform-field-label--type-inline'>Part Time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_108_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='Full Time'  id='choice_9_108_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_108_1' id='label_9_108_1' class='gform-field-label gform-field-label--type-inline'>Full Time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_105\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_105'><span class='gform-field-label__text'>Number of hours per week<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_105' id='input_9_105' type='number' step='any' min='0'  value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_9_105\" \/><div class='gfield_description instruction ' id='gfield_instruction_9_105'>Please enter a number greater than or equal to <strong>0<\/strong>.<\/div><\/div><\/div><fieldset id=\"field_9_109\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_9_109' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_109_1_container'>\n                                        <input type='number' maxlength='2' name='input_109[]' id='input_9_109_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_109_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_109_2_container'>\n                                        <input type='number' maxlength='2' name='input_109[]' id='input_9_109_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_109_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_109_3_container'>\n                                        <input type='number' maxlength='4' name='input_109[]' id='input_9_109_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_109_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_55' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_55' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_7' class='gform_page' data-js='page-field-id-55' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_117\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Not Placed<\/h3><\/div><div id=\"field_9_118\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_118'><span class='gform-field-label__text'>Why is graduate not placed? (ex. Taking care of family, no transportation, need help fing a job, etc.)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_118' id='input_9_118' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_9_119\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_119'><span class='gform-field-label__text'>What does graduate do all day?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_119' id='input_9_119' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_116' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_116' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_8' class='gform_page' data-js='page-field-id-116' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_120\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">No Contact\/Unknown<\/h3><\/div><div id=\"field_9_122\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_122'><span class='gform-field-label__text'>How have you attempted to contact graduate? And how many times?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_122' id='input_9_122' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_121' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_121' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_9' class='gform_page' data-js='page-field-id-121' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_54\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Meeting Information<\/h3><\/div><fieldset id=\"field_9_70\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Contact Date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_9_70' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_70_1_container'>\n                                        <input type='number' maxlength='2' name='input_70[]' id='input_9_70_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_70_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_70_2_container'>\n                                        <input type='number' maxlength='2' name='input_70[]' id='input_9_70_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_70_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_70_3_container'>\n                                        <input type='number' maxlength='4' name='input_70[]' id='input_9_70_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_70_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><div id=\"field_9_71\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_71'><span class='gform-field-label__text'>Type of Contact<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_9_71' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_71\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_9_71'>Phone, Person, Letterm E-Mail, etc&#8230;.)<\/div><\/div><div id=\"field_9_72\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_72'><span class='gform-field-label__text'>Brief Summary<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_72' id='input_9_72' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_9_83\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Contact Date<\/span><\/legend><div id='input_9_83' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_83_1_container'>\n                                        <input type='number' maxlength='2' name='input_83[]' id='input_9_83_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_83_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_83_2_container'>\n                                        <input type='number' maxlength='2' name='input_83[]' id='input_9_83_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_83_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_83_3_container'>\n                                        <input type='number' maxlength='4' name='input_83[]' id='input_9_83_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_83_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><div id=\"field_9_87\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_87'><span class='gform-field-label__text'>Type of Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_9_87' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_87\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_9_87'>Phone, Person, Letterm E-Mail, etc&#8230;.)<\/div><\/div><div id=\"field_9_85\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_85'><span class='gform-field-label__text'>Brief Summary<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_85' id='input_9_85' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_9_88\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Contact Date<\/span><\/legend><div id='input_9_88' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_88_1_container'>\n                                        <input type='number' maxlength='2' name='input_88[]' id='input_9_88_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_88_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_88_2_container'>\n                                        <input type='number' maxlength='2' name='input_88[]' id='input_9_88_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_88_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_88_3_container'>\n                                        <input type='number' maxlength='4' name='input_88[]' id='input_9_88_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_88_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><div id=\"field_9_84\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_84'><span class='gform-field-label__text'>Type of Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_9_84' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_84\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_9_84'>Phone, Person, Letterm E-Mail, etc&#8230;.)<\/div><\/div><div id=\"field_9_86\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_86'><span class='gform-field-label__text'>Brief Summary<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_86' id='input_9_86' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_9_90\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Contact Date<\/span><\/legend><div id='input_9_90' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_9_90_1_container'>\n                                        <input type='number' maxlength='2' name='input_90[]' id='input_9_90_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_9_90_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_9_90_2_container'>\n                                        <input type='number' maxlength='2' name='input_90[]' id='input_9_90_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_9_90_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_9_90_3_container'>\n                                        <input type='number' maxlength='4' name='input_90[]' id='input_9_90_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_9_90_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><div id=\"field_9_91\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_91'><span class='gform-field-label__text'>Type of Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_9_91' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_91\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_9_91'>Phone, Person, Letterm E-Mail, etc&#8230;.)<\/div><\/div><div id=\"field_9_89\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_89'><span class='gform-field-label__text'>Brief Summary<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_89' id='input_9_89' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_9_111' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_9_111' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_10' class='gform_page' data-js='page-field-id-111' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_115\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Placement Verification Dropbox<\/h3><\/div><div id=\"field_9_124\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Placement Verification may be submitted at a later date. Can be submitted via Mentor Resources<\/div><div id=\"field_9_112\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_9_112'><span class='gform-field-label__text'>File<\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_9_112' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_9_112&quot;,&quot;container&quot;:&quot;gform_multifile_upload_9_112&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_9_112&quot;,&quot;filelist&quot;:&quot;gform_preview_9_112&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/dod.hawaii.gov\\\/yca\\\/?gf_page=fe202dda596e008&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/dod.hawaii.gov\\\/yca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/dod.hawaii.gov\\\/yca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;102400000b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:9,&quot;field_id&quot;:112,&quot;_gform_file_upload_nonce_9_112&quot;:&quot;c202631a25&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_9_112&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_9_112' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_9_112' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_9_112\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_9_112'>Max. file size: 98 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_9_112'><\/ul> <div id='gform_preview_9_112' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_9_114\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_114'><span class='gform-field-label__text'>Comments<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_114' id='input_9_114' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_9_130\" class=\"gfield gfield--type-turnstile gfield--input-type-turnstile gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_turnstile'><div class=\"cf-turnstile\" id=\"cf-turnstile_9\" data-js-turnstile data-response-field-name=\"cf-turnstile-response_9\" data-theme=\"auto\" data-size=\"\" data-sitekey=\"0x4AAAAAAAR4uKq_8xdjT8Ww\"><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_9' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='submit' id='gform_submit_button_9' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_9' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_9' id='gform_theme_9' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_9' id='gform_style_settings_9' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_9' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='9' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='gIeg\/ZWchwcGtIWcE\/yhWxyELGhd5kbwLGYajIrDsJbRwUwqHQ+2MkmgSP4cYRhp3CHoC15PUpcHmmw343Ehr1WtcUYjmFuamrJy+MMMVG\/t51E=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_9' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_9' id='gform_target_page_number_9' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_9' id='gform_source_page_number_9' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_9' value='' \/>\n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>","protected":false},"excerpt":{"rendered":"<p>Aloha! Your Monthly Report enables us to support you better; further, ensures your Graduate becomes PRODUCTIVE, RESPONSIBLE, and SUCCESSFUL! You may fill out our online form below or the download Monthly Mentor Report here: Oahu Monthly Mentor Report Any questions, you may contact our Case Managers: &nbsp;<\/p>\n","protected":false},"author":139,"featured_media":0,"parent":94,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"1838,1841,401,544,1130,690","_relevanssi_noindex_reason":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2523","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/2523","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/users\/139"}],"replies":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/comments?post=2523"}],"version-history":[{"count":12,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/2523\/revisions"}],"predecessor-version":[{"id":5159,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/2523\/revisions\/5159"}],"up":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/94"}],"wp:attachment":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/media?parent=2523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}