{"id":66,"date":"2016-12-14T23:53:15","date_gmt":"2016-12-14T23:53:15","guid":{"rendered":"http:\/\/forms.westernu.edu\/alumni\/?page_id=66"},"modified":"2016-12-14T23:53:25","modified_gmt":"2016-12-14T23:53:25","slug":"alumnivolunteer","status":"publish","type":"page","link":"https:\/\/forms.westernu.edu\/alumni\/alumnivolunteer\/","title":{"rendered":"Alumni Volunteer Interest Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_13' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Alumni Volunteer Interest Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/alumni\/wp-json\/wp\/v2\/pages\/66' data-formid='13' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_13_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><b><h3>Give Back\u2026 Pay It Forward\u2026 Get Involved!<\/h3><\/b><p>\n\nThere are many ways for alumni like you to continue your relationship with WesternU, whether it\u2019s staying in touch with classmates or passing on your knowledge to the next generation of students. No matter when you\u2019re available, where you\u2019re located, or how much time you\u2019re able to commit, WesternU wants to help you Get Involved!<p>\n\nPlease use the form below to express your volunteer interest. You will then be contacted with more information.  To view a list of volunteer descriptions, visit the Alumni Get Involved page at: <a href=\"https:\/\/alumnifriends.westernu.edu\/get-involved\" target=\"_blank\">https:\/\/alumnifriends.westernu.edu\/get-involved<\/a>. If you have any questions, please contact the Alumni Office at <a href=\"mailto:alumni@westernu.edu\">alumni@westernu.edu<\/a> or (909) 469-ALUM. \n<\/li><li id=\"field_13_18\" class=\"gfield gfield--type-section gsection title_gr field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Personal Information:<\/h2><div class='gsection_description' id='gfield_description_13_18'>Required fields are marked by an asterisk (*)<\/div><\/li><li id=\"field_13_2\" class=\"gfield gfield--type-name 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 gfield_label_before_complex' >Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_13_2'>\n                            \n                            <span id='input_13_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_13_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_13_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_13_2_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.4' id='input_13_2_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_13_2_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_13_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_13_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_13_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_13_24\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_24'>Name at graduation (if different):<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_13_24' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_4\" class=\"gfield gfield--type-text 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_13_4'>Degree:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_13_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_22\" class=\"gfield gfield--type-text 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_13_22'>Class Year:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_13_22' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_21\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_21'>Student ID Number:<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_13_21' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_5\" class=\"gfield gfield--type-text 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_13_5'>Preferred Email Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_13_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_7\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_7'>Preferred Phone Number:<\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_13_7' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_19\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_19'>Preferred Phone Type:<\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_13_19' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Select One' >Select One<\/option><option value='Home' >Home<\/option><option value='Mobile' >Mobile<\/option><option value='Business' >Business<\/option><\/select><\/div><\/li><li id=\"field_13_8\" class=\"gfield gfield--type-section gsection title_gr field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Home:<\/h2><\/li><li id=\"field_13_6\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_13_6' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_13_6_1_container' >\n                                        <input type='text' name='input_6.1' id='input_13_6_1' value=''    aria-required='false'    \/>\n                                        <label for='input_13_6_1' id='input_13_6_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_13_6_2_container' >\n                                        <input type='text' name='input_6.2' id='input_13_6_2' value=''     aria-required='false'   \/>\n                                        <label for='input_13_6_2' id='input_13_6_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_13_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_13_6_3' value=''    aria-required='false'    \/>\n                                    <label for='input_13_6_3' id='input_13_6_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_13_6_4_container' >\n                                        <select name='input_6.4' id='input_13_6_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_13_6_4' id='input_13_6_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_13_6_5_container' >\n                                    <input type='text' name='input_6.5' id='input_13_6_5' value=''    aria-required='false'    \/>\n                                    <label for='input_13_6_5' id='input_13_6_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_6.6' id='input_13_6_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_13_9\" class=\"gfield gfield--type-section gsection title_gr field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Current Employment\/ Residency:<\/h2><\/li><li id=\"field_13_10\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_10'>Company Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_13_10' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_11\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_11'>Job Title:<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_13_11' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_12\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_12'>Primary Specialty:<\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_13_12' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Select One' >Select One<\/option><option value='Administration' >Administration<\/option><option value='Allergy &amp; Immunology' >Allergy &amp; Immunology<\/option><option value='Anesthesiology\/Pain Management' >Anesthesiology\/Pain Management<\/option><option value='Biology\/Microbiology' >Biology\/Microbiology<\/option><option value='Biomedical Research' >Biomedical Research<\/option><option value='Cardiology' >Cardiology<\/option><option value='Cornea &amp; Contact Lens' >Cornea &amp; Contact Lens<\/option><option value='Dentistry (General)' >Dentistry (General)<\/option><option value='Dermatology' >Dermatology<\/option><option value='Diabetes\/Wound Care' >Diabetes\/Wound Care<\/option><option value='Education (Teaching\/Training)' >Education (Teaching\/Training)<\/option><option value='Electrophysiology' >Electrophysiology<\/option><option value='Emergency Medicine\/Urgent Care' >Emergency Medicine\/Urgent Care<\/option><option value='Endocrinology' >Endocrinology<\/option><option value='Endodonics' >Endodonics<\/option><option value='Environmental &amp; Occupational Vision' >Environmental &amp; Occupational Vision<\/option><option value='Family Medicine' >Family Medicine<\/option><option value='Gastroenterology' >Gastroenterology<\/option><option value='Geriatrics' >Geriatrics<\/option><option value='Hospice\/Palliative Medicine' >Hospice\/Palliative Medicine<\/option><option value='Infectious Diseases' >Infectious Diseases<\/option><option value='Internal Medicine' >Internal Medicine<\/option><option value='Lab Animal Medicine' >Lab Animal Medicine<\/option><option value='Large Animal Medicine' >Large Animal Medicine<\/option><option value='Low Vision Rehabilitation' >Low Vision Rehabilitation<\/option><option value='Nephrology' >Nephrology<\/option><option value='Neurology' >Neurology<\/option><option value='NMM\/OMM' >NMM\/OMM<\/option><option value='Nuclear Medicine' >Nuclear Medicine<\/option><option value='Nutrition\/Diet\/Weight Loss' >Nutrition\/Diet\/Weight Loss<\/option><option value='Obstetrics &amp; Gynecology' >Obstetrics &amp; Gynecology<\/option><option value='Occupational Medicine' >Occupational Medicine<\/option><option value='Ocular Disease' >Ocular Disease<\/option><option value='Oncology' >Oncology<\/option><option value='Ophthalmology' >Ophthalmology<\/option><option value='Optometry (General)' >Optometry (General)<\/option><option value='Orthodonics' >Orthodonics<\/option><option value='Orthopedics' >Orthopedics<\/option><option value='Other' >Other<\/option><option value='Otorhinolaryngology' >Otorhinolaryngology<\/option><option value='Pathology' >Pathology<\/option><option value='Pediatrics (Neonatal\/Adolescent)' >Pediatrics (Neonatal\/Adolescent)<\/option><option value='Periodontics' >Periodontics<\/option><option value='Pharmacology' >Pharmacology<\/option><option value='Pharmacotherapy' >Pharmacotherapy<\/option><option value='Pharmacy (Ambulatory Care)' >Pharmacy (Ambulatory Care)<\/option><option value='Pharmacy (General)' >Pharmacy (General)<\/option><option value='Pharmacy (Compounding)' >Pharmacy (Compounding)<\/option><option value='Pharmacy (Critical Care)' >Pharmacy (Critical Care)<\/option><option value='Physical Medicine &amp; Rehabilitation' >Physical Medicine &amp; Rehabilitation<\/option><option value='Physical Therapy (General)' >Physical Therapy (General)<\/option><option value='Podiatry (General)' >Podiatry (General)<\/option><option value='Proctology' >Proctology<\/option><option value='Prosthodontics' >Prosthodontics<\/option><option value='Psychiatry' >Psychiatry<\/option><option value='Public\/Community Health' >Public\/Community Health<\/option><option value='Pulmonology' >Pulmonology<\/option><option value='Radiology' >Radiology<\/option><option value='Research' >Research<\/option><option value='Rheumatology' >Rheumatology<\/option><option value='Shelter Medicine' >Shelter Medicine<\/option><option value='Small Animal Medicine' >Small Animal Medicine<\/option><option value='Sports Medicine' >Sports Medicine<\/option><option value='Surgery (Cardiovascular)' >Surgery (Cardiovascular)<\/option><option value='Surgery (Foot &amp; Ankle)' >Surgery (Foot &amp; Ankle)<\/option><option value='Surgery (General)' >Surgery (General)<\/option><option value='Surgery (Neuro)' >Surgery (Neuro)<\/option><option value='Surgery (Ocular\/Refractive)' >Surgery (Ocular\/Refractive)<\/option><option value='Surgery (Oral\/Maxillofacial)' >Surgery (Oral\/Maxillofacial)<\/option><option value='Surgery (Orthopedic)' >Surgery (Orthopedic)<\/option><option value='Surgery (Pediatric)' >Surgery (Pediatric)<\/option><option value='Surgery (Plastic\/Reconstructive)' >Surgery (Plastic\/Reconstructive)<\/option><option value='Surgery (Thoracic)' >Surgery (Thoracic)<\/option><option value='Surgery (Transplant)' >Surgery (Transplant)<\/option><option value='Theriogenology' >Theriogenology<\/option><option value='Urology' >Urology<\/option><option value='Vascular Medicine' >Vascular Medicine<\/option><option value='Veterinary Medicine (General)' >Veterinary Medicine (General)<\/option><option value='Vision Rehab\/Therapy' >Vision Rehab\/Therapy<\/option><option value='Zoological\/Wildlife Medicine' >Zoological\/Wildlife Medicine<\/option><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_13_16\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_13_16' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_13_16_1_container' >\n                                        <input type='text' name='input_16.1' id='input_13_16_1' value=''    aria-required='false'    \/>\n                                        <label for='input_13_16_1' id='input_13_16_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_13_16_2_container' >\n                                        <input type='text' name='input_16.2' id='input_13_16_2' value=''     aria-required='false'   \/>\n                                        <label for='input_13_16_2' id='input_13_16_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_13_16_3_container' >\n                                    <input type='text' name='input_16.3' id='input_13_16_3' value=''    aria-required='false'    \/>\n                                    <label for='input_13_16_3' id='input_13_16_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_13_16_4_container' >\n                                        <select name='input_16.4' id='input_13_16_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_13_16_4' id='input_13_16_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_13_16_5_container' >\n                                    <input type='text' name='input_16.5' id='input_13_16_5' value=''    aria-required='false'    \/>\n                                    <label for='input_13_16_5' id='input_13_16_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_16.6' id='input_13_16_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_13_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_13_14\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I prefer to receive mailings at:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_13_14'><li class='gchoice gchoice_13_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Home'  id='choice_13_14_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_14_1' id='label_13_14_1' class='gform-field-label gform-field-label--type-inline'>Home<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_14_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.2' type='checkbox'  value='Work'  id='choice_13_14_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_14_2' id='label_13_14_2' class='gform-field-label gform-field-label--type-inline'>Work<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_29\" class=\"gfield gfield--type-section gsection title_gr field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Volunteer Interest:<\/h2><div class='gsection_description' id='gfield_description_13_29'>Required fields are marked by an asterisk (*)<\/div><\/li><li id=\"field_13_28\" class=\"gfield gfield--type-checkbox gfield--type-choice 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 gfield_label_before_complex' >I am interested in (check all that apply):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_13_28'><li class='gchoice gchoice_13_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Admissions'  id='choice_13_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_1' id='label_13_28_1' class='gform-field-label gform-field-label--type-inline'>Admissions<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Advisory Council Member'  id='choice_13_28_2'   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type='checkbox'  value='Classroom Facilitators'  id='choice_13_28_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_5' id='label_13_28_5' class='gform-field-label gform-field-label--type-inline'>Classroom Facilitators<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.6' type='checkbox'  value='Ceremony Speaker'  id='choice_13_28_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_6' id='label_13_28_6' class='gform-field-label gform-field-label--type-inline'>Ceremony Speaker<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.7' type='checkbox'  value='Clinical Researcher'  id='choice_13_28_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_7' id='label_13_28_7' class='gform-field-label gform-field-label--type-inline'>Clinical Researcher<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.8' type='checkbox'  value='Guest Speaker'  id='choice_13_28_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_8' id='label_13_28_8' class='gform-field-label gform-field-label--type-inline'>Guest Speaker<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.9' type='checkbox'  value='Preceptor'  id='choice_13_28_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_9' id='label_13_28_9' class='gform-field-label gform-field-label--type-inline'>Preceptor<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.11' type='checkbox'  value='Recruitment'  id='choice_13_28_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_11' id='label_13_28_11' class='gform-field-label gform-field-label--type-inline'>Recruitment<\/label>\n\t\t\t\t\t\t\t<\/li><li 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