{"id":307,"date":"2017-08-16T22:27:45","date_gmt":"2017-08-16T22:27:45","guid":{"rendered":"http:\/\/forms.westernu.edu\/students\/?page_id=307"},"modified":"2025-11-04T21:02:43","modified_gmt":"2025-11-04T21:02:43","slug":"community-service-request-form","status":"publish","type":"page","link":"https:\/\/forms.westernu.edu\/students\/community-service-request-form\/","title":{"rendered":"Community Service Request Form-California and Oregon"},"content":{"rendered":"<p>Thank you for taking the time to fill out this Community Service Request Form, which is intended to gather more information about your event to forward to our Western University of Health Sciences student leaders, as well as create ties and extend a hand to the local community.\u00a0\u00a0 <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_27' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Community Service Request Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_27'  action='\/students\/wp-json\/wp\/v2\/pages\/307' data-formid='27' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_27' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_27_95\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >California or Oregon?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_95'>We have two campuses, one in Pomona, California and one in Lebanon, Oregon.  Please indicate which state you are in. <\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_95'>\n\t\t\t<li class='gchoice gchoice_27_95_0'>\n\t\t\t\t<input name='input_95' type='radio' value='California'  id='choice_27_95_0'    \/>\n\t\t\t\t<label for='choice_27_95_0' id='label_27_95_0' class='gform-field-label gform-field-label--type-inline'>California<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_95_1'>\n\t\t\t\t<input name='input_95' type='radio' value='Oregon'  id='choice_27_95_1'    \/>\n\t\t\t\t<label for='choice_27_95_1' id='label_27_95_1' class='gform-field-label gform-field-label--type-inline'>Oregon<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_49\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><br>\n<span style=\"font-size: large\"><b>Event Information<\/b><\/span>\n<br>\n<br><\/li><li id=\"field_27_1\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_1'>Name of Event<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_27_1' type='text' value='' class='medium'    placeholder='Your answer' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_4\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_4'>What is the name of the organization putting on the event?<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_27_4' type='text' value='' class='medium'    placeholder='Your answer' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_85\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_85'>Briefly tell us about your organization\/event.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_85' id='input_27_85' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_6\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_6'>What is the street address of the event?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_27_6' type='text' value='' class='medium'    placeholder='Your answer' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_5\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_5'>Building Name<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_27_5' type='text' value='' class='medium'    placeholder='Ex: Auditorium, Vons parking lot, etc.'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_7'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_27_7' type='text' value='' class='medium'    placeholder='Your answer' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >My event is a:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_61'>\n\t\t\t<li class='gchoice gchoice_27_61_0'>\n\t\t\t\t<input name='input_61' type='radio' value='Single-Day Event'  id='choice_27_61_0'    \/>\n\t\t\t\t<label for='choice_27_61_0' id='label_27_61_0' class='gform-field-label gform-field-label--type-inline'>Single-Day Event<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_61_1'>\n\t\t\t\t<input name='input_61' type='radio' value='Multiple-Day Event'  id='choice_27_61_1'    \/>\n\t\t\t\t<label for='choice_27_61_1' id='label_27_61_1' class='gform-field-label gform-field-label--type-inline'>Multiple-Day Event<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_59\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_59'>Event Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_59' id='input_27_59' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_59_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_59_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_59' class='gform_hidden' value='https:\/\/forms.westernu.edu\/students\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_27_60\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_60'>End Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_60' id='input_27_60' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_60_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_60_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_60' class='gform_hidden' value='https:\/\/forms.westernu.edu\/students\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_27_20\" class=\"gfield gfield--type-time gfield--input-type-time gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >What time does the event start?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_27_20'>\n                            <input type='number' name='input_20[]' id='input_27_20_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_27_20_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_20[]' id='input_27_20_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_27_20_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_20[]' id='input_27_20_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_27_20_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_27_21\" class=\"gfield gfield--type-time gfield--input-type-time gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >What time does the event end?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_27_21'>\n                            <input type='number' name='input_21[]' id='input_27_21_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_27_21_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_21[]' id='input_27_21_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_27_21_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_21[]' id='input_27_21_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_27_21_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_27_31\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_31'>What is the deadline for students to respond to you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_31' id='input_27_31' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_31_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_31_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_31' class='gform_hidden' value='https:\/\/forms.westernu.edu\/students\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_27_50\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><br>\n<br>\n<span style=\"font-size: large\"><b>Contact Information<\/b><\/span>\n<br>\n<br><\/li><li id=\"field_27_24\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_24'>Name of person for questions\/sign up?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_27_24' type='text' value='' class='medium'    placeholder='Your answer' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_48\" class=\"gfield gfield--type-email gfield--input-type-email gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_48'>Email address for contact person?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_48' id='input_27_48' type='email' value='' class='medium'   placeholder='Your answer' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_27_29\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_29'>Telephone number for contact person?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_27_29' type='tel' value='' class='medium'  placeholder='Your answer' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_51\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><br>\n<br>\n<span style=\"font-size: large\"><b>Planning Information<\/b><\/span>\n<br>\n<br><\/li><li id=\"field_27_82\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >What is the primary language(s) spoken by attendees?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_82'>Check all that apply.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_27_82'><li class='gchoice gchoice_27_82_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.1' type='checkbox'  value='English'  id='choice_27_82_1'   aria-describedby=\"gfield_description_27_82\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_1' id='label_27_82_1' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.2' type='checkbox'  value='Spanish'  id='choice_27_82_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_2' id='label_27_82_2' class='gform-field-label gform-field-label--type-inline'>Spanish<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.3' type='checkbox'  value='Arabic'  id='choice_27_82_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_3' id='label_27_82_3' class='gform-field-label gform-field-label--type-inline'>Arabic<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.4' type='checkbox'  value='Cantonese Chinese'  id='choice_27_82_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_4' id='label_27_82_4' class='gform-field-label gform-field-label--type-inline'>Cantonese Chinese<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.5' type='checkbox'  value='French'  id='choice_27_82_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_5' id='label_27_82_5' class='gform-field-label gform-field-label--type-inline'>French<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.6' type='checkbox'  value='German'  id='choice_27_82_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_6' id='label_27_82_6' class='gform-field-label gform-field-label--type-inline'>German<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.7' type='checkbox'  value='Hindi'  id='choice_27_82_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_7' id='label_27_82_7' class='gform-field-label gform-field-label--type-inline'>Hindi<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.8' type='checkbox'  value='Japanese'  id='choice_27_82_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_8' id='label_27_82_8' class='gform-field-label gform-field-label--type-inline'>Japanese<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.9' type='checkbox'  value='Korean'  id='choice_27_82_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_9' id='label_27_82_9' class='gform-field-label gform-field-label--type-inline'>Korean<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.11' type='checkbox'  value='Mandarin Chinese'  id='choice_27_82_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_11' id='label_27_82_11' class='gform-field-label gform-field-label--type-inline'>Mandarin Chinese<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.12' type='checkbox'  value='Russian'  id='choice_27_82_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_12' id='label_27_82_12' class='gform-field-label gform-field-label--type-inline'>Russian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_82_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.13' type='checkbox'  value='Vietnamese'  id='choice_27_82_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_82_13' id='label_27_82_13' class='gform-field-label gform-field-label--type-inline'>Vietnamese<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_84\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Expected Number of Attendees<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_84'>\n\t\t\t<li class='gchoice gchoice_27_84_0'>\n\t\t\t\t<input name='input_84' type='radio' value='Less than 5'  id='choice_27_84_0'    \/>\n\t\t\t\t<label for='choice_27_84_0' id='label_27_84_0' class='gform-field-label gform-field-label--type-inline'>Less than 5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_1'>\n\t\t\t\t<input name='input_84' type='radio' value='5 - 25'  id='choice_27_84_1'    \/>\n\t\t\t\t<label for='choice_27_84_1' id='label_27_84_1' class='gform-field-label gform-field-label--type-inline'>5 - 25<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_2'>\n\t\t\t\t<input name='input_84' type='radio' value='25 - 50'  id='choice_27_84_2'    \/>\n\t\t\t\t<label for='choice_27_84_2' id='label_27_84_2' class='gform-field-label gform-field-label--type-inline'>25 - 50<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_3'>\n\t\t\t\t<input name='input_84' type='radio' value='50 - 100'  id='choice_27_84_3'    \/>\n\t\t\t\t<label for='choice_27_84_3' id='label_27_84_3' class='gform-field-label gform-field-label--type-inline'>50 - 100<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_4'>\n\t\t\t\t<input name='input_84' type='radio' value='100 - 150'  id='choice_27_84_4'    \/>\n\t\t\t\t<label for='choice_27_84_4' id='label_27_84_4' class='gform-field-label gform-field-label--type-inline'>100 - 150<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_5'>\n\t\t\t\t<input name='input_84' type='radio' value='150 - 200'  id='choice_27_84_5'    \/>\n\t\t\t\t<label for='choice_27_84_5' id='label_27_84_5' class='gform-field-label gform-field-label--type-inline'>150 - 200<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_6'>\n\t\t\t\t<input name='input_84' type='radio' value='200 - 250'  id='choice_27_84_6'    \/>\n\t\t\t\t<label for='choice_27_84_6' id='label_27_84_6' class='gform-field-label gform-field-label--type-inline'>200 - 250<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_7'>\n\t\t\t\t<input name='input_84' type='radio' value='250 - 300'  id='choice_27_84_7'    \/>\n\t\t\t\t<label for='choice_27_84_7' id='label_27_84_7' class='gform-field-label gform-field-label--type-inline'>250 - 300<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_84_8'>\n\t\t\t\t<input name='input_84' type='radio' value='300+'  id='choice_27_84_8'    \/>\n\t\t\t\t<label for='choice_27_84_8' id='label_27_84_8' class='gform-field-label gform-field-label--type-inline'>300+<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >What services are you requesting?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_33'>Check all that apply.\nPlease note that not all services are available in Oregon. <\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_27_33'><li class='gchoice gchoice_27_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Blood Glucose'  id='choice_27_33_1'   aria-describedby=\"gfield_description_27_33\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_1' id='label_27_33_1' class='gform-field-label gform-field-label--type-inline'>Blood Glucose<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='Blood Pressure'  id='choice_27_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_2' id='label_27_33_2' class='gform-field-label gform-field-label--type-inline'>Blood Pressure<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.3' type='checkbox'  value='Body Mass Index'  id='choice_27_33_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_3' id='label_27_33_3' class='gform-field-label gform-field-label--type-inline'>Body Mass Index<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.4' type='checkbox'  value='Bone Density'  id='choice_27_33_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_4' id='label_27_33_4' class='gform-field-label gform-field-label--type-inline'>Bone Density<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.5' type='checkbox'  value='Cholesterol'  id='choice_27_33_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_5' id='label_27_33_5' class='gform-field-label gform-field-label--type-inline'>Cholesterol<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.6' type='checkbox'  value='Dental Screenings'  id='choice_27_33_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_6' id='label_27_33_6' class='gform-field-label gform-field-label--type-inline'>Dental Screenings<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.7' type='checkbox'  value='Flexibility\/Strength\/Balance'  id='choice_27_33_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_7' id='label_27_33_7' class='gform-field-label gform-field-label--type-inline'>Flexibility\/Strength\/Balance<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.8' type='checkbox'  value='Foot Screening'  id='choice_27_33_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_8' id='label_27_33_8' class='gform-field-label gform-field-label--type-inline'>Foot Screening<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.9' type='checkbox'  value='General Education'  id='choice_27_33_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_9' id='label_27_33_9' class='gform-field-label gform-field-label--type-inline'>General Education<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.11' type='checkbox'  value='Hip to Waist Ratio'  id='choice_27_33_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_11' id='label_27_33_11' class='gform-field-label gform-field-label--type-inline'>Hip to Waist Ratio<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.12' type='checkbox'  value='Medicare Part D - Education'  id='choice_27_33_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_12' id='label_27_33_12' class='gform-field-label gform-field-label--type-inline'>Medicare Part D - Education<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.13' type='checkbox'  value='Medication Review\/Counseling'  id='choice_27_33_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_13' id='label_27_33_13' class='gform-field-label gform-field-label--type-inline'>Medication Review\/Counseling<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.14' type='checkbox'  value='Osteopathic Manipulative Therapy Assessment (OMT)'  id='choice_27_33_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_14' id='label_27_33_14' class='gform-field-label gform-field-label--type-inline'>Osteopathic Manipulative Therapy Assessment (OMT)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.15' type='checkbox'  value='Physical Examinations &amp; Sports Physicals'  id='choice_27_33_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_15' id='label_27_33_15' class='gform-field-label gform-field-label--type-inline'>Physical Examinations &amp; Sports Physicals<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.16' type='checkbox'  value='Vaccinations'  id='choice_27_33_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_16' id='label_27_33_16' class='gform-field-label gform-field-label--type-inline'>Vaccinations<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.17' type='checkbox'  value='Veterinary Services: Microchipping'  id='choice_27_33_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_17' id='label_27_33_17' class='gform-field-label gform-field-label--type-inline'>Veterinary Services: Microchipping<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.18' type='checkbox'  value='Veterinary Services: Pet Screenings'  id='choice_27_33_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_18' id='label_27_33_18' class='gform-field-label gform-field-label--type-inline'>Veterinary Services: Pet Screenings<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.19' type='checkbox'  value='Veterinary Services: Vaccines'  id='choice_27_33_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_19' id='label_27_33_19' class='gform-field-label gform-field-label--type-inline'>Veterinary Services: Vaccines<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.21' type='checkbox'  value='Vision Screenings'  id='choice_27_33_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_21' id='label_27_33_21' class='gform-field-label gform-field-label--type-inline'>Vision Screenings<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.22' type='checkbox'  value='Volunteers'  id='choice_27_33_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_22' id='label_27_33_22' class='gform-field-label gform-field-label--type-inline'>Volunteers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_33_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.23' type='checkbox'  value='Other'  id='choice_27_33_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_23' id='label_27_33_23' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_62\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_62'>Additional Services:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_27_62' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_74\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><br>\n<br><\/li><li id=\"field_27_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >What supplies will you provide to the WesternU volunteers?<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_27_40'><li class='gchoice gchoice_27_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Advertising'  id='choice_27_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_40_1' id='label_27_40_1' class='gform-field-label gform-field-label--type-inline'>Advertising<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Chairs'  id='choice_27_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_40_2' id='label_27_40_2' class='gform-field-label gform-field-label--type-inline'>Chairs<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Medical Supplies (Gloves, etc.)'  id='choice_27_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_40_3' id='label_27_40_3' class='gform-field-label gform-field-label--type-inline'>Medical Supplies (Gloves, etc.)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Signage'  id='choice_27_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_40_4' id='label_27_40_4' class='gform-field-label gform-field-label--type-inline'>Signage<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_40_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.5' type='checkbox'  value='Tables'  id='choice_27_40_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_40_5' id='label_27_40_5' class='gform-field-label gform-field-label--type-inline'>Tables<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_40_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.6' type='checkbox'  value='Tents\/Shade'  id='choice_27_40_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_40_6' id='label_27_40_6' class='gform-field-label gform-field-label--type-inline'>Tents\/Shade<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_27_40_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.7' type='checkbox'  value='Other'  id='choice_27_40_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_40_7' id='label_27_40_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_66'>Additional Supplies Provided<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_27_66' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_52\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><br>\n<br>\n<span style=\"font-size: large\"><b>Contract<\/b><\/span>\n<br>\n<br><\/li><li id=\"field_27_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you have a contract that must be signed by a University representative?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_41'>If yes, it must be reviewed by our legal department.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_41'>\n\t\t\t<li class='gchoice gchoice_27_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='No. A contract is not necessary'  id='choice_27_41_0'    \/>\n\t\t\t\t<label for='choice_27_41_0' id='label_27_41_0' class='gform-field-label gform-field-label--type-inline'>No. A contract is not necessary<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='Yes. I will upload my .pdf contract now'  id='choice_27_41_1'    \/>\n\t\t\t\t<label for='choice_27_41_1' id='label_27_41_1' class='gform-field-label gform-field-label--type-inline'>Yes. I will upload my .pdf contract now<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_41_2'>\n\t\t\t\t<input name='input_41' type='radio' value='Yes. I will e-mail contract to studentaffairs@westernu.edu'  id='choice_27_41_2'    \/>\n\t\t\t\t<label for='choice_27_41_2' id='label_27_41_2' class='gform-field-label gform-field-label--type-inline'>Yes. I will e-mail contract to studentaffairs@westernu.edu<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_67\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_67'>Please upload contract here.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_67'>Only .pdf files accepted.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='131072000' \/><input name='input_67' id='input_27_67' type='file' class='medium' aria-describedby=\"gfield_upload_rules_27_67 gfield_description_27_67\" onchange='javascript:gformValidateFileSize( this, 131072000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_27_67'>Accepted file types: pdf, Max. file size: 125 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_27_67'><\/div> <\/div><\/li><li id=\"field_27_68\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_68'>Comments<\/label><div class='gfield_description' id='gfield_description_27_68'>Please provide any other information about the event that students may need to know.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_68' id='input_27_68' class='textarea medium'  aria-describedby=\"gfield_description_27_68\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_71\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><br>\n<br>\n<span style=\"font-size: large\"><b>I hereby acknowledge (please initial): <\/b><\/span>\n<br>\n<br><\/li><li id=\"field_27_91\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_91'>1. We will make our students aware of your event and encourage them to participate, but we unfortunately cannot guarantee that they will be available for your event.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_27_91' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_92\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_92'>2. If students are able to participate, they will communicate directly with the \u201cwho to contact\u201d person.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_27_92' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_93\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_93'>3. If your event is taking place in December, May, June, July or early August it is highly unlikely students will be available to participate as they are either in heavy exams or on break.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_27_93' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_94\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_94'>4. 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