{"id":584,"date":"2025-03-01T21:06:21","date_gmt":"2025-03-01T21:06:21","guid":{"rendered":"https:\/\/sugarrunbeer.com\/brewery\/?page_id=584"},"modified":"2025-04-26T14:13:35","modified_gmt":"2025-04-26T14:13:35","slug":"employment","status":"publish","type":"page","link":"https:\/\/sugarrunbeer.com\/brewery\/employment\/","title":{"rendered":"Employment"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Application Process<\/h1>\n\n\n\n<p>Applicants interested in joining the Sugar Run Brewery team can follow a straightforward application process:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Online Application: Submit an application through the brewery&#8217;s website, including a resume and cover letter.<\/li>\n\n\n\n<li>Interview: Selected candidates will be invited for an interview to discuss their qualifications, experience, and interest in the position.<\/li>\n\n\n\n<li>Assessment: Candidates will be reviewed by management.<\/li>\n\n\n\n<li>Job Offer: Successful candidates will receive a job offer outlining the terms and conditions of employment.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Please fill out the online employment application<\/h2>\n\n\n<meta charset=\"utf-8\">\n<meta http-equiv=\"X-UA-Compatible\" content=\"IE=edge\">\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1\">\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"\/\/assets.emailmeform.com\/styles\/dynamic.php?t=post&#038;enable_responsive_ui=1&#038;bWFzdGVy\" \/>\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"https:\/\/app.emailmeform.com\/builder\/theme_css\/wO5bxtVHR9\" \/>\n<style>\n#emf-container, #emf-container-outer #emf-form-shadows{box-sizing: border-box;-webkit-box-sizing: border-box;-moz-box-sizing: border-box;width:640px}\n@media screen and (max-width: 656px) {#emf-container,#emf-container-outer #emf-form-shadows {width: 100%;} }\n<\/style>\n<script type=\"text\/javascript\">\n    function is_iframe() { return false; }\n<\/script>\n<div id=\"emf-container-outer\">\n<div id=\"emf-container\" >\n<div id=\"emf-logo\"><a >EmailMeForm<\/a><\/div>\n<div class=\"emf-error-message\" style='display:none'><\/div>\n<form id=\"emf-form\" target=\"_self\" class=\"leftLabel\" enctype=\"multipart\/form-data\"\n\t\t    method=\"post\" action=\"https:\/\/www.emailmeform.com\/builder\/form\/wO5bxtVHR9\"><div id=\"emf-form-instruction\" class=\"emf-head-widget\"><div id=\"emf-form-title\" class=\"emf-bold\">Sugar Run Employment Application<\/div><div id=\"emf-form-description\">All fields are mandatory, please fill out the entire application. Thank you.<\/div>\n<\/div>\n<ul>\n<li id=\"emf-li-0\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_0\">Date<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_0_year-mm\" name=\"element_0_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_0_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_0_year-dd\" name=\"element_0_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_0_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_0_year\" name=\"element_0_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_0_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_0_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-1\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_1\" name=\"element_1\">PERSONAL INFORMATION<\/h3><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-2\" class=\"emf-li-field emf-field-new_name data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_2\">Name<\/label>\n<div class=\"emf-div-field\"><span style=\"width:60px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_4\" name=\"element_4\" type=\"text\" \/>\n<label for=\"element_4\" class=\"emf-bottom-label emf-text-center\">First<\/label>\n<\/span><span style=\"width:100px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_5\" name=\"element_5\" type=\"text\" \/>\n<label for=\"element_5\" class=\"emf-bottom-label emf-text-center\">Last<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-7\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_7\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_8\" name=\"element_8\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_8\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_10\" name=\"element_10\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_10\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_11\" name=\"element_11\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_11\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_12\" name=\"element_12\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_12\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_13\" name=\"element_13\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_13\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-14\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_14\">Phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_14_1\" name=\"element_14[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_14_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_14_2\" name=\"element_14[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_14_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_14_3\" name=\"element_14[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_14_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-15\" class=\"emf-li-field emf-field-email data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_15\">Email<\/label>\n<div class=\"emf-div-field\"><input id=\"element_15\" name=\"element_15\"\n\t\t\t\tclass=\"validate[optional,custom[email]]\"\n\t\t\t\tvalue=\"\" size=\"30\" type=\"text\" \/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-16\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_16\">Are you over the age of 18?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_16_0\" name=\"element_16\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_16_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_16_1\" name=\"element_16\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_16_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-17\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_17\">Are you a US Citizen?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_17_0\" name=\"element_17\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_17_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_17_1\" name=\"element_17\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_17_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-18\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_18\">If no, do you have the legal<br \/>\nright and necessary documents to work in the US?<br \/>\n(Identity and employment eligibility will be verified as required by law.)<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_18_0\" name=\"element_18\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_18_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_18_1\" name=\"element_18\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_18_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-19\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_19\">Have you ever been in the military?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_19_0\" name=\"element_19\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_19_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_19_1\" name=\"element_19\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_19_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-20\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_20\">If so, which Branch?<\/label>\n<div class=\"emf-div-field\"><input id=\"element_20\" name=\"element_20\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-21\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_21\" name=\"element_21\">EMPLOYMENT INFORMATION<\/h3><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-22\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_22\">Position Desired<\/label>\n<div class=\"emf-div-field\"><input id=\"element_22\" name=\"element_22\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-23\" class=\"emf-li-field emf-field-new_checkbox data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_23\">Employment Preference<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div class=\"two_column\" ><input id=\"element_23_0\" name=\"element_23[]\" value=\"Part time\"\n\t\t\tclass=\"validate[optional]\"  type=\"checkbox\" \/><label class=\"padleft-w5\" for=\"element_23_0\">Part time<\/label><\/div><div class=\"two_column\" ><input id=\"element_23_1\" name=\"element_23[]\" value=\"Full time\"\n\t\t\tclass=\"validate[optional]\"  type=\"checkbox\" \/><label class=\"padleft-w5\" for=\"element_23_1\">Full time<\/label><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-24\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_24\">Shift Preference<\/label>\n<div class=\"emf-div-field\"><input id=\"element_24\" name=\"element_24\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-25\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_25\">Date available for work<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_25_year-mm\" name=\"element_25_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_25_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_25_year-dd\" name=\"element_25_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_25_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_25_year\" name=\"element_25_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_25_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_25_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-26\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_26\">Desired Salary<\/label>\n<div class=\"emf-div-field\"><input id=\"element_26\" name=\"element_26\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-27\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_27\">Have you applied here before?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_27_0\" name=\"element_27\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_27_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_27_1\" name=\"element_27\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_27_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-28\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_28\">If so, when?<\/label>\n<div class=\"emf-div-field\"><input id=\"element_28\" name=\"element_28\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-29\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_29\" name=\"element_29\">QUALIFICATIONS &#038; EXPERIENCE<\/h3><div class=\"emf-section-text\">Education<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-30\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_30\">High School<\/label>\n<div class=\"emf-div-field\"><input id=\"element_30\" name=\"element_30\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-31\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_31\">Did you graduate?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_31_0\" name=\"element_31\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_31_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_31_1\" name=\"element_31\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_31_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-32\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_32\">College<\/label>\n<div class=\"emf-div-field\"><input id=\"element_32\" name=\"element_32\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-33\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_33\">Did you graduate?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_33_0\" name=\"element_33\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_33_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_33_1\" name=\"element_33\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_33_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-34\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_34\">Can you perform all of the job-related functions of the position(s) for which you are applying?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_34_0\" name=\"element_34\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_34_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_34_1\" name=\"element_34\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_34_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-35\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_35\">If no, please explain:<\/label>\n<div class=\"emf-div-field\"><input id=\"element_35\" name=\"element_35\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-36\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_36\" name=\"element_36\">PAST &#038; PRESENT EMPLOYERS<\/h3><div class=\"emf-section-text\">Employer 1<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-37\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_37\">Name<\/label>\n<div class=\"emf-div-field\"><input id=\"element_37\" name=\"element_37\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-38\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_38\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_39\" name=\"element_39\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_39\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_41\" name=\"element_41\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_41\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_42\" name=\"element_42\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_42\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_43\" name=\"element_43\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_43\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_44\" name=\"element_44\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_44\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-45\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_45\">Phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_45_1\" name=\"element_45[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_45_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_45_2\" name=\"element_45[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_45_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_45_3\" name=\"element_45[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_45_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-46\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_46\">Position<\/label>\n<div class=\"emf-div-field\"><input id=\"element_46\" name=\"element_46\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-47\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_47\">Salary<\/label>\n<div class=\"emf-div-field\"><input id=\"element_47\" name=\"element_47\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-48\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_48\">Date started<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_48_year-mm\" name=\"element_48_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_48_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_48_year-dd\" name=\"element_48_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_48_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_48_year\" name=\"element_48_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_48_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_48_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-49\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_49\">Supervisor<\/label>\n<div class=\"emf-div-field\"><input id=\"element_49\" name=\"element_49\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-50\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_50\">May we contact?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_50_0\" name=\"element_50\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_50_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_50_1\" name=\"element_50\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_50_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-51\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_51\" name=\"element_51\"><\/h3><div class=\"emf-section-text\">Past Employers<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-52\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_52\">Employer 2<\/label>\n<div class=\"emf-div-field\"><input id=\"element_52\" name=\"element_52\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-53\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_53\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_54\" name=\"element_54\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_54\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_56\" name=\"element_56\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_56\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_57\" name=\"element_57\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_57\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_58\" name=\"element_58\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_58\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_59\" name=\"element_59\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_59\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-60\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_60\">Phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_60_1\" name=\"element_60[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_60_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_60_2\" name=\"element_60[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_60_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_60_3\" name=\"element_60[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_60_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-61\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_61\">Position<\/label>\n<div class=\"emf-div-field\"><input id=\"element_61\" name=\"element_61\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-62\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_62\">Salary<\/label>\n<div class=\"emf-div-field\"><input id=\"element_62\" name=\"element_62\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-63\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_63\">Date started<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_63_year-mm\" name=\"element_63_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_63_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_63_year-dd\" name=\"element_63_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_63_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_63_year\" name=\"element_63_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_63_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_63_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-64\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_64\">Date ended<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_64_year-mm\" name=\"element_64_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_64_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_64_year-dd\" name=\"element_64_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_64_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_64_year\" name=\"element_64_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_64_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_64_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-65\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_65\">Reason for leaving<\/label>\n<div class=\"emf-div-field\"><input id=\"element_65\" name=\"element_65\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-66\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_66\">Supervisor<\/label>\n<div class=\"emf-div-field\"><input id=\"element_66\" name=\"element_66\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-67\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_67\">May we contact?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_67_0\" name=\"element_67\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_67_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_67_1\" name=\"element_67\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_67_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-68\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_68\" name=\"element_68\"><\/h3><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-69\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_69\">Employer 3<\/label>\n<div class=\"emf-div-field\"><input id=\"element_69\" name=\"element_69\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-70\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_70\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_71\" name=\"element_71\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_71\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_73\" name=\"element_73\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_73\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_74\" name=\"element_74\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_74\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_75\" name=\"element_75\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_75\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_76\" name=\"element_76\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_76\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-77\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_77\">Phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_77_1\" name=\"element_77[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_77_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_77_2\" name=\"element_77[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_77_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_77_3\" name=\"element_77[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_77_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-78\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_78\">Position<\/label>\n<div class=\"emf-div-field\"><input id=\"element_78\" name=\"element_78\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-79\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_79\">Salary<\/label>\n<div class=\"emf-div-field\"><input id=\"element_79\" name=\"element_79\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-80\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_80\">Date started<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_80_year-mm\" name=\"element_80_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_80_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_80_year-dd\" name=\"element_80_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_80_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_80_year\" name=\"element_80_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_80_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_80_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-81\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_81\">Date ended<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_81_year-mm\" name=\"element_81_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_81_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_81_year-dd\" name=\"element_81_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_81_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_81_year\" name=\"element_81_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_81_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_81_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-82\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_82\">Reason for leaving<\/label>\n<div class=\"emf-div-field\"><input id=\"element_82\" name=\"element_82\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-83\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_83\">Supervisor<\/label>\n<div class=\"emf-div-field\"><input id=\"element_83\" name=\"element_83\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-84\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_84\">May we contact?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_84_0\" name=\"element_84\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_84_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_84_1\" name=\"element_84\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_84_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-85\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_85\" name=\"element_85\">REFERENCES<\/h3><div class=\"emf-section-text\">(Please list three references.)<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-86\" class=\"emf-li-field emf-field-new_name data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_86\">Reference 1<\/label>\n<div class=\"emf-div-field\"><span style=\"width:60px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_88\" name=\"element_88\" type=\"text\" \/>\n<label for=\"element_88\" class=\"emf-bottom-label emf-text-center\">First<\/label>\n<\/span><span style=\"width:100px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_89\" name=\"element_89\" type=\"text\" \/>\n<label for=\"element_89\" class=\"emf-bottom-label emf-text-center\">Last<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-91\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_91\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_92\" name=\"element_92\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_92\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_94\" name=\"element_94\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_94\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_95\" name=\"element_95\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_95\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_96\" name=\"element_96\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_96\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_97\" name=\"element_97\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_97\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-98\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_98\">Phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_98_1\" name=\"element_98[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_98_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_98_2\" name=\"element_98[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_98_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_98_3\" name=\"element_98[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_98_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-99\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_99\">How I know<\/label>\n<div class=\"emf-div-field\"><input id=\"element_99\" name=\"element_99\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-100\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_100\">Years aquainted<\/label>\n<div class=\"emf-div-field\"><input id=\"element_100\" name=\"element_100\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-101\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_101\" name=\"element_101\"><\/h3><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-102\" class=\"emf-li-field emf-field-new_name data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_102\">Reference 2<\/label>\n<div class=\"emf-div-field\"><span style=\"width:60px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_104\" name=\"element_104\" type=\"text\" \/>\n<label for=\"element_104\" class=\"emf-bottom-label emf-text-center\">First<\/label>\n<\/span><span style=\"width:100px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_105\" name=\"element_105\" type=\"text\" \/>\n<label for=\"element_105\" class=\"emf-bottom-label emf-text-center\">Last<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-107\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_107\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_108\" name=\"element_108\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_108\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_110\" name=\"element_110\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_110\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_111\" name=\"element_111\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_111\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_112\" name=\"element_112\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_112\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_113\" name=\"element_113\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_113\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-114\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_114\">Phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_114_1\" name=\"element_114[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_114_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_114_2\" name=\"element_114[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_114_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_114_3\" name=\"element_114[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_114_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-115\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_115\">How I know<\/label>\n<div class=\"emf-div-field\"><input id=\"element_115\" name=\"element_115\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-116\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_116\">Years aquainted<\/label>\n<div class=\"emf-div-field\"><input id=\"element_116\" name=\"element_116\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-117\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_117\" name=\"element_117\"><\/h3><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-118\" class=\"emf-li-field emf-field-new_name data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_118\">Reference 3<\/label>\n<div class=\"emf-div-field\"><span style=\"width:60px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_120\" name=\"element_120\" type=\"text\" \/>\n<label for=\"element_120\" class=\"emf-bottom-label emf-text-center\">First<\/label>\n<\/span><span style=\"width:100px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_121\" name=\"element_121\" type=\"text\" \/>\n<label for=\"element_121\" class=\"emf-bottom-label emf-text-center\">Last<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-123\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_123\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_124\" name=\"element_124\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_124\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_126\" name=\"element_126\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_126\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_127\" name=\"element_127\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_127\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_128\" name=\"element_128\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_128\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_129\" name=\"element_129\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_129\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-130\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_130\">Phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_130_1\" name=\"element_130[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_130_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_130_2\" name=\"element_130[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_130_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_130_3\" name=\"element_130[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_130_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-131\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_131\">How I know<\/label>\n<div class=\"emf-div-field\"><input id=\"element_131\" name=\"element_131\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-132\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_132\">Years aquainted<\/label>\n<div class=\"emf-div-field\"><input id=\"element_132\" name=\"element_132\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-133\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_133\" name=\"element_133\">CRIMINAL BACKGROUND INQUIRY<\/h3><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-134\" class=\"emf-li-field emf-field-radio data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_134\">Have you ever been convicted of a crime, other than a minor traffic offense, or pled no contest to a crime?<\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_134_0\" name=\"element_134\" value=\"Yes\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_134_0\">Yes<\/label><\/div><\/div><div style='display:flex;justify-content:space-between;flex-wrap:wrap;'  class=\"two_column\" ><div><input id=\"element_134_1\" name=\"element_134\" value=\"No\"\n\t\t\tclass=\"validate[optional]\"  type=\"radio\" onchange=\"toggle_emf_element(EMF_jQuery(this).parents('.emf-li-field').find('.emf-allow-other input'), false)\"\/><label class=\"padleft-w5\" for=\"element_134_1\">No<\/label><\/div><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-135\" class=\"emf-li-field emf-field-textarea data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_135\">If yes, please explain the details.<br \/>\n(You will not be denied employment solely because of a conviction record.)<\/label>\n<div class=\"emf-div-field\"><textarea id=\"element_135\" name=\"element_135\" cols=\"45\" rows=\"10\"\n\t\t\t\t\tclass=\"validate[optional]\"><\/textarea><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-136\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_136\" name=\"element_136\">EMERGENCY CONTACT<\/h3><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-137\" class=\"emf-li-field emf-field-new_name data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_137\">Name<\/label>\n<div class=\"emf-div-field\"><span style=\"width:60px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_139\" name=\"element_139\" type=\"text\" \/>\n<label for=\"element_139\" class=\"emf-bottom-label emf-text-center\">First<\/label>\n<\/span><span style=\"width:100px\">\n<input class=\"validate[optional]\" style=\"width:100%\" value=\"\" \n\t\t\t\t\t\tid=\"element_140\" name=\"element_140\" type=\"text\" \/>\n<label for=\"element_140\" class=\"emf-bottom-label emf-text-center\">Last<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-142\" class=\"emf-li-field emf-field-new_address data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_142\">Address<\/label>\n<div class=\"emf-div-field\">\n<div style=\"width:99%;\">\n<span class=\"emf-full emf-field-new_address-addr1\">\n<input type=\"text\" value=\"\" id=\"element_143\" name=\"element_143\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_143\" class=\"emf-bottom-label\">Street Address<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-city\">\n<input type=\"text\" value=\"\" id=\"element_145\" name=\"element_145\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_145\" class=\"emf-bottom-label\">City<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-state\">\n<input type=\"text\"  value=\"\" id=\"element_146\" name=\"element_146\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_146\" class=\"emf-bottom-label\">State \/ Province \/ Region<\/label>\n<\/span>\n<span class=\"emf-left emf-half emf-field-new_address-zipcode\">\n<input type=\"text\"  value=\"\" id=\"element_147\" name=\"element_147\" class=\"emf-full validate[optional]\" \/>\n<label for=\"element_147\" class=\"emf-bottom-label\">Postal \/ Zip Code<\/label>\n<\/span>\n<span class=\"emf-right emf-half emf-field-new_address-country\">\n<select id=\"element_148\" name=\"element_148\" class=\"emf-address validate[optional]\">\n<option value=''>&nbsp;<\/option><optgroup label=\"North America\"><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Panama \" >Panama <\/option><option value=\"Puerto Rico \" >Puerto Rico <\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"United States\"selected=\"selected\" >United States<\/option><\/optgroup><optgroup label=\"South America\"><option value=\"Argentina\" >Argentina<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Chile\" >Chile<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Venezuela\" >Venezuela<\/option><\/optgroup><optgroup label=\"Europe\"><option value=\"Albania\" >Albania<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Romania\" >Romania<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"Vatican City\" >Vatican City<\/option><\/optgroup><optgroup label=\"Asia\"><option value=\"\ufeffAfghanistan\" >\ufeffAfghanistan<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"China\" >China<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><\/optgroup><optgroup label=\"Oceania\"><option value=\"Australia\" >Australia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><\/optgroup><optgroup label=\"Africa\"><option value=\"Algeria\" >Algeria<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Cote d'Ivoire\" >Cote d&#8217;Ivoire<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"United Republic of Tanzania\" >United Republic of Tanzania<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/optgroup><\/select>\n<label for=\"element_148\" class=\"emf-bottom-label\">Country \/ Region<\/label>\n<\/span>\t\t\t\n<div class=\"emf-clear\"><\/div>\n<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-149\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_149\">Home phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_149_1\" name=\"element_149[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_149_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_149_2\" name=\"element_149[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_149_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_149_3\" name=\"element_149[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_149_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-150\" class=\"emf-li-field emf-field-phone data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_150\">Work phone<\/label>\n<div class=\"emf-div-field\">\n<span>\n<input maxlength=\"3\" value=\"\" id=\"element_150_1\" name=\"element_150[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_150_1\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"3\" value=\"\" id=\"element_150_2\" name=\"element_150[]\" type=\"text\" class=\"emf-input-w30 validate[optional,custom[onlyNumber],length[3,3]]\" \/>\n<label for=\"element_150_2\" class=\"emf-bottom-label\">###<\/label>\n<\/span><span class=\"emf-sep\">&#8211;<\/span><span>\n<input maxlength=\"4\" value=\"\" id=\"element_150_3\" name=\"element_150[]\" type=\"text\" class=\"emf-input-w40 validate[optional,custom[onlyNumber],length[4,4]]\" \/>\n<label for=\"element_150_3\" class=\"emf-bottom-label\">####<\/label>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-151\" class=\"emf-li-field emf-field-text data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_151\">Relationship to you<\/label>\n<div class=\"emf-div-field\"><input id=\"element_151\" name=\"element_151\" value=\"\" size=\"30\" type=\"text\"\n\t\t\t\t\n\t\t\t\tclass=\"validate[optional]\"\/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-152\" class=\"emf-li-field emf-field-section_break    cell_align_left\">\n<div class=\"emf-div-field-section\"><div class=\"emf-section-separator\"><\/div>\n<h3 id=\"element_152\" name=\"element_152\"><\/h3><div class=\"emf-section-text\">\u201cI certify that the facts contained in this application are true and complete and to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information they may have, personal or otherwise, and release all parties from all liability for damage that may result from furnishing same to you.\u201d<\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-153\" class=\"emf-li-field emf-field-new_checkbox data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_153\">I acknowledge by checking this box that the previous statement is true and that I am electronically signing this document. <span>*<\/span><\/label>\n<div class=\"emf-div-field\"><div my_choice_order_type=\"\"><div class=\"two_column\" ><input id=\"element_153_0\" name=\"element_153[]\" value=\"Yes I agree\"\n\t\t\tclass=\"validate[required]\"  type=\"checkbox\" \/><label class=\"padleft-w5\" for=\"element_153_0\">Yes I agree<\/label><\/div><\/div><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-154\" class=\"emf-li-field emf-field-datetime data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_154\">Date Time<\/label>\n<div class=\"emf-div-field\"><span class=\"emf-field-datetime-month\">\n<input maxlength=\"2\" id=\"element_154_year-mm\" name=\"element_154_month\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,12]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_154_year-mm\" class=\"emf-bottom-label\">MM<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-day\">\n<input maxlength=\"2\" id=\"element_154_year-dd\" name=\"element_154_day\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[2,2],lengthValue[1,31]] emf-input-w20\" type=\"text\" size=\"2\" \/>\n<label for=\"element_154_year-dd\" class=\"emf-bottom-label\">DD<\/label>\n<\/span><span class=\"emf-sep\">\/<\/span><span class=\"emf-field-datetime-year\">\n<input maxlength=\"4\" id=\"element_154_year\" name=\"element_154_year\" value=\"\" class=\"validate[optional,custom[onlyNumber],length[4,4]] emf-input-w40\" type=\"text\" size=\"4\" \/>\n<label for=\"element_154_year\" class=\"emf-bottom-label\">YYYY<\/label>\n<\/span><span>\n<input type=\"hidden\" id=\"element_154_\" class=\"datepicker\" my_date_format=\"mm\/dd\/yy\"\/>\n<\/span><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li><li id=\"emf-li-155\" class=\"emf-li-field emf-field-file data_container   cell_align_left\">\n<label class=\"emf-label-desc\" for=\"element_155\">Upload Resume (Please attach your resume)<\/label>\n<div class=\"emf-div-field\"><input id=\"element_155\" name=\"element_155\" onchange=\"EMF_jQuery(this).blur()\"\n\t\t\t\t\tclass=\"validate[optional,funcCall[check_file_error[null,10M]]]\" type=\"file\" \/><\/div>\n<div class=\"emf-clear\"><\/div>\n<\/li>\n<li id=\"emf-li-post-button\" class=\"left\">\n<input value='Save &#038; Resume Later' type='button' class='emf-link btn-save-resume' onclick='set_form_hidden_field($(\"#emf-form\")[0],\"save_and_resume\", \"true\"); submit_form($(\"#emf-form\")[0], false); return false;'><br> <input  value=\"Submit\" type=\"submit\" onmouseover=\"return true;\"\/>\n<\/li>\n<\/ul>\n<input name=\"element_counts\" value=\"156\" type=\"hidden\" \/>\n<input name=\"embed\" value=\"forms\" type=\"hidden\" \/>\n<\/form>\n<\/div><img decoding=\"async\" id=\"emf-form-shadows\" src=\"\/\/assets.emailmeform.com\/images\/themes\/bottom.png?bWFzdGVy\"><\/div>\n<script type=\"text\/javascript\" src=\"https:\/\/ajax.googleapis.com\/ajax\/libs\/jquery\/1.8.3\/jquery.min.js\"><\/script>\n<script type=\"text\/javascript\">\nif (typeof jQuery == 'undefined'){\n    document.write(unescape(\"%3Cscript src='https:\/\/app.emailmeform.com\/builder\/js\/jquery-1.8.3.min.js' type='text\/javascript'%3E%3C\/script%3E\"));\n}\n<\/script>\n<script type=\"text\/javascript\" src=\"https:\/\/ajax.googleapis.com\/ajax\/libs\/jqueryui\/1.7.2\/jquery-ui.min.js\"><\/script>\n<script type=\"text\/javascript\">\nif (typeof $.ui == 'undefined'){\n    document.write(unescape(\"%3Cscript src='https:\/\/app.emailmeform.com\/builder\/js\/jquery-ui-1.7.2.custom.min.js' type='text\/javascript'%3E%3C\/script%3E\"));\n}\n<\/script>\n<script type=\"text\/javascript\" src=\"\/\/assets.emailmeform.com\/js\/dynamic.php?t=post&#038;t2=1&#038;use_CDN=true&#038;language=en&#038;language_id=0&#038;referer_domain=https%3A%2F%2Fwww.emailmeform.com%2F&#038;bWFzdGVy\"><\/script>\n<script type=\"text\/javascript\">\nwindow.js_data = {\"embed_type\":\"forms\",\"disable_form\":false}\nif (window.ResizeObserver) {\n\tconst resizeObserver = new ResizeObserver(() => post_message_for_frame_height('wO5bxtVHR9'));\n\tresizeObserver.observe(document.body);\n} else {\n\t$(document).on('ready load', function() {\n\t    post_message_for_frame_height(\"wO5bxtVHR9\");\n\t});\n}\n\nEMF_jQuery(window).load(function(){\n    start_server_session();\n});\n\nEMF_jQuery(function(){\n\tbind_auto_cursor(EMF_jQuery('#emf-li-0 :input'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-14 input[type=text]'));\n\ttoggle_emf_element(EMF_jQuery('#emf-li-16 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-16').find('input:checked, .emf-allow-other input').change();\n\ttoggle_emf_element(EMF_jQuery('#emf-li-17 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-17').find('input:checked, .emf-allow-other input').change();\n\ttoggle_emf_element(EMF_jQuery('#emf-li-18 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-18').find('input:checked, .emf-allow-other input').change();\n\ttoggle_emf_element(EMF_jQuery('#emf-li-19 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-19').find('input:checked, .emf-allow-other input').change();\n\ttoggle_emf_element(EMF_jQuery('#emf-li-23 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-23').find('input:checked, .emf-allow-other input').change();\n\tbind_auto_cursor(EMF_jQuery('#emf-li-25 :input'));\n\ttoggle_emf_element(EMF_jQuery('#emf-li-27 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-27').find('input:checked, .emf-allow-other input').change();\n\ttoggle_emf_element(EMF_jQuery('#emf-li-31 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-31').find('input:checked, .emf-allow-other input').change();\n\ttoggle_emf_element(EMF_jQuery('#emf-li-33 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-33').find('input:checked, .emf-allow-other input').change();\n\ttoggle_emf_element(EMF_jQuery('#emf-li-34 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-34').find('input:checked, .emf-allow-other input').change();\n\tbind_auto_cursor(EMF_jQuery('#emf-li-45 input[type=text]'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-48 :input'));\n\ttoggle_emf_element(EMF_jQuery('#emf-li-50 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-50').find('input:checked, .emf-allow-other input').change();\n\tbind_auto_cursor(EMF_jQuery('#emf-li-60 input[type=text]'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-63 :input'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-64 :input'));\n\ttoggle_emf_element(EMF_jQuery('#emf-li-67 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-67').find('input:checked, .emf-allow-other input').change();\n\tbind_auto_cursor(EMF_jQuery('#emf-li-77 input[type=text]'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-80 :input'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-81 :input'));\n\ttoggle_emf_element(EMF_jQuery('#emf-li-84 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-84').find('input:checked, .emf-allow-other input').change();\n\tbind_auto_cursor(EMF_jQuery('#emf-li-98 input[type=text]'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-114 input[type=text]'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-130 input[type=text]'));\n\ttoggle_emf_element(EMF_jQuery('#emf-li-134 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-134').find('input:checked, .emf-allow-other input').change();\n\tbind_auto_cursor(EMF_jQuery('#emf-li-149 input[type=text]'));\n\tbind_auto_cursor(EMF_jQuery('#emf-li-150 input[type=text]'));\n\ttoggle_emf_element(EMF_jQuery('#emf-li-153 .emf-allow-other input'), false);\n\tEMF_jQuery('#emf-li-153').find('input:checked, .emf-allow-other input').change();\n\tbind_auto_cursor(EMF_jQuery('#emf-li-154 :input'));\n;\n\n\tEMF_jQuery(\"#emf-form\").validationEngine({\n\t\tvalidationEventTriggers:\"blur\",\n\t\tscroll:true\n\t});\n\t\/\/ DISABLE PREVENTING SUBMIT: TODO: DISCUSS and remove\n\t\/\/prevent_duplicate_submission(EMF_jQuery(\"#emf-form\"));\n\n\t$(\"input[emf_mask_input=true]\").dPassword();\n\n\tif(EMF_jQuery('#captcha_image').length>0){\n\t\ton_captcha_image_load();\n\t}\n\n\tEMF_jQuery('.emf-field-grid td').click(function(event){\n\t\t\/\/ \t\tif(!event.target.tagName || event.target.tagName.toLowerCase()!='td') return;\n\n\t\tEMF_jQuery(this).find('input[type=checkbox],input[type=radio]').click();\n\t});\n\n    EMF_jQuery('input[type=checkbox],input[type=radio]').click(function(event){\n        event.stopPropagation();\n    });\n\n\tbuild_datepicker();\n\n\tEMF_jQuery(\"#emf-form ul li\").mousedown(highlight_field_on_mousedown);\n\tEMF_jQuery(\"#emf-form ul li input, #emf-form ul li textarea, #emf-form ul li select\").focus(highlight_field_on_focus);\n\n\t\tvar form_obj=EMF_jQuery(\"#emf-container form\");\n\tif(form_obj.length>0 && form_obj.attr('action').indexOf('#')==-1 && window.location.hash){\n\t\tform_obj.attr('action', form_obj.attr('action')+window.location.hash);\n\t}\n\n\tinit_rules();\n\n\tenable_session_when_cookie_disabled();\n\n\tdetect_unsupported_browser();\n\n\trandomize_field_content();\n\n\t\n\t\n\twindow.js_data.disable_form && set_readonly(\"This form has reached the maximum number of entries allowed for this period. Please try again later. If you are the administrator of this form, please log into the system and review your account settings.\");});\n\nvar emf_widgets={text : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,number : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,textarea : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,new_checkbox : \n\t\t\tfunction(index){\n\t\t\t\tvar arr=new Array();\n\t\t\t\t$(\"input[name='element_\"+index+\"[]']:checked\").each(function(){\n\t\t\t\t\tarr[arr.length]=this.value;\n\t\t\t\t});\n\t\t\t\tvar result=arr.join(\", \");\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,radio : \n\t\t\tfunction(index){\n\t\t\t\tvar result=\"\";\n\t\t\t\t$(\"input[name=element_\"+index+\"]:checked\").each(function(){\n\t\t\t\t\tresult=this.value;\n\t\t\t\t});\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,select : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,email : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,phone : \n\t\t\tfunction(index){\n\t\t\t\tvar arr=new Array();\n\t\t\t\t$(\"input[id^=element_\"+index+\"_]\").each(function(){\n\t\t\t\t\tarr[arr.length]=this.value;\n\t\t\t\t});\n\n\t\t\t\tvar result=\"\";\n\t\t\t\tif(arr.length>0){\n\t\t\t\t\tresult=arr.join(\"-\");\n\t\t\t\t}else{\n\t\t\t\t\tresult=$(\"#element_\"+index).val();\n\t\t\t\t}\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,datetime : \n\t\t\tfunction(index){\n\t\t\t\tvar result=\"\";\n\n\t\t\t\tvar date_part=\"\";\n\t\t\t\tif($(\"#element_\"+index+\"_year\").length==1){\n\t\t\t\t\tdate_part=$(\"#element_\"+index+\"_year-mm\").val()+\"\/\"+$(\"#element_\"+index+\"_year-dd\").val()+\"\/\"+$(\"#element_\"+index+\"_year\").val();\n\t\t\t\t}\n\n\t\t\t\tvar time_part=\"\";\n\t\t\t\tif($(\"#element_\"+index+\"_hour\").length==1){\n\t\t\t\t\ttime_part=$(\"#element_\"+index+\"_hour\").val()+\":\"+$(\"#element_\"+index+\"_minute\").val()+\" \"+$(\"#element_\"+index+\"_ampm\").val();\n\t\t\t\t}\n\n\t\t\t\tif(date_part && time_part){\n\t\t\t\t\tresult=date_part+\" \"+time_part;\n\t\t\t\t}else{\n\t\t\t\t\tresult=date_part ? date_part : time_part;\n\t\t\t\t}\n\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,url : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,file : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,Image : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,new_select_multiple : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,price : \n\t\t\tfunction(index){\n\t\t\t\tvar result=\"\";\n\t\t\t\tvar arr=new Array();\n\t\t\t\t$(\"input[id^=element_\"+index+\"_]\").each(function(){\n\t\t\t\t\tarr[arr.length]=this.value;\n\t\t\t\t});\n\t\t\t\tresult=arr.join(\".\");\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,hidden : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,unique_id : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,section_break : \n\t\t\tfunction(index){\n\t\t\t\treturn \"\";\n\t\t\t}\n\t\t,page_break : \n\t\t\tfunction(index){\n\t\t\t\treturn \"\";\n\t\t\t}\n\t\t,signature : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,credit_card_cta : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,qr_scanner_cta : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,terms : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,star_rating : \n\t\t\tfunction(index){\n\t\t\t\tvar result=\"\";\n\t\t\t\t$(\"input[name=element_\"+index+\"]:checked\").each(function(){\n\t\t\t\t\tresult=this.value;\n\t\t\t\t});\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,scale_rating : \n\t\t\tfunction(index){\n\t\t\t\tvar result=\"\";\n\t\t\t\t$(\"input[name=element_\"+index+\"]:checked\").each(function(){\n\t\t\t\t\tresult=this.value;\n\t\t\t\t});\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,deprecated : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t,address : \n\t\t\tfunction(index){\n\t\t\t\tvar result=\"\";\n\t\t\t\tvar element_arr=$(\"input,select\").filter(\"[name='element_\"+index+\"[]']\").toArray();\n\t\t\t\tresult=element_arr[0].value+\" \"+element_arr[1].value+\"\\n\"\n\t\t\t\t\t+element_arr[2].value+\",\"+element_arr[3].value+\" \"+element_arr[4].value+\"\\n\"\n\t\t\t\t\t+element_arr[5].value;\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,name : \n\t\t\tfunction(index){\n\t\t\t\tvar arr=new Array();\n\t\t\t\t$(\"input[id^=element_\"+index+\"_]\").each(function(){\n\t\t\t\t\tarr[arr.length]=this.value;\n\t\t\t\t});\n\t\t\t\tvar result=arr.join(\" \");\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,checkbox : \n\t\t\tfunction(index){\n\t\t\t\tvar arr=new Array();\n\t\t\t\t$(\"input[name='element_\"+index+\"[]']:checked\").each(function(){\n\t\t\t\t\tarr[arr.length]=this.value;\n\t\t\t\t});\n\t\t\t\tvar result=arr.join(\", \");\n\t\t\t\treturn result;\n\t\t\t}\n\t\t,select_multiple : \n\t\t\tfunction(index){\n\t\t\t\treturn $(\"#element_\"+index).val();\n\t\t\t}\n\t\t};\n\nvar emf_condition_id_to_js_map={5 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn field_value==value;\n\t\t\t}\n\t\t,6 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn field_value!=value;\n\t\t\t}\n\t\t,1 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn field_value.indexOf(value)>-1;\n\t\t\t}\n\t\t,2 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn field_value.indexOf(value)==-1;\n\t\t\t}\n\t\t,3 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn field_value.indexOf(value)==0;\n\t\t\t}\n\t\t\t,4 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn field_value.lastIndexOf(value)==field_value.length-value.length;\n\t\t\t}\n\t\t,7 : \n\t\tfunction(field_value, value){\n\t\treturn parseFloat(field_value)==parseFloat(value);\n\t}\n\t,8 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn parseFloat(field_value)>parseFloat(value);\n\t\t\t}\n\t\t,9 : \n\t\t\tfunction(field_value, value){\n\t\t\t\treturn parseFloat(field_value) < parseFloat(value);\n\t\t\t}\n\t\t,10 : \n\t\t\tfunction(field_value, value){\n\t\t\t\tvar date_for_field_value=Date.parse(field_value);\n\t\t\t\tvar date_for_value=Date.parse(value);\n\t\t\t\tif(date_for_field_value &#038;&#038; date_for_value){\n\t\t\t\t\treturn date_for_field_value == date_for_value;\n\t\t\t\t}\n\t\t\t\treturn false;\n\t\t\t}\n\t\t,11 : \n\t\t\tfunction(field_value, value){\n\t\t\t\tvar date_for_field_value=Date.parse(field_value);\n\t\t\t\tvar date_for_value=Date.parse(value);\n\t\t\t\tif(date_for_field_value &#038;&#038; date_for_value){\n\t\t\t\t\treturn date_for_field_value < date_for_value;\n\t\t\t\t}\n\t\t\t\treturn false;\n\t\t\t}\n\t\t,12 : \n\t\t\tfunction(field_value, value){\n\t\t\t\tvar date_for_field_value=Date.parse(field_value);\n\t\t\t\tvar date_for_value=Date.parse(value);\n\t\t\t\tif(date_for_field_value &#038;&#038; date_for_value){\n\t\t\t\t\treturn date_for_field_value > date_for_value;\n\t\t\t\t}\n\t\t\t\treturn false;\n\t\t\t}\n\t\t};\nvar emf_group_to_field_rules_map=[];\nvar emf_group_to_page_rules_for_confirmation_map=[];\nvar emf_payment_rules=[];\n\nvar emf_cart=null;\nvar emf_page_info={current_page_index: 0, page_element_index_min: 0, page_element_index_max: 155};\nvar emf_index_to_value_map=null;\nvar emf_form_visit_id=\"wO5bxtVHR9\";\n\nvar emf_index_to_option_map=[];\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Application Process Applicants interested in joining the Sugar Run Brewery team can follow a straightforward application process: Please fill out the online employment application EmailMeForm Sugar Run Employment Application All fields are mandatory, please fill out the entire application. Thank you. Date MM \/ DD \/ YYYY PERSONAL INFORMATION Name First Last Address Street Address [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-584","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/pages\/584","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/comments?post=584"}],"version-history":[{"count":10,"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/pages\/584\/revisions"}],"predecessor-version":[{"id":1064,"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/pages\/584\/revisions\/1064"}],"wp:attachment":[{"href":"https:\/\/sugarrunbeer.com\/brewery\/wp-json\/wp\/v2\/media?parent=584"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}