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background-color: rgba(255, 255, 224, 0.79);
}
/* omer */
.form-radio-item,
.form-checkbox-item {
padding-bottom: 2px !important;
}
.form-radio-item:last-child,
.form-checkbox-item:last-child {
padding-bottom: 0;
}
/* omer */
.form-single-column .form-checkbox-item,
.form-single-column .form-radio-item {
width: 100%;
}
.form-radio-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-radio-item:not(#foo) input[type="checkbox"],
.form-radio-item:not(#foo) input[type="radio"] {
display: none;
}
.form-radio-item:not(#foo) .form-radio-other,
.form-radio-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 2px;
}
.form-radio-item:not(#foo) .form-checkbox-other-input,
.form-radio-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-radio-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-radio-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 2px;
-moz-border-radius: 2px;
border-radius: 2px;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-radio-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 4px;
left: 8px;
width: 10px;
height: 10px;
}
.form-radio-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-radio-item:not(#foo) label:before {
background-color: transparent;
border: 2px solid #828282;
}
.form-radio-item:not(#foo) label:after {
background-color: #ef9b00;
cursor: pointer;
}
.form-checkbox-item:not(#foo) {
margin-bottom: 0;
position: relative;
}
.form-checkbox-item:not(#foo) input[type="checkbox"],
.form-checkbox-item:not(#foo) input[type="radio"] {
display: none;
}
.form-checkbox-item:not(#foo) .form-radio-other,
.form-checkbox-item:not(#foo) .form-checkbox-other {
display: inline-block !important;
margin-left: 7px;
margin-right: 3px;
margin-top: 2px;
}
.form-checkbox-item:not(#foo) .form-checkbox-other-input,
.form-checkbox-item:not(#foo) .form-radio-other-input {
margin: 0;
}
.form-checkbox-item:not(#foo) label {
line-height: 18px;
margin-left: 0;
float: left;
text-indent: 27px;
}
.form-checkbox-item:not(#foo) label:before {
content: '';
position: absolute;
display: inline-block;
vertical-align: baseline;
margin-right: 4px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
-webkit-border-radius: 2px;
-moz-border-radius: 2px;
border-radius: 2px;
left: 4px;
width: 18px;
height: 18px;
cursor: pointer;
}
.form-checkbox-item:not(#foo) label:after {
content: '';
position: absolute;
z-index: 10;
display: inline-block;
opacity: 0;
top: 6px;
left: 10px;
width: 4px;
height: 4px;
}
.form-checkbox-item:not(#foo) input:checked + label:after {
opacity: 1;
}
.form-checkbox-item:not(#foo) label:before {
background-color: transparent;
border: 2px solid #828282;
}
.form-checkbox-item:not(#foo) label:after {
background-color: #ef9b00;
box-shadow: 0 3px 0 0 #ef9b00, 3px 3px 0 0 #ef9b00, 6px 3px 0 0 #ef9b00, 9px 3px 0 0 #ef9b00, 8px 6px 0 0 #ffffff, 10px 1px 0 0 #ffffff;
-moz-transform: rotate(-45deg);
-webkit-transform: rotate(-45deg);
-o-transform: rotate(-45deg);
-ms-transform: rotate(-45deg);
transform: rotate(-45deg);
}
.supernova {
height: 100%;
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-repeat: repeat;
}
.supernova {
background-image: none;
}
#stage {
background-image: none;
}
/* | */
.form-all {
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-repeat: repeat;
}
.form-header-group {
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
}
.form-line {
margin-top: 10px;
margin-bottom: 10px;
}
.form-line {
padding: 8px 36px;
}
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
-webkit-border-radius: 6px;
-moz-border-radius: 6px;
border-radius: 6px;
}
.form-all .form-sub-label {
margin-left: 3px;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 1em;
padding: 9px 15px;
font-family: "PT Sans Narrow", sans-serif;
font-size: 16px;
font-weight: normal;
}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
font-size: 1em;
padding: 9px 15px;
font-family: "PT Sans Narrow", sans-serif;
font-size: 14px;
font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
@import (css) "@{buttonFontLink}";
}
*/
h2.form-header {
line-height: 1.618em;
font-size: 1.714em;
}
h2 ~ .form-subHeader {
line-height: 1.5em;
font-size: 1.071em;
}
.form-header-group {
text-align: left;
}
.form-header-group {
background-image: url("//www.jotform.com/uploads/EltonCris/form_files/apply_now_bannerHeader.jpg");
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
padding: 4px 3px 2px 3px;
}
.form-header-group {
font-family: "PT Sans Narrow", sans-serif;
}
.form-section {
padding: 0px 0px 0px 0px;
}
.form-header-group {
margin: 0px 0px 0px 0px;
}
.form-header-group {
padding: 120px 0px 120px 0px;
}
.form-header-group .form-header,
.form-header-group .form-subHeader {
color: #ffffff;
}
.form-textbox,
.form-textarea {
padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: #ffffff;
}
.form-dropdown {
-webkit-appearance: menulist-button;
border-color: #cccccc;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_dropdown"] .form-input-wide {
width: 150px;
}
.form-buttons-wrapper {
margin-left: 0 !important;
text-align: center;
}
.form-header-group {
border-bottom: none;
}
.form-label {
font-family: "PT Sans Narrow", sans-serif;
}
li[data-type="control_image"] div {
text-align: left;
}
li[data-type="control_image"] img {
border: none;
border-width: 0px !important;
border-style: solid !important;
border-color: false !important;
}
.form-line-column {
width: auto;
}
.form-line-error {
background-color: #ffffff;
-webkit-box-shadow: inset 0px 3px 11px -7px #ff3200;
-moz-box-shadow: inset 0px 3px 11px -7px #ff3200;
box-shadow: inset 0px 3px 11px -7px #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
-webkit-transition-property: none;
-moz-transition-property: none;
-ms-transition-property: none;
-o-transition-property: none;
transition-property: none;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
border: 1px solid #fff4f4;
-moz-box-shadow: 0 0 3px #fff4f4;
-webkit-box-shadow: 0 0 3px #fff4f4;
box-shadow: 0 0 3px #fff4f4;
}
.form-line-error .form-error-message {
margin: 0;
position: absolute;
color: #fff;
display: inline-block;
right: 0;
font-size: 10px;
position: absolute!important;
box-shadow: none;
top: 0px;
line-height: 20px;
color: #FFF;
background: #ff3200;
padding: 0px 5px;
bottom: auto;
min-width: 105px;
-webkit-border-radius: 0;
-moz-border-radius: 0;
border-radius: 0;
}
.form-line-error .form-error-message img,
.form-line-error .form-error-message .form-error-arrow {
display: none;
}
.ie-8 .form-all {
margin-top: auto;
margin-top: initial;
}
.ie-8 .form-all:before {
display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
.testOne {
letter-spacing: 0;
}
.jotform-form {
padding: 12px 0 0 0;
}
.form-all {
border: 0;
width: 94%!important;
max-width: initial;
}
.form-sub-label-container {
width: 100%;
margin: 0;
margin-right: 0;
float: left;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
span.form-sub-label-container + span.form-sub-label-container {
margin-right: 0;
}
.form-sub-label {
white-space: normal;
}
.form-address-table td,
.form-address-table th {
padding: 0 1px 10px;
}
.form-submit-button,
.form-submit-print,
.form-submit-reset {
width: 100%;
margin-left: 0!important;
}
div[id*=at_] {
font-size: 14px;
font-weight: 700;
height: 8px;
margin-top: 6px;
}
.showAutoCalendar {
width: 20px;
}
img.form-image {
max-width: 100%;
height: auto;
}
.form-matrix-row-headers {
width: 100%;
word-break: break-all;
min-width: 40px;
}
.form-collapse-table,
.form-header-group {
margin: 0;
}
.form-collapse-table {
height: 100%;
display: inline-block;
width: 100%;
}
.form-collapse-hidden {
display: none !important;
}
.form-input {
width: 100%;
}
.form-label {
width: 100% !important;
}
.form-label-left,
.form-label-right {
display: block;
float: none;
text-align: left;
width: auto!important;
}
.form-line,
.form-line.form-line-column {
padding: 2% 5%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
input[type=text],
input[type=email],
input[type=tel],
textarea {
width: 100%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
max-width: initial !important;
}
.form-dropdown,
.form-textarea,
.form-textbox {
width: 100%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-input,
.form-input-wide,
.form-textarea,
.form-textbox,
.form-dropdown {
max-width: initial!important;
}
.form-address-city,
.form-address-line,
.form-address-postal,
.form-address-state,
.form-address-table,
.form-address-table .form-sub-label-container,
.form-address-table select,
.form-input {
width: 100%;
}
div.form-header-group {
padding: 120px 0px !important;
padding-left: 5%!important;
padding-right: 5%!important;
margin: 0 0px 2% !important;
margin-left: 5%!important;
margin-right: 5%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
div.form-header-group.hasImage img {
max-width: 100%;
}
[data-type="control_button"] {
margin-bottom: 0 !important;
}
[data-type=control_fullname] .form-sub-label-container {
width: 48%;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type=control_phone] .form-sub-label-container {
width: 65%;
}
[data-type=control_phone] .form-sub-label-container:first-child {
width: 31%;
margin-right: 4%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container,
[data-type=control_datetime] .form-sub-label-container:first-child {
width: 27.3%;
margin-right: 6%;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container + .form-sub-label-container {
width: 33.3%;
margin-right: 0;
}
[data-type=control_datetime] span + span + span > span:first-child {
display: block;
width: 100% !important;
}
[data-type=control_birthdate] .form-sub-label-container,
[data-type=control_datetime] span + span + span > span:first-child + span + span,
[data-type=control_time] .form-sub-label-container {
width: 27.3%!important;
margin-right: 6% !important;
}
[data-type=control_birthdate] .form-sub-label-container:last-child,
[data-type=control_time] .form-sub-label-container:last-child {
width: 33.3%!important;
margin-right: 0 !important;
}
.form-pagebreak-back-container,
.form-pagebreak-next-container {
width: 50% !important;
}
.form-pagebreak-back,
.form-pagebreak-next,
.form-product-item.hover-product-item {
width: 100%;
}
.form-pagebreak-back-container {
padding: 0;
text-align: right;
}
.form-pagebreak-next-container {
padding: 0;
text-align: left;
}
.form-pagebreak {
margin: 0 auto;
}
.form-buttons-wrapper {
margin: 0!important;
margin-left: 0!important;
}
.form-buttons-wrapper button {
width: 100%;
}
.form-buttons-wrapper .form-submit-print {
margin: 0 !important;
}
table {
width: 100%!important;
max-width: initial!important;
}
table td + td {
padding-left: 3%;
}
.form-checkbox-item,
.form-radio-item {
white-space: normal!important;
}
.form-checkbox-item input,
.form-radio-item input {
width: auto;
}
.form-collapse-table {
margin: 0 5%;
display: block;
zoom: 1;
width: auto;
}
.form-collapse-table:before,
.form-collapse-table:after {
display: table;
content: '';
line-height: 0;
}
.form-collapse-table:after {
clear: both;
}
.fb-like-box {
width: 98% !important;
}
.form-error-message {
clear: both;
bottom: -10px;
}
.date-separate,
.phone-separate {
display: none;
}
.custom-field-frame,
.direct-embed-widgets,
.signature-pad-wrapper {
width: 100% !important;
}
}
/* | */
/*PREFERENCES STYLE*/
.form-all {
font-family: PT Sans Narrow, sans-serif;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-family: PT Sans Narrow, sans-serif;
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-family: PT Sans Narrow, sans-serif;
}
.form-header-group {
font-family: PT Sans Narrow, sans-serif;
}
.form-label {
font-family: PT Sans Narrow, sans-serif;
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
.form-line {
margin-top: 12px 36px 12px 36px px;
margin-bottom: 12px 36px 12px 36px px;
}
.form-all {
max-width: 600px;
width: 100%;
}
.form-label.form-label-left,
.form-label.form-label-right,
.form-label.form-label-left.form-label-auto,
.form-label.form-label-right.form-label-auto {
width: 150px;
}
.form-all {
font-size: 14px
}
.form-all .qq-upload-button,
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 14px
}
.form-all .form-pagebreak-back-container,
.form-all .form-pagebreak-next-container {
font-size: 14px
}
.supernova .form-all, .form-all {
background-color: #fff;
}
.form-all {
color: rgb(71, 71, 71);
}
.form-header-group .form-header {
color: rgb(255, 255, 255);
}
.form-header-group .form-subHeader {
color: rgb(71, 71, 71);
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html,
.form-checkbox-item label,
.form-radio-item label {
color: rgb(71, 71, 71);
}
.form-sub-label {
color: 1a1a1a;
}
.supernova {
background-color: rgb(239, 239, 237);
}
.supernova body {
background: transparent;
}
.form-textbox,
.form-textarea,
.form-dropdown,
.form-radio-other-input,
.form-checkbox-other-input,
.form-captcha input,
.form-spinner input {
background-color: #fff;
}
.supernova {
background-image: none;
}
#stage {
background-image: none;
}
.form-all {
background-image: none;
}
.form-all {
position: relative;
}
.form-all:before {
content: "";
background-image: url("https://www.jotform.com/uploads/cassandrafoster.321/form_files/GES%20Final%20Black.61bd09941120e6.28711550.png");
display: inline-block;
height: 140px;
position: absolute;
background-size: 193px 140px;
background-repeat: no-repeat;
width: 100%;
}
.form-all {
margin-top: 150px !important;
}
.form-all:before {
top: -150px;
background-position: top center;
left: 0;
}
.ie-8 .form-all:before { display: none; }
.ie-8 {
margin-top: auto;
margin-top: initial;
}
/*PREFERENCES STYLE*//*__INSPECT_SEPERATOR__*/@import url(https://shots.jotform.com/elton/genericTheme.css);
/*---------------------
Theme: Theme
Author: Elton Cris - [email protected]
www.jotform.com
----------------------*/
.jotform-form {
padding : 40px 0;
}.form-header-group {
padding-left : 0;
}.header-text {
padding : 10px;
padding-left : 36px;
background : rgba(48, 44, 37, 0.55);
width : 50%;
border-top-right-radius : 10px;
border-bottom-right-radius : 10px;
}@media screen and (min-width:1367px){
.supernova {
background-size : 100% 100%;
}}@media screen and (max-width:768px){
div.form-header-group {
padding-left: 0 !important;
}
.form-all {
margin : 0 auto !important;
}}@media screen and (max-width:480px){
.jotform-form {
padding : 0;
}.form-input {
width : 100% !important;
}.form-label {
width : 100% !important;
float : none !important;
}span.date-separate, .phone-separate {
display : none !important;
}[data-type="control_datetime"] .form-input > span:nth-child(4) {
white-space : normal !important;
}[data-type="control_datetime"] .form-input span:nth-child(5) {
padding-top : 0;
}}/*fix form builder display*/
#stage.form-all {
max-width : none;
margin-right : 0;
}.form-radio-item:not(#foo) label:after,
.form-radio-item:not(#foo) label:before {
border-radius : 50%;
}.form-radio-item:not(#foo) label:before,
.form-checkbox-item:not(#foo) label:before {
border-width : 1px;
}
.form-label.form-label-auto {
display: block;
float: none;
text-align: left;
width: 100%;
}
/* Injected CSS Code */
</style>
<form class="jotform-form" action="https://submit.jotform.com/submit/213505608173149/" method="post" enctype="multipart/form-data" name="form_213505608173149" id="213505608173149" accept-charset="utf-8" autocomplete="on">
<input type="hidden" name="formID" value="213505608173149" />
<input type="hidden" id="JWTContainer" value="" />
<input type="hidden" id="cardinalOrderNumber" value="" />
<div role="main" class="form-all">
<link type="text/css" rel="stylesheet" media="all" href="https://cdn.jotfor.ms/wizards/languageWizard/custom-dropdown/css/lang-dd.css?3.3.29655" />
<div class="cont">
<input type="text" id="input_language" name="input_language" style="display:none" />
<div class="language-dd" id="langDd" style="display:none">
<div class="dd-placeholder lang-emp">
Language
</div>
<ul class="lang-list dn" id="langList">
<li data-lang="en-UK" class="en-UK">
English (UK)
</li>
</ul>
</div>
</div>
<script type="text/javascript" src="https://cdn.jotfor.ms/js/formTranslation.v2.js?3.3.29655"></script>
<ul class="form-section page-section">
<li class="form-line jf-required" data-type="control_fullname" id="id_3">
<label class="form-label form-label-top form-label-auto" id="label_3" for="first_3">
Name:
<span class="form-required">
*
</span>
</label>
<div id="cid_3" class="form-input-wide jf-required">
<div data-wrapper-react="true">
<span class="form-sub-label-container" style="vertical-align:top" data-input-type="first">
<input type="text" id="first_3" name="q3_name[first]" class="form-textbox validate[required]" data-defaultvalue="" autoComplete="section-input_3 given-name" size="10" value="" data-component="first" aria-labelledby="label_3 sublabel_3_first" required="" />
<label class="form-sub-label" for="first_3" id="sublabel_3_first" style="min-height:13px" aria-hidden="false"> First Name </label>
</span>
<span class="form-sub-label-container" style="vertical-align:top" data-input-type="last">
<input type="text" id="last_3" name="q3_name[last]" class="form-textbox validate[required]" data-defaultvalue="" autoComplete="section-input_3 family-name" size="15" value="" data-component="last" aria-labelledby="label_3 sublabel_3_last" required="" />
<label class="form-sub-label" for="last_3" id="sublabel_3_last" style="min-height:13px" aria-hidden="false"> Last Name </label>
</span>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_address" id="id_4">
<label class="form-label form-label-top form-label-auto" id="label_4" for="input_4_addr_line1">
Address:
<span class="form-required">
*
</span>
</label>
<div id="cid_4" class="form-input-wide jf-required">
<div summary="" class="form-address-table jsTest-addressField">
<div class="form-address-line-wrapper jsTest-address-line-wrapperField">
<span class="form-address-line form-address-street-line jsTest-address-lineField">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_4_addr_line1" name="q4_address4[addr_line1]" class="form-textbox validate[required] form-address-line" data-defaultvalue="" autoComplete="section-input_4 address-line1" value="" data-component="address_line_1" aria-labelledby="label_4 sublabel_4_addr_line1" />
<label class="form-sub-label" for="input_4_addr_line1" id="sublabel_4_addr_line1" style="min-height:13px" aria-hidden="false"> Street Address </label>
</span>
</span>
</div>
<div class="form-address-line-wrapper jsTest-address-line-wrapperField">
<span class="form-address-line form-address-street-line jsTest-address-lineField">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_4_addr_line2" name="q4_address4[addr_line2]" class="form-textbox form-address-line" data-defaultvalue="" autoComplete="section-input_4 address-line2" value="" data-component="address_line_2" aria-labelledby="label_4 sublabel_4_addr_line2" />
<label class="form-sub-label" for="input_4_addr_line2" id="sublabel_4_addr_line2" style="min-height:13px" aria-hidden="false"> Street Address Line 2 </label>
</span>
</span>
</div>
<div class="form-address-line-wrapper jsTest-address-line-wrapperField">
<span class="form-address-line form-address-city-line jsTest-address-lineField ">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_4_city" name="q4_address4[city]" class="form-textbox validate[required] form-address-city" data-defaultvalue="" autoComplete="section-input_4 address-level2" value="" data-component="city" aria-labelledby="label_4 sublabel_4_city" />
<label class="form-sub-label" for="input_4_city" id="sublabel_4_city" style="min-height:13px" aria-hidden="false"> City </label>
</span>
</span>
<span class="form-address-line form-address-state-line jsTest-address-lineField ">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_4_state" name="q4_address4[state]" class="form-textbox validate[required] form-address-state" data-defaultvalue="" autoComplete="section-input_4 address-level1" value="" data-component="state" aria-labelledby="label_4 sublabel_4_state" />
<label class="form-sub-label" for="input_4_state" id="sublabel_4_state" style="min-height:13px" aria-hidden="false"> State / Province </label>
</span>
</span>
</div>
<div class="form-address-line-wrapper jsTest-address-line-wrapperField">
<span class="form-address-line form-address-zip-line jsTest-address-lineField ">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_4_postal" name="q4_address4[postal]" class="form-textbox form-address-postal" data-defaultvalue="" autoComplete="section-input_4 postal-code" value="" data-component="zip" aria-labelledby="label_4 sublabel_4_postal" />
<label class="form-sub-label" for="input_4_postal" id="sublabel_4_postal" style="min-height:13px" aria-hidden="false"> Postal / Zip Code </label>
</span>
</span>
</div>
</div>
</div>
</li>
<li class="form-line form-line-column form-col-1 jf-required" data-type="control_phone" id="id_6">
<label class="form-label form-label-top" id="label_6" for="input_6_area">
Phone Number:
<span class="form-required">
*
</span>
</label>
<div id="cid_6" class="form-input-wide jf-required">
<div data-wrapper-react="true">
<span class="form-sub-label-container" style="vertical-align:top" data-input-type="areaCode">
<input type="tel" id="input_6_area" name="q6_phoneNumber6[area]" class="form-textbox validate[required]" data-defaultvalue="" autoComplete="section-input_6 tel-area-code" value="" data-component="areaCode" aria-labelledby="label_6 sublabel_6_area" required="" />
<span class="phone-separate" aria-hidden="true">
-
</span>
<label class="form-sub-label" for="input_6_area" id="sublabel_6_area" style="min-height:13px" aria-hidden="false"> Area Code eg +65 </label>
</span>
<span class="form-sub-label-container" style="vertical-align:top" data-input-type="phone">
<input type="tel" id="input_6_phone" name="q6_phoneNumber6[phone]" class="form-textbox validate[required]" data-defaultvalue="" autoComplete="section-input_6 tel-local" value="" data-component="phone" aria-labelledby="label_6 sublabel_6_phone" required="" />
<label class="form-sub-label" for="input_6_phone" id="sublabel_6_phone" style="min-height:13px" aria-hidden="false"> Phone Number </label>
</span>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_email" id="id_5">
<label class="form-label form-label-top form-label-auto" id="label_5" for="input_5">
E-mail Address:
<span class="form-required">
*
</span>
</label>
<div id="cid_5" class="form-input-wide jf-required">
<input type="email" id="input_5" name="q5_emailAddress5" class="form-textbox validate[required, Email]" data-defaultvalue="" size="30" value="" placeholder="ex: [email protected]" data-component="email" aria-labelledby="label_5" required="" />
</div>
</li>
<li class="form-line" data-type="control_checkbox" id="id_209">
<label class="form-label form-label-top form-label-auto" id="label_209" for="input_209"> How were you referred to us? </label>
<div id="cid_209" class="form-input-wide">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_209" data-component="checkbox">
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_209" class="form-checkbox" id="input_209_0" name="q209_name209[]" value="Employee" />
<label id="label_input_209_0" for="input_209_0"> Employee </label>
</span>
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_209" class="form-checkbox" id="input_209_1" name="q209_name209[]" value="Other (please specify)" />
<label id="label_input_209_1" for="input_209_1"> Other (please specify) </label>
</span>
</div>
</div>
</li>
<li id="cid_367" class="form-input-wide" data-type="control_pagebreak">
<div class="form-pagebreak" data-component="pagebreak">
<div class="form-pagebreak-back-container">
<button id="form-pagebreak-back_367" type="button" class="form-pagebreak-back jf-form-buttons" data-component="pagebreak-back">
Back
</button>
</div>
<div class="form-pagebreak-next-container">
<button id="form-pagebreak-next_367" type="button" class="form-pagebreak-next jf-form-buttons" data-component="pagebreak-next">
Next
</button>
</div>
<div style="clear:both" class="pageInfo form-sub-label" id="pageInfo_367">
</div>
</div>
</li>
</ul>
<ul class="form-section page-section" style="display:none;">
<li class="form-line" data-type="control_divider" id="id_358">
<div id="cid_358" class="form-input-wide">
<div class="divider" aria-label="Divider" data-component="divider" style="border-bottom-width:1px;border-bottom-style:solid;border-color:#e6e6e6;height:1px;margin-left:0px;margin-right:0px;margin-top:5px;margin-bottom:5px">
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_checkbox" id="id_343">
<label class="form-label form-label-top" id="label_343" for="input_343">
Are you authorized to work in the United State? OR Have a legal work permit allowing you to work in the U.S
<span class="form-required">
*
</span>
</label>
<div id="cid_343" class="form-input-wide jf-required">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_343" data-component="checkbox">
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_343" class="form-checkbox validate[required]" id="input_343_0" name="q343_name343[]" value="Yes" required="" />
<label id="label_input_343_0" for="input_343_0"> Yes </label>
</span>
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_343" class="form-checkbox validate[required]" id="input_343_1" name="q343_name343[]" value="NO" required="" />
<label id="label_input_343_1" for="input_343_1"> NO </label>
</span>
</div>
</div>
</li>
<li class="form-line" data-type="control_checkbox" id="id_344">
<label class="form-label form-label-top form-label-auto" id="label_344" for="input_344"> Are you at least 18 years of age? </label>
<div id="cid_344" class="form-input-wide">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_344" data-component="checkbox">
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_344" class="form-checkbox" id="input_344_0" name="q344_name344[]" value="Yes" />
<label id="label_input_344_0" for="input_344_0"> Yes </label>
</span>
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_344" class="form-checkbox" id="input_344_1" name="q344_name344[]" value="NO" />
<label id="label_input_344_1" for="input_344_1"> NO </label>
</span>
</div>
</div>
</li>
<li class="form-line" data-type="control_dropdown" id="id_340">
<label class="form-label form-label-top form-label-auto" id="label_340" for="input_340"> Highest education of applicant </label>
<div id="cid_340" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<select class="form-dropdown" id="input_340" name="q340_highestEducation" style="width:150px" data-component="dropdown">
<option value=""> </option>
<option value="No formal education"> No formal education </option>
<option value="Primary"> Primary </option>
<option value="Secondary"> Secondary </option>
<option value=""O" level "> "O" level </option>
<option value=""A" level"> "A" level </option>
<option value="Degree"> Degree </option>
</select>
<label class="form-sub-label" for="input_340" id="sublabel_input_340" style="min-height:13px" aria-hidden="false"> Choose the appropriate education attained </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_348">
<label class="form-label form-label-top form-label-auto" id="label_348" for="input_348"> What was the name of school you received a diploma OR (GED), if you answered NO, please specify highest grade completed. </label>
<div id="cid_348" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_348" name="q348_typeA348" data-type="input-textbox" class="form-textbox" data-defaultvalue="" size="20" value="" data-component="textbox" aria-labelledby="label_348 sublabel_input_348" />
<label class="form-sub-label" for="input_348" id="sublabel_input_348" style="min-height:13px" aria-hidden="false"> Name of High-school or higher education institutions </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_checkbox" id="id_350">
<label class="form-label form-label-top form-label-auto" id="label_350" for="input_350"> Do you have an Active license for the position you are applying for? (security license, guard card, school certification, Military Experience) </label>
<div id="cid_350" class="form-input-wide">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_350" data-component="checkbox">
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_350" class="form-checkbox" id="input_350_0" name="q350_name350[]" value="Yes" />
<label id="label_input_350_0" for="input_350_0"> Yes </label>
</span>
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_350" class="form-checkbox" id="input_350_1" name="q350_name350[]" value="No" />
<label id="label_input_350_1" for="input_350_1"> No </label>
</span>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_checkbox" id="id_352">
<label class="form-label form-label-top form-label-auto" id="label_352" for="input_352">
Do you have a valid California Drivers License and a reliable vehicle?
<span class="form-required">
*
</span>
</label>
<div id="cid_352" class="form-input-wide jf-required">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_352" data-component="checkbox">
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_352" class="form-checkbox validate[required]" id="input_352_0" name="q352_name352[]" value="Yes" required="" />
<label id="label_input_352_0" for="input_352_0"> Yes </label>
</span>
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_352" class="form-checkbox validate[required]" id="input_352_1" name="q352_name352[]" value="No" required="" />
<label id="label_input_352_1" for="input_352_1"> No </label>
</span>
</div>
</div>
</li>
<li class="form-line form-line-column form-col-1" data-type="control_checkbox" id="id_316">
<label class="form-label form-label-top" id="label_316" for="input_316"> Applicants mode of transport use </label>
<div id="cid_316" class="form-input-wide">
<div class="form-single-column" role="group" aria-labelledby="label_316" data-component="checkbox">
<span class="form-checkbox-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_316" class="form-checkbox" id="input_316_0" name="q316_name316[]" value="Public Transport" />
<label id="label_input_316_0" for="input_316_0"> Public Transport </label>
</span>
<span class="form-checkbox-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_316" class="form-checkbox" id="input_316_1" name="q316_name316[]" value="Own Vehicle" />
<label id="label_input_316_1" for="input_316_1"> Own Vehicle </label>
</span>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_checkbox" id="id_346">
<label class="form-label form-label-top form-label-auto" id="label_346" for="input_346">
Are you willing to successfully complete a full background check including personal references (1 minimum) and prior employment verifications?
<span class="form-required">
*
</span>
</label>
<div id="cid_346" class="form-input-wide jf-required">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_346" data-component="checkbox">
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_346" class="form-checkbox validate[required]" id="input_346_0" name="q346_name346[]" value="Yes" required="" />
<label id="label_input_346_0" for="input_346_0"> Yes </label>
</span>
<span class="form-checkbox-item">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_346" class="form-checkbox validate[required]" id="input_346_1" name="q346_name346[]" value="No" required="" />
<label id="label_input_346_1" for="input_346_1"> No </label>
</span>
</div>
</div>
</li>
<li id="cid_366" class="form-input-wide" data-type="control_pagebreak">
<div class="form-pagebreak" data-component="pagebreak">
<div class="form-pagebreak-back-container">
<button id="form-pagebreak-back_366" type="button" class="form-pagebreak-back jf-form-buttons" data-component="pagebreak-back">
Back
</button>
</div>
<div class="form-pagebreak-next-container">
<button id="form-pagebreak-next_366" type="button" class="form-pagebreak-next jf-form-buttons" data-component="pagebreak-next">
Next
</button>
</div>
<div style="clear:both" class="pageInfo form-sub-label" id="pageInfo_366">
</div>
</div>
</li>
</ul>
<ul class="form-section page-section" style="display:none;">
<li class="form-line" data-type="control_radio" id="id_310">
<label class="form-label form-label-top form-label-auto" id="label_310" for="input_310"> Past Experience </label>
<div id="cid_310" class="form-input-wide">
<div class="form-single-column" role="group" aria-labelledby="label_310" data-component="radio">
<span class="form-radio-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="radio" aria-describedby="label_310" class="form-radio" id="input_310_0" name="q310_pastExperience" value="less than 1 year" />
<label id="label_input_310_0" for="input_310_0"> less than 1 year </label>
</span>
<span class="form-radio-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="radio" aria-describedby="label_310" class="form-radio" id="input_310_1" name="q310_pastExperience" value="1 year to 2 years" />
<label id="label_input_310_1" for="input_310_1"> 1 year to 2 years </label>
</span>
<span class="form-radio-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="radio" aria-describedby="label_310" class="form-radio" id="input_310_2" name="q310_pastExperience" value="More Than 2 years" />
<label id="label_input_310_2" for="input_310_2"> More Than 2 years </label>
</span>
</div>
</div>
</li>
<li class="form-line form-line-column form-col-1 jf-required" data-type="control_dropdown" id="id_354">
<label class="form-label form-label-top" id="label_354" for="input_354">
Availability
<span class="form-required">
*
</span>
</label>
<div id="cid_354" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align:top">
<select class="form-dropdown validate[required]" id="input_354" name="q354_typeA354[]" style="width:150px" multiple="" data-component="dropdown" required="">
<option value=""> </option>
<option value="Open to any shifts"> Open to any shifts </option>
<option value="full time"> full time </option>
<option value="part time"> part time </option>
<option value="weekends only"> weekends only </option>
<option value="night/Graveyard shift only"> night/Graveyard shift only </option>
<option value="day/swing shift only"> day/swing shift only </option>
</select>
<label class="form-sub-label" for="input_354" id="sublabel_input_354" style="min-height:13px" aria-hidden="false"> Please make a selection from the dropdown options </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_checkbox" id="id_317">
<label class="form-label form-label-top form-label-auto" id="label_317" for="input_317"> Applicant's preferred type of assignment(s) </label>
<div id="cid_317" class="form-input-wide">
<div class="form-single-column" role="group" aria-labelledby="label_317" data-component="checkbox">
<span class="form-checkbox-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_317" class="form-checkbox" id="input_317_0" name="q317_name317[]" value="Private" />
<label id="label_input_317_0" for="input_317_0"> Private </label>
</span>
<span class="form-checkbox-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_317" class="form-checkbox" id="input_317_1" name="q317_name317[]" value="Events" />
<label id="label_input_317_1" for="input_317_1"> Events </label>
</span>
<span class="form-checkbox-item" style="clear:left">
<span class="dragger-item">
</span>
<input type="checkbox" aria-describedby="label_317" class="form-checkbox" id="input_317_2" name="q317_name317[]" value="Commercial" />
<label id="label_input_317_2" for="input_317_2"> Commercial </label>
</span>
<span class="form-checkbox-item" style="clear:left">
<input type="checkbox" class="form-checkbox-other form-checkbox" name="q317_name317[other]" id="other_317" value="other" aria-label="Other" />
<label id="label_other_317" style="text-indent:0" for="other_317"> </label>
<input type="text" class="form-checkbox-other-input form-textbox" name="q317_name317[other]" data-otherhint="Other" size="15" id="input_317" placeholder="Other" />
<br/>
</span>
</div>
</div>
</li>
<li class="form-line" data-type="control_text" id="id_304">
<div id="cid_304" class="form-input-wide">
<div id="text_304" class="form-html" data-component="text">
<strong>Job Skills & Training</strong>
</div>
</div>
</li>
<li class="form-line" data-type="control_textarea" id="id_196">
<label class="form-label form-label-top form-label-auto" id="label_196" for="input_196"> Describe your skills (optional): </label>
<div id="cid_196" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<textarea id="input_196" class="form-textarea" name="q196_describeYour" cols="70" rows="6" data-component="textarea" aria-labelledby="label_196 sublabel_input_196"></textarea>
<label class="form-sub-label" for="input_196" id="sublabel_input_196" style="min-height:13px" aria-hidden="false"> OPTIONAL </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_fileupload" id="id_303">
<label class="form-label form-label-top form-label-auto" id="label_303" for="input_303"> Upload PLRD pass : </label>
<div id="cid_303" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="file" id="input_303" name="q303_uploadPlrd" class="form-upload" data-imagevalidate="yes" data-file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" data-file-maxsize="10240" data-file-minsize="0" data-file-limit="0" data-component="fileupload" />
<label class="form-sub-label" for="input_303" style="min-height:13px" aria-hidden="false"> Please upload your resume if any. </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_fileupload" id="id_335">
<label class="form-label form-label-top form-label-auto" id="label_335" for="input_335"> Upload IC/FIN Front : </label>
<div id="cid_335" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="file" id="input_335" name="q335_uploadIcfin335" class="form-upload" data-imagevalidate="yes" data-file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi,
jpg, jpeg, png, gif" data-file-maxsize="10240" data-file-minsize="0" data-file-limit="0" data-component="fileupload" />
<label class="form-sub-label" for="input_335" style="min-height:13px" aria-hidden="false"> Please upload your resume if any. </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_fileupload" id="id_336">
<label class="form-label form-label-top form-label-auto" id="label_336" for="input_336"> Upload IC/FIN Back : </label>
<div id="cid_336" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="file" id="input_336" name="q336_uploadIcfin336" class="form-upload" data-imagevalidate="yes" data-file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" data-file-maxsize="10240" data-file-minsize="0" data-file-limit="0" data-component="fileupload" />
<label class="form-sub-label" for="input_336" style="min-height:13px" aria-hidden="false"> Please upload your resume if any. </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_311">
<label class="form-label form-label-top form-label-auto" id="label_311" for="input_311"> Previous Employer 01 </label>
<div id="cid_311" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_311" name="q311_previousEmployer311" data-type="input-textbox" class="form-textbox" data-defaultvalue="" size="20" value="" data-component="textbox" aria-labelledby="label_311 sublabel_input_311" />
<label class="form-sub-label" for="input_311" id="sublabel_input_311" style="min-height:13px" aria-hidden="false"> Current or last previous employer </label>
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</li>
<li class="form-line" data-type="control_datetime" id="id_323">
<label class="form-label form-label-top form-label-auto" id="label_323" for="lite_mode_323"> Date Cease employment </label>
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<span class="form-sub-label-container" style="vertical-align:top">
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<span class="date-separate" aria-hidden="true">
-
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<label class="form-sub-label" for="month_323" id="sublabel_323_month" style="min-height:13px" aria-hidden="false"> Month </label>
</span>
<span class="form-sub-label-container" style="vertical-align:top">
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-
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<span class="form-sub-label-container" style="vertical-align:top">
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<label class="form-sub-label" for="year_323" id="sublabel_323_year" style="min-height:13px" aria-hidden="false"> Year </label>
</span>
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<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" class="form-textbox validate[limitDate, validateLiteDate]" id="lite_mode_323" size="12" data-maxlength="12" maxLength="12" data-age="" value="" data-format="mmddyyyy" data-seperator="-" placeholder="mm-dd-yyyy" autoComplete="section-input_323 off" aria-labelledby="label_323 sublabel_323_litemode" />
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<label class="form-sub-label" for="lite_mode_323" id="sublabel_323_litemode" style="min-height:13px" aria-hidden="false"> Date </label>
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<li class="form-line" data-type="control_dropdown" id="id_326">
<label class="form-label form-label-top form-label-auto" id="label_326" for="input_326"> Last position held </label>
<div id="cid_326" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<select class="form-dropdown" id="input_326" name="q326_lastPosition" style="width:150px" data-component="dropdown">
<option value=""> </option>
<option value="SO"> SO </option>
<option value="SSO"> SSO </option>
<option value="SS"> SS </option>
<option value="SSS"> SSS </option>
<option value="CSO"> CSO </option>
<option value="OTHERS"> OTHERS </option>
</select>
<label class="form-sub-label" for="input_326" id="sublabel_input_326" style="min-height:13px" aria-hidden="false"> To help us understand more about you, please indicate your current PWM STATUS to offer you the best possible position to fit your potential. </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_322">
<label class="form-label form-label-top form-label-auto" id="label_322" for="input_322"> Previous Employer 02 </label>
<div id="cid_322" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
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<label class="form-sub-label" for="input_322" id="sublabel_input_322" style="min-height:13px" aria-hidden="false"> Current or last previous employer </label>
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<li class="form-line" data-type="control_datetime" id="id_324">
<label class="form-label form-label-top form-label-auto" id="label_324" for="lite_mode_324"> Date Cease employment </label>
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<div data-wrapper-react="true">
<div style="display:none">
<span class="form-sub-label-container" style="vertical-align:top">
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-
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-
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</li>
<li class="form-line" data-type="control_dropdown" id="id_327">
<label class="form-label form-label-top form-label-auto" id="label_327" for="input_327"> Last position held </label>
<div id="cid_327" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<select class="form-dropdown" id="input_327" name="q327_lastPosition327" style="width:150px" data-component="dropdown">
<option value=""> </option>
<option value="SO"> SO </option>
<option value="SSO"> SSO </option>
<option value="SS"> SS </option>
<option value="SSS"> SSS </option>
<option value="CSO"> CSO </option>
<option value="OTHERS"> OTHERS </option>
</select>
<label class="form-sub-label" for="input_327" id="sublabel_input_327" style="min-height:13px" aria-hidden="false"> To help us understand more about you, please indicate your current PWM STATUS to offer you the best possible position to fit your potential. </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_textbox" id="id_330">
<label class="form-label form-label-top form-label-auto" id="label_330" for="input_330"> Any relevant skills or training that would apply to this position </label>
<div id="cid_330" class="form-input-wide">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="text" id="input_330" name="q330_bankDetails" data-type="input-textbox" class="form-textbox" data-defaultvalue="" size="20" value="" data-component="textbox" aria-labelledby="label_330 sublabel_input_330" />
<label class="form-sub-label" for="input_330" id="sublabel_input_330" style="min-height:13px" aria-hidden="false"> special skills and education </label>
</span>
</div>
</li>
<li class="form-line" data-type="control_text" id="id_365">
<div id="cid_365" class="form-input-wide">
<div id="text_365" class="form-html" data-component="text">
<p><strong>EEO Information</strong></p>
<p>It is the policy of Golden Empire Security to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, veteran status, or disability in accordance with applicable federal laws. In addition, Golden Empire Security complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment including, but not limited to hiring, placement, assignment, promotion, termination, layoffs, recalls, transfers, leaves of absence, compensation, and training.</p>
</div>
</div>
</li>
<li class="form-line" data-type="control_signature" id="id_309">
<label class="form-label form-label-top form-label-auto" id="label_309" for="input_309"> Signature of Applicant </label>
<div id="cid_309" class="form-input-wide">
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<!--[if IE 7]>
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<![endif]-->
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<span class="clear-pad-btn clear-pad" role="button" tabindex="0">
Clear
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<div data-wrapper-react="true">
<script type="text/javascript">
window.signatureForm = true
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</div>
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<li class="form-line jf-required" data-type="control_captcha" id="id_318">
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Please verify that you are human
<span class="form-required">
*
</span>
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<div id="cid_318" class="form-input-wide jf-required">
<section data-wrapper-react="true">
<div id="recaptcha_input_318" data-component="recaptcha" data-callback="recaptchaCallbackinput_318" data-expired-callback="recaptchaExpiredCallbackinput_318">
</div>
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<script type="text/javascript" src="https://www.google.com/recaptcha/api.js?render=explicit&onload=recaptchaLoadedinput_318"></script>
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* For invisible reCaptcha;
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* If a challenge is not displayed, this will be called right after grecaptcha.execute()
* If a challenge is displayed, this will be called when the challenge is solved successfully
* Submit is triggered to actually submit the form since it is stopped before.
*/
var recaptchaCallbackinput_318 = function()
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var isInvisibleReCaptcha = false;
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hiddenInput.setValue(1);
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if (hiddenInput.validateInput)
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hiddenInput.validateInput();
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var button = formElement.ownerDocument.createElement('input');
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</section>
</div>
</li>
<li class="form-line" data-type="control_button" id="id_2">
<div id="cid_2" class="form-input-wide">
<div style="text-align:center" data-align="center" class="form-buttons-wrapper form-buttons-center jsTest-button-wrapperField">
<button id="input_2" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField" data-component="button" data-content="">
Submit Application
</button>
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