{"id":29417,"date":"2026-09-30T12:05:21","date_gmt":"2026-09-30T19:05:21","guid":{"rendered":"https:\/\/extension.wsu.edu\/skagit\/?page_id=29417"},"modified":"2026-09-30T12:05:21","modified_gmt":"2026-09-30T19:05:21","slug":"4-h-volunteer-reference-check","status":"publish","type":"page","link":"https:\/\/extension.wsu.edu\/skagit\/4-h-volunteer-reference-check\/","title":{"rendered":"4-H Volunteer Reference Check"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme' id='gform_wrapper_50' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">4-H Volunteer Reference Check<\/h2>\n                            <span class='gform_description'>Thank you for serving as a reference for a prospective 4-H volunteer. Volunteers play an important role in creating safe, positive, and meaningful experiences for youth, and your feedback is an important part of our volunteer screening process.\n\nPlease answer the following questions based on your knowledge and experience with the applicant. Your responses will help us assess their suitability for working with youth and serving as a 4-H volunteer.\n\nYour responses will be kept confidential and used only as part of the 4-H volunteer screening and selection process.\n\nThank you for taking the time to provide thoughtful and honest feedback.<\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_50'  action='\/skagit\/wp-json\/wp\/v2\/pages\/29417' >\n                        <div class='gform_body gform-body'><div id='gform_fields_50' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_50_52\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_52\"><h3 class=\"gsection_title\">Section 1 \u2014 Reference Information<\/h3><\/div><fieldset id=\"field_50_8\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_8\"><legend class='gfield_label gfield_label_before_complex'  >Name of Volunteer Applicant<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_50_8'>\n                            \n                            <span id='input_50_8_3_container' class='name_first' >\n                                                    <input type='text' name='input_8.3' id='input_50_8_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_50_8_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_50_8_6_container' class='name_last' >\n                                                    <input type='text' name='input_8.6' id='input_50_8_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_50_8_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_50_7\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_7\"><legend class='gfield_label gfield_label_before_complex'  >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_50_7'>\n                            \n                            <span id='input_50_7_3_container' class='name_first' >\n                                                    <input type='text' name='input_7.3' id='input_50_7_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_50_7_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_50_7_6_container' class='name_last' >\n                                                    <input type='text' name='input_7.6' id='input_50_7_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_50_7_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_50_4\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_4\"><label class='gfield_label' for='input_50_4' >Your Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_50_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_50_5\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_5\"><label class='gfield_label' for='input_50_5' >How long have you known the applicant?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_50_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_50_6\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_6\"><label class='gfield_label' for='input_50_6' >In what capacity or relationship have you known the applicant?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_50_6' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_16\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_16\"><h3 class=\"gsection_title\">Section 2 \u2014 Applicant Qualities<\/h3><div class='gsection_description' id='gfield_description_50_16'>Please rate the applicant in each of the following areas based on your knowledge and experience with them.<\/div><\/div><div id=\"field_50_28\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_28\"><label class='gfield_label' for='input_50_28' >Dependability<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_50_28' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_26\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_26\"><label class='gfield_label' for='input_50_26' >Communication<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_50_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_24\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_24\"><label class='gfield_label' for='input_50_24' >Patience<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_50_24' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_23\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_23\"><label class='gfield_label' for='input_50_23' >Organization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_50_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_22\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_22\"><label class='gfield_label' for='input_50_22' >Fairness<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_50_22' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_21\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_21\"><label class='gfield_label' for='input_50_21' >Initiative<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_50_21' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_20\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_20\"><label class='gfield_label' for='input_50_20' >Respect for others<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_50_20' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_27\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_27\"><label class='gfield_label' for='input_50_27' >Flexibility<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_50_27' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_29\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_29\"><label class='gfield_label' for='input_50_29' >Ability to follow through on commitments<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_50_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_18\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_18\"><label class='gfield_label' for='input_50_18' >Judgment\/responsibility<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_50_18' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Good' >Good<\/option><option value='Fair' >Fair<\/option><option value='Unknown' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_50_30\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_30\"><h3 class=\"gsection_title\">Section 3 \u2014 Experience &amp; Qualifications<\/h3><\/div><div id=\"field_50_31\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_31\"><label class='gfield_label' for='input_50_31' >What qualities do you believe would make this applicant a good 4-H volunteer? Please provide examples when possible.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_50_31' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_49\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_49\"><label class='gfield_label' for='input_50_49' >How does the applicant work and communicate with other adults?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_49' id='input_50_49' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_32\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_32\"><label class='gfield_label' for='input_50_32' >How does the applicant respond to stressful situations, disagreements, or unexpected challenges?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_50_32' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_33\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_33\"><label class='gfield_label' for='input_50_33' >How does the applicant receive feedback or correction from others?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_50_33' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_34\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_34\"><label class='gfield_label' for='input_50_34' >Does the applicant demonstrate appropriate boundaries and good judgment when interacting with children or teens? Please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_50_34' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_35\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_35\"><label class='gfield_label' for='input_50_35' >How does the applicant interact with people whose backgrounds, abilities, perspectives, or needs may differ from their own?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_50_35' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_37\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_37\"><label class='gfield_label' for='input_50_37' >Would you feel comfortable having a child or teen for whom you are responsible participate in an activity led or supervised by this applicant? Why or why not?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_50_37' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_50\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_50\"><label class='gfield_label' for='input_50_50' >Are you aware of any behavior, circumstances, or concerns that should be considered when determining whether this applicant is suitable to work with children and teens? If yes, please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_50_50' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_51\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_51\"><label class='gfield_label' for='input_50_51' >Is there anything else you believe would be helpful for us to know when considering this applicant for a 4-H volunteer role?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_51' id='input_50_51' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_50_41\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_41\"><legend class='gfield_label'  >Do you know of any reason why this person should NOT be considered for a 4-H volunteer position?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_50_41'>\n\t\t\t<div class='gchoice gchoice_50_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes'  id='choice_50_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_41_0' id='label_50_41_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No'  id='choice_50_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_41_1' id='label_50_41_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_50_42\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_42\"><label class='gfield_label' for='input_50_42' >If yes, please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_42' id='input_50_42' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_43\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_43\"><h3 class=\"gsection_title\">Section 5 \u2014 Certification<\/h3><\/div><fieldset id=\"field_50_44\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_44\"><legend class='gfield_label gfield_label_before_complex'  >Certification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_50_44'><div class='gchoice gchoice_50_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='I certify that the information I have provided is accurate to the best of my knowledge and reflects my honest assessment of the applicant.'  id='choice_50_44_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_44_1' id='label_50_44_1'>I certify that the information I have provided is accurate to the best of my knowledge and reflects my honest assessment of the applicant.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_50_45\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_45\"><label class='gfield_label' for='input_50_45' >Typed Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_50_45' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_50_47\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_47\"><label class='gfield_label' for='input_50_47' >Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_47' id='input_50_47' type='text' value='' class='datepicker mdy datepicker_no_icon 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