{"id":41928,"date":"2024-12-06T13:53:13","date_gmt":"2024-12-06T21:53:13","guid":{"rendered":"https:\/\/extension.wsu.edu\/spokane\/?page_id=41928"},"modified":"2025-09-30T11:59:31","modified_gmt":"2025-09-30T18:59:31","slug":"apply","status":"publish","type":"page","link":"https:\/\/extension.wsu.edu\/spokane\/4h\/volunteer\/apply\/","title":{"rendered":"Washington State University Extension 4-H Youth Development Volunteer Application Form"},"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 gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_8' style='display:none'><div id='gf_8' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/spokane\/wp-json\/wp\/v2\/pages\/41928#gf_8' data-formid='8' >\n        <div id='gf_progressbar_wrapper_8' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_8_1' class='gform_page ' >\n                                    <div class='gform_page_fields'><div id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_8_3\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_3\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_3'>\n                            \n                            <span id='input_8_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_8_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_3.3' id='input_8_3_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_8_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_8_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_3.6' id='input_8_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_8_7\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_7\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_8_7' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_7_1_container' >\n                                        <label for='input_8_7_1' id='input_8_7_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_7.1' id='input_8_7_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_8_7_2_container' >\n                                        <label for='input_8_7_2' id='input_8_7_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_7.2' id='input_8_7_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_7_3_container' >\n                                    <label for='input_8_7_3' id='input_8_7_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_7.3' id='input_8_7_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_7_4_container' >\n                                        <label for='input_8_7_4' id='input_8_7_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_7.4' id='input_8_7_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_7_5_container' >\n                                    <label for='input_8_7_5' id='input_8_7_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_7.5' id='input_8_7_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_7.6' id='input_8_7_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_8_6\"  class=\"gfield gfield--type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_6\"><label class='gfield_label gform-field-label' for='input_8_6' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_8_6' type='text' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_8_5\"  class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_5\"><label class='gfield_label gform-field-label' for='input_8_5' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_8_5' type='text' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_8_8\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_8\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >What role(s) are you interested in?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_8_8'><div class='gchoice gchoice_8_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Club Leader'  id='choice_8_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_1' id='label_8_8_1' class='gform-field-label gform-field-label--type-inline'>Club Leader<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Project Leader'  id='choice_8_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_2' id='label_8_8_2' class='gform-field-label gform-field-label--type-inline'>Project Leader<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Activity Leader'  id='choice_8_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_3' id='label_8_8_3' class='gform-field-label gform-field-label--type-inline'>Activity Leader<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Committee Volunteer'  id='choice_8_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_4' id='label_8_8_4' class='gform-field-label gform-field-label--type-inline'>Committee Volunteer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Chaperone'  id='choice_8_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_5' id='label_8_8_5' class='gform-field-label gform-field-label--type-inline'>Chaperone<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_8_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.6' type='checkbox'  value='Other'  id='choice_8_8_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_6' id='label_8_8_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_9\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_9\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Project areas of interest:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_8_9'><div class='gchoice gchoice_8_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='Clothing &amp; Textiles'  id='choice_8_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_1' id='label_8_9_1' class='gform-field-label gform-field-label--type-inline'>Clothing &amp; Textiles<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='Environment'  id='choice_8_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_2' id='label_8_9_2' class='gform-field-label gform-field-label--type-inline'>Environment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='Equine'  id='choice_8_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_3' id='label_8_9_3' class='gform-field-label gform-field-label--type-inline'>Equine<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='Expressive Arts'  id='choice_8_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_4' id='label_8_9_4' class='gform-field-label gform-field-label--type-inline'>Expressive Arts<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='Foods &amp; Nutrition'  id='choice_8_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_5' id='label_8_9_5' class='gform-field-label gform-field-label--type-inline'>Foods &amp; Nutrition<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='Large Animals'  id='choice_8_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_6' id='label_8_9_6' class='gform-field-label gform-field-label--type-inline'>Large Animals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='Mechanical Sciences'  id='choice_8_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_7' id='label_8_9_7' class='gform-field-label gform-field-label--type-inline'>Mechanical Sciences<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.8' type='checkbox'  value='Plant Sciences'  id='choice_8_9_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_8' id='label_8_9_8' class='gform-field-label gform-field-label--type-inline'>Plant Sciences<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.9' type='checkbox'  value='Small Animals'  id='choice_8_9_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_9' id='label_8_9_9' class='gform-field-label gform-field-label--type-inline'>Small Animals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.11' type='checkbox'  value='Social Sciences'  id='choice_8_9_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_11' id='label_8_9_11' class='gform-field-label gform-field-label--type-inline'>Social Sciences<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_9_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.12' type='checkbox'  value='Technology'  id='choice_8_9_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_9_12' id='label_8_9_12' class='gform-field-label gform-field-label--type-inline'>Technology<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_45\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_45\"><label class='gfield_label gform-field-label' for='input_8_45' >Please list any currently active clubs you plan to be involved with:<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_8_45' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_8_90' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_8\").val(\"2\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_8\").val(\"2\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_8_46\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_46\"><h3 class=\"gsection_title\">Work, Education, and\/or Volunteer Experience<\/h3><div class='gsection_description' id='gfield_description_8_46'>Please list current experience first.<\/div><\/div><div id=\"field_8_47\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_47\"><label class='gfield_label gform-field-label' for='input_8_47' >Employer\/Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_8_47' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_48\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_48\"><label class='gfield_label gform-field-label' for='input_8_48' >Position Title\/Volunteer Role<\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_8_48' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_49\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_49\"><label class='gfield_label gform-field-label' for='input_8_49' >Year(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_8_49' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_51\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_51\"><label class='gfield_label gform-field-label' for='input_8_51' >Employer\/Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_8_51' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_53\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_53\"><label class='gfield_label gform-field-label' for='input_8_53' >Position Title\/Volunteer Role<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_8_53' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_55\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_55\"><label class='gfield_label gform-field-label' for='input_8_55' >Year(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_8_55' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_50\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_50\"><label class='gfield_label gform-field-label' for='input_8_50' >Employer\/Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_8_50' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_52\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_52\"><label class='gfield_label gform-field-label' for='input_8_52' >Position Title\/Volunteer Role<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_8_52' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_54\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_54\"><label class='gfield_label gform-field-label' for='input_8_54' >Year(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_8_54' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_73\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_73\"><h3 class=\"gsection_title\">Personal References<\/h3><div class='gsection_description' id='gfield_description_8_73'>List non-family members who have knowledge of your skills, abilities, and qualifications. Individuals should have worked with you on projects and activities and\/or have direct experience with or knowledge of your qualifications. Please provide complete addresses and phone numbers.<\/div><\/div><fieldset id=\"field_8_38\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_38\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Reference 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_38'>\n                            \n                            <span id='input_8_38_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_8_38_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                    <input type='text' name='input_38.3' id='input_8_38_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_8_38_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_8_38_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                            <input type='text' name='input_38.6' id='input_8_38_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_39\"  class=\"gfield gfield--type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_39\"><label class='gfield_label gform-field-label' for='input_8_39' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_8_39' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_40\"  class=\"gfield gfield--type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_40\"><label class='gfield_label gform-field-label' for='input_8_40' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_40' id='input_8_40' type='text' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_8_74\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_74\"><label class='gfield_label gform-field-label' for='input_8_74' >Relationship<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_8_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_75\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_75\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_8_75' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_75_1_container' >\n                                        <label for='input_8_75_1' id='input_8_75_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_75.1' id='input_8_75_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_8_75_2_container' >\n                                        <label for='input_8_75_2' id='input_8_75_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_75.2' id='input_8_75_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_75_3_container' >\n                                    <label for='input_8_75_3' id='input_8_75_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_75.3' id='input_8_75_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_75_4_container' >\n                                        <label for='input_8_75_4' id='input_8_75_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_75.4' id='input_8_75_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_75_5_container' >\n                                    <label for='input_8_75_5' id='input_8_75_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_75.5' id='input_8_75_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_75.6' id='input_8_75_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_8_42\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_42\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Reference 2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_42'>\n                            \n                            <span id='input_8_42_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_8_42_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                    <input type='text' name='input_42.3' id='input_8_42_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_8_42_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_8_42_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                            <input type='text' name='input_42.6' id='input_8_42_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_43\"  class=\"gfield gfield--type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_43\"><label class='gfield_label gform-field-label' for='input_8_43' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_8_43' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_44\"  class=\"gfield gfield--type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_44\"><label class='gfield_label gform-field-label' for='input_8_44' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_44' id='input_8_44' type='text' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_8_76\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_76\"><label class='gfield_label gform-field-label' for='input_8_76' >Relationship<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_8_76' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_77\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_77\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_8_77' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_77_1_container' >\n                                        <label for='input_8_77_1' id='input_8_77_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_77.1' id='input_8_77_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_8_77_2_container' >\n                                        <label for='input_8_77_2' id='input_8_77_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_77.2' id='input_8_77_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_77_3_container' >\n                                    <label for='input_8_77_3' id='input_8_77_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_77.3' id='input_8_77_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_77_4_container' >\n                                        <label for='input_8_77_4' id='input_8_77_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_77.4' id='input_8_77_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_77_5_container' >\n                                    <label for='input_8_77_5' id='input_8_77_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_77.5' id='input_8_77_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_77.6' id='input_8_77_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_8_78\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_78\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Reference 3<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_78'>\n                            \n                            <span id='input_8_78_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_8_78_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                    <input type='text' name='input_78.3' id='input_8_78_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_8_78_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_8_78_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                            <input type='text' name='input_78.6' id='input_8_78_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_79\"  class=\"gfield gfield--type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_79\"><label class='gfield_label gform-field-label' for='input_8_79' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_79' id='input_8_79' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_80\"  class=\"gfield gfield--type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_80\"><label class='gfield_label gform-field-label' for='input_8_80' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_80' id='input_8_80' type='text' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_8_81\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_81\"><label class='gfield_label gform-field-label' for='input_8_81' >Relationship<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_8_81' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_82\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_82\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_8_82' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_82_1_container' >\n                                        <label for='input_8_82_1' id='input_8_82_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_82.1' id='input_8_82_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_8_82_2_container' >\n                                        <label for='input_8_82_2' id='input_8_82_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_82.2' id='input_8_82_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_82_3_container' >\n                                    <label for='input_8_82_3' id='input_8_82_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_82.3' id='input_8_82_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_82_4_container' >\n                                        <label for='input_8_82_4' id='input_8_82_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_82.4' id='input_8_82_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_82_5_container' >\n                                    <label for='input_8_82_5' id='input_8_82_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_82.5' id='input_8_82_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_82.6' id='input_8_82_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_8_89' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_8\").val(\"1\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_8\").val(\"1\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_8_89' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_8\").val(\"3\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_8\").val(\"3\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_8_57\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_57\"><h3 class=\"gsection_title\">Background Disclosure<\/h3><div class='gsection_description' id='gfield_description_8_57'>Answer YES or NO to each item. If the answer is YES to any item, explain in the area provided, indicating the charge or finding, the date, and the court(s) involved. See below for an appendix with definitions.<\/div><\/div><fieldset id=\"field_8_58\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_58\"><legend class='gfield_label gform-field-label'  >1. Convicted of any crime against children or other persons.<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_8_58'>\n\t\t\t<div class='gchoice gchoice_8_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='YES'  id='choice_8_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_58_0' id='label_8_58_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='NO'  id='choice_8_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_58_1' id='label_8_58_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_59\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_59\"><label class='gfield_label gform-field-label' for='input_8_59' >Answer 1 Explanation<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_8_59' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_60\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_60\"><legend class='gfield_label gform-field-label'  >2. Convicted of any crimes relating to financial exploitation if the victim was a vulnerable adult.<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_8_60'>\n\t\t\t<div class='gchoice gchoice_8_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='YES'  id='choice_8_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_60_0' id='label_8_60_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='NO'  id='choice_8_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_60_1' id='label_8_60_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_61\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_61\"><label class='gfield_label gform-field-label' for='input_8_61' >Answer 2 Explanation<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_8_61' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_62\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_62\"><legend class='gfield_label gform-field-label'  >3. Convicted of crimes related to drugs as defined in RCW 43.43.830.<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_8_62'>\n\t\t\t<div class='gchoice gchoice_8_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='YES'  id='choice_8_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_62_0' id='label_8_62_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='NO'  id='choice_8_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_62_1' id='label_8_62_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_63\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_63\"><label class='gfield_label gform-field-label' for='input_8_63' >Answer 3 Explanation<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_8_63' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_64\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_64\"><legend class='gfield_label gform-field-label'  >4. Found in dependency action under RCW 13.34.040 to have sexually assaulted or exploited any minor or to have physically abused any minor.<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_8_64'>\n\t\t\t<div class='gchoice gchoice_8_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='YES'  id='choice_8_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_64_0' id='label_8_64_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='NO'  id='choice_8_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_64_1' id='label_8_64_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_65\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_65\"><label class='gfield_label gform-field-label' for='input_8_65' >Answer 4 Explanation<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_8_65' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_66\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_66\"><legend class='gfield_label gform-field-label'  >5. Found by a court in a domestic relation proceeding under Title 26 RCW to have sexually abused or exploited any minor or to have physically abused any minor.<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_8_66'>\n\t\t\t<div class='gchoice gchoice_8_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='YES'  id='choice_8_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_66_0' id='label_8_66_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='NO'  id='choice_8_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_66_1' id='label_8_66_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_67\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_67\"><label class='gfield_label gform-field-label' for='input_8_67' >Answer 5 Explanation<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_8_67' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_68\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_68\"><legend class='gfield_label gform-field-label'  >6. Found in any disciplinary board final decision to have sexually or physically abused or exploited any minor or developmentally disabled person or to have abused or financially exploited any vulnerable adult.<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_8_68'>\n\t\t\t<div class='gchoice gchoice_8_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='YES'  id='choice_8_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_68_0' id='label_8_68_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='NO'  id='choice_8_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_68_1' id='label_8_68_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_69\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_69\"><label class='gfield_label gform-field-label' for='input_8_69' >Answer 6 Explanation<\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_8_69' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_8_70\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_70\"><legend class='gfield_label gform-field-label'  >7. Found by a court in a proceeding under chapter 74.34 RCW, to have abused or financially exploited a vulnerable adult.<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_8_70'>\n\t\t\t<div class='gchoice gchoice_8_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='YES'  id='choice_8_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_70_0' id='label_8_70_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='NO'  id='choice_8_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_70_1' id='label_8_70_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_71\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_71\"><label class='gfield_label gform-field-label' for='input_8_71' >Answer 7 Explanation<\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_8_71' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_8_88' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_8\").val(\"2\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_8\").val(\"2\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_8_88' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_8\").val(\"4\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_8\").val(\"4\");  jQuery(\"#gform_8\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_8_83\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_83\"><h3 class=\"gsection_title\">Consents &amp; Signature<\/h3><\/div><fieldset id=\"field_8_56\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_8_56\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Media Release, Evaluations, and Training<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_8_56'>I understand that photos and video\/audio recordings of me may be made during 4-H meetings, events, and activities that may be used in whole or in part by WSU Extension to promote the 4-H Youth Development Program.<br \/>\nI understand that youth and adult participants at  4-H meetings, events, and activities may be asked to complete and evaluation. Completion of the evaluations is always optional.<br \/>\nIf accepted as a WSU Volunteer in the 4-H Youth Development Program, I agree to complete the basic orientation and training program required of all WSU Extension 4-H Volunteers. In addition, I understand that additional training requirements may vary in each county with specific volunteer positions.<\/div><div class='ginput_container ginput_container_consent'><input name='input_56.1' id='input_8_56_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_8_56\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_56_1' >I have read and agree to the above statement.<\/label><input type='hidden' name='input_56.2' value='I have read and agree to the above statement.' class='gform_hidden' \/><input type='hidden' name='input_56.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_8_84\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_8_84\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_8_84'>I authorize the contact of listed references and understand a criminal background check will be completed prior to final consideration of my application to volunteer. I understand that misrepresentation or omission of required information is just cause for non-appointment as a volunteer with Washington State University Extension. I understand that I serve at the pleasure of the Washington State University Extension and agree to abide by the polices of Washington State University Extension and individual program areas and to fulfill the volunteer responsibilities to the best of my ability. <\/div><div class='ginput_container ginput_container_consent'><input name='input_84.1' id='input_8_84_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_8_84\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_84_1' >I have read and agree to the above statement.<\/label><input type='hidden' name='input_84.2' value='I have read and agree to the above statement.' class='gform_hidden' \/><input type='hidden' name='input_84.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_8_86\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_86\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Electronic Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_86.1' id='input_8_86_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_86_1' >I agree that my electronic signature on this form is the legal equivalent of my handwritten signature.<\/label><input type='hidden' name='input_86.2' value='I agree that my electronic signature on this form is the legal equivalent of my handwritten signature.' class='gform_hidden' \/><input type='hidden' name='input_86.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_8_85\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_85\"><label class='gfield_label gform-field-label' for='input_8_85' >Applicant Signature<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_85' id='input_8_85' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_8_87\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_87\"><label class='gfield_label gform-field-label' for='input_8_87' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_87' id='input_8_87' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_8_87_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_8_87_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_8_87' class='gform_hidden' value='https:\/\/extension.wsu.edu\/spokane\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_8' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_8\"]){return false;}  window[\"gf_submitting_8\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_8\"]){return false;} window[\"gf_submitting_8\"]=true;  jQuery(\"#gform_8\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_8' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_8\"]){return false;}  window[\"gf_submitting_8\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_8\"]){return false;} window[\"gf_submitting_8\"]=true;  jQuery(\"#gform_8\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_8' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='8' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_8' value='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' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_8' id='gform_target_page_number_8' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_8' id='gform_source_page_number_8' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"180\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 8, 'https:\/\/extension.wsu.edu\/spokane\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_8').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_8');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_8').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_8').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_8').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_8').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_8').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_8').val();gformInitSpinner( 8, 'https:\/\/extension.wsu.edu\/spokane\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [8, current_page]);window['gf_submitting_8'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_8').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_8').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [8]);window['gf_submitting_8'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_8').text());}, 50);}else{jQuery('#gform_8').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [8, current_page]);} );} );\n<\/script>\n\n\n\n<p>If you require this application in a different format, please <a href=\"mailto:wsuextension@spokanecounty.org\">email us<\/a> or call 509-477-2160.<\/p>\n\n\n<section  class=\"wsu-section wsu-spacing-before--xlarge\"  >\r\n        \n\n<h2 class=\"wp-block-heading\">Definitions for Applicant Background Disclosure &#8211; Appendix A<\/h2>\n\n\n\n<p class=\" wsu-font-size--small\">Washington State Cooperative Extension takes seriously its obligation to provide a safe atmosphere for all persons involved in youth activities. As you know, child abuse is of increasing concern to everyone. The purpose of this disclosure form is to implement the Washington Child and Adult abuse Information Act (Chapter 486, Laws of 1987). It is not our intent to discourage volunteers&#8211;after all, Cooperative Extension depends upon your support. We do wish, however, to do what we can to assure the well-being of youth participants.<br>The following RCW definitions are provided to accompany Part B of the WSU Extension Volunteer Application Form \u201cBackground Disclosure.\u201d Item# refers to the specific YES or NO question on the application. Complete index and listings of all RCWs can be found at the Washington State Legislature web site (http:\/\/www.leg.wa.gov\/RC\u2019WJ)<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Item #3:<\/h3>\n\n\n\n<p class=\" wsu-font-size--small\">43.43.830(5): \u201cCrime against children or other persons\u201d means a conviction of any of the following offenses: Aggravated murder, first or second degree murder; first or second degree kidnapping; first, second, or third degree assault; first, second, or third degree assault of a child; first, second, or third degree rape; first, second, or third degree rape of a child; first or second degree robbery; first degree arson; first degree burglary; first or second degree manslaughter; first or second degree extortion; indecent liberties; incest; vehicular homicide; first degree promoting prostitution; communication with a minor; unlawful imprisonment; simple assault; sexual exploitation of minors; first or second degree criminal mistreatment; endangerment with a controlled substance; child abuse or neglect as defined in RCW 26.44.020; first or second degree custodial interference; first or second degree custodial sexual misconduct; malicious harassment; first, second, or third degree child molestation; first or second degree sexual misconduct with a minor; patronizing a juvenile prostitute; child abandonment; promoting pornography; selling or distributing erotic material to a minor; custodial assault; violation of child abuse restraining order; child buying or selling; prostitution; felony indecent exposure; criminal abandonment; or any of these crimes as they may be renamed in the future.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Item #4:<\/h3>\n\n\n\n<p class=\" wsu-font-size--small\">13.34.040: Petition to court to deal with dependent child.<\/p>\n\n\n\n<p class=\" wsu-font-size--small\">Any person may file with the clerk of the superior court a petition showing that there is within the county, or residing within the county, a dependent child and requesting that the superior court deal with such child as provided in this chapter. There shall be no fee for filing such petitions.<\/p>\n\n\n\n<p class=\" wsu-font-size--small\">In counties having paid probation officers, these officers shall, to the extent possible, first determine if a petition is reasonably justifiable. Each petition shall be verified and contain a statement of facts constituting a dependency, and the names and residence, if known to the petitioner, of the parents, guardian, or custodian of the alleged dependent child.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Item #5:<\/h3>\n\n\n\n<p class=\" wsu-font-size--small\">26(44.050): Abuse or neglect of child &#8212; Duty of law enforcement agency or department of social and health services &#8212; Taking child into custody without court order, when. Upon the receipt of a report concerning the possible occurrence of abuse or neglect, the law enforcement agency or the department of social and health services must investigate and provide the protective services section with a report in accordance with chapter 74.13 RCW, and where necessary to refer such report to the court. A law enforcement officer may take, or cause to be taken, a child into custody without a court order if there is probable cause to believe that the child is abused or neglected and that the child would be injured or could not be taken into custody if it were necessary to first obtain a court order pursuant to RCW 13.34.050. The law enforcement agency or the department of social and health services investigating such a report is hereby authorized to photograph such a child for the purpose of providing documentary evidence of the physical condition of the child.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Item #7:<\/h3>\n\n\n\n<p class=\" wsu-font-size--small\">74.34(200): Abandonment, abuse, financial exploitation, or neglect of a vulnerable adult &#8212; Cause of action for damages &#8212; Legislative intent.<\/p>\n\n\n\n<p class=\" wsu-font-size--small\">In addition to other remedies available under the law, a vulnerable adult who has been subjected to abandonment, abuse, financial exploitation, or neglect either while residing in a facility or in the case of a person residing at home who receives care from a home health, hospice, or home care agency, or an individual provider, shall have a cause of action for damages on account of his or her injuries, pain and suffering, and loss of property sustained thereby. This action shall be available where the defendant is or was a corporation, trust, unincorporated association, partnership, administrator, employee, agent, officer, partner, or director of a facility, or of a home health, hospice, or home care agency licensed or required to be licensed under chapter 70.127 RCW, as now or subsequently designated, or an individual provider.<\/p>\n\n\n\n<p class=\" wsu-font-size--small\">It is the intent of the legislature, however, that where there is a dispute about the care or treatment of a vulnerable adult, the parties should use the least formal means available to try to resolve the dispute. Where feasible, parties are encouraged but not mandated to employ direct discussion with the health care provider, use of the long-term care ombudsman or other intermediaries, and, when necessary, recourse through licensing or other regulatory authorities.<\/p>\n\n\n\n<p class=\" wsu-font-size--small\">In an action brought under this section, a prevailing plaintiff shall be awarded his or her actual damages, together with the costs of the suit, including a reasonable attorney\u2019s fee. The term \u201ccosts\u201d includes, but is not limited to, the reasonable fees for a guardian, guardian ad litem, and experts, if any, that may be necessary to the litigation of a claim brought under this section.<\/p>\n\n\n\n<p class=\" wsu-font-size--medium\">April 2003<\/p>\n\n    <\/section>","protected":false},"excerpt":{"rendered":"<p>If you require this application in a different format, please email us or call 509-477-2160.<\/p>\n","protected":false},"author":66,"featured_media":0,"parent":31035,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_tec_requires_first_save":true,"_mi_skip_tracking":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":0,"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","_expiration_date":""},"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/pages\/41928"}],"collection":[{"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/users\/66"}],"replies":[{"embeddable":true,"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/comments?post=41928"}],"version-history":[{"count":9,"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/pages\/41928\/revisions"}],"predecessor-version":[{"id":43845,"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/pages\/41928\/revisions\/43845"}],"up":[{"embeddable":true,"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/pages\/31035"}],"wp:attachment":[{"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/media?parent=41928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/categories?post=41928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/extension.wsu.edu\/spokane\/wp-json\/wp\/v2\/tags?post=41928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}