{"id":6334,"date":"2020-08-22T12:26:33","date_gmt":"2020-08-22T17:26:33","guid":{"rendered":"http:\/\/www.globaleducationministries.org\/?page_id=6334"},"modified":"2022-04-05T13:24:58","modified_gmt":"2022-04-05T18:24:58","slug":"missionary-application","status":"publish","type":"page","link":"https:\/\/globaleducationministries.org\/old\/missionary-application\/","title":{"rendered":"Missionary Application"},"content":{"rendered":"<div class=\"banner-application\">\n<div><img decoding=\"async\" class=\"alignnone size-medium wp-image-5518 lazyload\" role=\"img\" data-src=\"http:\/\/www.globaleducationministries.org\/wp-content\/uploads\/2020\/01\/Logo.svg\" alt=\"\" width=\"300\" height=\"300\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/div>\n<h2>Missionary Application<\/h2>\n<\/div>\n<div class=\"wrapper\"><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_19' ><div id='gf_19' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">GEM Application<\/h2>\n                            <span class='gform_description'><\/span>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_19' id='gform_19'  action='\/old\/wp-json\/wp\/v2\/pages\/6334#gf_19' > \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":true,\"openpopup_id\":7889}' \/>\n        <div id='gf_progressbar_wrapper_19' 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'>3<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_19_1' class='gform_page' >\n                                    <div class='gform_page_fields'><div id='gform_fields_19' class='gform_fields top_label form_sublabel_above description_above'><div id=\"field_19_48\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_48\"><h3 class=\"gsection_title\">Personal Information<\/h3><div class='gsection_description' id='gfield_description_19_48'>Global Education Ministries is a religious organization that does not discriminate against applicants for employment on the basis of race, age, sex, national origin, disability, veteran\u2019s status, or marital status. Global Education Ministries reserves the right to discriminate on the basis of religion to the full extent permitted by law. <\/div><\/div><fieldset id=\"field_19_5\"  class=\"gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_5\"><legend class='gfield_label gfield_label_before_complex'  >Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/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_19_5'>\n                            \n                            <span id='input_19_5_3_container' class='name_first' >\n                                                    <input type='text' name='input_5.3' id='input_19_5_3' value=''   aria-required='true'   placeholder='First Name'  \/>\n                                                    <label for='input_19_5_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_19_5_6_container' class='name_last' >\n                                                    <input type='text' name='input_5.6' id='input_19_5_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_19_5_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_19_4\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_4\"><legend class='gfield_label'  >Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_19_4' class='ginput_container ginput_complex'><div class='gfield_date_dropdown_month ginput_container ginput_container_date' id='input_19_4_1_container'><select name='input_4[]' id='input_19_4_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date' id='input_19_4_2_container'><select name='input_4[]' id='input_19_4_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date' id='input_19_4_3_container'><select name='input_4[]' id='input_19_4_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_19_6\"  class=\"gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_6\"><legend class='gfield_label gfield_label_before_complex'  >Home Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address' id='input_19_6' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_19_6_1_container' >\n                                        <input type='text' name='input_6.1' id='input_19_6_1' value=''   placeholder='Address' aria-required='true'    \/>\n                                        <label for='input_19_6_1' id='input_19_6_1_label' class='hidden_sub_label screen-reader-text'>Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_19_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_19_6_3' value=''   placeholder='City' aria-required='true'    \/>\n                                    <label for='input_19_6_3' id='input_19_6_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_19_6_4_container' >\n                                        <input type='text' name='input_6.4' id='input_19_6_4' value=''     placeholder='State \/ Province \/ Region' aria-required='true'    \/>\n                                        <label for='input_19_6_4' id='input_19_6_4_label' class='hidden_sub_label screen-reader-text'>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_19_6_5_container' >\n                                    <input type='text' name='input_6.5' id='input_19_6_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='true'    \/>\n                                    <label for='input_19_6_5' id='input_19_6_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_19_6_6_container' >\n                                        <select name='input_6.6' id='input_19_6_6'   aria-required='true'    ><option value='' selected='selected'>Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_19_6_6' id='input_19_6_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_19_7\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_7\"><label class='gfield_label' for='input_19_7' >Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_19_7' type='text' value='' class='small'  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_19_9\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_9\"><label class='gfield_label' for='input_19_9' >Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_9' id='input_19_9' type='text' value='' class='large'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_19_73\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_73\"><label class='gfield_label' for='input_19_73' >Preferred way of communication<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_19_73' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select one<\/option><option value='Email' >Email<\/option><option value='Phone Call' >Phone Call<\/option><option value='Text Message' >Text Message<\/option><\/select><\/div><\/div><div id=\"field_19_58\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_58\"><label class='gfield_label' for='input_19_58' >How did you hear about GEM?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_19_58' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>How did you hear about GEM?<\/option><option value='GEM Facebook page' selected='selected'>GEM Facebook page<\/option><option value='Facebook ad' >Facebook ad<\/option><option value='Friend or family member' >Friend or family member<\/option><option value='GEM missionary' >GEM missionary<\/option><option value='College career fair' >College career fair<\/option><option value='GEM email' >GEM email<\/option><option value='GEM event' >GEM event<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><fieldset id=\"field_19_15\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_15\"><legend class='gfield_label'  >Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_15'>\n\t\t\t<div class='gchoice gchoice_19_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Married'  id='choice_19_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_15_0' id='label_19_15_0'>Married<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Single'  id='choice_19_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_15_1' id='label_19_15_1'>Single<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_12\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_12\"><label class='gfield_label' for='input_19_12' >Children?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_12' id='input_19_12' type='text'    value='' class='large'    placeholder='Number of Children' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_19_153\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_153\"><h3 class=\"gsection_title\">__________<\/h3><\/div><div id=\"field_19_74\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_74\"><h3 class=\"gsection_title\">Employment History<\/h3><div class='gsection_description' id='gfield_description_19_74'>List present or most recent employer first. If more space is needed, add additional rows.<\/div><\/div><fieldset id=\"field_19_143\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above hidden_label gfield_visibility_visible\"  data-js-reload=\"field_19_143\"><legend class='gfield_label gfield_label_before_complex'  >List<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header\"><div class=\"gfield_header_item\">Company<\/div><div class=\"gfield_header_item\">Time with Company<\/div><div class=\"gfield_header_item\">Position Held<\/div><div class=\"gfield_header_item\">Reason for leaving<\/div><div class=\"gfield_header_item gfield_header_item--icons\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group'><div class='gfield_list_group_item gfield_list_cell gfield_list_143_cell1' data-label='Company'><input aria-invalid='false' aria-required=\"true\"  aria-label='Company, Row 1' data-aria-label-template='Company, Row {0}' type='text' name='input_143[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_143_cell2' data-label='Time with Company'><input aria-invalid='false' aria-required=\"true\"  aria-label='Time with Company, Row 1' data-aria-label-template='Time with Company, Row {0}' type='text' name='input_143[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_143_cell3' data-label='Position Held'><input aria-invalid='false' aria-required=\"true\"  aria-label='Position Held, Row 1' data-aria-label-template='Position Held, Row {0}' type='text' name='input_143[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_143_cell4' data-label='Reason for leaving'><input aria-invalid='false' aria-required=\"true\"  aria-label='Reason for leaving, Row 1' data-aria-label-template='Reason for leaving, Row {0}' type='text' name='input_143[]' value=''   \/><\/div><div class='gfield_list_icons'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_19_154\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_154\"><h3 class=\"gsection_title\">__________<\/h3><\/div><div id=\"field_19_95\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_95\"><h3 class=\"gsection_title\">Education<\/h3><div class='gsection_description' id='gfield_description_19_95'>List present or most recent first. If more space is needed, add additional rows.<\/div><\/div><fieldset id=\"field_19_142\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above hidden_label gfield_visibility_visible\"  data-js-reload=\"field_19_142\"><legend class='gfield_label gfield_label_before_complex'  >Education<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header\"><div class=\"gfield_header_item\">Years at School<\/div><div class=\"gfield_header_item\">School Name<\/div><div class=\"gfield_header_item\">City \/ State<\/div><div class=\"gfield_header_item\">Did you graduate?<\/div><div class=\"gfield_header_item\">Major Course \/ Degree<\/div><div class=\"gfield_header_item gfield_header_item--icons\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group'><div class='gfield_list_group_item gfield_list_cell gfield_list_142_cell1' data-label='Years at School'><input aria-invalid='false' aria-required=\"true\"  aria-label='Years at School, Row 1' data-aria-label-template='Years at School, Row {0}' type='text' name='input_142[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_142_cell2' data-label='School Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='School Name, Row 1' data-aria-label-template='School Name, Row {0}' type='text' name='input_142[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_142_cell3' data-label='City \/ State'><input aria-invalid='false' aria-required=\"true\"  aria-label='City \/ State, Row 1' data-aria-label-template='City \/ State, Row {0}' type='text' name='input_142[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_142_cell4' data-label='Did you graduate?'><input aria-invalid='false' aria-required=\"true\"  aria-label='Did you graduate?, Row 1' data-aria-label-template='Did you graduate?, Row {0}' type='text' name='input_142[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_142_cell5' data-label='Major Course \/ Degree'><input aria-invalid='false' aria-required=\"true\"  aria-label='Major Course \/ Degree, Row 1' data-aria-label-template='Major Course \/ Degree, Row {0}' type='text' name='input_142[]' value=''   \/><\/div><div class='gfield_list_icons'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_19_145\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_145\"><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_19_145'>Proverbs 16:3 \"Commit to the Lord whatever you do, and he will establish your plans.\"<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_19_22' class='gform_next_button button' value='Next Step'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"2\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"2\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_19_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_19_2' class='gform_fields top_label form_sublabel_above description_above'><div id=\"field_19_50\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_50\"><h3 class=\"gsection_title\">Interest within GEM<\/h3><\/div><fieldset id=\"field_19_67\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_67\"><legend class='gfield_label gfield_label_before_complex'  >In what areas are you interested in working with GEM? Check all that apply<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_19_67'><div class='gchoice gchoice_19_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='Preschool \/ Kindergarten Teacher'  id='choice_19_67_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_1' id='label_19_67_1'>Preschool \/ Kindergarten Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.2' type='checkbox'  value='Elementary Teacher'  id='choice_19_67_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_2' id='label_19_67_2'>Elementary Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.3' type='checkbox'  value='Middle School Teacher'  id='choice_19_67_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_3' id='label_19_67_3'>Middle School Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.4' type='checkbox'  value='High School Teacher'  id='choice_19_67_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_4' id='label_19_67_4'>High School Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.5' type='checkbox'  value='Elective Teacher (Art, PE, Music, Dance, etc.)'  id='choice_19_67_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_5' id='label_19_67_5'>Elective Teacher (Art, PE, Music, Dance, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.6' type='checkbox'  value='ESL Teacher'  id='choice_19_67_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_6' id='label_19_67_6'>ESL Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.7' type='checkbox'  value='Curriculum and Program Development'  id='choice_19_67_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_7' id='label_19_67_7'>Curriculum and Program Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.8' type='checkbox'  value='Event Coordinator'  id='choice_19_67_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_8' id='label_19_67_8'>Event Coordinator<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.9' type='checkbox'  value='Spanish Translation'  id='choice_19_67_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_9' id='label_19_67_9'>Spanish Translation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.11' type='checkbox'  value='Social Media'  id='choice_19_67_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_11' id='label_19_67_11'>Social Media<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.12' type='checkbox'  value='Marketing'  id='choice_19_67_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_12' id='label_19_67_12'>Marketing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.13' type='checkbox'  value='Graphic Design'  id='choice_19_67_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_13' id='label_19_67_13'>Graphic Design<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.14' type='checkbox'  value='Fundraising'  id='choice_19_67_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_14' id='label_19_67_14'>Fundraising<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.15' type='checkbox'  value='Recruiting'  id='choice_19_67_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_15' id='label_19_67_15'>Recruiting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.16' type='checkbox'  value='Digital Media \/ Photography'  id='choice_19_67_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_16' id='label_19_67_16'>Digital Media \/ Photography<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.17' type='checkbox'  value='Management \/ Administration'  id='choice_19_67_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_17' id='label_19_67_17'>Management \/ Administration<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_67_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.18' type='checkbox'  value='Curriculum and Program Development'  id='choice_19_67_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_67_18' id='label_19_67_18'>Curriculum and Program Development<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_68\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_68\"><label class='gfield_label' for='input_19_68' >If you selected any of the areas listed above having to do with teaching, specify in which subject areas and grades you would like to teach.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_68' id='input_19_68' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_19_69\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_69\"><legend class='gfield_label gfield_label_before_complex'  >What would be your location preference? Check all that apply.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_19_69'><div class='gchoice gchoice_19_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='Wilmington, North Carolina'  id='choice_19_69_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_69_1' id='label_19_69_1'>Wilmington, North Carolina<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='Mexico'  id='choice_19_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_69_2' id='label_19_69_2'>Mexico<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_69_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='Colombia'  id='choice_19_69_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_69_3' id='label_19_69_3'>Colombia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_69_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.4' type='checkbox'  value='Uganda'  id='choice_19_69_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_69_4' id='label_19_69_4'>Uganda<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_150\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_150\"><h3 class=\"gsection_title\">__________<\/h3><\/div><div id=\"field_19_106\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_106\"><h3 class=\"gsection_title\">References<\/h3><div class='gsection_description' id='gfield_description_19_106'>*One reference must be a person of the opposite sex.<\/div><\/div><fieldset id=\"field_19_112\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_112\"><legend class='gfield_label gfield_label_before_complex'  >Professional Reference<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_19_112'>Full Name<\/div><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_19_112'>\n                            \n                            <span id='input_19_112_3_container' class='name_first' >\n                                                    <input type='text' name='input_112.3' id='input_19_112_3' value=''   aria-required='true'   placeholder='First Name'  aria-describedby=\"gfield_description_19_112\"\/>\n                                                    <label for='input_19_112_3' class='hidden_sub_label screen-reader-text'>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_19_112_6_container' class='name_last' >\n                                                    <input type='text' name='input_112.6' id='input_19_112_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_19_112_6' class='hidden_sub_label screen-reader-text'>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_19_111\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_above field_description_above hidden_label gfield_visibility_visible\"  data-js-reload=\"field_19_111\"><label class='gfield_label' for='input_19_111' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_111'>Email Address<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_111' id='input_19_111' type='text' value='' class='medium'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_19_111\" \/>\n                        <\/div><\/div><div id=\"field_19_109\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_above field_description_above hidden_label gfield_visibility_visible\"  data-js-reload=\"field_19_109\"><label class='gfield_label' for='input_19_109' >Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_109'>Phone Number<\/div><div class='ginput_container ginput_container_phone'><input name='input_109' id='input_19_109' type='text' value='' class='medium'  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_19_109\"  \/><\/div><\/div><fieldset id=\"field_19_108\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_above hidden_label gfield_visibility_visible\"  data-js-reload=\"field_19_108\"><legend class='gfield_label gfield_label_before_complex'  >Professional Reference Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_19_108'>Home Address<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address' id='input_19_108' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_19_108_1_container' >\n                                        <input type='text' name='input_108.1' id='input_19_108_1' value=''   placeholder='Address' aria-required='true'    aria-describedby=\"gfield_description_19_108\"\/>\n                                        <label for='input_19_108_1' id='input_19_108_1_label' class='hidden_sub_label screen-reader-text'>Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_19_108_3_container' >\n                                    <input type='text' name='input_108.3' id='input_19_108_3' value=''   placeholder='City' aria-required='true'    \/>\n                                    <label for='input_19_108_3' id='input_19_108_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_19_108_4_container' >\n                                        <input type='text' name='input_108.4' id='input_19_108_4' value=''     placeholder='State \/ Province \/ Region' aria-required='true'    \/>\n                                        <label for='input_19_108_4' id='input_19_108_4_label' class='hidden_sub_label screen-reader-text'>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_19_108_5_container' >\n                                    <input type='text' name='input_108.5' id='input_19_108_5' value=''   placeholder='ZIP \/ Postal code' aria-required='true'    \/>\n                                    <label for='input_19_108_5' id='input_19_108_5_label' class='hidden_sub_label screen-reader-text'>ZIP<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_19_108_6_container' >\n                                        <select name='input_108.6' id='input_19_108_6'   aria-required='true'    ><option value='' selected='selected'>Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_19_108_6' id='input_19_108_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_19_148\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_148\"><h3 class=\"gsection_title\">_<\/h3><\/div><fieldset id=\"field_19_117\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_117\"><legend class='gfield_label gfield_label_before_complex'  >Pastoral Reference<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_19_117'>Full Name<\/div><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_19_117'>\n                            \n                            <span id='input_19_117_3_container' class='name_first' >\n                                                    <input type='text' name='input_117.3' id='input_19_117_3' value=''   aria-required='true'   placeholder='First Name'  aria-describedby=\"gfield_description_19_117\"\/>\n                                                    <label for='input_19_117_3' class='hidden_sub_label screen-reader-text'>Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_19_117_6_container' class='name_last' >\n                                                    <input type='text' name='input_117.6' id='input_19_117_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_19_117_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_19_119\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_119\"><label class='gfield_label screen-reader-text' for='input_19_119' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_119'>Email Address<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_119' id='input_19_119' type='text' value='' class='medium'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_19_119\" \/>\n                        <\/div><\/div><div id=\"field_19_118\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_118\"><label class='gfield_label screen-reader-text' for='input_19_118' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_118'>Phone Number<\/div><div class='ginput_container ginput_container_phone'><input name='input_118' id='input_19_118' type='text' value='' class='medium'  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_19_118\"  \/><\/div><\/div><fieldset id=\"field_19_120\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_above hidden_label gfield_visibility_visible\"  data-js-reload=\"field_19_120\"><legend class='gfield_label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_19_120'>Home Address<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address' id='input_19_120' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_19_120_1_container' >\n                                        <input type='text' name='input_120.1' id='input_19_120_1' value=''   placeholder='Address' aria-required='true'    aria-describedby=\"gfield_description_19_120\"\/>\n                                        <label for='input_19_120_1' id='input_19_120_1_label' class='hidden_sub_label screen-reader-text'>Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_19_120_3_container' >\n                                    <input type='text' name='input_120.3' id='input_19_120_3' value=''   placeholder='City' aria-required='true'    \/>\n                                    <label for='input_19_120_3' id='input_19_120_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_19_120_4_container' >\n                                        <input type='text' name='input_120.4' id='input_19_120_4' value=''     placeholder='State \/ Province \/ Region' aria-required='true'    \/>\n                                        <label for='input_19_120_4' id='input_19_120_4_label' class='hidden_sub_label screen-reader-text'>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_19_120_5_container' >\n                                    <input type='text' name='input_120.5' id='input_19_120_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='true'    \/>\n                                    <label for='input_19_120_5' id='input_19_120_5_label' class='hidden_sub_label screen-reader-text'>ZIP<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_19_120_6_container' >\n                                        <select name='input_120.6' id='input_19_120_6'   aria-required='true'    ><option value='' selected='selected'>Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_19_120_6' id='input_19_120_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_19_149\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_149\"><h3 class=\"gsection_title\">_<\/h3><\/div><fieldset id=\"field_19_122\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_122\"><legend class='gfield_label gfield_label_before_complex'  >Spiritual Mentor Reference<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_19_122'>Full Name<\/div><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_19_122'>\n                            \n                            <span id='input_19_122_3_container' class='name_first' >\n                                                    <input type='text' name='input_122.3' id='input_19_122_3' value=''   aria-required='true'   placeholder='First Name'  aria-describedby=\"gfield_description_19_122\"\/>\n                                                    <label for='input_19_122_3' class='hidden_sub_label screen-reader-text'>Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_19_122_6_container' class='name_last' >\n                                                    <input type='text' name='input_122.6' id='input_19_122_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_19_122_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_19_124\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_124\"><label class='gfield_label screen-reader-text' for='input_19_124' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_124'>Email Address<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_124' id='input_19_124' type='text' value='' class='medium'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_19_124\" \/>\n                        <\/div><\/div><div id=\"field_19_123\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_123\"><label class='gfield_label screen-reader-text' for='input_19_123' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_123'>Phone Number<\/div><div class='ginput_container ginput_container_phone'><input name='input_123' id='input_19_123' type='text' value='' class='medium'  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_19_123\"  \/><\/div><\/div><fieldset id=\"field_19_121\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_above hidden_label gfield_visibility_visible\"  data-js-reload=\"field_19_121\"><legend class='gfield_label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_19_121'>Home Address<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address' id='input_19_121' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_19_121_1_container' >\n                                        <input type='text' name='input_121.1' id='input_19_121_1' value=''   placeholder='Address' aria-required='true'    aria-describedby=\"gfield_description_19_121\"\/>\n                                        <label for='input_19_121_1' id='input_19_121_1_label' class='hidden_sub_label screen-reader-text'>Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_19_121_3_container' >\n                                    <input type='text' name='input_121.3' id='input_19_121_3' value=''   placeholder='City' aria-required='true'    \/>\n                                    <label for='input_19_121_3' id='input_19_121_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_19_121_4_container' >\n                                        <input type='text' name='input_121.4' id='input_19_121_4' value=''     placeholder='State \/ Province \/ Region' aria-required='true'    \/>\n                                        <label for='input_19_121_4' id='input_19_121_4_label' class='hidden_sub_label screen-reader-text'>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_19_121_5_container' >\n                                    <input type='text' name='input_121.5' id='input_19_121_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='true'    \/>\n                                    <label for='input_19_121_5' id='input_19_121_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_19_121_6_container' >\n                                        <select name='input_121.6' id='input_19_121_6'   aria-required='true'    ><option value='' selected='selected'>Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_19_121_6' id='input_19_121_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_19_71\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_71\"><label class='gfield_label' for='input_19_71' >Please upload a copy of your resume.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_71' id='input_19_71' type='file' class='medium' aria-describedby=\"gfield_upload_rules_19_71\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_19_71'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_19_71'><\/div><\/div><\/div><div id=\"field_19_146\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_146\"><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_19_146'>Psalm 46:10 He says, \u201cBe still, and know that I am God; I will be exalted among the nations, I will be exalted in the earth.\u201d<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_19_104' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"1\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"1\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_19_104' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"3\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"3\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_19_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_19_3' class='gform_fields top_label form_sublabel_above description_above'><div id=\"field_19_105\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_105\"><h3 class=\"gsection_title\">Beliefs<\/h3><\/div><fieldset id=\"field_19_16\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_16\"><legend class='gfield_label'  >Are you a born again Christian?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_16'>\n\t\t\t<div class='gchoice gchoice_19_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Yes'  id='choice_19_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_16_0' id='label_19_16_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='No'  id='choice_19_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_16_1' id='label_19_16_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_19_72\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_72\"><legend class='gfield_label'  >Are you an active member of a local church?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_72'>\n\t\t\t<div class='gchoice gchoice_19_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Yes'  id='choice_19_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_72_0' id='label_19_72_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='No'  id='choice_19_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_72_1' id='label_19_72_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_18\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_18\"><label class='gfield_label' for='input_19_18' >Please share your testimony of how you came to know Jesus as your Savior.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_19_18' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_19_151\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_151\"><h3 class=\"gsection_title\">__________<\/h3><\/div><div id=\"field_19_126\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_126\"><h3 class=\"gsection_title\">Background Information<\/h3><\/div><fieldset id=\"field_19_127\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_127\"><legend class='gfield_label'  >Are you legally eligible for employment in the US?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_127'>\n\t\t\t<div class='gchoice gchoice_19_127_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='Yes'  id='choice_19_127_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_127_0' id='label_19_127_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_127_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='No'  id='choice_19_127_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_127_1' id='label_19_127_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_152\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_152\"><h3 class=\"gsection_title\">__________<\/h3><\/div><div id=\"field_19_128\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_128\"><h3 class=\"gsection_title\">Legal History<\/h3><div class='gsection_description' id='gfield_description_19_128'>*For any \u201cyes\u201d answers, please email a detailed explanation in writing to serve@globaleducationministries.org.<\/div><\/div><fieldset id=\"field_19_129\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_129\"><legend class='gfield_label'  >Have you ever been convicted of a criminal offense (felony or misdemeanor)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_19_129'>Answer \u201cyes\u201d if you have entered a plea agreement including a deferred sentence or deferred judgment arrangement in connection with a criminal case. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_129'>\n\t\t\t<div class='gchoice gchoice_19_129_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='Yes'  id='choice_19_129_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_19_129\"   \/>\n\t\t\t\t\t<label for='choice_19_129_0' id='label_19_129_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_129_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='No'  id='choice_19_129_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_129_1' id='label_19_129_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_19_130\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_130\"><legend class='gfield_label'  >Have you ever been the subject of an investigation, disciplined, and\/or dismissed from any volunteer position or employment for any reason or following an allegation of sexual misconduct, physical aggression, verbal aggression, or other inappropriate behavior or conduct?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_130'>\n\t\t\t<div class='gchoice gchoice_19_130_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Yes'  id='choice_19_130_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_130_0' id='label_19_130_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_130_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='No'  id='choice_19_130_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_130_1' id='label_19_130_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_19_134\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_134\"><legend class='gfield_label gfield_label_before_complex'  >Applicant Statement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_19_134'>PLEASE READ CAREFULLY BEFORE SIGNING<br \/>\n<br \/>\nI hereby authorize you to contact any references or organizations listed in this application and authorize such references or organizations to release any information contained in their files or records concerning me.  In consideration of the receipt and evaluation of this application by Global Education Ministries, I release Global Education Ministries, all of its agents, and all such references and organizations from any and all liability for any damage that may result from furnishing such information to you.  I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application, except what may be required by law.<br \/>\n<br \/>\nMy responses above are true and correct.  I understand and agree that any false answers or statements made by me on this application or any supplement thereto, or any false statements made to the representative(s) of Global Education Ministries during the interview process will be sufficient grounds for not hiring, or immediately discharging me, no matter when discovered.<br \/>\n<br \/>\nIn signing and submitting this application, I consent to Global Education Ministries administering a background check on me for any reason deemed appropriate for the safeguarding of the ministry and those the ministry serves.  <\/div><div class='ginput_container ginput_container_consent'><input name='input_134.1' id='input_19_134_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_19_134\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gfield_consent_label\" for='input_19_134_1' >I HAVE CAREFULLY READ, UNDERSTAND AND AGREE TO THE FOREGOING \u201cAPPLICANT STATEMENT\u201d AND FURTHER UNDERSTAND AND AGREE THAT A COPY OF THIS APPLICATION SHALL BE AS VALID AS THE ORIGINAL.<\/label><input type='hidden' name='input_134.2' value='I HAVE CAREFULLY READ, UNDERSTAND AND AGREE TO THE FOREGOING \u201cAPPLICANT STATEMENT\u201d AND FURTHER UNDERSTAND AND AGREE THAT A COPY OF THIS APPLICATION SHALL BE AS VALID AS THE ORIGINAL.' class='gform_hidden' \/><input type='hidden' name='input_134.3' value='5' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_19_136\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_136\"><legend class='gfield_label'  >Submission date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_19_136' class='ginput_container ginput_complex'><div class='gfield_date_dropdown_month ginput_container ginput_container_date' id='input_19_136_1_container'><select name='input_136[]' id='input_19_136_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date' id='input_19_136_2_container'><select name='input_136[]' id='input_19_136_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date' id='input_19_136_3_container'><select name='input_136[]' id='input_19_136_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_19_147\"  class=\"gfield gsection field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_19_147\"><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_19_147'>Luke 10:2 He told them, \u201cThe harvest is plentiful, but the workers are few. 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