{"id":5621,"date":"2026-08-17T09:48:13","date_gmt":"2026-08-17T13:48:13","guid":{"rendered":"https:\/\/katimavik.org\/fp-partner-form-en\/"},"modified":"2026-09-16T09:52:34","modified_gmt":"2026-09-16T13:52:34","slug":"employer-partner-form","status":"publish","type":"page","link":"https:\/\/katimavik.org\/en\/employer-partner-form\/","title":{"rendered":"Employer Partner Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1784898825718{margin-top:20px !important;margin-right:20px !important;margin-left:20px !important;}&#8221;]<\/p>\n<h1>Become a FuturePerfect Employer Partner<\/h1>\n<h6 class=\"gsection_title\">Complete this form to tell us about your organization and your hiring needs. FuturePerfect connects employers with young people and provides support throughout the placement, including wage subsidies for eligible roles. <\/h6>\n<h6 class=\"gsection_title\">Once submitted, our team will review your information and contact you about next steps.<\/h6>\n<h6 class=\"gsection_title\">If you require accommodation, please contact us at: info.fp@katimavik.org<\/h6>\n<p><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_11' style='display:none'><div id='gf_11' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_11' id='gform_11'  action='\/en\/wp-json\/wp\/v2\/pages\/5621#gf_11' data-formid='11' novalidate>\n        <div id='gf_progressbar_wrapper_11' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_11_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_5'><span class='gform-field-label__text'>Legal name of your Organization<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_11_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_6'><span class='gform-field-label__text'>Operating (Common) Name (if different from legal name)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_11_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_63\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_63'><span class='gform-field-label__text'>Website<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_63' id='input_11_63' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_11_7\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_7'><span class='gform-field-label__text'>Canada Revenue Agency Business Number<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_7' id='input_11_7' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_8'><span class='gform-field-label__text'>Employer Type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_11_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='For-profit \/ Private' >For-profit \/ Private<\/option><option value='Government &amp; Public Sector' >Government<\/option><option value='Non-profit Organization' >Non-profit Organization<\/option><\/select><\/div><\/div><fieldset id=\"field_11_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Industry<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_71'>\n\t\t\t<div class='gchoice gchoice_11_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Agriculture'  id='choice_11_71_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_0' id='label_11_71_0' class='gform-field-label gform-field-label--type-inline'>Agriculture<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Apparel'  id='choice_11_71_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_1' id='label_11_71_1' class='gform-field-label gform-field-label--type-inline'>Apparel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Banking'  id='choice_11_71_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_2' id='label_11_71_2' class='gform-field-label gform-field-label--type-inline'>Banking<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Biotechnology'  id='choice_11_71_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_3' id='label_11_71_3' class='gform-field-label gform-field-label--type-inline'>Biotechnology<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Chemicals'  id='choice_11_71_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_4' id='label_11_71_4' class='gform-field-label gform-field-label--type-inline'>Chemicals<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Communications'  id='choice_11_71_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_5' id='label_11_71_5' class='gform-field-label gform-field-label--type-inline'>Communications<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Construction'  id='choice_11_71_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_6' id='label_11_71_6' class='gform-field-label gform-field-label--type-inline'>Construction<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Consulting'  id='choice_11_71_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_7' id='label_11_71_7' class='gform-field-label gform-field-label--type-inline'>Consulting<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Education'  id='choice_11_71_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_8' id='label_11_71_8' class='gform-field-label gform-field-label--type-inline'>Education<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Electronics'  id='choice_11_71_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_9' id='label_11_71_9' class='gform-field-label gform-field-label--type-inline'>Electronics<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Energy'  id='choice_11_71_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_10' id='label_11_71_10' class='gform-field-label gform-field-label--type-inline'>Energy<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Engineering'  id='choice_11_71_11' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_11' id='label_11_71_11' class='gform-field-label gform-field-label--type-inline'>Engineering<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_12'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Entertainment'  id='choice_11_71_12' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_12' id='label_11_71_12' class='gform-field-label gform-field-label--type-inline'>Entertainment<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_13'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Environmental'  id='choice_11_71_13' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_13' id='label_11_71_13' class='gform-field-label gform-field-label--type-inline'>Environment<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_14'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Finance'  id='choice_11_71_14' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_14' id='label_11_71_14' class='gform-field-label gform-field-label--type-inline'>Finance<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_15'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Food &amp; Beverage'  id='choice_11_71_15' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_15' id='label_11_71_15' class='gform-field-label gform-field-label--type-inline'>Food & Beverage<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_16'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Government'  id='choice_11_71_16' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_16' id='label_11_71_16' class='gform-field-label gform-field-label--type-inline'>Government<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_17'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Healthcare'  id='choice_11_71_17' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_17' id='label_11_71_17' class='gform-field-label gform-field-label--type-inline'>Health<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_18'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Hospitality'  id='choice_11_71_18' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_18' id='label_11_71_18' class='gform-field-label gform-field-label--type-inline'>Hospitality<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_19'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Insurance'  id='choice_11_71_19' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_19' id='label_11_71_19' class='gform-field-label gform-field-label--type-inline'>Insurance<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_20'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Machinery'  id='choice_11_71_20' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_20' id='label_11_71_20' class='gform-field-label gform-field-label--type-inline'>Machinery<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_21'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Manufacturing'  id='choice_11_71_21' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_21' id='label_11_71_21' class='gform-field-label gform-field-label--type-inline'>Manufacturing<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_22'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Media'  id='choice_11_71_22' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_22' id='label_11_71_22' class='gform-field-label gform-field-label--type-inline'>Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_23'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Not For Profit'  id='choice_11_71_23' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_23' id='label_11_71_23' class='gform-field-label gform-field-label--type-inline'>Not For Profit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_24'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Recreation'  id='choice_11_71_24' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_24' id='label_11_71_24' class='gform-field-label gform-field-label--type-inline'>Recreation<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_25'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Retail'  id='choice_11_71_25' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_25' id='label_11_71_25' class='gform-field-label gform-field-label--type-inline'>Retail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_26'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Shipping'  id='choice_11_71_26' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_26' id='label_11_71_26' class='gform-field-label gform-field-label--type-inline'>Shipping<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_27'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Technology'  id='choice_11_71_27' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_27' id='label_11_71_27' class='gform-field-label gform-field-label--type-inline'>Technology<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_28'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Telecommunications'  id='choice_11_71_28' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_28' id='label_11_71_28' class='gform-field-label gform-field-label--type-inline'>Telecommunications<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_29'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Transportation'  id='choice_11_71_29' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_29' id='label_11_71_29' class='gform-field-label gform-field-label--type-inline'>Transportation<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_30'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='Utilities'  id='choice_11_71_30' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_30' id='label_11_71_30' class='gform-field-label gform-field-label--type-inline'>Utilities<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_31'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='gf_other_choice'  id='choice_11_71_31' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_31' id='label_11_71_31' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_11_71_other' class='gchoice_other_control' name='input_71_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_66\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>What sector does your organization operate in?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_66'><div class='gchoice gchoice_11_66_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.1' type='checkbox'  value='Environment'  id='choice_11_66_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_1' id='label_11_66_1' class='gform-field-label gform-field-label--type-inline'>Environment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.2' type='checkbox'  value='Food Security'  id='choice_11_66_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_2' id='label_11_66_2' class='gform-field-label gform-field-label--type-inline'>Food Security<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.3' type='checkbox'  value='Gender &amp; Equity'  id='choice_11_66_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_3' id='label_11_66_3' class='gform-field-label gform-field-label--type-inline'>Gender & Equity<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.4' type='checkbox'  value='Animals'  id='choice_11_66_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_4' id='label_11_66_4' class='gform-field-label gform-field-label--type-inline'>Animals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.5' type='checkbox'  value='Culture &amp; Language'  id='choice_11_66_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_5' id='label_11_66_5' class='gform-field-label gform-field-label--type-inline'>Culture & Language<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.6' type='checkbox'  value='Indigenous'  id='choice_11_66_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_6' id='label_11_66_6' class='gform-field-label gform-field-label--type-inline'>Indigenous<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.7' type='checkbox'  value='Housing &amp; Homelessness'  id='choice_11_66_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_7' id='label_11_66_7' class='gform-field-label gform-field-label--type-inline'>Housing & Homelessness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.8' type='checkbox'  value='Immigration &amp; Newcomers'  id='choice_11_66_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_8' id='label_11_66_8' class='gform-field-label gform-field-label--type-inline'>Immigration & Newcomers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.9' type='checkbox'  value='Disability'  id='choice_11_66_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_9' id='label_11_66_9' class='gform-field-label gform-field-label--type-inline'>Disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.11' type='checkbox'  value='Children &amp; Youth'  id='choice_11_66_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_11' id='label_11_66_11' class='gform-field-label gform-field-label--type-inline'>Children & Youth<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.12' type='checkbox'  value='Older Adults'  id='choice_11_66_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_12' id='label_11_66_12' class='gform-field-label gform-field-label--type-inline'>Older Adults<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.13' type='checkbox'  value='2SLGBTQI+'  id='choice_11_66_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_13' id='label_11_66_13' class='gform-field-label gform-field-label--type-inline'>2SLGBTQI+<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.14' type='checkbox'  value='Health'  id='choice_11_66_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_14' id='label_11_66_14' class='gform-field-label gform-field-label--type-inline'>Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.15' type='checkbox'  value='Community Planning &amp; Development'  id='choice_11_66_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_15' id='label_11_66_15' class='gform-field-label gform-field-label--type-inline'>Community Planning & Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_66_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.16' type='checkbox'  value='Other'  id='choice_11_66_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_66_16' id='label_11_66_16' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_67\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_67'><span class='gform-field-label__text'>Specify your organization&#039;s sector.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_11_67' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_10'><span class='gform-field-label__text'>Organization Email Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_11_10' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_11_18\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_18'><span class='gform-field-label__text'>Phone Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_11_18' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_11_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_11'><span class='gform-field-label__text'>Describe your organization&#039;s activities<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_11_11' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_11_13\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-address-enhanced-smart-states\"  data-field-class=\"gf-address-enhanced-smart-states\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Mailing Address of Organization<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container gf-address-enhanced-country-top gform-grid-row has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_11_13' >\n<input type=\"hidden\" class=\"gform_hidden\" name=\"input_13.6\" id=\"input_11_13_6\" value=\"CA\"\/>\n<span class=\"ginput_full address_line_1 ginput_address_line_1 gform-grid-col\" id=\"input_11_13_1_container\" >\n<input type=\"text\" name=\"input_13.1\" id=\"input_11_13_1\" value=\"\"\naria-required='true'    \t\t\t\/>\n<label for=\"input_11_13_1\" id=\"input_11_13_1_label\" class='gform-field-label gform-field-label--type-sub'>Address 1<\/label>\n<\/span><span class=\"ginput_full address_line_2 ginput_address_line_2 gform-grid-col\" id=\"input_11_13_2_container\" >\n<input type=\"text\" name=\"input_13.2\" id=\"input_11_13_2\" value=\"\"\naria-required='false'    \t\t\t\/>\n<label for=\"input_11_13_2\" id=\"input_11_13_2_label\" class='gform-field-label gform-field-label--type-sub'>Address 2<\/label>\n<\/span><span class=\"ginput_left address_city ginput_address_city gform-grid-col\" id=\"input_11_13_3_container\" >\n<input type=\"text\" name=\"input_13.3\" id=\"input_11_13_3\" value=\"\"\naria-required='true'    \t\t\t\/>\n<label for=\"input_11_13_3\" id=\"input_11_13_3_label\" class='gform-field-label gform-field-label--type-sub'>City<\/label>\n<\/span><span class=\"ginput_right address_state ginput_address_state gform-grid-col\" id=\"input_11_13_4_container\" >\n<input type=\"text\" name=\"input_13.4\" id=\"input_11_13_4\" value=\"\"\naria-required='true'    \t\t\t\/>\n<label for=\"input_11_13_4\" id=\"input_11_13_4_label\" class='gform-field-label gform-field-label--type-sub'>Province \/ Territory<\/label>\n<\/span><span class=\"ginput_left address_zip ginput_address_zip gform-grid-col\" id=\"input_11_13_5_container\" >\n<input type=\"text\" name=\"input_13.5\" id=\"input_11_13_5\" value=\"\"\naria-required='true'    \t\t\t\/>\n<label for=\"input_11_13_5\" id=\"input_11_13_5_label\" class='gform-field-label gform-field-label--type-sub'>Postal code<\/label>\n<\/span><\/div>\n<\/fieldset><fieldset id=\"field_11_14\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Workplace Policies<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_11_14'>Have you implemented policies and practices to ensure that your work environment is healthy, safe, and free from harassment and discrimination?<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_14'><div class='gchoice gchoice_11_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Yes'  id='choice_11_14_1'   aria-describedby=\"gfield_description_11_14\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_11_14_1' id='label_11_14_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_11_3' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_2' class='gform_page' data-js='page-field-id-3' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_11_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_15\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Organization Representative<\/h3><\/div><fieldset id=\"field_11_16\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Organization Representative<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_16'>\n                            \n                            <span id='input_11_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.3' id='input_11_16_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_16_3' class='gform-field-label gform-field-label--type-sub '>First Name (Organization Representative)<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.6' id='input_11_16_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_16_6' class='gform-field-label gform-field-label--type-sub '>Last Name (Organization Representative)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_11_74\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_74'><span class='gform-field-label__text'>Work Title<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_11_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_17\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_17'><span class='gform-field-label__text'>Telephone number of Organization Representative<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_11_17' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_11_19\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_19'><span class='gform-field-label__text'>Email Address of Organization Representative<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_11_19' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_11_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_20'><span class='gform-field-label__text'>Preferred Language (Organization Representative)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_11_20' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='French' >French<\/option><option value='English' >English<\/option><\/select><\/div><\/div><fieldset id=\"field_11_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Will FuturePerfect Participants be supervised by another member of your organization?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_21'>\n\t\t\t<div class='gchoice gchoice_11_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='True'  id='choice_11_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_21_0' id='label_11_21_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='False'  id='choice_11_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_21_1' id='label_11_21_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Placement Supervisor<\/h3><\/div><fieldset id=\"field_11_23\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Placement Supervisor<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_23'>\n                            \n                            <span id='input_11_23_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.3' id='input_11_23_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_23_3' class='gform-field-label gform-field-label--type-sub '>First Name (Placement Supervisor)<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_23_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.6' id='input_11_23_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_23_6' class='gform-field-label gform-field-label--type-sub '>Last Name (Placement Supervisor)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_11_75\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_75'><span class='gform-field-label__text'>Work Title<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_11_75' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_24\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_24'><span class='gform-field-label__text'>Telephone number of Supervisor<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_11_24' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_11_25\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_25'><span class='gform-field-label__text'>Email Address of Supervisor<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_25' id='input_11_25' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_11_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_26'><span class='gform-field-label__text'>Preferred Language (Placement Supervisor)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_11_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='French' >French<\/option><option value='English' >English<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_11_28' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_11_28' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_3' class='gform_page' data-js='page-field-id-28' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_11_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Job Offer<\/h3><\/div><div id=\"field_11_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_30'><span class='gform-field-label__text'>Title of job position offered<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_11_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_31\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_31'><span class='gform-field-label__text'>Number of Positions\/People Requested for this job title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_11_31' type='number' step='any' min='1' max='16' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_11_31\" \/><div class='gfield_description instruction ' id='gfield_instruction_11_31'>Please enter a number from <strong>1<\/strong> to <strong>16<\/strong>.<\/div><\/div><\/div><div id=\"field_11_32\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_32'><span class='gform-field-label__text'>Preferred level of employee education<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_11_32' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Elementary' >Elementary<\/option><option value='Secondary' >Secondary<\/option><option value='College\/Cegep' >College\/Cegep<\/option><option value='Undergraduate' >Undergraduate<\/option><option value='Masters' >Masters<\/option><option value='Trades' >Trades<\/option><\/select><\/div><\/div><div id=\"field_11_34\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_34'><span class='gform-field-label__text'>Desired Employee Profile<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_11_34' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_11_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Will the start date differ from the date indicated by FuturParfait?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_60'>\n\t\t\t<div class='gchoice gchoice_11_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='True'  id='choice_11_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_60_0' id='label_11_60_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='false'  id='choice_11_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_60_1' id='label_11_60_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_36\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Please specify anticipated start date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_11_36' class='ginput_container ginput_complex gform-grid-row'>\n                                        <div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_11_36_3_container'>\n                                            <input type='number' maxlength='4' name='input_36[]' id='input_11_36_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_11_36_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_11_36_1_container'>\n                                            <input type='number' maxlength='2' name='input_36[]' id='input_11_36_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_11_36_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_11_36_2_container'>\n                                            <input type='number' maxlength='2' name='input_36[]' id='input_11_36_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_11_36_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                       <\/div>\n                                    <\/div><\/fieldset><div id=\"field_11_37\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_37'><span class='gform-field-label__text'>Hourly Wage Rate paid to the participant<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_37' id='input_11_37' type='text' step='any' min='0'  value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_11_37\" \/><div class='gfield_description instruction ' id='gfield_instruction_11_37'>Please enter a number greater than or equal to <strong>0<\/strong>.<\/div><\/div><\/div><div id=\"field_11_38\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_38'><span class='gform-field-label__text'>Other benefits offered<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_11_38' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_11_39\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_39'><span class='gform-field-label__text'>Number of Hours per Week Requested<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_11_39' type='number' step='any' min='0'  value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_11_39\" \/><div class='gfield_description instruction ' id='gfield_instruction_11_39'>Please enter a number greater than or equal to <strong>0<\/strong>.<\/div><\/div><\/div><fieldset id=\"field_11_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Schedule<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_40'><div class='gchoice gchoice_11_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Monday to Friday Days'  id='choice_11_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_40_1' id='label_11_40_1' class='gform-field-label gform-field-label--type-inline'>Monday to Friday, Days<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Some Evenings'  id='choice_11_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_40_2' id='label_11_40_2' class='gform-field-label gform-field-label--type-inline'>Some Evenings<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Shift work (including evenings\/nights)'  id='choice_11_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_40_3' id='label_11_40_3' class='gform-field-label gform-field-label--type-inline'>Shift work (including evenings\/nights)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Some Weekends'  id='choice_11_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_40_4' id='label_11_40_4' class='gform-field-label gform-field-label--type-inline'>Some Weekends<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_41\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_41'><span class='gform-field-label__text'>Tasks and Responsibilities<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='4000' data-text-counter-template='{current} of {max} max characters'><textarea name='input_41' id='input_11_41' class='textarea medium'   maxlength='4000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_11_68\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Placement activity<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_68'><div class='gchoice gchoice_11_68_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.1' type='checkbox'  value='Office'  id='choice_11_68_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_1' id='label_11_68_1' class='gform-field-label gform-field-label--type-inline'>Office<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_68_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.2' type='checkbox'  value='Manual labor'  id='choice_11_68_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_2' id='label_11_68_2' class='gform-field-label gform-field-label--type-inline'>Manual labor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_68_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.3' type='checkbox'  value='Environmental Initiatives'  id='choice_11_68_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_3' id='label_11_68_3' class='gform-field-label gform-field-label--type-inline'>Environmental Initiatives<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_68_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.4' type='checkbox'  value='Customer Service'  id='choice_11_68_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_4' id='label_11_68_4' class='gform-field-label gform-field-label--type-inline'>Customer service<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_68_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.5' type='checkbox'  value='Program Planning &amp; Implementation'  id='choice_11_68_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_5' id='label_11_68_5' class='gform-field-label gform-field-label--type-inline'>Program Planning & Implementation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_68_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.6' type='checkbox'  value='Communications'  id='choice_11_68_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_6' id='label_11_68_6' class='gform-field-label gform-field-label--type-inline'>Communications<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_68_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.7' type='checkbox'  value='Direct Support'  id='choice_11_68_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_7' id='label_11_68_7' class='gform-field-label gform-field-label--type-inline'>Direct Support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_68_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.8' type='checkbox'  value='Other'  id='choice_11_68_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_68_8' id='label_11_68_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_69\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_69'><span class='gform-field-label__text'>Specify placement activity<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_11_69' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_11_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Professional development and training provided?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_42'>\n\t\t\t<div class='gchoice gchoice_11_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Yes'  id='choice_11_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_42_0' id='label_11_42_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='No'  id='choice_11_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_42_1' id='label_11_42_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Will this job provide a career-related work experience?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_43'>\n\t\t\t<div class='gchoice gchoice_11_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Yes'  id='choice_11_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_43_0' id='label_11_43_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='No'  id='choice_11_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_43_1' id='label_11_43_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_44\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Dress code<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_44'><div class='gchoice gchoice_11_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='Business casual'  id='choice_11_44_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_44_1' id='label_11_44_1' class='gform-field-label gform-field-label--type-inline'>Business casual<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_44_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.2' type='checkbox'  value='Business'  id='choice_11_44_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_44_2' id='label_11_44_2' class='gform-field-label gform-field-label--type-inline'>Business<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_44_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.3' type='checkbox'  value='Uniform provided'  id='choice_11_44_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_44_3' id='label_11_44_3' class='gform-field-label gform-field-label--type-inline'>Uniform provided<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_44_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.4' type='checkbox'  value='Street wear'  id='choice_11_44_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_44_4' id='label_11_44_4' class='gform-field-label gform-field-label--type-inline'>Street wear<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_44_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.5' type='checkbox'  value='Other'  id='choice_11_44_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_44_5' id='label_11_44_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_45'><span class='gform-field-label__text'>Please specify (Dress code)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_11_45' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_46\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_46'><span class='gform-field-label__text'>Language requirement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_11_46' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='French Only' >French Only<\/option><option value='English Only' >English Only<\/option><option value='Functional in French' >Functional in French<\/option><option value='Functional in English' >Functional in English<\/option><option value='Functional in Both Official Languages' >Functional in Both Official Languages<\/option><option value='Fully Bilingual' >Fully Bilingual<\/option><\/select><\/div><\/div><fieldset id=\"field_11_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you intend to retain the youth following the agreement?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_47'>\n\t\t\t<div class='gchoice gchoice_11_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Yes'  id='choice_11_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_47_0' id='label_11_47_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='No'  id='choice_11_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_47_1' id='label_11_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Will you require an advance payment?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_48'>\n\t\t\t<div class='gchoice gchoice_11_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Yes'  id='choice_11_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_48_0' id='label_11_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='No'  id='choice_11_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_48_1' id='label_11_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_52\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-address-enhanced-smart-states\"  data-field-class=\"gf-address-enhanced-smart-states\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Will the job address be different from the mailing address?<\/span><\/legend><div id=\"input_11_52_copy_values_option_container\" class=\"copy_values_option_container\" >\n<input type=\"checkbox\" id=\"input_11_52_copy_values_activated\" class=\"copy_values_activated\" value=\"1\"\ndata-source_field_id=\"13\"\nname=\"input_52_copy_values_activated\"  \/>\n<label for=\"input_11_52_copy_values_activated\" id=\"input_11_52_copy_values_option_label\" class=\"copy_values_option_label inline gform-field-label gform-field-label--type-inline\">No<\/label>\n<\/div>\n<div class='ginput_complex ginput_container gform-grid-row has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_11_52' >\n<span class=\"ginput_full address_line_1 ginput_address_line_1 gform-grid-col\" id=\"input_11_52_1_container\" >\n<input type=\"text\" name=\"input_52.1\" id=\"input_11_52_1\" value=\"\"\naria-required='false'    \t\t\t\/>\n<label for=\"input_11_52_1\" id=\"input_11_52_1_label\" class='gform-field-label gform-field-label--type-sub'>Address 1<\/label>\n<\/span><span class=\"ginput_full address_line_2 ginput_address_line_2 gform-grid-col\" id=\"input_11_52_2_container\" >\n<input type=\"text\" name=\"input_52.2\" id=\"input_11_52_2\" value=\"\"\naria-required='false'    \t\t\t\/>\n<label for=\"input_11_52_2\" id=\"input_11_52_2_label\" class='gform-field-label gform-field-label--type-sub'>Address 2<\/label>\n<\/span><span class=\"ginput_left address_city ginput_address_city gform-grid-col\" id=\"input_11_52_3_container\" >\n<input type=\"text\" name=\"input_52.3\" id=\"input_11_52_3\" value=\"\"\naria-required='false'    \t\t\t\/>\n<label for=\"input_11_52_3\" id=\"input_11_52_3_label\" class='gform-field-label gform-field-label--type-sub'>City<\/label>\n<\/span><span class=\"ginput_right address_state ginput_address_state gform-grid-col\" id=\"input_11_52_4_container\" >\n<input type=\"text\" name=\"input_52.4\" id=\"input_11_52_4\" value=\"\"\naria-required='false'    \t\t\t\/>\n<label for=\"input_11_52_4\" id=\"input_11_52_4_label\" class='gform-field-label gform-field-label--type-sub'>Province<\/label>\n<\/span><span class=\"ginput_left address_zip ginput_address_zip gform-grid-col\" id=\"input_11_52_5_container\" >\n<input type=\"text\" name=\"input_52.5\" id=\"input_11_52_5\" value=\"\"\naria-required='false'    \t\t\t\/>\n<label for=\"input_11_52_5\" id=\"input_11_52_5_label\" class='gform-field-label gform-field-label--type-sub'>Postal code<\/label>\n<\/span><input type=\"hidden\" class=\"gform_hidden\" name=\"input_52.6\" id=\"input_11_52_6\" value=\"Canada\"\/>\n<\/div>\n<\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_11_53' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_11_53' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_4' class='gform_page' data-js='page-field-id-53' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_11_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_54\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Attestation<\/h3><\/div><fieldset id=\"field_11_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gfield--choice-align-vertical\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>By submitting this form, you attest to the following:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_56'><div class='gchoice gchoice_11_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='I have all the necessary authorities to submit this application on behalf of the organization.'  id='choice_11_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_56_1' id='label_11_56_1' class='gform-field-label gform-field-label--type-inline'>I have all the necessary authorities to submit this application on behalf of the organization.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='The contents of the FuturePerfect Employment Partner Guide will be followed.'  id='choice_11_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_56_2' id='label_11_56_2' class='gform-field-label gform-field-label--type-inline'>The contents of the FuturePerfect Employment Partner Guide will be followed.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='Any FuturePerfect funding will not be used to undermine protected rights.'  id='choice_11_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_56_3' id='label_11_56_3' class='gform-field-label gform-field-label--type-inline'>Any FuturePerfect funding will not be used to undermine protected rights.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='I attest that I am acting on behalf of the organization I represent.'  id='choice_11_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_56_4' id='label_11_56_4' class='gform-field-label gform-field-label--type-inline'>I attest that I am acting on behalf of the organization I represent.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_73\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>By submitting this form, you attest to the following:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_11_73'><div class='gfield_consent_description_text' tabindex='0'>- I have all the necessary authorities to submit this application on behalf of the organization.<br \/>\n- The contents of the FuturePerfect Employment Partner Guide will be followed.<br \/>\n- Any FuturePerfect funding will not be used to undermine protected rights.<br \/>\n- I attest that I am acting on behalf of the organization I represent.<br \/>\n<br \/>\n<\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_73.1' id='input_11_73_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_11_73\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_11_73_1' ><span class='gform-field-label__text'>I accept<\/span><\/label><input type='hidden' name='input_73.2' value='I accept' class='gform_hidden' \/><input type='hidden' name='input_73.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_11_57\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Attestation Date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_11_57' class='ginput_container ginput_complex gform-grid-row'>\n                                        <div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_11_57_3_container'>\n                                            <input type='number' maxlength='4' name='input_57[]' id='input_11_57_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_11_57_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_11_57_1_container'>\n                                            <input type='number' maxlength='2' name='input_57[]' id='input_11_57_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_11_57_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_11_57_2_container'>\n                                            <input type='number' maxlength='2' name='input_57[]' id='input_11_57_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_11_57_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                       <\/div>\n                                    <\/div><\/fieldset><fieldset id=\"field_11_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you be willing to participate in promotional campaign activities (professional photography and videography) at your organization? The schedule will be arranged according to your availability, and the resulting materials will be made available to you for promotional purposes. <\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_72'>\n\t\t\t<div class='gchoice gchoice_11_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='true'  id='choice_11_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_72_0' id='label_11_72_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='false'  id='choice_11_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_72_1' id='label_11_72_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset 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