  {"id":84,"date":"2023-10-09T11:24:59","date_gmt":"2023-10-09T16:24:59","guid":{"rendered":"https:\/\/uwm.edu\/children\/?page_id=84"},"modified":"2026-04-12T14:21:36","modified_gmt":"2026-04-12T19:21:36","slug":"assistant-caregiver-application","status":"publish","type":"page","link":"https:\/\/uwm.edu\/children\/about\/employment\/assistant-caregiver-application\/","title":{"rendered":"Assistant Caregiver Application"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-assistant-caregiver-employment-application\">Assistant Caregiver Employment Application<\/h2>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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 deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var 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\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_13' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/children\/wp-json\/wp\/v2\/pages\/84' data-formid='13' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_13_65\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >The University of Wisconsin-Milwaukee is an affirmative action, equal employment opportunity employer. Students enrolled in any institute of higher education are eligible for employment.\nYou must be 18 years of age when hired.\n\n<\/li><li id=\"field_13_91\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >IF YOU HAVE ANY ISSUES WITH SUBMITTING THIS APPLICATION, PLEASE EMAIL <a href=\"mailto:childrenscenter-staffrecords@uwm.edu\">childrenscenter-staffrecords@uwm.edu<\/a>.<\/li><li id=\"field_13_93\" 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\"  ><label class='gfield_label gform-field-label' >The base wage for all classroom staff is $12.00 per hour. Are you willing to work for that wage?  (If &#039;No,&#039; do not continue filling out application.)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_93'>\n\t\t\t<li class='gchoice gchoice_13_93_0'>\n\t\t\t\t<input name='input_93' type='radio' value='Yes'  id='choice_13_93_0'    \/>\n\t\t\t\t<label for='choice_13_93_0' id='label_13_93_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_93_1'>\n\t\t\t\t<input name='input_93' type='radio' value='No'  id='choice_13_93_1'    \/>\n\t\t\t\t<label for='choice_13_93_1' id='label_13_93_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_100\" 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\"  ><label class='gfield_label gform-field-label' >Our State Licensing requires all our staff to take at least one course in Early Childhood Education\/Child Development (must either have completed one OR MUST COMPLETE ONE WITHIN 6 MONTHS OF EMPLOYMENT. This means you may have to take a 51ÁÔÆæ class at your cost if you have not completed a qualifying class previously. Are you willing to do this? (If &#039;No,&#039; do not continue filling out application.)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_100'>\n\t\t\t<li class='gchoice gchoice_13_100_0'>\n\t\t\t\t<input name='input_100' type='radio' value='Yes'  id='choice_13_100_0'    \/>\n\t\t\t\t<label for='choice_13_100_0' id='label_13_100_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_100_1'>\n\t\t\t\t<input name='input_100' type='radio' value='No'  id='choice_13_100_1'    \/>\n\t\t\t\t<label for='choice_13_100_1' id='label_13_100_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >What semester are you applying for?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_66'>\n\t\t\t<li class='gchoice gchoice_13_66_0'>\n\t\t\t\t<input name='input_66' type='radio' value='as soon as possible'  id='choice_13_66_0'    \/>\n\t\t\t\t<label for='choice_13_66_0' id='label_13_66_0' class='gform-field-label gform-field-label--type-inline'>as soon as possible<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_66_1'>\n\t\t\t\t<input name='input_66' type='radio' value='Summer semester (June 1st), but I can start earlier'  id='choice_13_66_1'    \/>\n\t\t\t\t<label for='choice_13_66_1' id='label_13_66_1' class='gform-field-label gform-field-label--type-inline'>Summer semester (June 1st), but I can start earlier<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_66_2'>\n\t\t\t\t<input name='input_66' type='radio' value='Beginning Summer semester (June 1st) and continuing into the Fall semester'  id='choice_13_66_2'    \/>\n\t\t\t\t<label for='choice_13_66_2' id='label_13_66_2' class='gform-field-label gform-field-label--type-inline'>Beginning Summer semester (June 1st) and continuing into the Fall semester<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_66_3'>\n\t\t\t\t<input name='input_66' type='radio' value='Summer Only (June 1-August 14)'  id='choice_13_66_3'    \/>\n\t\t\t\t<label for='choice_13_66_3' id='label_13_66_3' class='gform-field-label gform-field-label--type-inline'>Summer Only (June 1-August 14)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_107\" 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\"  ><label class='gfield_label gform-field-label' >If we were to offer you a job, when would you be available to start?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_107'>\n\t\t\t<li class='gchoice gchoice_13_107_0'>\n\t\t\t\t<input name='input_107' type='radio' value='As soon as possible'  id='choice_13_107_0'    \/>\n\t\t\t\t<label for='choice_13_107_0' id='label_13_107_0' class='gform-field-label gform-field-label--type-inline'>As soon as possible<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_107_1'>\n\t\t\t\t<input name='input_107' type='radio' value='June 1st, but I could start earlier'  id='choice_13_107_1'    \/>\n\t\t\t\t<label for='choice_13_107_1' id='label_13_107_1' class='gform-field-label gform-field-label--type-inline'>June 1st, but I could start earlier<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_41\" 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\"  ><label class='gfield_label gform-field-label' >Have you EVER worked at the 51ÁÔÆæ Children&#039;s Learning Center before?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_41'>\n\t\t\t<li class='gchoice gchoice_13_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='No'  id='choice_13_41_0'    \/>\n\t\t\t\t<label for='choice_13_41_0' id='label_13_41_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='Yes'  id='choice_13_41_1'    \/>\n\t\t\t\t<label for='choice_13_41_1' id='label_13_41_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_104\" 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_13_104'>If &#039;Yes,&#039; please list approximate dates)<\/label><div class='ginput_container ginput_container_text'><input name='input_104' id='input_13_104' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_2\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Have you applied here within the past year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_2'>\n\t\t\t<li class='gchoice gchoice_13_2_0'>\n\t\t\t\t<input name='input_2' type='radio' value='No'  id='choice_13_2_0'    \/>\n\t\t\t\t<label for='choice_13_2_0' id='label_13_2_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_2_1'>\n\t\t\t\t<input name='input_2' type='radio' value='Yes'  id='choice_13_2_1'    \/>\n\t\t\t\t<label for='choice_13_2_1' id='label_13_2_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_8\" class=\"gfield gfield--type-text gfield--input-type-text 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_13_8'>First AND Last Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_13_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_9\" class=\"gfield gfield--type-text gfield--input-type-text 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_13_9'>Address (while at school) (including street, city, state, zip):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_13_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_14\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_14'>Home address (if different) (including street, city, state, zip):<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_13_14' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_11\" class=\"gfield gfield--type-text gfield--input-type-text 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_13_11'>Cell phone (with area code):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_13_11' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_13\" class=\"gfield gfield--type-text gfield--input-type-text 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_13_13'>51ÁÔÆæ email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_13_13' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_19\" 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_13_19'>51ÁÔÆæ ID Number (or current college ID number):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_13_19' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_15\" class=\"gfield gfield--type-text gfield--input-type-text 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_13_15'>Date of birth:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_13_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_102\" 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\"  ><label class='gfield_label gform-field-label' >Gender:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_102'>\n\t\t\t<li class='gchoice gchoice_13_102_0'>\n\t\t\t\t<input name='input_102' type='radio' value='Female'  id='choice_13_102_0'    \/>\n\t\t\t\t<label for='choice_13_102_0' id='label_13_102_0' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_102_1'>\n\t\t\t\t<input name='input_102' type='radio' value='Male'  id='choice_13_102_1'    \/>\n\t\t\t\t<label for='choice_13_102_1' id='label_13_102_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_102_2'>\n\t\t\t\t<input name='input_102' type='radio' value='Prefer to self describe as non-binary\/gender-fluid\/agender'  id='choice_13_102_2'    \/>\n\t\t\t\t<label for='choice_13_102_2' id='label_13_102_2' class='gform-field-label gform-field-label--type-inline'>Prefer to self describe as non-binary\/gender-fluid\/agender<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_102_3'>\n\t\t\t\t<input name='input_102' type='radio' value='Prefer not to say'  id='choice_13_102_3'    \/>\n\t\t\t\t<label for='choice_13_102_3' id='label_13_102_3' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Year in school<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_16'>\n\t\t\t<li class='gchoice gchoice_13_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='Freshman'  id='choice_13_16_0'    \/>\n\t\t\t\t<label for='choice_13_16_0' id='label_13_16_0' class='gform-field-label gform-field-label--type-inline'>Freshman<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='Sophomore'  id='choice_13_16_1'    \/>\n\t\t\t\t<label for='choice_13_16_1' id='label_13_16_1' class='gform-field-label gform-field-label--type-inline'>Sophomore<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_16_2'>\n\t\t\t\t<input name='input_16' type='radio' value='Junior'  id='choice_13_16_2'    \/>\n\t\t\t\t<label for='choice_13_16_2' id='label_13_16_2' class='gform-field-label gform-field-label--type-inline'>Junior<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_16_3'>\n\t\t\t\t<input name='input_16' type='radio' value='Senior'  id='choice_13_16_3'    \/>\n\t\t\t\t<label for='choice_13_16_3' id='label_13_16_3' class='gform-field-label gform-field-label--type-inline'>Senior<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_16_4'>\n\t\t\t\t<input name='input_16' type='radio' value='Graduate student'  id='choice_13_16_4'    \/>\n\t\t\t\t<label for='choice_13_16_4' id='label_13_16_4' class='gform-field-label gform-field-label--type-inline'>Graduate student<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_17\" class=\"gfield gfield--type-text gfield--input-type-text 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_13_17'>Major:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_13_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Number of credits during Summer 2026 semester:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_18'>\n\t\t\t<li class='gchoice gchoice_13_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='NONE'  id='choice_13_18_0'    \/>\n\t\t\t\t<label for='choice_13_18_0' id='label_13_18_0' class='gform-field-label gform-field-label--type-inline'>NONE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='3-9'  id='choice_13_18_1'    \/>\n\t\t\t\t<label for='choice_13_18_1' id='label_13_18_1' class='gform-field-label gform-field-label--type-inline'>3-9<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='10-12'  id='choice_13_18_2'    \/>\n\t\t\t\t<label for='choice_13_18_2' id='label_13_18_2' class='gform-field-label gform-field-label--type-inline'>10-12<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='13-17'  id='choice_13_18_3'    \/>\n\t\t\t\t<label for='choice_13_18_3' id='label_13_18_3' class='gform-field-label gform-field-label--type-inline'>13-17<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_18_4'>\n\t\t\t\t<input name='input_18' type='radio' value='18 or more'  id='choice_13_18_4'    \/>\n\t\t\t\t<label for='choice_13_18_4' id='label_13_18_4' class='gform-field-label gform-field-label--type-inline'>18 or more<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Do you have another job?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_20'>\n\t\t\t<li class='gchoice gchoice_13_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='No'  id='choice_13_20_0'    \/>\n\t\t\t\t<label for='choice_13_20_0' id='label_13_20_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='Yes'  id='choice_13_20_1'    \/>\n\t\t\t\t<label for='choice_13_20_1' id='label_13_20_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_22\" class=\"gfield gfield--type-text gfield--input-type-text 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_13_22'>Number of hours per week at other job:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_13_22' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_98\" 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_13_98'>For the Summer semester, do you have any other commitments affecting your availability to work?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_13_98' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Are you an international student?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_24'>\n\t\t\t<li class='gchoice gchoice_13_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='No'  id='choice_13_24_0'    \/>\n\t\t\t\t<label for='choice_13_24_0' id='label_13_24_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='Yes'  id='choice_13_24_1'    \/>\n\t\t\t\t<label for='choice_13_24_1' id='label_13_24_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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 gfield_label_before_complex' >What age group\/s are you interested in working with? Check all that apply.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_13_28'><li class='gchoice gchoice_13_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='I am comfortable with any age group'  id='choice_13_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_1' id='label_13_28_1' class='gform-field-label gform-field-label--type-inline'>I am comfortable with any age group<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='6 weeks - 18 months'  id='choice_13_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_2' id='label_13_28_2' class='gform-field-label gform-field-label--type-inline'>6 weeks &#8211; 18 months<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.3' type='checkbox'  value='18 months - 3 years'  id='choice_13_28_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_3' id='label_13_28_3' class='gform-field-label gform-field-label--type-inline'>18 months &#8211; 3 years<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.4' type='checkbox'  value='3-5 years'  id='choice_13_28_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_4' id='label_13_28_4' class='gform-field-label gform-field-label--type-inline'>3-5 years<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.5' type='checkbox'  value='kindergarten'  id='choice_13_28_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_5' id='label_13_28_5' class='gform-field-label gform-field-label--type-inline'>kindergarten<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_28_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.6' type='checkbox'  value='5-12 years'  id='choice_13_28_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_6' id='label_13_28_6' class='gform-field-label gform-field-label--type-inline'>5-12 years<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_96\" 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_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are there any age groups you would not want to work with or would be uncomfortable working with? Check all that apply.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_13_96'><li class='gchoice gchoice_13_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='I am comfortable with any age group'  id='choice_13_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_96_1' id='label_13_96_1' class='gform-field-label gform-field-label--type-inline'>I am comfortable with any age group<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_96_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.2' type='checkbox'  value='6 weeks - 18 months'  id='choice_13_96_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_96_2' id='label_13_96_2' class='gform-field-label gform-field-label--type-inline'>6 weeks &#8211; 18 months<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_96_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.3' type='checkbox'  value='18 months - 3 years'  id='choice_13_96_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_96_3' id='label_13_96_3' class='gform-field-label gform-field-label--type-inline'>18 months &#8211; 3 years<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_96_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.4' type='checkbox'  value='3-5 years'  id='choice_13_96_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_96_4' id='label_13_96_4' class='gform-field-label gform-field-label--type-inline'>3-5 years<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_96_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.5' type='checkbox'  value='kindergarten'  id='choice_13_96_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_96_5' id='label_13_96_5' class='gform-field-label gform-field-label--type-inline'>kindergarten<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_96_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.6' type='checkbox'  value='5-12 years'  id='choice_13_96_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_96_6' id='label_13_96_6' class='gform-field-label gform-field-label--type-inline'>5-12 years<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_27\" 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\"  ><label class='gfield_label gform-field-label' >Due to campus restrictions, student work hours are limited to 23 hours per week during Fall and Spring semesters, and 38 hours per week during Summer semester. How many hours a week are you interested in working?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_27'>\n\t\t\t<li class='gchoice gchoice_13_27_0'>\n\t\t\t\t<input name='input_27' type='radio' value='15-20'  id='choice_13_27_0'    \/>\n\t\t\t\t<label for='choice_13_27_0' id='label_13_27_0' class='gform-field-label gform-field-label--type-inline'>15-20<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_27_1'>\n\t\t\t\t<input name='input_27' type='radio' value='21-30'  id='choice_13_27_1'    \/>\n\t\t\t\t<label for='choice_13_27_1' id='label_13_27_1' class='gform-field-label gform-field-label--type-inline'>21-30<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_27_2'>\n\t\t\t\t<input name='input_27' type='radio' value='30-39'  id='choice_13_27_2'    \/>\n\t\t\t\t<label for='choice_13_27_2' id='label_13_27_2' class='gform-field-label gform-field-label--type-inline'>30-39<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_90\" 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_13_90'>We are open Monday-Friday, 7:00 a.m. &#8211; 6:00 p.m. Please list your WEEKDAY availability to be scheduled to work during Summer semester (e.g., Mondays\/Wednesday\/Fridays 7:00-11:30, Tuesdays 2:30-6:00, Thursdays 12;30-6:00)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_90' id='input_13_90' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_13_29\" 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_13_29'>Name of high school you attended:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_13_29' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Did you receive a diploma?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_30'>\n\t\t\t<li class='gchoice gchoice_13_30_0'>\n\t\t\t\t<input name='input_30' type='radio' value='No'  id='choice_13_30_0'    \/>\n\t\t\t\t<label for='choice_13_30_0' id='label_13_30_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_30_1'>\n\t\t\t\t<input name='input_30' type='radio' value='Yes'  id='choice_13_30_1'    \/>\n\t\t\t\t<label for='choice_13_30_1' id='label_13_30_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >In the past, have you attended a college or university other than 51ÁÔÆæ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_69'>\n\t\t\t<li class='gchoice gchoice_13_69_0'>\n\t\t\t\t<input name='input_69' type='radio' value='No'  id='choice_13_69_0'    \/>\n\t\t\t\t<label for='choice_13_69_0' id='label_13_69_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_69_1'>\n\t\t\t\t<input name='input_69' type='radio' value='Yes'  id='choice_13_69_1'    \/>\n\t\t\t\t<label for='choice_13_69_1' id='label_13_69_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_36\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_36'>Dates attended:<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_13_36' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_37\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_37'>Degree:<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_13_37' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_38\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_38'>Major:<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_13_38' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_103\" 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_13_103'>List the college\/university in which you are currently enrolled:<\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_13_103' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_39\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Indicate if you&#039;ve completed or are enrolled in any of the 51ÁÔÆæ courses below: (Check all that apply.)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_13_39'><li class='gchoice gchoice_13_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='CHPS 203  Lifespan Development (formerly HCA 203 Human Life Cycle)'  id='choice_13_39_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_1' id='label_13_39_1' class='gform-field-label gform-field-label--type-inline'>CHPS 203  Lifespan Development (formerly HCA 203 Human Life Cycle)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='EX EDUC 300  The Exceptional Individual'  id='choice_13_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_2' id='label_13_39_2' class='gform-field-label gform-field-label--type-inline'>EX EDUC 300  The Exceptional Individual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_39_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.3' type='checkbox'  value='MUS ED 260  Making Music Connections with Children'  id='choice_13_39_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_3' id='label_13_39_3' class='gform-field-label gform-field-label--type-inline'>MUS ED 260  Making Music Connections with Children<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_39_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.4' type='checkbox'  value='NURS 203  Human Growth and Development across the Life Span\u202f(4 CR)'  id='choice_13_39_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_4' id='label_13_39_4' class='gform-field-label gform-field-label--type-inline'>NURS 203  Human Growth and Development across the Life Span\u202f(4 CR)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_39_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.5' type='checkbox'  value='PSYCH 260  Child Psychology\u202f\u202f'  id='choice_13_39_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_5' id='label_13_39_5' class='gform-field-label gform-field-label--type-inline'>PSYCH 260  Child Psychology\u202f\u202f<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_39_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.6' type='checkbox'  value='TCH LRN 302  Inclusive Curriculum Foundations in Early Childhood'  id='choice_13_39_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_6' id='label_13_39_6' class='gform-field-label gform-field-label--type-inline'>TCH LRN 302  Inclusive Curriculum Foundations in Early Childhood<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_39_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.7' type='checkbox'  value='TCH LRN 312  Models and Issues for Inclusive ECE'  id='choice_13_39_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_7' id='label_13_39_7' class='gform-field-label gform-field-label--type-inline'>TCH LRN 312  Models and Issues for Inclusive ECE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_13_39_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.8' type='checkbox'  value='TCH LRN 323  Teaching of Science in Early Childhood\u202f'  id='choice_13_39_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_39_8' id='label_13_39_8' class='gform-field-label gform-field-label--type-inline'>TCH LRN 323  Teaching of Science in Early Childhood\u202f<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_40\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_40'>Other child development training specific to Early Childhood (title, institution, date of completion &amp; # of hours\/credits):<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_13_40' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_46\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_46'>What specific experiences have you had working with children? What age range?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_46' id='input_13_46' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_13_47\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_47'>What skills, interests or abilities do you have that would be helpful in working with children? (give examples)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_13_47' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_13_48\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_48'>What languages, including sign language, do you speak?<\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_13_48' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >All Children&#039;s Learning Center staff are required to be Pediatric CPR certified. If you&#039;re not, a class will be provided for you upon hire. Are you currently Pediatric CPR certified?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_49'>\n\t\t\t<li class='gchoice gchoice_13_49_0'>\n\t\t\t\t<input name='input_49' type='radio' value='No'  id='choice_13_49_0'    \/>\n\t\t\t\t<label for='choice_13_49_0' id='label_13_49_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_49_1'>\n\t\t\t\t<input name='input_49' type='radio' value='Yes'  id='choice_13_49_1'    \/>\n\t\t\t\t<label for='choice_13_49_1' id='label_13_49_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >All Children&#039;s Learning Center staff are required to be Pediatric First Aid certified. If you&#039;re not, a class will be provided for you upon hire. Are you currently Pediatric First Aid certified?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_50'>\n\t\t\t<li class='gchoice gchoice_13_50_0'>\n\t\t\t\t<input name='input_50' type='radio' value='No'  id='choice_13_50_0'    \/>\n\t\t\t\t<label for='choice_13_50_0' id='label_13_50_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_50_1'>\n\t\t\t\t<input name='input_50' type='radio' value='Yes'  id='choice_13_50_1'    \/>\n\t\t\t\t<label for='choice_13_50_1' id='label_13_50_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Do you have prior work experience?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_72'>\n\t\t\t<li class='gchoice gchoice_13_72_0'>\n\t\t\t\t<input name='input_72' type='radio' value='No'  id='choice_13_72_0'    \/>\n\t\t\t\t<label for='choice_13_72_0' id='label_13_72_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_72_1'>\n\t\t\t\t<input name='input_72' type='radio' value='Yes'  id='choice_13_72_1'    \/>\n\t\t\t\t<label for='choice_13_72_1' id='label_13_72_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_73\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_73'>Most recent prior employer name:<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_13_73' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_53\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_53'>Phone number (with area code):<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_13_53' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_54\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_54'>Job title &amp; position description:<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_13_54' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_55\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_55'>Supervisor&#039;s name:<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_13_55' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you have additional prior work experience?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_13_77'>\n\t\t\t<li class='gchoice gchoice_13_77_0'>\n\t\t\t\t<input name='input_77' type='radio' value='No'  id='choice_13_77_0'    \/>\n\t\t\t\t<label for='choice_13_77_0' id='label_13_77_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_13_77_1'>\n\t\t\t\t<input name='input_77' type='radio' value='Yes'  id='choice_13_77_1'    \/>\n\t\t\t\t<label for='choice_13_77_1' id='label_13_77_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_13_78\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_78'>Employer Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_13_78' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_79\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_79'>Phone number (with area code)<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_13_79' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_80\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_80'>Job title and position description<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_13_80' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_81\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_81'>Supervisor&#039;s name:<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_13_81' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_67\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Unless vacation time has been preapproved, employment at the 51ÁÔÆæ Children&#8217;s Learning Center includes Exam Weeks, UWinteriM and 51ÁÔÆæ Spring Break.\n\nAll employees of the 51ÁÔÆæ Children&#8217;s Learning Center need to complete a Background Verification form and fingerprint check upon hire and caregiver checks at 1-year intervals thereafter. Any conviction resulting from crimes substantially related to children will result in termination of employment.\n\nWith my signature and by clicking &#8216;SUBMIT&#8217; below, I give permission to the 51ÁÔÆæ Children&#8217;s Learning Center to release my cellular\/residence telephone number to other 51ÁÔÆæ Children&#8217;s Learning Center staff for work purposes only.\n\nThe above information is complete and accurate to the best of my knowledge.<\/li><li id=\"field_13_86\" class=\"gfield gfield--type-signature gfield--input-type-signature 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_13_86'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_signature\"><input type='hidden' value='' name='input_86' id='input_13_86_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_13_86_Container' class='gfield_signature_container' style='height:180px; width:300px; ' ><canvas id=\"input_13_86\" width=\"300\" height=\"180\" style=\"border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/uwm.edu\/children\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;\" tabindex=\"0\" aria-label=\"Signature pad\" ><\/canvas><\/div><div id='input_13_86_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id='input_13_86_resetbutton' 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style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' role='button' tabindex='0' aria-label='Clear Signature' \/><\/div><input type='hidden' id='input_13_86_data' name='input_13_86_data' value=''><\/div><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_13' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_13' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_13' id='gform_theme_13' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_13' id='gform_style_settings_13' 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