{"id":656,"date":"2024-10-16T14:54:39","date_gmt":"2024-10-16T19:54:39","guid":{"rendered":"https:\/\/uwm.edu\/csi\/?page_id=656"},"modified":"2024-12-16T10:04:55","modified_gmt":"2024-12-16T16:04:55","slug":"intake-form","status":"publish","type":"page","link":"https:\/\/uwm.edu\/csi\/intake-form\/","title":{"rendered":"Project Intake Form"},"content":{"rendered":"\n<div class=\"uwm-l-row\">\n<div class=\"uwm-l-col\">\n<p>Are you embarking on a new project or planning for research? We are thrilled to offer you the opportunity to collaborate with one of CSI\u2019s exceptionally talented research and technology associates. To streamline the process, we kindly ask that you please take a moment to fill out the project intake form below. The information you provide will enable our team to ensure we allocate the appropriate amount of time and resources to work with you effectively and efficiently.<\/p>\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 gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_15' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'>CSI partners may complete the following form to request project resources. Applications will be reviewed within 3-5 business days.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_15'  action='\/csi\/wp-json\/wp\/v2\/pages\/656' data-formid='15' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_15' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_15_30\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_30'>Name<\/label><div class='ginput_container'><input name='input_30' id='input_15_30' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_15_30'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_15_1\" class=\"gfield gfield--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_15_1'>Company Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_15_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_15_12\" class=\"gfield gfield--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' >Project Lead&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_15_12'>\n                            \n                            <span id='input_15_12_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.3' id='input_15_12_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_15_12_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_15_12_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.6' id='input_15_12_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_15_12_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_15_11\" class=\"gfield gfield--type-email 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' >Project Lead&#039;s Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_15_11_container'>\n                                <span id='input_15_11_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_11' id='input_15_11' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_15_11' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_15_11_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_11_2' id='input_15_11_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_15_11_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_15_4\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_4'>Project Description<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_4' id='input_15_4' class='textarea large'  aria-describedby=\"gfield_description_15_4\" maxlength='1500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_15_4'>Describe the purpose and scope of the project. Include project objectives and possible use cases. <\/div><\/div><div id=\"field_15_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_15_9'>Projected Start Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_15_9' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_15_9_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_15_9_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_15_9' class='gform_hidden' value='https:\/\/uwm.edu\/csi\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_15_10\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_15_10'>Projected End Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_10' id='input_15_10' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_15_10_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_15_10_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_15_10' class='gform_hidden' value='https:\/\/uwm.edu\/csi\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_15_20\" class=\"gfield gfield--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_15_20'>Estimated Time Commitment (hours per week)<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_20' id='input_15_20' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_15_16\" class=\"gfield gfield--type-select 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_15_16'>CSI Team Member (select one)<\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_15_16' class='large gfield_select'     aria-invalid=\"false\" ><option value='Asif Swapnil' >Asif Swapnil<\/option><option value='Shamar Webster' >Shamar Webster<\/option><option value='No Preference' >No Preference<\/option><\/select><\/div><\/div><fieldset id=\"field_15_22\" class=\"gfield gfield--type-checkbox gfield--type-choice 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' >Required CSI Resources (select all that apply)<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_15_22'><div class='gchoice gchoice_15_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Advanced Manufacturing Testbed\u2014Physical Access'  id='choice_15_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_1' id='label_15_22_1' class='gform-field-label gform-field-label--type-inline'>Advanced Manufacturing Testbed\u2014Physical Access<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Advanced Manufacturing Testbed\u2014Remote Access'  id='choice_15_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_2' id='label_15_22_2' class='gform-field-label gform-field-label--type-inline'>Advanced Manufacturing Testbed\u2014Remote Access<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Advanced Manufacturing Testbed\u2014Cloud Data Access'  id='choice_15_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_3' id='label_15_22_3' class='gform-field-label gform-field-label--type-inline'>Advanced Manufacturing Testbed\u2014Cloud Data Access<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='Emulate3D Digital Twin\u2014In-person Access'  id='choice_15_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_4' id='label_15_22_4' class='gform-field-label gform-field-label--type-inline'>Emulate3D Digital Twin\u2014In-person Access<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.5' type='checkbox'  value='Emulate3D Digital Twin\u2014Digital Copy'  id='choice_15_22_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_5' id='label_15_22_5' class='gform-field-label gform-field-label--type-inline'>Emulate3D Digital Twin\u2014Digital Copy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.6' type='checkbox'  value='Industrial Network\u2014Access Only'  id='choice_15_22_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_6' id='label_15_22_6' class='gform-field-label gform-field-label--type-inline'>Industrial Network\u2014Access Only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.7' type='checkbox'  value='Industrial Network\u2014Modification'  id='choice_15_22_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_7' id='label_15_22_7' class='gform-field-label gform-field-label--type-inline'>Industrial Network\u2014Modification<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.8' type='checkbox'  value='Industrial WiFi\u2014Access Only'  id='choice_15_22_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_8' id='label_15_22_8' class='gform-field-label gform-field-label--type-inline'>Industrial WiFi\u2014Access Only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.9' type='checkbox'  value='Industrial WiFi\u2014Modification'  id='choice_15_22_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_9' id='label_15_22_9' class='gform-field-label gform-field-label--type-inline'>Industrial WiFi\u2014Modification<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.11' type='checkbox'  value='Private 5G Network\u2014Access Only'  id='choice_15_22_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_11' id='label_15_22_11' class='gform-field-label gform-field-label--type-inline'>Private 5G Network\u2014Access Only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.12' type='checkbox'  value='PLEX MES\u2014Read Only'  id='choice_15_22_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_12' id='label_15_22_12' class='gform-field-label gform-field-label--type-inline'>PLEX MES\u2014Read Only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.13' type='checkbox'  value='PLEX MES\u2014Operational Access'  id='choice_15_22_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_13' id='label_15_22_13' class='gform-field-label gform-field-label--type-inline'>PLEX MES\u2014Operational Access<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.14' type='checkbox'  value='SAP\u2014Read Only'  id='choice_15_22_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_14' id='label_15_22_14' class='gform-field-label gform-field-label--type-inline'>SAP\u2014Read Only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.15' type='checkbox'  value='SAP\u2014Operational Access'  id='choice_15_22_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_15' id='label_15_22_15' class='gform-field-label gform-field-label--type-inline'>SAP\u2014Operational Access<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.16' type='checkbox'  value='FIIX CMMS\u2014Read Only'  id='choice_15_22_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_16' id='label_15_22_16' class='gform-field-label gform-field-label--type-inline'>FIIX CMMS\u2014Read Only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.17' type='checkbox'  value='FANUC Cert Carts\u2014Teaching and Demo Only'  id='choice_15_22_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_17' id='label_15_22_17' class='gform-field-label gform-field-label--type-inline'>FANUC Cert Carts\u2014Teaching and Demo Only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.18' type='checkbox'  value='HoloLens\u2014Demo'  id='choice_15_22_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_18' id='label_15_22_18' class='gform-field-label gform-field-label--type-inline'>HoloLens\u2014Demo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.19' type='checkbox'  value='HoloLens\u2014Development'  id='choice_15_22_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_19' id='label_15_22_19' class='gform-field-label gform-field-label--type-inline'>HoloLens\u2014Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_15_22_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.21' type='checkbox'  value='Other (describe below)'  id='choice_15_22_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_22_21' id='label_15_22_21' class='gform-field-label gform-field-label--type-inline'>Other (describe below)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_15_24\" class=\"gfield gfield--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_15_24'>Other Required Resources<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_15_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_15_23\" class=\"gfield gfield--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_15_23'>Other Project Personnel Contact Information<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_15_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_15_28\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_28'>Funding Source(s)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_15_28' class='textarea large'  aria-describedby=\"gfield_description_15_28\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_15_28'>Identify funding sources, e.g., grant, private funding, company funded, etc.)<\/div><\/div><div id=\"field_15_29\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_15_29'>Budget<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_29' id='input_15_29' type='number' step='any'   value='' class='large'     aria-required=\"true\" 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