{"id":15849,"date":"2026-01-22T13:27:12","date_gmt":"2026-01-22T18:27:12","guid":{"rendered":"https:\/\/carleton.ca\/esp\/?page_id=15849"},"modified":"2026-01-22T13:27:13","modified_gmt":"2026-01-22T18:27:13","slug":"returning-esp-academic-coach-application","status":"publish","type":"page","link":"https:\/\/carleton.ca\/esp\/returning-esp-academic-coach-application\/","title":{"rendered":"Returning ESP Academic Coach Application"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        Returning ESP Academic Coach Application\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\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 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var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Returning ESP Academic Coaches<\/h2>\n                            <p class='gform_description'><p>This form is for current or former ESP Academic Coaches to apply to return to work as an Academic Coach next academic year.<\/p> \r\n\r\n<p>The deadline to apply for the 2026-2027 year is <b>February 2, 2026 at 8:30 am.<\/b><\/p>\r\n\r\n<p>If you aren&#8217;t able to complete your application all at once, you can choose the save feature and you will be given a link to access your work at a later time.<\/p>\r\n\r\n<p><b>DO NOT USE EMOJIS in your written responses! It breaks the form and you may lose all your work.<\/b><\/p><\/p>\n                        <\/div><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_74'  action='\/esp\/wp-json\/wp\/v2\/pages\/15849' data-formid='74' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_74' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_74_7\" 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\">Personal Information<\/h3><\/div><fieldset id=\"field_74_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_74_1'>\n                            \n                            <span id='input_74_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_74_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_74_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_74_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.4' id='input_74_1_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_74_1_4' class='gform-field-label gform-field-label--type-sub '>Chosen Name(s) &#8211; optional<\/label>\n                                                <\/span>\n                            <span id='input_74_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_74_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_74_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_74_1_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.8' id='input_74_1_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_74_1_8' class='gform-field-label gform-field-label--type-sub '>Pronouns &#8211; optional<\/label>\n                                                <\/span>\n                        <\/div><div class='gfield_description' id='gfield_description_74_1'>Please put the pronouns that you wish your coworkers to use when referring to you. Our standard practice is to include your pronouns with your profile on our website. This field can be updated at any time by emailing <a href=\"mailto:Academic.Coaching@carleton.ca\">Academic.Coaching@carleton.ca<\/a>.<\/div><\/fieldset><div id=\"field_74_52\" 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_74_52'>Student Number<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_52' id='input_74_52' type='text' value='' class='medium' maxlength='9'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_49\" class=\"gfield gfield--type-email gfield--input-type-email 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_74_49'>Carleton Email<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_49' id='input_74_49' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_74_8\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_74_8'>Primary Phone Number<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_8' id='input_74_8' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_9\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_74_9'>Alternate Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_74_9' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_10\" 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_74_10'>City and country of residence this April-September 2026<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_10' id='input_74_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Academic Information<\/h3><div class='gsection_description' id='gfield_description_74_11'>Answer the questions below as best you can with the information you currently have.  If there are any details that Beth needs to know (e.g., waiting for grad school application update, etc.), tell us in the comments box.<\/div><\/div><fieldset id=\"field_74_12\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Terms you are available to coach in 2026-27:<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 gfield_choice--select_all_enabled' id='input_74_12'><div class='gchoice gchoice_74_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Fall Term'  id='choice_74_12_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_12_1' id='label_74_12_1' class='gform-field-label gform-field-label--type-inline'>Fall Term<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Winter Term'  id='choice_74_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_12_2' id='label_74_12_2' class='gform-field-label gform-field-label--type-inline'>Winter Term<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_12_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What terms will you be studying at Carleton in 2026-2027?<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 gfield_choice--select_all_enabled' id='input_74_13'><div class='gchoice gchoice_74_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Fall term'  id='choice_74_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_13_1' id='label_74_13_1' class='gform-field-label gform-field-label--type-inline'>Fall term<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_13_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.2' type='checkbox'  value='Winter term'  id='choice_74_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_13_2' id='label_74_13_2' class='gform-field-label gform-field-label--type-inline'>Winter term<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_13_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_5\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In September will you be:<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_74_5'><div class='gchoice gchoice_74_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='in 3rd year'  id='choice_74_5_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_5_1' id='label_74_5_1' class='gform-field-label gform-field-label--type-inline'>in 3rd year<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='in 4th year'  id='choice_74_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_5_2' id='label_74_5_2' class='gform-field-label gform-field-label--type-inline'>in 4th year<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_5_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.3' type='checkbox'  value='a graduate student'  id='choice_74_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_5_3' id='label_74_5_3' class='gform-field-label gform-field-label--type-inline'>a graduate student<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_14\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Will you be doing grad studies full-time or part-time next year?<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_74_14'><div class='gchoice gchoice_74_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Full-time'  id='choice_74_14_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_14_1' id='label_74_14_1' class='gform-field-label gform-field-label--type-inline'>Full-time<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_14_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.2' type='checkbox'  value='Part-time'  id='choice_74_14_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_14_2' id='label_74_14_2' class='gform-field-label gform-field-label--type-inline'>Part-time<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Do you have any funding for grad studies next year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_74_15'>E.g.: SSHRC, TA-ship, OGS, NSERC<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_74_15'><div class='gchoice gchoice_74_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='No'  id='choice_74_15_1'   aria-describedby=\"gfield_description_74_15\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_74_15_1' id='label_74_15_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Yes'  id='choice_74_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_15_2' id='label_74_15_2' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='Waiting'  id='choice_74_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_15_3' id='label_74_15_3' class='gform-field-label gform-field-label--type-inline'>Waiting<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_74_16\" 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_74_16'>If yes or waiting: please explain<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_16' id='input_74_16' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_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_74_17'>How many courses will you take next year in the fall?<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_17' id='input_74_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_18\" 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_74_18'>How many courses will you take next year in the winter?<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_18' id='input_74_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_74_19'>Apart from your classes, how many hours per week of other time commitments will you have next year in the fall and winter terms?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_74_19'>E.g. other jobs, placements, volunteer work, etc.<\/div><div class='ginput_container ginput_container_text'><input name='input_19' id='input_74_19' type='text' value='' class='medium'  aria-describedby=\"gfield_description_74_19\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_6\" 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_74_6'>Optional: are there any other details about your academic status or availability next year of which we should be aware?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_74_6' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_74_21\" 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\">Training Availability<\/h3><\/div><fieldset id=\"field_74_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you available for all pre-service training sessions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_74_23'><p>Pre-service training is <b>mandatory<\/b> and will take place in person on:<\/p>\n\n<p>&#8211; Sept. 2, 2026 (all-day)<\/p>\n<p>&#8211; Sept. 3, 2026 (all-day)<\/p>\n<p>&#8211; Sept. 8, 2026 (ESP Orientation) (morning only)<\/p>\n<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_74_23'>\n\t\t\t<div class='gchoice gchoice_74_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Yes'  id='choice_74_23_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_74_23\"   \/>\n\t\t\t\t\t<label for='choice_74_23_0' id='label_74_23_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_74_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_74_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_74_23_1' id='label_74_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_74_24\" 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_74_24'>If not available for all pre-service dates, explain:<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_24' id='input_74_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_74_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you available for all in-service training sessions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_74_25'><p>In-service training is <b>mandatory<\/b> and will regularly take place in person on Fridays from 3-4:30 pm.<\/p><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_74_25'>\n\t\t\t<div class='gchoice gchoice_74_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Yes'  id='choice_74_25_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_74_25\"   \/>\n\t\t\t\t\t<label for='choice_74_25_0' id='label_74_25_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_74_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='No'  id='choice_74_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_74_25_1' id='label_74_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_74_26\" 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_74_26'>If not available for all in-service dates, explain:<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_26' id='input_74_26' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_74_27\" 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\">Coach Skills Reflection<\/h3><\/div><div id=\"field_74_28\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_74_28'>1. What are one or two of your main strengths as a coach? How would you continue to build on them next year? (150-300 words.)<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_28' id='input_74_28' class='textarea large'   maxlength='1500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_74_29\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_74_29'>2. What are one or two skills that you need to improve on as a coach? How will you work on these in the future? (150-300 words.)<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_29' id='input_74_29' class='textarea medium'   maxlength='1500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_74_30\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_74_30'>3. What further skills\/abilities do you anticipate you will gain from continuing to be employed as a coach? (150-300 words.)<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_30' id='input_74_30' class='textarea medium'   maxlength='1500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_74_53\" 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_74_53'>4. What steps will you take in the year ahead to be an effective ambassador for ESP coaching? (150-300 words.)<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_53' id='input_74_53' class='textarea medium'   maxlength='1500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_74_33\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Administrative Skills Reflection<\/h3><div class='gsection_description' id='gfield_description_74_33'>Assess your past performance on administrative matters as a coach using the rating system provided.  Space is provided below if you wish to reflect in more detail on your skills\/performance.<\/div><\/div><fieldset id=\"field_74_36\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >1. Answering weekly emails from the Coaching Administrator and Coordinator.<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_74_36'><div class='gchoice gchoice_74_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='1 (needs improvement)'  id='choice_74_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_36_1' id='label_74_36_1' class='gform-field-label gform-field-label--type-inline'>1 (needs improvement)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_36_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.2' type='checkbox'  value='2'  id='choice_74_36_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_36_2' id='label_74_36_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_36_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.3' type='checkbox'  value='3 (meets expectations)'  id='choice_74_36_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_36_3' id='label_74_36_3' class='gform-field-label gform-field-label--type-inline'>3 (meets expectations)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_36_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.4' type='checkbox'  value='4'  id='choice_74_36_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_36_4' id='label_74_36_4' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_36_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.5' type='checkbox'  value='5 (exceptional)'  id='choice_74_36_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_36_5' id='label_74_36_5' class='gform-field-label gform-field-label--type-inline'>5 (exceptional)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_37\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2. Punctuality at training, meetings, and workshop\/class visits.<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_74_37'><div class='gchoice gchoice_74_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='1 (needs improvement)'  id='choice_74_37_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_37_1' id='label_74_37_1' class='gform-field-label gform-field-label--type-inline'>1 (needs improvement)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_37_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.2' type='checkbox'  value='2'  id='choice_74_37_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_37_2' id='label_74_37_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_37_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.3' type='checkbox'  value='3 (meets expectations)'  id='choice_74_37_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_37_3' id='label_74_37_3' class='gform-field-label gform-field-label--type-inline'>3 (meets expectations)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_37_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.4' type='checkbox'  value='4'  id='choice_74_37_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_37_4' id='label_74_37_4' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_37_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.5' type='checkbox'  value='5 (exceptional)'  id='choice_74_37_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_37_5' id='label_74_37_5' class='gform-field-label gform-field-label--type-inline'>5 (exceptional)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_38\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >3. Notifying the Coordinator of students experiencing difficulties.<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_74_38'><div class='gchoice gchoice_74_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='1 (needs improvement)'  id='choice_74_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_38_1' id='label_74_38_1' class='gform-field-label gform-field-label--type-inline'>1 (needs improvement)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='2'  id='choice_74_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_38_2' id='label_74_38_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='3 (meets expectations)'  id='choice_74_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_38_3' id='label_74_38_3' class='gform-field-label gform-field-label--type-inline'>3 (meets expectations)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='4'  id='choice_74_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_38_4' id='label_74_38_4' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='5 (exceptional)'  id='choice_74_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_38_5' id='label_74_38_5' class='gform-field-label gform-field-label--type-inline'>5 (exceptional)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_35\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >4. Following up with setting up workshop\/class visits.<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_74_35'><div class='gchoice gchoice_74_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='1 (needs improvement)'  id='choice_74_35_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_35_1' id='label_74_35_1' class='gform-field-label gform-field-label--type-inline'>1 (needs improvement)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='2'  id='choice_74_35_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_35_2' id='label_74_35_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_35_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.3' type='checkbox'  value='3 (meets expectations)'  id='choice_74_35_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_35_3' id='label_74_35_3' class='gform-field-label gform-field-label--type-inline'>3 (meets expectations)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_35_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.4' type='checkbox'  value='4'  id='choice_74_35_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_35_4' id='label_74_35_4' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_35_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.5' type='checkbox'  value='5 (exceptional)'  id='choice_74_35_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_35_5' id='label_74_35_5' class='gform-field-label gform-field-label--type-inline'>5 (exceptional)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_74_50\" 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\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >5. Completing and submitting activity logs twice a month for payroll by deadline.<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_74_50'><div class='gchoice gchoice_74_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='1 (needs improvement)'  id='choice_74_50_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_50_1' id='label_74_50_1' class='gform-field-label gform-field-label--type-inline'>1 (needs improvement)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='2'  id='choice_74_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_50_2' id='label_74_50_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_50_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.3' type='checkbox'  value='3 (meets expectations)'  id='choice_74_50_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_50_3' id='label_74_50_3' class='gform-field-label gform-field-label--type-inline'>3 (meets expectations)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_50_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.4' type='checkbox'  value='4'  id='choice_74_50_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_50_4' id='label_74_50_4' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_74_50_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.5' type='checkbox'  value='5 (exceptional)'  id='choice_74_50_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_74_50_5' id='label_74_50_5' class='gform-field-label gform-field-label--type-inline'>5 (exceptional)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_74_32\" 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_74_32'>Additional comments on administrative skills (optional):<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_74_32' class='textarea medium'   maxlength='1500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_74_46\" 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\">Consent<\/h3><\/div><fieldset id=\"field_74_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Declaration &amp; Consent<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_74_47'><div class='gchoice gchoice_74_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='I agree to the following:'  id='choice_74_47_1'   aria-describedby=\"gfield_description_74_47\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_74_47_1' id='label_74_47_1' class='gform-field-label gform-field-label--type-inline'>I agree to the following:<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_74_47'><p>&#8211; The information I have provided in this application is complete and accurate.<\/p>\n\n<p><font size=\"2\">&#8211; The Centre for Initiatives in Education may monitor my academic record prior to and (if my application is successful) throughout my employment with CIE.<\/p>\n\n<\/div><\/fieldset><fieldset id=\"field_74_48\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Privacy<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_74_48'><div class='gchoice gchoice_74_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='I agree to the privacy policy below.'  id='choice_74_48_1'   aria-describedby=\"gfield_description_74_48\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_74_48_1' id='label_74_48_1' class='gform-field-label gform-field-label--type-inline'>I agree to the privacy policy below.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_74_48'>I agree to the privacy policy. Personal information collected through this application will be used and disclosed by Carleton University under the authority of the Carleton University Act, 1952, and in accordance with sections 39, 41 and 42 of Ontario\u2019s Freedom of Information and Protection of Privacy Act. The purpose of this processing is to administer the Enriched Support Program. We may share some of the information provided with the appropriate internal personnel to assist with program delivery. If you have any questions about the processing of personal information by Carleton University, please contact the Manager, Privacy &amp; Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via University_Privacy_Office@carleton.ca.\n<\/div><\/fieldset><div id=\"field_74_51\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_74_51'>CAPTCHA<\/label><div id='input_74_51' class='ginput_container ginput_recaptcha' data-sitekey='6Lfdrx0TAAAAAHkdRF2Kx4AcYWl45yaLqJyIsqs8'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_74' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> 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