{"id":4628,"date":"2016-10-14T12:25:00","date_gmt":"2016-10-14T12:25:00","guid":{"rendered":"https:\/\/esa.org\/seeds\/?page_id=4628"},"modified":"2021-01-26T21:11:17","modified_gmt":"2021-01-26T21:11:17","slug":"chapter-application","status":"publish","type":"page","link":"https:\/\/esa.org\/seeds\/chapter-application\/","title":{"rendered":"Chapter Application"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_11_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_hn62073\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"11\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_11\" id=\"frm_hide_fields_11\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"hn62073\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_11\" name=\"frm_submit_entry_11\" value=\"e28c2a568d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/seeds\/wp-json\/wp\/v2\/pages\/4628\" \/><div id=\"frm_field_405_container\" class=\"frm_form_field form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Chapter Contact Info<\/h3>\r\n\r\n\r\n<div id=\"frm_field_406_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label\">Chapter Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_xdwkgg3\" name=\"item_meta[406]\" value=\"\"  data-sectionid=\"405\"  data-reqmsg=\"Chapter Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Chapter Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_407_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_half\">\r\n    <label class=\"frm_primary_label\">Institution\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qknyan3\" name=\"item_meta[407]\" value=\"\"  data-sectionid=\"405\"  data-reqmsg=\"Institution cannot be blank.\" aria-required=\"true\" data-invmsg=\"Institution is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_408_container\" class=\"frm_form_field form-field  frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label\">Chapter Email (if applicable)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_xvwzho3\" name=\"item_meta[408]\" value=\"\"  data-sectionid=\"405\"  data-invmsg=\"Chapter Email (if applicable) is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_409_container\" class=\"frm_form_field form-field  frm_top_container frm_last_half\">\r\n    <label class=\"frm_primary_label\">Chapter webpage (if applicable)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_3tealk3\" name=\"item_meta[409]\" value=\"\"  data-sectionid=\"405\"  data-invmsg=\"Chapter webpage (if applicable) is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_411_container\" class=\"frm_form_field form-field \">\r\n<h3 class=\"frm_pos_top\">Primary Advisor<\/h3>\r\n\r\n<div id=\"frm_desc_field_gwwfgv3\" class=\"frm_description frm_section_spacing\">Either Primary Advisor or Co-Advisor must be a faculty member. <\/div>\r\n<div id=\"frm_field_412_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_half\">\r\n    <label class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_yjfbpq3\" name=\"item_meta[412]\" value=\"\"  data-sectionid=\"411\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"First Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_413_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ojd0kv3\" name=\"item_meta[413]\" value=\"\"  data-sectionid=\"411\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_414_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\">Title\/Position\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_q0bap03\" name=\"item_meta[414]\" value=\"\"  data-sectionid=\"411\"  data-invmsg=\"Title\/Position is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_415_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_kplmwb3\" name=\"item_meta[415]\" value=\"\"  data-sectionid=\"411\"  data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_416_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label class=\"frm_primary_label\">Telephone Number\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_byw2lm3\" name=\"item_meta[416]\" value=\"\"  data-sectionid=\"411\"  style=\"width:135px\" data-reqmsg=\"Telephone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_417_container\" class=\"frm_form_field form-field  frm_top_container frm_last_third\">\r\n    <label class=\"frm_primary_label\">Fax Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_dw7teu3\" name=\"item_meta[417]\" value=\"\"  data-sectionid=\"411\"  style=\"width:135px\" data-invmsg=\"Fax Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_418_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\">Mailing Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_x0jjyf3\" name=\"item_meta[418]\" value=\"\"  data-sectionid=\"411\"  data-reqmsg=\"Mailing Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Mailing Address is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_419_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ycov3r3\" name=\"item_meta[419]\" value=\"\"  data-sectionid=\"411\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"City is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_420_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_jqbnev3\" name=\"item_meta[420]\" value=\"\"  data-sectionid=\"411\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_421_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bbcifu3\" name=\"item_meta[421]\" value=\"\"  data-sectionid=\"411\"  data-reqmsg=\"Zip cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zip is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_423_container\" class=\"frm_form_field form-field \">\r\n<h3 class=\"frm_pos_top\">Co-Advisor<\/h3>\r\n\r\n<div id=\"frm_desc_field_rhyxpo3\" class=\"frm_description frm_section_spacing\">Either Primary Advisor or Co-Advisor must be a faculty member. <\/div>\r\n<div id=\"frm_field_424_container\" class=\"frm_form_field form-field  frm_top_container frm_last_half\">\r\n    <label class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_hwd0he3\" name=\"item_meta[424]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"First Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_425_container\" class=\"frm_form_field form-field  frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1mlgli3\" name=\"item_meta[425]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"Last Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_426_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\">Title\/Position\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_z5vcna3\" name=\"item_meta[426]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"Title\/Position is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_427_container\" class=\"frm_form_field form-field  frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_e023y43\" name=\"item_meta[427]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_428_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label class=\"frm_primary_label\">Telephone Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_jj21jo3\" name=\"item_meta[428]\" value=\"\"  data-sectionid=\"423\"  style=\"width:135px\" data-invmsg=\"Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_429_container\" class=\"frm_form_field form-field  frm_top_container frm_last_third\">\r\n    <label class=\"frm_primary_label\">Fax Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_1w3w663\" name=\"item_meta[429]\" value=\"\"  data-sectionid=\"423\"  style=\"width:135px\" data-invmsg=\"Fax Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_430_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\">Mailing Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1xwgxs3\" name=\"item_meta[430]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"Mailing Address is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_431_container\" class=\"frm_form_field form-field  frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8mwla83\" name=\"item_meta[431]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"City is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_432_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1bqhcn3\" name=\"item_meta[432]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"State is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_433_container\" class=\"frm_form_field form-field  frm_top_container frm_last_third\">\r\n    <label class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_inhf483\" name=\"item_meta[433]\" value=\"\"  data-sectionid=\"423\"  data-invmsg=\"Zip is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_435_container\" class=\"frm_form_field form-field \">\r\n<h3 class=\"frm_pos_top\">Student Representative<\/h3>\r\n\r\n<div id=\"frm_desc_field_rk3x203\" class=\"frm_description frm_section_spacing\">Must be an undergraduate student currently enrolled at the institution. <\/div>\r\n<div id=\"frm_field_436_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_wzphyj3\" name=\"item_meta[436]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"First Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_437_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qo6alw3\" name=\"item_meta[437]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_5641_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">SEEDS Chapter Position\/Role\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_78vaz\" name=\"item_meta[5641]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"SEEDS Chapter Position\/Role cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_78vaz\" \/>\r\n    <div id=\"frm_desc_field_78vaz\" class=\"frm_description\">(President, Co-President, Vice-President, Secretary, etc.)<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_438_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_r3s8hh3\" name=\"item_meta[438]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_439_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_half\">\r\n    <label class=\"frm_primary_label\">Telephone Number\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_3ok38z3\" name=\"item_meta[439]\" value=\"\"  data-sectionid=\"435\"  style=\"width:135px\" data-reqmsg=\"Telephone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\" aria-describedby=\"frm_desc_field_3ok38z3\"  \/>\r\n    <div id=\"frm_desc_field_3ok38z3\" class=\"frm_description\">Primary Phone Number<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_440_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gbhorm3\" name=\"item_meta[440]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Permanent Address is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_441_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_w4rpw83\" name=\"item_meta[441]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"City is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_442_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_3ymtoa3\" name=\"item_meta[442]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_443_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gl3gzw3\" name=\"item_meta[443]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"Zip cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zip is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_444_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\">Campus Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_l5lvwg3\" name=\"item_meta[444]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"Campus Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Campus Address is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_445_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qg8g593\" name=\"item_meta[445]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"City is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_446_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_km3s6y3\" name=\"item_meta[446]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_447_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1zvl813\" name=\"item_meta[447]\" value=\"\"  data-sectionid=\"435\"  data-reqmsg=\"Zip cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zip is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_448_container\" class=\"frm_form_field form-field  frm_top_container frm_first_third\">\r\n    <label class=\"frm_primary_label\">Alternative Telephone Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_x6s1yi3\" name=\"item_meta[448]\" value=\"\"  data-sectionid=\"435\"  style=\"width:135px\" data-invmsg=\"Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_449_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_d1b8av\" class=\"frm_primary_label\">Class Standing\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[449]\" id=\"field_d1b8av\"  data-sectionid=\"435\"  data-invmsg=\"Class Standing is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"freshman\">freshman<\/option><option  value=\"sophomore\">sophomore<\/option><option  value=\"junior\">junior<\/option><option  value=\"senior\">senior<\/option><option  value=\"other\">other<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_450_container\" class=\"frm_form_field form-field  frm_top_container frm_last_third\">\r\n    <label for=\"field_1jrq8j\" class=\"frm_primary_label\">if other, please describe\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1jrq8j\" name=\"item_meta[450]\" value=\"\"  data-sectionid=\"435\"  data-invmsg=\"if other, please describe is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_451_container\" class=\"frm_form_field form-field  frm_top_container frm_first_half\">\r\n    <label for=\"field_381n\" class=\"frm_primary_label\">Major\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_381n\" name=\"item_meta[451]\" value=\"\"  data-sectionid=\"435\"  data-invmsg=\"Major is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_452_container\" class=\"frm_form_field form-field  frm_top_container frm_last_half\">\r\n    <label for=\"field_ubiuo2\" class=\"frm_primary_label\">Minor\/Concentration\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ubiuo2\" name=\"item_meta[452]\" value=\"\"  data-sectionid=\"435\"  data-invmsg=\"Minor\/Concentration is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_453_container\" class=\"frm_form_field form-field  frm_top_container frm_first_third\">\r\n    <label for=\"field_90c4qg\" class=\"frm_primary_label\">Anticipated Graduate Date\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_90c4qg\" name=\"item_meta[453]\" value=\"\" data-sectionid=\"435\"  data-invmsg=\"Anticipated Graduate Date is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_454_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_7as8t2\" class=\"frm_primary_label\">Degree to be Obtained at Graduation\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[454]\" id=\"field_7as8t2\"  data-sectionid=\"435\"  data-invmsg=\"Degree to be Obtained at Graduation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"B.A.\">B.A.<\/option><option  value=\"B.S.\">B.S.<\/option><option  value=\"Other\">Other<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_455_container\" class=\"frm_form_field form-field  frm_top_container frm_last_third\">\r\n    <label for=\"field_tjgbqg\" class=\"frm_primary_label\">If Other type of degree, please explain\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tjgbqg\" name=\"item_meta[455]\" value=\"\"  data-sectionid=\"435\"  data-invmsg=\"If Other type of degree, please explain is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_456_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_col vertical_radio frm_other_container\">\r\n    <label class=\"frm_primary_label\">Where did you learn about this opportunity? (select all that apply)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-0\">\t\t\t<label  for=\"field_thfh60-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-0\" value=\"Direct email from ESA\/SEEDS\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   aria-required=\"true\"  \/> Direct email from ESA\/SEEDS<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-1\">\t\t\t<label  for=\"field_thfh60-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-1\" value=\"Other organization website\/listserv\/bulletin board\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> Other organization website\/listserv\/bulletin board<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-2\">\t\t\t<label  for=\"field_thfh60-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-2\" value=\"Web search\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> Web search<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-3\">\t\t\t<label  for=\"field_thfh60-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-3\" value=\"Communication from faculty\/professor\/advisor\t\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> Communication from faculty\/professor\/advisor\t<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-4\">\t\t\t<label  for=\"field_thfh60-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-4\" value=\"Communication from a prior SEEDS participant\t   \"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> Communication from a prior SEEDS participant\t   <\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-5\">\t\t\t<label  for=\"field_thfh60-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-5\" value=\"Through another SEEDS Chapter\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> Through another SEEDS Chapter<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-6\">\t\t\t<label  for=\"field_thfh60-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-6\" value=\"I have participated with SEEDS before\t\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> I have participated with SEEDS before\t<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-7\">\t\t\t<label  for=\"field_thfh60-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-7\" value=\"At a conference\/meeting\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> At a conference\/meeting<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-8\">\t\t\t<label  for=\"field_thfh60-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][]\" id=\"field_thfh60-8\" value=\"Social Media\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> Social Media<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_456-435-other_10\">\t\t\t<label  for=\"field_thfh60-other_10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[456][other_10]\" id=\"field_thfh60-other_10\" value=\"Other (please specify)\"  data-sectionid=\"435\"  data-reqmsg=\"Where did you learn about this opportunity? (select all that apply) cannot be blank.\" data-invmsg=\"Where did you learn about this opportunity? (select all that apply) is invalid\"   \/> Other (please specify)<\/label><label for=\"field_thfh60-other_10-otext\" class=\"frm_screen_reader frm_hidden\">Other (please specify)<\/label><input type=\"text\" id=\"field_thfh60-other_10-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][456][other_10]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_458_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">General Members<\/h3>\r\n\r\n\r\n<div id=\"frm_field_459_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\">Please upload a table (as an EXCEL .xlsx file) of Chapter members including: First Name, Last name, email address, major, and graduation date for each student member. Please indicate Chapter officers in the spreadsheet.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-sectionid=\"458\"  data-reqmsg=\"Please upload a table (as an EXCEL .xlsx file) of Chapter members including: First Name, Last name, email address, major, and graduation date for each student member. Please indicate Chapter officers in the spreadsheet. cannot be blank.\" data-invmsg=\"General Members is invalid\" aria-invalid=\"false\"   name=\"item_meta[459]\"  data-reqmsg=\"Please upload a table (as an EXCEL .xlsx file) of Chapter members including: First Name, Last name, email address, major, and graduation date for each student member. Please indicate Chapter officers in the spreadsheet. cannot be blank.\"  value=\"\" data-frmfile=\"459\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file459_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file459\" id=\"field_smy8co3\"\n\t\t\t data-sectionid=\"458\"  data-reqmsg=\"Please upload a table (as an EXCEL .xlsx file) of Chapter members including: First Name, Last name, email address, major, and graduation date for each student member. Please indicate Chapter officers in the spreadsheet. cannot be blank.\" data-invmsg=\"General Members is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Please upload a table (as an EXCEL .xlsx file) of Chapter members including: First Name, Last name, email address, major, and graduation date for each student member. Please indicate Chapter officers in the spreadsheet.. Drop a file here or click to upload. Maximum file size: 268.44MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Please upload a table (as an EXCEL .xlsx file) of Chapter members including: First Name, Last name, email address, major, and graduation date for each student member. Please indicate Chapter officers in the spreadsheet.. Choose File. Maximum file size: 268.44MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 268.44MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_461_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Chapter Mission<\/h3>\r\n\r\n\r\n<div id=\"frm_field_462_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_30cfqq\" class=\"frm_primary_label\">Please describe the purpose of your Chapter.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[462]\" id=\"field_30cfqq\" rows=\"5\"  data-sectionid=\"461\"  data-reqmsg=\"Please describe the purpose of your Chapter. cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please describe the purpose of your Chapter. is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_463_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_n4fbrh\" class=\"frm_primary_label\">Why is your group seeking to become a SEEDS Campus Ecology Chapter?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[463]\" id=\"field_n4fbrh\" rows=\"5\"  data-sectionid=\"461\"  data-reqmsg=\"Why is your group seeking to become a SEEDS Campus Ecology Chapter? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Why is your group seeking to become a SEEDS Campus Ecology Chapter? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_464_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_s1gkns\" class=\"frm_primary_label\">How will your Chapter demonstrate commitment to the mission and goals of SEEDS?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[464]\" id=\"field_s1gkns\" rows=\"5\"  data-sectionid=\"461\"  data-reqmsg=\"How will your Chapter demonstrate commitment to the mission and goals of SEEDS? cannot be blank.\" aria-required=\"true\" data-invmsg=\"How will your Chapter demonstrate commitment to the mission and goals of SEEDS? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_466_container\" class=\"frm_form_field form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Chapter Activities<\/h3>\r\n\r\n\r\n<div id=\"frm_field_467_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_punonj\" class=\"frm_primary_label\">If the student group applying to be a SEEDS Chapter was preexisting, please describe past activities:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[467]\" id=\"field_punonj\" rows=\"5\"  data-sectionid=\"466\"  data-invmsg=\"If the student group applying to be a SEEDS Chapter was preexisting, please describe past activities: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_468_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_f4pgcx\" class=\"frm_primary_label\">Please describe your proposed activities for this or the upcoming academic year:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[468]\" id=\"field_f4pgcx\" rows=\"5\"  data-sectionid=\"466\"  data-reqmsg=\"Please describe your proposed activities for this or the upcoming academic year: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please describe your proposed activities for this or the upcoming academic year: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_469_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\">Please also attach any relevant Chapter photos or other documents \r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-sectionid=\"466\"  data-invmsg=\"Attach here: is invalid\" aria-invalid=\"false\"   name=\"item_meta[469]\"  value=\"\" data-frmfile=\"469\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file469_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file469\" id=\"field_xq68q3\"\n\t\t\t data-sectionid=\"466\"  data-invmsg=\"Attach here: is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Please also attach any relevant Chapter photos or other documents . Drop a file here or click to upload. Maximum file size: 268.44MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Please also attach any relevant Chapter photos or other documents . Choose File. Maximum file size: 268.44MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 268.44MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_471_container\" class=\"frm_form_field form-field \">\r\n<h3 class=\"frm_pos_top\">Chapter Certification<\/h3>\r\n\r\n<div id=\"frm_desc_field_xgyciw3\" class=\"frm_description frm_section_spacing\">Report completed by: <\/div>\r\n<div id=\"frm_field_472_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_y29nze3\" name=\"item_meta[472]\" value=\"\"  data-sectionid=\"471\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_473_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1hr1a83\" name=\"item_meta[473]\" value=\"\"  data-sectionid=\"471\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"First Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_475_container\" class=\"frm_form_field form-field \">\r\n<h3 class=\"frm_pos_top\">Certification<\/h3>\r\n\r\n<div id=\"frm_desc_field_sfms5h3\" class=\"frm_description frm_section_spacing\"><b>I have read and checked this report for omissions and errors. To the best of my knowledge, the information in this report is complete and accurate.  I understand that the inclusion of false information or the failure to report all information requested in this report may disqualify our Chapter and its members from further opportunities with the Ecological Society of America\u2019s SEEDS Program.  As a SEEDS Campus Ecology Chapter, we will continue to serve the mission of SEEDS - to promote ecology opportunities for students, particularly those underrepresented in the science, to stimulate and nurture their interest, in order to diversify and advance the field of ecology. <\/b><\/div>\r\n<div id=\"frm_field_476_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label for=\"field_thechapteradvisorco-advisorandstudentrepresentativeagreetotheabove3\" class=\"frm_primary_label\">The Chapter Advisor, Co-Advisor, and Student Representative agree to the above:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_476-475-0\">\t\t\t<label  for=\"field_thechapteradvisorco-advisorandstudentrepresentativeagreetotheabove3-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[476]\" 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