{"id":5723,"date":"2019-01-16T17:31:53","date_gmt":"2019-01-16T17:31:53","guid":{"rendered":"https:\/\/esa.org\/seeds\/?page_id=5723"},"modified":"2019-01-16T17:31:53","modified_gmt":"2019-01-16T17:31:53","slug":"graduate-students-seeds-survey","status":"publish","type":"page","link":"https:\/\/esa.org\/seeds\/graduate-students-seeds-survey\/","title":{"rendered":"Graduate Students SEEDS Survey"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3029 img-fluid\" src=\"https:\/\/esa.org\/seeds-preprod\/wp-content\/uploads\/sites\/46\/2014\/07\/FED-FT-2010-2-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/esa.org\/seeds\/wp-content\/uploads\/sites\/46\/2014\/07\/FED-FT-2010-2-300x225.jpg 300w, https:\/\/esa.org\/seeds\/wp-content\/uploads\/sites\/46\/2014\/07\/FED-FT-2010-2.jpg 448w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Thank for your interest in the Strategies for Ecology Education, Diversity and Sustainability (SEEDS) Program of the Ecological Society of America.\u00a0 For over 20 years SEEDS has strived to become a leader in environmental education and for the first time ever we are hoping to serve Graduate Students from across the US with hands-on workshops by partnering up with the National Socio-Environmental Synthesis Center (SESYNC)!<\/p>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_149_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_jp8r1e224242332\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<h3>2024 ESA Annual Meeting: SEEDS Participant Information Sheet<\/h3>\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"149\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_149\" id=\"frm_hide_fields_149\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"jp8r1e224242332\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_149\" name=\"frm_submit_entry_149\" value=\"42f8c461c6\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/seeds\/wp-json\/wp\/v2\/pages\/5723\" \/><div id=\"frm_field_6445_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h1>SEEDS Participant Information Sheet<\/h1>\n<h2>Contact Information<\/h2>\n<p>ATTENTION: The contact information you provide below will be used by the SEEDS program to relay important trip information and travel arrangements. Please provide accurate information for points of contact that will checked regularly and replied to promptly.<\/p><\/div>\n<div id=\"frm_field_6446_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label for=\"field_k0zcmb355432\" class=\"frm_primary_label\">Name:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_k0zcmb355432\" name=\"item_meta[6446]\" value=\"\"  data-reqmsg=\"Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name: is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_k0zcmb355432\" \/>\r\n    <div id=\"frm_desc_field_k0zcmb355432\" class=\"frm_description\">As it appears on your Government ID<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_6447_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_vtpsxx355432\" class=\"frm_primary_label\">Middle Name:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_vtpsxx355432\" name=\"item_meta[6447]\" value=\"\"  data-invmsg=\"Middle Name: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6448_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label for=\"field_qe2j1n355432\" class=\"frm_primary_label\">Last Name:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qe2j1n355432\" name=\"item_meta[6448]\" value=\"\"  data-reqmsg=\"Last Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last Name: is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_qe2j1n355432\" \/>\r\n    <div id=\"frm_desc_field_qe2j1n355432\" class=\"frm_description\">As it appears on your Government ID<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_6452_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_igubg85432\" class=\"frm_primary_label\">Academic Institution\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_igubg85432\" name=\"item_meta[6452]\" value=\"\"  data-reqmsg=\"Academic Institution cannot be blank.\" aria-required=\"true\" data-invmsg=\"Academic Institution is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6453_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_y1nat432\" class=\"frm_primary_label\">Academic Year:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[6453]\" id=\"field_y1nat432\"  data-frmval=\"Freshman \" data-invmsg=\"Academic Year: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Freshman \" selected='selected'>Freshman <\/option><option  value=\"Sophomore\">Sophomore<\/option><option  value=\"Junior\">Junior<\/option><option  value=\"Senior\">Senior<\/option><option  value=\"Super Senior\">Super Senior<\/option><option  value=\"MS\">MS<\/option><option  value=\"PhD\">PhD<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6454_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_ieyv32\" class=\"frm_primary_label\">Major\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ieyv32\" name=\"item_meta[6454]\" value=\"\"  data-reqmsg=\"Major cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6457_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_hmcfwa355432\" class=\"frm_primary_label\">Mailing Address:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_hmcfwa355432\" name=\"item_meta[6457]\" value=\"\"  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_6458_container\" class=\"frm_form_field form-field  frm_top_container frm_last_half\">\r\n    <label for=\"field_205ovq355432\" class=\"frm_primary_label\">Mailing Address 2:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_205ovq355432\" name=\"item_meta[6458]\" value=\"\"  data-invmsg=\"Mailing Address 2: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6459_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label for=\"field_fa3lmi355432\" class=\"frm_primary_label\">City:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_fa3lmi355432\" name=\"item_meta[6459]\" value=\"\"  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_6460_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_v8e8af355432\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[6460]\" id=\"field_v8e8af355432\"  data-frmval=\"Alabama\" data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Alabama\" selected='selected'>Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6461_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label for=\"field_24q9oj355432\" class=\"frm_primary_label\">Zip Code\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_24q9oj355432\" name=\"item_meta[6461]\" value=\"\"  data-reqmsg=\"Zip Code cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zip Code is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6462_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_s6brhp355432\" class=\"frm_primary_label\">Cell Phone: xxx-xxx-xxxx\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_s6brhp355432\" name=\"item_meta[6462]\" value=\"\"  data-reqmsg=\"Cell Phone: xxx-xxx-xxxx cannot be blank.\" aria-required=\"true\" data-invmsg=\"Cell Phone: xxx-xxx-xxxx is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6463_container\" class=\"frm_form_field form-field  frm_top_container frm_last_half\">\r\n    <label for=\"field_ne8a6o355432\" class=\"frm_primary_label\">Telephone Number: xxx-xxx-xxxx\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ne8a6o355432\" name=\"item_meta[6463]\" value=\"\"  data-invmsg=\"Telephone Number: xxx-xxx-xxxx is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6464_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_xjdr2n355432\" class=\"frm_primary_label\">Personal Email Address:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_xjdr2n355432\" name=\"item_meta[6464]\" value=\"\"  data-reqmsg=\"Personal Email Address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Personal Email Address: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6465_container\" class=\"frm_form_field form-field  frm_top_container frm_last_half\">\r\n    <label for=\"field_kyze0f355432\" class=\"frm_primary_label\">School Email Address:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_kyze0f355432\" name=\"item_meta[6465]\" value=\"\"  data-invmsg=\"School Email Address: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6466_container\" class=\"frm_form_field  frm_html_container form-field\"><\/div>\n<div id=\"frm_field_6468_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h2>Flight &amp; Housing Information<\/h2>\n<p>Please indicate the nearest LARGE airport, international preferred. The SEEDS program has a strict budget for flights and flying from a large airport with a lot of connecting flights usually gives us the best price options. It also allows staff to schedule flights with similar arrival and departure times, so participants are not waiting long hours at the airport. If you have any questions about flights or housing information, please contact Fred Abbott at fred@esa.org.<\/p><\/div>\n<div id=\"frm_field_6469_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_tt9412\" id=\"field_tt9412_label\" class=\"frm_primary_label\">Primary Airport: (Please include 3 digit code)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tt9412\" name=\"item_meta[6469]\" value=\"\"  data-reqmsg=\"Primary Airport: (Please include 3 digit code) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6470_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_p2m2k2\" id=\"field_p2m2k2_label\" class=\"frm_primary_label\">Secondary Airport: (Please include 3 digit code)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_p2m2k2\" name=\"item_meta[6470]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7431_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_2ena3\" id=\"field_2ena3_label\" class=\"frm_primary_label\">Gender as it appears on your Government ID:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7431]\" id=\"field_2ena3\"  data-frmval=\"Male\" data-reqmsg=\"Gender as it appears on your Government ID: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Gender as it appears on your Government ID: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\"> <\/option><option  value=\"Male\" selected='selected'>Male<\/option><option  value=\"Female\">Female<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7433_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_c45jd\" id=\"field_c45jd_label\" class=\"frm_primary_label\">Housing Gender:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7433]\" id=\"field_c45jd\"  data-reqmsg=\"Housing Gender: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Housing Gender: is invalid\" aria-invalid=\"false\" aria-describedby=\"frm_desc_field_c45jd\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Man\">Man<\/option><option  value=\"Women\">Women<\/option><option  value=\"Prefer to Self-Describe\">Prefer to Self-Describe<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_c45jd\">Our shared housing is organized by gender and SEEDS staff tries their best to accommodate everyone<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_7435_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_tu9dn\" id=\"field_tu9dn_label\" class=\"frm_primary_label\">Date of Birth:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tu9dn\" name=\"item_meta[7435]\" value=\"\"  data-reqmsg=\"Date of Birth: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date of Birth: is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_tu9dn\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_tu9dn\">Enter in this format mm\/dd\/yyyy<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_7436_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_cqsrh\" id=\"field_cqsrh_label\" class=\"frm_primary_label\">Please self-describe housing gender preference\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_cqsrh\" name=\"item_meta[7436]\" value=\"\"  data-reqmsg=\"Please self-describe housing gender preference cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please self-describe housing gender preference is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7437_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div id=\"field_m1ki7_label\" class=\"frm_primary_label\">Are you physically challenged and\/or require special assistance or services?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_7437-0\">\t\t\t<label  for=\"field_m1ki7-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7437]\" id=\"field_m1ki7-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are you physically challenged and\/or require special assistance or services? cannot be blank.\" data-invmsg=\"Are you physically challenged and\/or require special assistance or services? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_7437-1\">\t\t\t<label  for=\"field_m1ki7-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7437]\" id=\"field_m1ki7-1\" value=\"No\"\n\t\t data-reqmsg=\"Are you physically challenged and\/or require special assistance or services? cannot be blank.\" data-invmsg=\"Are you physically challenged and\/or require special assistance or services? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7438_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_foxym\" id=\"field_foxym_label\" class=\"frm_primary_label\">Please self-describe:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_foxym\" name=\"item_meta[7438]\" value=\"\"  data-reqmsg=\"Please self-describe: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please self-describe: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6472_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h2>Short Biography<\/h2>\n<p>Please write a short paragraph about yourself to share with the rest of the student participants. Introduce yourself, your academic and personal interests and any other cool facts about yourself that you would like to share. This information will be sent out to all participants before the meeting.<\/p>\n<\/div>\n<div id=\"frm_field_6473_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_b2144332\" class=\"frm_primary_label\">Copy and Paste a Short Biography here:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[6473]\" id=\"field_b2144332\" rows=\"5\"  data-reqmsg=\"Copy and Paste a Short Biography here: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Copy and Paste a Short Biography here: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6474_container\" class=\"frm_form_field  frm_html_container form-field\"><\/div>\n<div id=\"frm_field_6475_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h2>Personal Considerations<\/h2>\n<p>The SEEDS program is a minority serving program. The information that you provide is used to measure our programs efforts to increase minority representation within the science of ecology. The information is for SEEDS program use only and is not shared or sold. We appreciate your help!<\/p><\/div>\n<div id=\"frm_field_7440_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_is1wt\" id=\"field_is1wt_label\" class=\"frm_primary_label\">Race \/ Ethnicity:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7440]\" id=\"field_is1wt\"  data-frmval=\"Select your race\/ethnicity\" data-reqmsg=\"Race \/ Ethnicity: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Race \/ Ethnicity: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Select your race\/ethnicity\" selected='selected'>Select your race\/ethnicity<\/option><option  value=\"America Indian or Alaska Native\">America Indian or Alaska Native<\/option><option  value=\"Asian\">Asian<\/option><option  value=\"Black or African American\">Black or African American<\/option><option  value=\"Hispanic or Latino\">Hispanic or Latino<\/option><option  value=\"Native Hawaiian or Other Pacific Islander\">Native Hawaiian or Other Pacific Islander<\/option><option  value=\"Caucasian\">Caucasian<\/option><option  value=\"Prefer not to disclose\">Prefer not to disclose<\/option><option  value=\"Other\">Other<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7439_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_30zlb\" id=\"field_30zlb_label\" class=\"frm_primary_label\">Please specify race or ethnicity\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_30zlb\" name=\"item_meta[7439]\" value=\"\"  data-invmsg=\"Please specify race or ethnicity is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6476_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Are you a first generation college student?\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_6476-0\">\t\t\t<label  for=\"field_yljhdi5432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6476]\" id=\"field_yljhdi5432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are you a first generation college student? cannot be blank.\" data-invmsg=\"Are you a first generation college student? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6476-1\">\t\t\t<label  for=\"field_yljhdi5432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6476]\" id=\"field_yljhdi5432-1\" value=\"No\"\n\t\t data-reqmsg=\"Are you a first generation college student? cannot be blank.\" data-invmsg=\"Are you a first generation college student? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6477_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Are your eligible for the Federal PELL Grant Program?\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_6477-0\">\t\t\t<label  for=\"field_hka3605432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6477]\" id=\"field_hka3605432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are your eligible for the Federal PELL Grant Program? cannot be blank.\" data-invmsg=\"Are your eligible for the Federal PELL Grant Program? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6477-1\">\t\t\t<label  for=\"field_hka3605432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6477]\" id=\"field_hka3605432-1\" value=\"No\"\n\t\t data-reqmsg=\"Are your eligible for the Federal PELL Grant Program? cannot be blank.\" data-invmsg=\"Are your eligible for the Federal PELL Grant Program? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6478_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Are you a veteran of the U.S. Armed Forces?\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_6478-0\">\t\t\t<label  for=\"field_plluim5432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6478]\" id=\"field_plluim5432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are you a veteran of the U.S. Armed Forces? cannot be blank.\" data-invmsg=\"Are you a veteran of the U.S. Armed Forces? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6478-1\">\t\t\t<label  for=\"field_plluim5432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6478]\" id=\"field_plluim5432-1\" value=\"No\"\n\t\t data-reqmsg=\"Are you a veteran of the U.S. Armed Forces? cannot be blank.\" data-invmsg=\"Are you a veteran of the U.S. Armed Forces? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6479_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Are you affiliated with a federally-recognized tribe?\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_6479-0\">\t\t\t<label  for=\"field_gxjl99355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6479]\" id=\"field_gxjl99355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are you affiliated with a federally-recognized tribe? cannot be blank.\" data-invmsg=\"Are you affiliated with a federally-recognized tribe? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6479-1\">\t\t\t<label  for=\"field_gxjl99355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6479]\" id=\"field_gxjl99355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Are you affiliated with a federally-recognized tribe? cannot be blank.\" data-invmsg=\"Are you affiliated with a federally-recognized tribe? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6480_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Are you a tribal member?\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_6480-0\">\t\t\t<label  for=\"field_jjgi3w355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6480]\" id=\"field_jjgi3w355432-0\" value=\"Yes\"\n\t\t data-invmsg=\"Are you a tribal member? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6480-1\">\t\t\t<label  for=\"field_jjgi3w355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6480]\" id=\"field_jjgi3w355432-1\" value=\"No\"\n\t\t data-invmsg=\"Are you a tribal member? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6481_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_i56z06355432\" class=\"frm_primary_label\">Name of  tribe:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_i56z06355432\" name=\"item_meta[6481]\" value=\"\"  data-reqmsg=\"Name of  tribe: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of  tribe: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6482_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h2>Medical Information<\/h2>\n<p><span style=\"font-family: georgia, palatino, serif;font-size: 12pt\">Medical information is collected for emergency use only. In case of an emergency, this information will be shared with medical care providers and the emergency contact will be notified as soon as possible.<\/span><\/div>\n<div id=\"frm_field_6483_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_ykdp57355432\" class=\"frm_primary_label\">Primary Medical Care Provider: Clinic or Physicians name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ykdp57355432\" name=\"item_meta[6483]\" value=\"\"  data-reqmsg=\"Primary Medical Care Provider: Clinic or Physicians name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Primary Medical Care Provider: clinic or physicians name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6484_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_half\">\r\n    <label for=\"field_jdtg0g355432\" class=\"frm_primary_label\">Provider Phone Number: xxx-xxx-xxxx\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_jdtg0g355432\" name=\"item_meta[6484]\" value=\"\"  data-reqmsg=\"Provider Phone Number: xxx-xxx-xxxx cannot be blank.\" aria-required=\"true\" data-invmsg=\"Provider Phone Number: xxx-xxx-xxxx is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6485_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Do you have medical insurance?\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_6485-0\">\t\t\t<label  for=\"field_rfa7zy355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6485]\" id=\"field_rfa7zy355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Do you have medical insurance? cannot be blank.\" data-invmsg=\"Do you have medical insurance? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6485-1\">\t\t\t<label  for=\"field_rfa7zy355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6485]\" id=\"field_rfa7zy355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Do you have medical insurance? cannot be blank.\" data-invmsg=\"Do you have medical insurance? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6486_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_h4jzxa355432\" class=\"frm_primary_label\">Insurance Carrier Name:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_h4jzxa355432\" name=\"item_meta[6486]\" value=\"\"  data-reqmsg=\"Insurance Carrier Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Insurance Carrier Name: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6487_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_half\">\r\n    <label for=\"field_cvdio6355432\" class=\"frm_primary_label\">Policy Number:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_cvdio6355432\" name=\"item_meta[6487]\" value=\"\"  data-reqmsg=\"Policy Number: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Policy Number: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6489_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Do you have any health issues that we should be aware of?\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_6489-0\">\t\t\t<label  for=\"field_lb2o7k355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6489]\" id=\"field_lb2o7k355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Do you have any health issues that we should be aware of? cannot be blank.\" data-invmsg=\"Do you have any health issues that we should be aware of? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6489-1\">\t\t\t<label  for=\"field_lb2o7k355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6489]\" id=\"field_lb2o7k355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Do you have any health issues that we should be aware of? cannot be blank.\" data-invmsg=\"Do you have any health issues that we should be aware of? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6490_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_dmcbp3355432\" class=\"frm_primary_label\">Please describe health issue:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dmcbp3355432\" name=\"item_meta[6490]\" value=\"\"  data-reqmsg=\"Please describe health issue: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please describe health issue: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6491_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Do you have any known medication allergies?\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_6491-0\">\t\t\t<label  for=\"field_hek4ih355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6491]\" id=\"field_hek4ih355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Do you have any known medication allergies? cannot be blank.\" data-invmsg=\"Do you have any known medication allergies? is invalid\" aria-describedby=\"frm_desc_field_hek4ih355432\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6491-1\">\t\t\t<label  for=\"field_hek4ih355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6491]\" id=\"field_hek4ih355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Do you have any known medication allergies? cannot be blank.\" data-invmsg=\"Do you have any known medication allergies? is invalid\" aria-describedby=\"frm_desc_field_hek4ih355432\"   \/> No<\/label><\/div>\n<\/div>\r\n    <div id=\"frm_desc_field_hek4ih355432\" class=\"frm_description\">Are you allergic to any medication?<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_6492_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_c710qo355432\" class=\"frm_primary_label\">Please describe medication allergy:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_c710qo355432\" name=\"item_meta[6492]\" value=\"\"  data-invmsg=\"Please describe medication allergy: is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_c710qo355432\" \/>\r\n    <div id=\"frm_desc_field_c710qo355432\" class=\"frm_description\">Include medications and derivatives. <\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_6493_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Do you have any chronic disability or illness? (past or present)\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_6493-0\">\t\t\t<label  for=\"field_u7pi5j355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6493]\" id=\"field_u7pi5j355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Do you have any chronic disability or illness? (past or present) cannot be blank.\" data-invmsg=\"Do you have any chronic disability or illness? (past or present) is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6493-1\">\t\t\t<label  for=\"field_u7pi5j355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6493]\" id=\"field_u7pi5j355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Do you have any chronic disability or illness? (past or present) cannot be blank.\" data-invmsg=\"Do you have any chronic disability or illness? (past or present) is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6494_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_trolc7355432\" class=\"frm_primary_label\">Please describe:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_trolc7355432\" name=\"item_meta[6494]\" value=\"\"  data-reqmsg=\"Please describe: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please describe: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6495_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Are you physically challenged and\/or requiere special assistance or services?\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_6495-0\">\t\t\t<label  for=\"field_rpirqo355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6495]\" id=\"field_rpirqo355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are you physically challenged and\/or requiere special assistance or services? cannot be blank.\" data-invmsg=\"Are you physically challenged and\/or requiere special assistance or services? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6495-1\">\t\t\t<label  for=\"field_rpirqo355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6495]\" id=\"field_rpirqo355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Are you physically challenged and\/or requiere special assistance or services? cannot be blank.\" data-invmsg=\"Are you physically challenged and\/or requiere special assistance or services? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6496_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_j94ubl355432\" class=\"frm_primary_label\">Please describe:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_j94ubl355432\" name=\"item_meta[6496]\" value=\"\"  data-reqmsg=\"Please describe: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please describe: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6497_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Are you currently taking any medications?\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_6497-0\">\t\t\t<label  for=\"field_k21kfw355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6497]\" id=\"field_k21kfw355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are you currently taking any medications? cannot be blank.\" data-invmsg=\"Are you currently taking any medications? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6497-1\">\t\t\t<label  for=\"field_k21kfw355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6497]\" id=\"field_k21kfw355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Are you currently taking any medications? cannot be blank.\" data-invmsg=\"Are you currently taking any medications? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6498_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_iud7vu355432\" class=\"frm_primary_label\">Please list each medication and its use:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[6498]\" id=\"field_iud7vu355432\" rows=\"5\"  data-reqmsg=\"Please list each medication and its use: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please list each medication and its use: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6499_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Do you have any dietary restrictions or food allergies?\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_6499-0\">\t\t\t<label  for=\"field_37ycj8355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6499]\" id=\"field_37ycj8355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Do you have any dietary restrictions or food allergies? cannot be blank.\" data-invmsg=\"Do you have any dietary restrictions or food allergies? is invalid\" aria-describedby=\"frm_desc_field_37ycj8355432\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6499-1\">\t\t\t<label  for=\"field_37ycj8355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6499]\" id=\"field_37ycj8355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Do you have any dietary restrictions or food allergies? cannot be blank.\" data-invmsg=\"Do you have any dietary restrictions or food allergies? is invalid\" aria-describedby=\"frm_desc_field_37ycj8355432\"   \/> No<\/label><\/div>\n<\/div>\r\n    <div id=\"frm_desc_field_37ycj8355432\" class=\"frm_description\">Food is provided by SEEDS and we make all the arrangement for dietary needs, food allergies or intolerance. <\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_6500_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_tze39l355432\" class=\"frm_primary_label\">Please describe:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tze39l355432\" name=\"item_meta[6500]\" value=\"\"  data-reqmsg=\"Please describe: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please describe: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6504_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h2>Emergency Contact<\/h2>\n<h2><\/h2>\n<\/div>\n<div id=\"frm_field_6505_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_vwl7oh355432\" class=\"frm_primary_label\">Full Name: First and Last\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_vwl7oh355432\" name=\"item_meta[6505]\" value=\"\"  data-reqmsg=\"Full Name: First and Last cannot be blank.\" aria-required=\"true\" data-invmsg=\"Full Name: First and Last is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6506_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_half\">\r\n    <label for=\"field_yrtmi355432\" class=\"frm_primary_label\">Relationship to you: Parent, Spouse, Partner\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_yrtmi355432\" name=\"item_meta[6506]\" value=\"\"  data-reqmsg=\"Relationship to you: Parent, Spouse, Partner cannot be blank.\" aria-required=\"true\" data-invmsg=\"Relationship to you: Parent, Spouse, Partner is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6507_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_2j585355432\" class=\"frm_primary_label\">Mailing Address:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_2j585355432\" name=\"item_meta[6507]\" value=\"\"  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_6508_container\" class=\"frm_form_field form-field  frm_top_container frm_last_half\">\r\n    <label for=\"field_y9nt9i355432\" class=\"frm_primary_label\">Mailing Address 2:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_y9nt9i355432\" name=\"item_meta[6508]\" value=\"\"  data-invmsg=\"Mailing Address 2: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6509_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label for=\"field_imqbeo355432\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_imqbeo355432\" name=\"item_meta[6509]\" value=\"\"  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_6510_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_fxswtb355432\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[6510]\" id=\"field_fxswtb355432\"  data-frmval=\"Alabama\" data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Alabama\" selected='selected'>Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6511_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label for=\"field_2o6nwh355432\" class=\"frm_primary_label\">Zip Code\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_2o6nwh355432\" name=\"item_meta[6511]\" value=\"\"  data-reqmsg=\"Zip Code cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zip Code is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6512_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_third\">\r\n    <label for=\"field_7sbhkq355432\" class=\"frm_primary_label\">Cell Phone: xxx-xxx-xxxx\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_7sbhkq355432\" name=\"item_meta[6512]\" value=\"\"  data-reqmsg=\"Cell Phone: xxx-xxx-xxxx cannot be blank.\" aria-required=\"true\" data-invmsg=\"Cell Phone: xxx-xxx-xxxx is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6513_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_yhkouv355432\" class=\"frm_primary_label\">Alternate Phone: xxx-xxx-xxxx\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_yhkouv355432\" name=\"item_meta[6513]\" value=\"\"  data-invmsg=\"Alternate Phone: xxx-xxx-xxxx is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6514_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_third\">\r\n    <label for=\"field_ad6twn355432\" class=\"frm_primary_label\">Email Address:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ad6twn355432\" name=\"item_meta[6514]\" value=\"\"  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_6515_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h1>Accident Waiver and Release of Responsibility<\/h1>\n<\/div>\n<div id=\"frm_field_6517_container\" class=\"frm_form_field  frm_html_container form-field\">I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND\/OR VOLUNTEERING IN THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them or because of their possible liability without fault.<\/p>\n<p>I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity or event.<\/p>\n<p>I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event.<\/p>\n<p>In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:<\/p>\n<p>(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS:\u00a0 The Ecological Society of America, Inc., (ESA) and\/or their directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, and activity or event volunteers;<\/p>\n<p>(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise.<\/p>\n<p>I acknowledge that ESA and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on their behalf.<\/p>\n<p>I acknowledge that this activity or event may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event monitors, and\/or producers of the event, and lack of hydration.\u00a0 These risks are not only inherent to participants, but are also present for volunteers.<\/p>\n<p>I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and\/or illness during this activity or event.<\/p>\n<p>I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns.<\/p>\n<p>The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.<\/p>\n<p>I CERTIFY THAT I HAVE READ THIS DOCUMENT; AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.<\/p>\n<p>I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity or event.<\/p>\n<p>I acknowledge that this Accident Waiver and Release of Liability form will be used by the event holders, sponsors and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event.<\/p>\n<p>In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS:<\/p>\n<p>The Ecological Society of America, Inc., its directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, activity or event volunteers;<\/p>\n<p>(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise.<\/p>\n<p>I acknowledge that the Ecological Society of America and its directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on behalf of the Ecological Society of America.<\/p>\n<p>I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and\/or illness during this activity or event.<\/p>\n<p>I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns.<\/p>\n<p>The accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.<\/p>\n<p>I CERTIFY THAT I HAVE READ THIS DOCUMENT; AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.<\/p><\/div>\n<div id=\"frm_field_6518_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_sxajfh355432\" class=\"frm_primary_label\">Full Name:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_sxajfh355432\" name=\"item_meta[6518]\" value=\"\"  data-reqmsg=\"Full Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Full Name: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6520_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_fourth\">\r\n    <label for=\"field_fl5rqd355432\" class=\"frm_primary_label\">Date: mm\/dd\/yyyy\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_fl5rqd355432\" name=\"item_meta[6520]\" value=\"\"  data-reqmsg=\"Date: mm\/dd\/yyyy cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date: mm\/dd\/yyyy is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6521_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h1>Travel Policy Agreement<\/h1>\n<\/div>\n<div id=\"frm_field_6523_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p>I HEREBY AGREE TO THE FOLLOWING:<\/p>\n<p>I will be responsible for the cost of travel arrangements that are not booked through the Ecological Society of America<\/p>\n<p>I will be responsible for the cost of travel arrangements made after the designated program deadline.<\/p>\n<p>I will be responsible for any travel arrangement costs that exceed round-trip travel between my local airport and the specified destination.<\/p>\n<p>I will be responsible for any costs that might be incurred as a result of changing my travel arrangements once they have been made.<\/p>\n<p>I will be responsible for any expenses that cannot be recouped if I cancel a reservation for any reason deemed foreseeable.<\/p>\n<p><strong>I will be responsible for any expenses that might be incurred due to airline fees for checked luggage.<\/strong><\/p>\n<p><strong>ESA-SEEDS Program is a drug free environment, I will be held accountable for any expenses if I am found in possession of or under the influence of any illegal drug under federal law while participating in program events.<\/strong><\/p>\n<p>In the event of emergency or illness, I must cancel my reservation before the time of departure in order to receive credit for the ticket cost. This credit will be applied for future SEEDS program travel.<\/p>\n<p>That COVID-19 Vaccinations are required to participate. If not vaccinated for religious or medical exemptions, you must present a negative PCR test for COVID-19 within 72h before the start of the in-person event.<\/p>\n<p>Any pictures or videos of this event taken by SEEDS Staff can be used for promotional purposes of the Ecological Society of America and the SEEDS Program.<\/p>\n<p>I CERTIFY THAT I HAVE READ THIS DOCUMENT; AND I FULLY UNDERSTAND ITS CONTENT.<\/p>\n<\/div>\n<div id=\"frm_field_6524_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_cnj6fy355432\" class=\"frm_primary_label\">Full Name:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_cnj6fy355432\" name=\"item_meta[6524]\" value=\"\"  data-reqmsg=\"Full Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Full Name: is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6526_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last_fourth\">\r\n    <label for=\"field_or6q4r355432\" class=\"frm_primary_label\">Date: mm\/dd\/yyyy\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_or6q4r355432\" name=\"item_meta[6526]\" value=\"\"  data-reqmsg=\"Date: mm\/dd\/yyyy cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date: mm\/dd\/yyyy is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7429_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h2><strong>ESA Code of Conduct and Health &amp; Safety Guidelines<\/strong><\/h2>\n<p>All participants of ESA events and programs are expected to conform to<\/p>\n<p><a class=\"fui-Link ___1idfs5o f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh ftqa4ok f2hkw1w fhgqx19 f1olyrje f1p93eir f1h8hb77 f1x7u7e9 f10aw75t fsle3fq f17ae5zn\" title=\"https:\/\/esa.org\/events\/code-of-conduct-for-esa-events\/\" href=\"https:\/\/esa.org\/events\/code-of-conduct-for-esa-events\/\" target=\"_blank\" rel=\"noreferrer noopener\">ESA's Code of Conduct<\/a>.<\/p>\n<p><a class=\"fui-Link ___1idfs5o f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh ftqa4ok f2hkw1w fhgqx19 f1olyrje f1p93eir f1h8hb77 f1x7u7e9 f10aw75t fsle3fq f17ae5zn\" title=\"https:\/\/esa.org\/seeds\/health-and-safety\/\" href=\"https:\/\/esa.org\/seeds\/health-and-safety\/\" target=\"_blank\" rel=\"noreferrer noopener\">ESA's Health and Safety Guidelines<\/a><\/div>\n<div id=\"frm_field_7430_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Do you agree with these statements?\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_7430-0\">\t\t\t<label  for=\"field_avv6s-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7430]\" id=\"field_avv6s-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Do you agree with these statements? cannot be blank.\" data-invmsg=\"Do you agree with these statements? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_7430-1\">\t\t\t<label  for=\"field_avv6s-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7430]\" id=\"field_avv6s-1\" value=\"No\"\n\t\t data-reqmsg=\"Do you agree with these statements? cannot be blank.\" data-invmsg=\"Do you agree with these statements? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_6527_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h2>Participant Certification<\/h2>\n<p>I have read and checked this form for omissions and errors. To the best of my knowledge, the information is complete and correct. I understand that the inclusion by me of false information or the failure to report all information requested in this application could disqualify me for further opportunities with the Ecological Society of America's SEEDS Program.<\/p><\/div>\n<div id=\"frm_field_6528_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <label class=\"frm_primary_label\">Do you agree?\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_6528-0\">\t\t\t<label  for=\"field_axwgm6355432-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6528]\" id=\"field_axwgm6355432-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Do you agree? cannot be blank.\" data-invmsg=\"Do you agree? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_6528-1\">\t\t\t<label  for=\"field_axwgm6355432-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[6528]\" id=\"field_axwgm6355432-1\" value=\"No\"\n\t\t data-reqmsg=\"Do you agree? cannot be blank.\" data-invmsg=\"Do you agree? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7451_container\" class=\"frm_form_field form-field \">\n\t<div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Submit\"  class=\"frm_final_submit\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/esa.org\/seeds\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\" style=\"visibility:hidden\" \/>\r\n\r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_8271_container\">\n\t\t\t<label for=\"field_wyeyx\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_wyeyx\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[8271]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"Wb54gdfbhkFlzSLkYkRFFOePxwX031iekp29pjhWpPjpyIG89wPyI5zYgV2z4zjM\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"174\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Thank for your interest in the Strategies for Ecology Education, Diversity and Sustainability (SEEDS) Program of the Ecological Society of America.\u00a0 For over 20 years SEEDS has strived to become a leader in environmental education and for the first time ever we are hoping to serve Graduate Students from across the US with hands-on workshops by partnering up with the&#8230;<\/p>\n","protected":false},"author":18,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-5723","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/esa.org\/seeds\/wp-json\/wp\/v2\/pages\/5723","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/esa.org\/seeds\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/esa.org\/seeds\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/esa.org\/seeds\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/esa.org\/seeds\/wp-json\/wp\/v2\/comments?post=5723"}],"version-history":[{"count":0,"href":"https:\/\/esa.org\/seeds\/wp-json\/wp\/v2\/pages\/5723\/revisions"}],"wp:attachment":[{"href":"https:\/\/esa.org\/seeds\/wp-json\/wp\/v2\/media?parent=5723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}