{"id":3190,"date":"2022-01-07T12:26:07","date_gmt":"2022-01-07T17:26:07","guid":{"rendered":"https:\/\/trocaire.edu\/academics\/?page_id=3190"},"modified":"2026-04-06T15:07:03","modified_gmt":"2026-04-06T19:07:03","slug":"healthcare-programs-at-gerard-place","status":"publish","type":"page","link":"https:\/\/trocaire.edu\/academics\/workforce-development\/healthcare-programs-at-gerard-place\/","title":{"rendered":"Healthcare Programs at Gerard Place"},"content":{"rendered":"\n<div class=\"intro-copy pt-8 intro-copy-block align\" data-block_c2000ac7df79000b964224393702a85d>\n      <p>Trocaire College and Gerard Place are partnering to offer the Phlebotomy, Sterile Processing, Pharmacy Tech, and Healthcare Career Exploration programs. This application is free. Applications will be reviewed first come, first served.<\/p>\n\n  <\/div>\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Gerard Place Healthcare Career Pathways\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/x08mqUTG-Ik?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Healthcare Career Exploration <\/strong><\/p>\n\n\n\n<p>This program enables participants to learn about the healthcare system and various career opportunities available within healthcare.<\/p>\n\n\n\n<p><strong>Career opportunities highlighted include:<\/strong><br><em>Nursing<br>Medical Assisting<br>Radiologic Technology<br>Healthcare Management<br>Surgical Technology<br>Massage Therapy<br>Healthcare Informatics<br>Pharmacy Technician<br>Phlebotomy<br>Sterile Processing and Distribution<br>EKG Technician<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>February 11th- March 25th, 2026<\/li>\n\n\n\n<li>Wednesdays only<\/li>\n\n\n\n<li>9:30am-12:30pm<\/li>\n\n\n\n<li>*No Clinicals*<\/li>\n\n\n\n<li>Classes will be held in person at&nbsp;<a href=\"https:\/\/gerardplace.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gerard Place<\/a>.<\/li>\n\n\n\n<li>*Students can obtain a loaner computer from Trocaire after enrollment for the class*<\/li>\n<\/ul>\n\n\n<div class=\"accordion-group-trocaire flex flex-col items-start w-full py-4 accordion-group-block align\" data-block_29b477379a37345416711096e4016793>\n            <a href=\"#\" class=\"accordion-toggle w-full bg-trocaire-red flex items-center flex-row mt-4 p-3 font-bold\">\n        <div class=\"w-full pl-3 leading-8\">Apply to Healthcare Career Exploration<\/div>\n        <i class=\"fas fa-angle-right text-2xl px-2 mt-1\"><\/i>\n      <\/a>\n      <div class=\"w-full pl-6 pr-12 px-2\">\n        <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]&gt; *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_18' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Trocaire Healthcare Career Exploration Program<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_18'  action='\/academics\/wp-json\/wp\/v2\/pages\/3190' data-formid='18' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_18_44\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_44'>URL<\/label><div class='ginput_container'><input name='input_44' id='input_18_44' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_18_44'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_18_41\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_18_41'>\n                            \n                            <span id='input_18_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_18_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_18_41_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.4' id='input_18_41_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_18_41_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_18_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_18_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_18_38\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_18_38' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_18_38_1_container' >\n                                        <input type='text' name='input_38.1' id='input_18_38_1' value=''    aria-required='true'    \/>\n                                        <label for='input_18_38_1' id='input_18_38_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_18_38_2_container' >\n                                        <input type='text' name='input_38.2' id='input_18_38_2' value=''     aria-required='false'   \/>\n                                        <label for='input_18_38_2' id='input_18_38_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_18_38_3_container' >\n                                    <input type='text' name='input_38.3' id='input_18_38_3' value=''    aria-required='true'    \/>\n                                    <label for='input_18_38_3' id='input_18_38_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_18_38_4_container' >\n                                        <select name='input_38.4' id='input_18_38_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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='Guam' >Guam<\/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='Northern Mariana Islands' >Northern Mariana Islands<\/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='U.S. Virgin Islands' >U.S. Virgin Islands<\/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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_18_38_4' id='input_18_38_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_18_38_5_container' >\n                                    <input type='text' name='input_38.5' id='input_18_38_5' value=''    aria-required='true'    \/>\n                                    <label for='input_18_38_5' id='input_18_38_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_38.6' id='input_18_38_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_18_39\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_39'>Mobile\/Home Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_18_39' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_40\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_40'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_40' id='input_18_40' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_18_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_11'>Birth date (MM\/DD\/YY)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_18_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_12'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_18_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Prefer Not To Disclose' >Prefer Not To Disclose<\/option><\/select><\/div><\/div><div id=\"field_18_43\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_43'>Cohort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_18_43' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='July 2026-Peace Prints' >July 2026-Peace Prints<\/option><\/select><\/div><\/div><fieldset id=\"field_18_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Race (Required by the U.S. Department of Education Title VI Civil Rights Act, 1964)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_13'>\n\t\t\t<div class='gchoice gchoice_18_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Alaskan\/American Indian'  id='choice_18_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_0' id='label_18_13_0' class='gform-field-label gform-field-label--type-inline'>Alaskan\/American Indian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Asian'  id='choice_18_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_1' id='label_18_13_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Black Non-hispanic'  id='choice_18_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_2' id='label_18_13_2' class='gform-field-label gform-field-label--type-inline'>Black Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='White Non-hispanic'  id='choice_18_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_3' id='label_18_13_3' class='gform-field-label gform-field-label--type-inline'>White Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Multi-racial'  id='choice_18_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_4' id='label_18_13_4' class='gform-field-label gform-field-label--type-inline'>Multi-racial<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Hispanic\/Latino'  id='choice_18_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_5' id='label_18_13_5' class='gform-field-label gform-field-label--type-inline'>Hispanic\/Latino<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Other'  id='choice_18_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_6' id='label_18_13_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_14'>High School Attended<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_18_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_15'>High School State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_18_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_16'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_18_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Obtained a GED\/HSE' >Obtained a GED\/HSE<\/option><\/select><\/div><\/div><div id=\"field_18_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_17'>Graduation Year\/GED Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_18_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_19'>Have you attended college or trade school?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_18_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Third Choice' >Third Choice<\/option><\/select><\/div><\/div><div id=\"field_18_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_20'>If yes, where?<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_18_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_27'>Year(s) of attendance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_18_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_29'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_18_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_18_23\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_23'>Are you currently employed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_18_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes, full time' >Yes, full time<\/option><option value='Yes, part time' >Yes, part time<\/option><option value='Yes, seasonal' >Yes, seasonal<\/option><option value='Yes, per diem' >Yes, per diem<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_18_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_31'>Employment History (last or current job). Please include the following: Company Name, Title, Dates of Employment, Work Hours, Reason for Leaving (if applicable)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_18_31' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_24\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_24'>Source of income (please select all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_24[]' id='input_18_24' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Employment' >Employment<\/option><option value='Unemployment Benefits' >Unemployment Benefits<\/option><option value='Veteran&#039;s Benefits' >Veteran&#039;s Benefits<\/option><option value='Social Services' >Social Services<\/option><option value='TANK\/SNAP\/Food Stamp' >TANK\/SNAP\/Food Stamp<\/option><option value='Medicaid\/Health Insurance' >Medicaid\/Health Insurance<\/option><option value='Family Support' >Family Support<\/option><option value='Other' >Other<\/option><option value='Workman Compensation' >Workman Compensation<\/option><option value='SSI\/Disability' >SSI\/Disability<\/option><\/select><\/div><\/div><div id=\"field_18_25\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_25'>How did you hear about our program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_25[]' id='input_18_25' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='TV' >TV<\/option><option value='Facebook' >Facebook<\/option><option value='Job Fair' >Job Fair<\/option><option value='Faith-based Flyer' >Faith-based Flyer<\/option><option value='Visit Trocaire Website' >Visit Trocaire Website<\/option><option value='Referred by Agency' >Referred by Agency<\/option><option value='Flyer' >Flyer<\/option><option value='Community Outreach Activity' >Community Outreach Activity<\/option><option value='Google\/Internet Search' >Google\/Internet Search<\/option><option value='Family\/Friend' >Family\/Friend<\/option><option value='Word of Mouth' >Word of Mouth<\/option><option value='' ><\/option><\/select><\/div><\/div><fieldset id=\"field_18_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I hereby certify that the information contained in the Healthcare Career Exploration Application I submit to Trocaire College  is true and complete to the best of my knowledge, I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration or dismissal from Trocaire Healthcare Career Exploration Program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_26'>\n\t\t\t<div class='gchoice gchoice_18_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='I agree'  id='choice_18_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_26_0' id='label_18_26_0' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_33\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_33'>High School Transcript\/GED or Diploma<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_33' id='input_18_33' type='file' class='medium' aria-describedby=\"gfield_upload_rules_18_33 gfield_description_18_33\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_18_33'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_18_33'><\/div> <\/div><div class='gfield_description' id='gfield_description_18_33'>If you have copies of your high school transcripts\/GED or diploma, please attach a copy. <\/div><\/div><div id=\"field_18_34\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_34'>College Transcript\/Reading Scores<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_34' id='input_18_34' type='file' class='medium' aria-describedby=\"gfield_upload_rules_18_34 gfield_description_18_34\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_18_34'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_18_34'><\/div> <\/div><div class='gfield_description' id='gfield_description_18_34'>If you have copies of your College Transcripts, or have previously taken the reading comprehension test, please attach a copy. <\/div><\/div><div id=\"field_18_42\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_42'>CAPTCHA<\/label><div id='input_18_42' class='ginput_container ginput_recaptcha' data-sitekey='6LdyBX8eAAAAAJr4tgy7xD4jKtLBwzenAaojmOWl'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_18' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_18' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_18' id='gform_theme_18' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_18' id='gform_style_settings_18' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_18' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='18' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='xuOfLbz\/hvaIM01REq592eOBGiDVAvU3nNixuCtbL5SRmXQ0TDcZhiMfMsvo3H0PSUfOWvjkcsBzI1UFqG0YAzr1iWsPqpZggjA1tyl\/0YLCHmg=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_18' value='WyJbXSIsIjZlYmZhZTgwMWYyM2EzOTEzNzJjN2JiM2EzZjczMmIwIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_18' id='gform_target_page_number_18' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_18' id='gform_source_page_number_18' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 18, 'https:\/\/trocaire.edu\/academics\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_18').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_18');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_18').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_18').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_18').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_18').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_18').val();gformInitSpinner( 18, 'https:\/\/trocaire.edu\/academics\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [18, current_page]);window['gf_submitting_18'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_18').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [18]);window['gf_submitting_18'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_18').text());}else{jQuery('#gform_18').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ 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debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();      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March 17th-May 21st, 2026\n<ul class=\"wp-block-list\">\n<li>Tuesdays (Virtual) @5pm-8:30pm<\/li>\n\n\n\n<li>Thursday (In-Person) @9am-12:30pm<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Clinical: <\/strong>May 4th-May 15th (No Saturday classes)<\/li>\n\n\n\n<li>Classes will be held in person at&nbsp;<a href=\"https:\/\/gerardplace.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gerard Place<\/a>.<\/li>\n\n\n\n<li>*Students can obtain a loaner computer from Trocaire after enrollment for the class*<\/li>\n<\/ul>\n\n\n<div class=\"accordion-group-trocaire flex flex-col items-start w-full py-4 accordion-group-block align\" data-block_90eaf3e95be2127b442159d010a2b87a>\n            <a href=\"#\" class=\"accordion-toggle w-full bg-trocaire-red flex items-center flex-row mt-4 p-3 font-bold\">\n        <div class=\"w-full pl-3 leading-8\">Apply to EKG Program<\/div>\n        <i class=\"fas fa-angle-right text-2xl px-2 mt-1\"><\/i>\n      <\/a>\n      <div class=\"w-full pl-6 pr-12 px-2\">\n        \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_31' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Trocaire EKG Program<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_31'  action='\/academics\/wp-json\/wp\/v2\/pages\/3190' data-formid='31' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_31' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_31_45\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_45'>Company<\/label><div class='ginput_container'><input name='input_45' id='input_31_45' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_31_45'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_31_41\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_31_41'>\n                            \n                            <span id='input_31_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_31_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_31_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_31_41_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.4' id='input_31_41_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_31_41_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_31_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_31_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_31_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_31_38\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_31_38' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_31_38_1_container' >\n                                        <input type='text' name='input_38.1' id='input_31_38_1' value=''    aria-required='true'    \/>\n                                        <label for='input_31_38_1' id='input_31_38_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_31_38_2_container' >\n                                        <input type='text' name='input_38.2' id='input_31_38_2' value=''     aria-required='false'   \/>\n                                        <label for='input_31_38_2' id='input_31_38_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_31_38_3_container' >\n                                    <input type='text' name='input_38.3' id='input_31_38_3' value=''    aria-required='true'    \/>\n                                    <label for='input_31_38_3' id='input_31_38_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_31_38_4_container' >\n                                        <select name='input_38.4' id='input_31_38_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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='Guam' >Guam<\/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='Northern Mariana Islands' >Northern Mariana Islands<\/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='U.S. Virgin Islands' >U.S. Virgin Islands<\/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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_31_38_4' id='input_31_38_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_31_38_5_container' >\n                                    <input type='text' name='input_38.5' id='input_31_38_5' value=''    aria-required='true'    \/>\n                                    <label for='input_31_38_5' id='input_31_38_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_38.6' id='input_31_38_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_31_39\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_39'>Mobile\/Home Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_31_39' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_31_40\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_40'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_40' id='input_31_40' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_31_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_11'>Birth date (MM\/DD\/YY)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_31_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_31_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_12'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_31_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Prefer Not To Disclose' >Prefer Not To Disclose<\/option><\/select><\/div><\/div><div id=\"field_31_35\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_35'>Cohort Applying For<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_31_35' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='September 2026' selected='selected'>September 2026<\/option><\/select><\/div><\/div><fieldset id=\"field_31_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Race (Required by the U.S. Department of Education Title VI Civil Rights Act, 1964)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_31_13'>\n\t\t\t<div class='gchoice gchoice_31_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Alaskan\/American Indian'  id='choice_31_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_13_0' id='label_31_13_0' class='gform-field-label gform-field-label--type-inline'>Alaskan\/American Indian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Asian'  id='choice_31_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_13_1' id='label_31_13_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Black Non-hispanic'  id='choice_31_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_13_2' id='label_31_13_2' class='gform-field-label gform-field-label--type-inline'>Black Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='White Non-hispanic'  id='choice_31_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_13_3' id='label_31_13_3' class='gform-field-label gform-field-label--type-inline'>White Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Multi-racial'  id='choice_31_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_13_4' id='label_31_13_4' class='gform-field-label gform-field-label--type-inline'>Multi-racial<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Hispanic\/Latino'  id='choice_31_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_13_5' id='label_31_13_5' class='gform-field-label gform-field-label--type-inline'>Hispanic\/Latino<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Other'  id='choice_31_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_13_6' id='label_31_13_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_31_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Military Status<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_31_42'>\n\t\t\t<div class='gchoice gchoice_31_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Veteran'  id='choice_31_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_42_0' id='label_31_42_0' class='gform-field-label gform-field-label--type-inline'>Veteran<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Active Duty'  id='choice_31_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_42_1' id='label_31_42_1' class='gform-field-label gform-field-label--type-inline'>Active Duty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Reserves'  id='choice_31_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_42_2' id='label_31_42_2' class='gform-field-label gform-field-label--type-inline'>Reserves<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Spouse'  id='choice_31_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_42_3' id='label_31_42_3' class='gform-field-label gform-field-label--type-inline'>Spouse<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_31_42_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Dependent'  id='choice_31_42_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_42_4' id='label_31_42_4' class='gform-field-label gform-field-label--type-inline'>Dependent<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_31_43\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_43'>Proof of Military Status and\/or Discharge Paperwork<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_43' id='input_31_43' type='file' class='large' aria-describedby=\"gfield_upload_rules_31_43\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_31_43'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_31_43'><\/div> <\/div><\/div><div id=\"field_31_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_14'>High School Attended<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_31_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_31_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_15'>High School State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_31_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_31_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_16'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_31_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Obtained a GED\/HSE' >Obtained a GED\/HSE<\/option><\/select><\/div><\/div><div id=\"field_31_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_17'>Graduation Year\/GED Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_31_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_31_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_19'>Have you attended college or trade school?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_31_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Third Choice' >Third Choice<\/option><\/select><\/div><\/div><div id=\"field_31_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_20'>If yes, where?<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_31_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_31_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_27'>Year(s) of attendance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_31_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_31_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_29'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_31_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_31_23\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_23'>Are you currently employed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_31_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes, full time' >Yes, full time<\/option><option value='Yes, part time' >Yes, part time<\/option><option value='Yes, seasonal' >Yes, seasonal<\/option><option value='Yes, per diem' >Yes, per diem<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_31_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_31'>Employment History (last or current job). Please include the following: Company Name, Title, Dates of Employment, Work Hours, Reason for Leaving (if applicable)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_31_31' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_31_24\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_24'>Source of income (please select all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_24[]' id='input_31_24' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Employment' >Employment<\/option><option value='Unemployment Benefits' >Unemployment Benefits<\/option><option value='Veteran&#039;s Benefits' >Veteran&#039;s Benefits<\/option><option value='Social Services' >Social Services<\/option><option value='TANK\/SNAP\/Food Stamp' >TANK\/SNAP\/Food Stamp<\/option><option value='Medicaid\/Health Insurance' >Medicaid\/Health Insurance<\/option><option value='Family Support' >Family Support<\/option><option value='Other' >Other<\/option><option value='Workman Compensation' >Workman Compensation<\/option><option value='SSI\/Disability' >SSI\/Disability<\/option><\/select><\/div><\/div><div id=\"field_31_25\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_25'>How did you hear about our program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_25[]' id='input_31_25' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='TV' >TV<\/option><option value='Facebook' >Facebook<\/option><option value='Job Fair' >Job Fair<\/option><option value='Faith-based Flyer' >Faith-based Flyer<\/option><option value='Visit Trocaire Website' >Visit Trocaire Website<\/option><option value='Referred by Agency' >Referred by Agency<\/option><option value='Flyer' >Flyer<\/option><option value='Community Outreach Activity' >Community Outreach Activity<\/option><option value='Google\/Internet Search' >Google\/Internet Search<\/option><option value='Family\/Friend' >Family\/Friend<\/option><option value='Word of Mouth' >Word of Mouth<\/option><option value='' ><\/option><\/select><\/div><\/div><fieldset id=\"field_31_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I hereby certify that the information contained in the EKG Program Application that I submit to Trocaire College  is true and complete to the best of my knowledge, I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration or dismissal from Trocaire EKG Program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_31_26'>\n\t\t\t<div class='gchoice gchoice_31_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='I agree'  id='choice_31_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_31_26_0' id='label_31_26_0' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_31_33\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_33'>High School Transcript\/GED or Diploma<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_33' id='input_31_33' type='file' class='medium' aria-describedby=\"gfield_upload_rules_31_33 gfield_description_31_33\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_31_33'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_31_33'><\/div> <\/div><div class='gfield_description' id='gfield_description_31_33'>If you have copies of your high school transcripts\/GED or diploma, please attach a copy. <\/div><\/div><div id=\"field_31_34\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_34'>College Transcript\/Reading Scores<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_34' id='input_31_34' type='file' class='medium' aria-describedby=\"gfield_upload_rules_31_34 gfield_description_31_34\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_31_34'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_31_34'><\/div> <\/div><div class='gfield_description' id='gfield_description_31_34'>If you have copies of your College Transcripts, or have previously taken the reading comprehension test, please attach a copy. <\/div><\/div><div id=\"field_31_44\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_44'>CAPTCHA<\/label><div id='input_31_44' class='ginput_container ginput_recaptcha' data-sitekey='6LdyBX8eAAAAAJr4tgy7xD4jKtLBwzenAaojmOWl'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_31' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_31' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_31' id='gform_theme_31' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_31' id='gform_style_settings_31' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_31' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='31' \/>\n            \n            <input type='hidden' class='gform_hidden' 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name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 31, 'https:\/\/trocaire.edu\/academics\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_31').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_31');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_31').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_31').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_31').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_31').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_31').val();gformInitSpinner( 31, 'https:\/\/trocaire.edu\/academics\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [31, current_page]);window['gf_submitting_31'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_31').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [31]);window['gf_submitting_31'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_31').text());}else{jQuery('#gform_31').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"31\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_31\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_31\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_31\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 31, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]&gt; *\/\n<\/script>\n\n\n      <\/div>\n      <\/div>\n\n\n<h4 class=\"wp-block-heading\">Phlebotomy<\/h4>\n\n\n\n<p>Phlebotomists are technicians trained to draw blood for medical tests, transfusions, donations, or research. Working in phlebotomy may require you to provide assistance if patients have adverse reactions to their blood draw or simply to explain your work and help patients feel less nervous. Phlebotomists are also responsible for the assembly and maintenance of a variety of medical instruments, including needles, test tubes, and blood vials. It is vital that they also keep a safe and sanitary work area, as well as correctly label drawn blood for testing or processing.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>To Be Determined-&nbsp;<em>Please check back for dates<\/em><\/li>\n\n\n\n<li>Classes will be held in person at&nbsp;<a href=\"https:\/\/gerardplace.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gerard Place<\/a>.<\/li>\n\n\n\n<li>*Students can obtain a loaner computer from Trocaire after enrollment for the class*<\/li>\n\n\n\n<li>Looking for additional Phlebotomy classes? Visit our\u00a0<a href=\"https:\/\/trocaire.edu\/academics\/workforce-development\/phlebotomy\/\" target=\"_blank\" rel=\"noreferrer noopener\">Phlebotomy<\/a>\u00a0program.<\/li>\n<\/ul>\n\n\n<div class=\"accordion-group-trocaire flex flex-col items-start w-full py-4 accordion-group-block align\" data-block_3287b8f5664a0e479e2f420f7bd62dcf>\n            <a href=\"#\" class=\"accordion-toggle w-full bg-trocaire-red flex items-center flex-row mt-4 p-3 font-bold\">\n        <div class=\"w-full pl-3 leading-8\">Apply to Phlebotomy<\/div>\n        <i class=\"fas fa-angle-right text-2xl px-2 mt-1\"><\/i>\n      <\/a>\n      <div class=\"w-full pl-6 pr-12 px-2\">\n        \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Trocaire Phlebotomy Application<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/academics\/wp-json\/wp\/v2\/pages\/3190' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_45\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_45'>Email<\/label><div class='ginput_container'><input name='input_45' id='input_3_45' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_45'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_3_41\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_3_41'>\n                            \n                            <span id='input_3_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_3_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_3_41_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.4' id='input_3_41_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_3_41_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_3_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_3_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_3_38\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_3_38' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_38_1_container' >\n                                        <input type='text' name='input_38.1' id='input_3_38_1' value=''    aria-required='false'    \/>\n                                        <label for='input_3_38_1' id='input_3_38_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_38_2_container' >\n                                        <input type='text' name='input_38.2' id='input_3_38_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_38_2' id='input_3_38_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_38_3_container' >\n                                    <input type='text' name='input_38.3' id='input_3_38_3' value=''    aria-required='false'    \/>\n                                    <label for='input_3_38_3' id='input_3_38_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3_38_4_container' >\n                                        <select name='input_38.4' id='input_3_38_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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='Guam' >Guam<\/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='Northern Mariana Islands' >Northern Mariana Islands<\/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='U.S. Virgin Islands' >U.S. Virgin Islands<\/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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_3_38_4' id='input_3_38_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3_38_5_container' >\n                                    <input type='text' name='input_38.5' id='input_3_38_5' value=''    aria-required='false'    \/>\n                                    <label for='input_3_38_5' id='input_3_38_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_38.6' id='input_3_38_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3_39\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_39'>Mobile\/Home Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_3_39' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_40\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_40'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_40' id='input_3_40' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Birth date (MM\/DD\/YY)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_3_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Prefer Not To Disclose' >Prefer Not To Disclose<\/option><\/select><\/div><\/div><div id=\"field_3_35\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_35'>Cohort Applying For<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_3_35' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='October 2026' >October 2026<\/option><\/select><\/div><\/div><fieldset id=\"field_3_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Race (Required by the U.S. Department of Education Title VI Civil Rights Act, 1964)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_13'>\n\t\t\t<div class='gchoice gchoice_3_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Alaskan\/American Indian'  id='choice_3_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_0' id='label_3_13_0' class='gform-field-label gform-field-label--type-inline'>Alaskan\/American Indian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Asian'  id='choice_3_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_1' id='label_3_13_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Black Non-hispanic'  id='choice_3_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_2' id='label_3_13_2' class='gform-field-label gform-field-label--type-inline'>Black Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='White Non-hispanic'  id='choice_3_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_3' id='label_3_13_3' class='gform-field-label gform-field-label--type-inline'>White Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Multi-racial'  id='choice_3_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_4' id='label_3_13_4' class='gform-field-label gform-field-label--type-inline'>Multi-racial<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Hispanic\/Latino'  id='choice_3_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_5' id='label_3_13_5' class='gform-field-label gform-field-label--type-inline'>Hispanic\/Latino<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Other'  id='choice_3_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_6' id='label_3_13_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Military Staus<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_42'>\n\t\t\t<div class='gchoice gchoice_3_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Veteran'  id='choice_3_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_0' id='label_3_42_0' class='gform-field-label gform-field-label--type-inline'>Veteran<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Active Duty'  id='choice_3_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_1' id='label_3_42_1' class='gform-field-label gform-field-label--type-inline'>Active Duty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Reserves'  id='choice_3_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_2' id='label_3_42_2' class='gform-field-label gform-field-label--type-inline'>Reserves<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Spouse'  id='choice_3_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_3' id='label_3_42_3' class='gform-field-label gform-field-label--type-inline'>Spouse<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_42_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Dependent'  id='choice_3_42_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_4' id='label_3_42_4' class='gform-field-label gform-field-label--type-inline'>Dependent<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_43\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_43'>Proof of Military Status and\/or Discharge Paperwork<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_43' id='input_3_43' type='file' class='large' aria-describedby=\"gfield_upload_rules_3_43\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_43'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_43'><\/div> <\/div><\/div><div id=\"field_3_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_14'>High School Attended<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_3_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'>High School State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_3_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_16'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_3_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Obtained a GED\/HSE' >Obtained a GED\/HSE<\/option><\/select><\/div><\/div><div id=\"field_3_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Graduation Year\/GED Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_3_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'>Have you attended college or trade school?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_3_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Third Choice' >Third Choice<\/option><\/select><\/div><\/div><div id=\"field_3_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_20'>If yes, where?<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_3_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_27'>Year(s) of attendance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_3_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_29'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_3_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_3_23\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_23'>Are you currently employed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_3_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes, full time' >Yes, full time<\/option><option value='Yes, part time' >Yes, part time<\/option><option value='Yes, seasonal' >Yes, seasonal<\/option><option value='Yes, per diem' >Yes, per diem<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_3_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_31'>Employment History (last or current job). Please include the following: Company Name, Title, Dates of Employment, Work Hours, Reason for Leaving (if applicable)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_3_31' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_24\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_24'>Source of income (please select all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_24[]' id='input_3_24' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Employment' >Employment<\/option><option value='Unemployment Benefits' >Unemployment Benefits<\/option><option value='Veteran&#039;s Benefits' >Veteran&#039;s Benefits<\/option><option value='Social Services' >Social Services<\/option><option value='TANK\/SNAP\/Food Stamp' >TANK\/SNAP\/Food Stamp<\/option><option value='Medicaid\/Health Insurance' >Medicaid\/Health Insurance<\/option><option value='Family Support' >Family Support<\/option><option value='Other' >Other<\/option><option value='Workman Compensation' >Workman Compensation<\/option><option value='SSI\/Disability' >SSI\/Disability<\/option><\/select><\/div><\/div><div id=\"field_3_25\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_25'>How did you hear about our program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_25[]' id='input_3_25' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='TV' >TV<\/option><option value='Facebook' >Facebook<\/option><option value='Job Fair' >Job Fair<\/option><option value='Faith-based Flyer' >Faith-based Flyer<\/option><option value='Visit Trocaire Website' >Visit Trocaire Website<\/option><option value='Referred by Agency' >Referred by Agency<\/option><option value='Flyer' >Flyer<\/option><option value='Community Outreach Activity' >Community Outreach Activity<\/option><option value='Google\/Internet Search' >Google\/Internet Search<\/option><option value='Family\/Friend' >Family\/Friend<\/option><option value='Word of Mouth' >Word of Mouth<\/option><option value='' ><\/option><\/select><\/div><\/div><fieldset id=\"field_3_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I hereby certify that the information contained in the Phlebotomy Application I submit to Trocaire College  is true and complete to the best of my knowledge, I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration or dismissal from Trocaire Phlebotomy Program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_26'>\n\t\t\t<div class='gchoice gchoice_3_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='I agree'  id='choice_3_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_26_0' id='label_3_26_0' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_33\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_33'>High School Transcript\/GED or Diploma<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_33' id='input_3_33' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_33 gfield_description_3_33\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_33'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_33'><\/div> <\/div><div class='gfield_description' id='gfield_description_3_33'>If you have copies of your high school transcripts\/GED or diploma, please attach a copy. <\/div><\/div><div id=\"field_3_34\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_34'>College Transcript\/Reading Scores<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_34' id='input_3_34' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_34 gfield_description_3_34\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_34'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_34'><\/div> <\/div><div class='gfield_description' id='gfield_description_3_34'>If you have copies of your College Transcripts, or have previously taken the reading comprehension test, please attach a copy. <\/div><\/div><div id=\"field_3_44\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_44'>CAPTCHA<\/label><div id='input_3_44' class='ginput_container ginput_recaptcha' data-sitekey='6LdyBX8eAAAAAJr4tgy7xD4jKtLBwzenAaojmOWl'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='C4o2cXg0zlcXZvmFqHzKl3sf1+PdgFygH12nfiTFeBR08I952DxYF0rndnQIX0bPcKckXKX01j7PUB+9t1NBu3HQM\/gSLjro\/NKNpIAzdj4EFLI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='WyJ7XCI0MlwiOltcImQ0ZTMwYTg5MzAyMmJmMDAwMjA5NDI1OGI5YzllMDQ1XCIsXCJiODFjNTdjNWE0Mzk5OTNjYzk2YmM0ZjhlOGFkNGM2Y1wiLFwiYjM5ODE4OGNlMDY4YWM0N2I5Mjg0ZTlkMWViZTRlMmFcIixcIjdhNGQyNDgxZGU5YjhmNTgyNzA2NGU0ZmI3NTU3MmQzXCIsXCI5MGMzZTY5Mzc4YmE0NzhmZWM3NTlhMTcwOWUyMzY4NlwiXX0iLCIxMzE5M2I3N2Y5NmE4OTNjNTJjZTM5NWM3OWNkZjNiNSJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 3, 'https:\/\/trocaire.edu\/academics\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_3').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_3');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_3').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_3').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_3').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_3').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_3').val();gformInitSpinner( 3, 'https:\/\/trocaire.edu\/academics\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [3, current_page]);window['gf_submitting_3'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_3').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [3]);window['gf_submitting_3'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_3').text());}else{jQuery('#gform_3').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"3\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_3\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_3\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_3\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 3, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]&gt; *\/\n<\/script>\n\n\n      <\/div>\n      <\/div>\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\" \/>\n\n\n\n<h4 class=\"wp-block-heading\">Sterile Processing<\/h4>\n\n\n\n<p>Sterile Processors operate and maintain steam autoclaves, keeping records of loads completed, items in loads, and maintenance procedures performed. Clean instruments to prepare them for sterilization. Record sterilizer test results. Organize and assemble routine or specialty surgical instrument trays or other sterilized supplies, filling special requests as needed. Examine equipment to detect leaks, worn or loose parts, or other indications of disrepair.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>To Be Determined-&nbsp;<em>Please check back for dates<\/em><\/li>\n\n\n\n<li>Classes will be held at&nbsp;<a href=\"https:\/\/gerardplace.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gerard Place<\/a>.<\/li>\n\n\n\n<li>Looking for additional Sterile Processing classes? Visit our\u00a0<a href=\"https:\/\/trocaire.edu\/academics\/workforce-development\/sterile-processing-distribution-program\/\" target=\"_blank\" rel=\"noreferrer noopener\">Sterile Processing<\/a>\u00a0program.<\/li>\n<\/ul>\n\n\n<div class=\"accordion-group-trocaire flex flex-col items-start w-full py-4 accordion-group-block align\" data-block_8b269fc645a35ae2548bc49a2169dd7a>\n            <a href=\"#\" class=\"accordion-toggle w-full bg-trocaire-red flex items-center flex-row mt-4 p-3 font-bold\">\n        <div class=\"w-full pl-3 leading-8\">Apply to Sterile Processing and Distribution<\/div>\n        <i class=\"fas fa-angle-right text-2xl px-2 mt-1\"><\/i>\n      <\/a>\n      <div class=\"w-full pl-6 pr-12 px-2\">\n        \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Trocaire Sterile Processing and Distribution Application<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/academics\/wp-json\/wp\/v2\/pages\/3190' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_7_45\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_45'>Company<\/label><div class='ginput_container'><input name='input_45' id='input_7_45' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_7_45'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_7_41\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_7_41'>\n                            \n                            <span id='input_7_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_7_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_7_41_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.4' id='input_7_41_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_7_41_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_7_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_7_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_7_38\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_7_38' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_38_1_container' >\n                                        <input type='text' name='input_38.1' id='input_7_38_1' value=''    aria-required='true'    \/>\n                                        <label for='input_7_38_1' id='input_7_38_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_7_38_2_container' >\n                                        <input type='text' name='input_38.2' id='input_7_38_2' value=''     aria-required='false'   \/>\n                                        <label for='input_7_38_2' id='input_7_38_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_38_3_container' >\n                                    <input type='text' name='input_38.3' id='input_7_38_3' value=''    aria-required='true'    \/>\n                                    <label for='input_7_38_3' id='input_7_38_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_7_38_4_container' >\n                                        <select name='input_38.4' id='input_7_38_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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='Guam' >Guam<\/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='Northern Mariana Islands' >Northern Mariana Islands<\/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='U.S. Virgin Islands' >U.S. Virgin Islands<\/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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_7_38_4' id='input_7_38_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_7_38_5_container' >\n                                    <input type='text' name='input_38.5' id='input_7_38_5' value=''    aria-required='true'    \/>\n                                    <label for='input_7_38_5' id='input_7_38_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_38.6' id='input_7_38_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_7_39\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_39'>Mobile\/Home Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_7_39' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_40\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_40'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_40' id='input_7_40' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_7_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_11'>Birth date (MM\/DD\/YY)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_7_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_12'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_7_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Prefer Not To Disclose' >Prefer Not To Disclose<\/option><\/select><\/div><\/div><div id=\"field_7_35\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_35'>Cohort Applying For<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_7_35' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='2027 (TBD)' selected='selected'>2027 (TBD)<\/option><\/select><\/div><\/div><fieldset id=\"field_7_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Race (Required by the U.S. Department of Education Title VI Civil Rights Act, 1964)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_13'>\n\t\t\t<div class='gchoice gchoice_7_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Alaskan\/American Indian'  id='choice_7_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_0' id='label_7_13_0' class='gform-field-label gform-field-label--type-inline'>Alaskan\/American Indian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Asian'  id='choice_7_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_1' id='label_7_13_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Black Non-hispanic'  id='choice_7_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_2' id='label_7_13_2' class='gform-field-label gform-field-label--type-inline'>Black Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='White Non-hispanic'  id='choice_7_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_3' id='label_7_13_3' class='gform-field-label gform-field-label--type-inline'>White Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Multi-racial'  id='choice_7_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_4' id='label_7_13_4' class='gform-field-label gform-field-label--type-inline'>Multi-racial<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Hispanic\/Latino'  id='choice_7_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_5' id='label_7_13_5' class='gform-field-label gform-field-label--type-inline'>Hispanic\/Latino<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Other'  id='choice_7_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_6' id='label_7_13_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Military Status<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_42'>\n\t\t\t<div class='gchoice gchoice_7_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Veteran'  id='choice_7_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_0' id='label_7_42_0' class='gform-field-label gform-field-label--type-inline'>Veteran<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Active Duty'  id='choice_7_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_1' id='label_7_42_1' class='gform-field-label gform-field-label--type-inline'>Active Duty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Reserves'  id='choice_7_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_2' id='label_7_42_2' class='gform-field-label gform-field-label--type-inline'>Reserves<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Spouse'  id='choice_7_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_3' id='label_7_42_3' class='gform-field-label gform-field-label--type-inline'>Spouse<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_42_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Dependent'  id='choice_7_42_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_4' id='label_7_42_4' class='gform-field-label gform-field-label--type-inline'>Dependent<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_43\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_43'>Proof of Military Status and\/or Discharge Paperwork<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_43' id='input_7_43' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_43\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_43'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_43'><\/div> <\/div><\/div><div id=\"field_7_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_14'>High School Attended<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_7_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_15'>High School State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_7_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_16'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_7_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Obtained a GED\/HSE' >Obtained a GED\/HSE<\/option><\/select><\/div><\/div><div id=\"field_7_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_17'>Graduation Year\/GED Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_7_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_19'>Have you attended college or trade school?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_7_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Third Choice' >Third Choice<\/option><\/select><\/div><\/div><div id=\"field_7_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_20'>If yes, where?<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_7_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_27'>Year(s) of attendance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_7_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_29'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_7_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_7_23\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_23'>Are you currently employed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_7_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes, full time' >Yes, full time<\/option><option value='Yes, part time' >Yes, part time<\/option><option value='Yes, seasonal' >Yes, seasonal<\/option><option value='Yes, per diem' >Yes, per diem<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_7_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_31'>Employment History (last or current job). Please include the following: Company Name, Title, Dates of Employment, Work Hours, Reason for Leaving (if applicable)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_7_31' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_7_24\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_24'>Source of income (please select all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_24[]' id='input_7_24' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Employment' >Employment<\/option><option value='Unemployment Benefits' >Unemployment Benefits<\/option><option value='Veteran&#039;s Benefits' >Veteran&#039;s Benefits<\/option><option value='Social Services' >Social Services<\/option><option value='TANK\/SNAP\/Food Stamp' >TANK\/SNAP\/Food Stamp<\/option><option value='Medicaid\/Health Insurance' >Medicaid\/Health Insurance<\/option><option value='Family Support' >Family Support<\/option><option value='Other' >Other<\/option><option value='Workman Compensation' >Workman Compensation<\/option><option value='SSI\/Disability' >SSI\/Disability<\/option><\/select><\/div><\/div><div id=\"field_7_25\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_25'>How did you hear about our program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_25[]' id='input_7_25' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='TV' >TV<\/option><option value='Facebook' >Facebook<\/option><option value='Job Fair' >Job Fair<\/option><option value='Faith-based Flyer' >Faith-based Flyer<\/option><option value='Visit Trocaire Website' >Visit Trocaire Website<\/option><option value='Referred by Agency' >Referred by Agency<\/option><option value='Flyer' >Flyer<\/option><option value='Community Outreach Activity' >Community Outreach Activity<\/option><option value='Google\/Internet Search' >Google\/Internet Search<\/option><option value='Family\/Friend' >Family\/Friend<\/option><option value='Word of Mouth' >Word of Mouth<\/option><option value='' ><\/option><\/select><\/div><\/div><fieldset id=\"field_7_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I hereby certify that the information contained in the Sterile Processing Application I submit to Trocaire College  is true and complete to the best of my knowledge, I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration or dismissal from Trocaire Sterile Processing Program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_26'>\n\t\t\t<div class='gchoice gchoice_7_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='I agree'  id='choice_7_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_26_0' id='label_7_26_0' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_33\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_33'>High School Transcript\/GED or Diploma<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_33' id='input_7_33' type='file' class='medium' aria-describedby=\"gfield_upload_rules_7_33 gfield_description_7_33\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_33'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_33'><\/div> <\/div><div class='gfield_description' id='gfield_description_7_33'>If you have copies of your high school transcripts\/GED or diploma, please attach a copy. <\/div><\/div><div id=\"field_7_34\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_34'>College Transcript\/Reading Scores<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_34' id='input_7_34' type='file' class='medium' aria-describedby=\"gfield_upload_rules_7_34 gfield_description_7_34\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_34'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_34'><\/div> <\/div><div class='gfield_description' id='gfield_description_7_34'>If you have copies of your College Transcripts, or have previously taken the reading comprehension test, please attach a copy. <\/div><\/div><div id=\"field_7_44\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_44'>CAPTCHA<\/label><div id='input_7_44' class='ginput_container ginput_recaptcha' data-sitekey='6LdyBX8eAAAAAJr4tgy7xD4jKtLBwzenAaojmOWl'  data-theme='light' data-tabindex='0'  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name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 7, 'https:\/\/trocaire.edu\/academics\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_7').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_7');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_7').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 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contents;}jQuery('#gform_wrapper_7').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [7]);window['gf_submitting_7'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_7').text());}else{jQuery('#gform_7').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"7\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_7\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_7\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_7\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 7, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]&gt; *\/\n<\/script>\n\n\n      <\/div>\n      <\/div>\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\" \/>\n\n\n\n<h4 class=\"wp-block-heading\">Pharmacy Tech<\/h4>\n\n\n\n<p>This program is designed to train students for a career as a Pharmacy Technician in hospitals or pharmacies. The Pharmacy Technician Program provides students with the skills and knowledge to work in the Pharmacy environment. Pharmacy technicians typically work under the direction of a Pharmacist to measure, mix, count out, label, and record amounts and dosages of medications based on the prescription order, as well as provide customer service.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li> To Be Determined-&nbsp;<em>Please check back for dates<\/em><\/li>\n\n\n\n<li>Classes will be held in person at&nbsp;<a href=\"https:\/\/gerardplace.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gerard Place<\/a>.<\/li>\n\n\n\n<li>*Students can obtain a loaner computer from Trocaire after enrollment for the class*<\/li>\n\n\n\n<li>Looking for additional Pharmacy Tech classes? Visit our <a href=\"https:\/\/trocaire.edu\/academics\/workforce-development\/pharmacy-technician-program\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pharmacy Tech<\/a> program.<\/li>\n<\/ul>\n\n\n<div class=\"accordion-group-trocaire flex flex-col items-start w-full py-4 accordion-group-block align\" data-block_e2c94f7fad53e5008c432e3cdde39f15>\n            <a href=\"#\" class=\"accordion-toggle w-full bg-trocaire-red flex items-center flex-row mt-4 p-3 font-bold\">\n        <div class=\"w-full pl-3 leading-8\">Apply to Pharmacy Technician<\/div>\n        <i class=\"fas fa-angle-right text-2xl px-2 mt-1\"><\/i>\n      <\/a>\n      <div class=\"w-full pl-6 pr-12 px-2\">\n        \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_17' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Trocaire Pharmacy Technician Program<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17'  action='\/academics\/wp-json\/wp\/v2\/pages\/3190' data-formid='17' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_17_45\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_45'>Company<\/label><div class='ginput_container'><input name='input_45' id='input_17_45' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_17_45'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_17_41\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_17_41'>\n                            \n                            <span id='input_17_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_17_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_17_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_17_41_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.4' id='input_17_41_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_17_41_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_17_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_17_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_17_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_17_38\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_17_38' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_17_38_1_container' >\n                                        <input type='text' name='input_38.1' id='input_17_38_1' value=''    aria-required='true'    \/>\n                                        <label for='input_17_38_1' id='input_17_38_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_17_38_2_container' >\n                                        <input type='text' name='input_38.2' id='input_17_38_2' value=''     aria-required='false'   \/>\n                                        <label for='input_17_38_2' id='input_17_38_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_17_38_3_container' >\n                                    <input type='text' name='input_38.3' id='input_17_38_3' value=''    aria-required='true'    \/>\n                                    <label for='input_17_38_3' id='input_17_38_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_17_38_4_container' >\n                                        <select name='input_38.4' id='input_17_38_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/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='Guam' >Guam<\/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='Northern Mariana Islands' >Northern Mariana Islands<\/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='U.S. Virgin Islands' >U.S. Virgin Islands<\/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><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_17_38_4' id='input_17_38_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_17_38_5_container' >\n                                    <input type='text' name='input_38.5' id='input_17_38_5' value=''    aria-required='true'    \/>\n                                    <label for='input_17_38_5' id='input_17_38_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_38.6' id='input_17_38_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_17_39\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_39'>Mobile\/Home Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_17_39' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_40\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_40'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_40' id='input_17_40' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_17_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_11'>Birth date (MM\/DD\/YY)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_17_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_12'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_17_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Prefer Not To Disclose' >Prefer Not To Disclose<\/option><\/select><\/div><\/div><div id=\"field_17_35\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_35'>Cohort Applying For<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_17_35' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='September 2026' >September 2026<\/option><\/select><\/div><\/div><fieldset id=\"field_17_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Race (Required by the U.S. Department of Education Title VI Civil Rights Act, 1964)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_13'>\n\t\t\t<div class='gchoice gchoice_17_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Alaskan\/American Indian'  id='choice_17_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_0' id='label_17_13_0' class='gform-field-label gform-field-label--type-inline'>Alaskan\/American Indian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Asian'  id='choice_17_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_1' id='label_17_13_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Black Non-hispanic'  id='choice_17_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_2' id='label_17_13_2' class='gform-field-label gform-field-label--type-inline'>Black Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='White Non-hispanic'  id='choice_17_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_3' id='label_17_13_3' class='gform-field-label gform-field-label--type-inline'>White Non-hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Multi-racial'  id='choice_17_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_4' id='label_17_13_4' class='gform-field-label gform-field-label--type-inline'>Multi-racial<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Hispanic\/Latino'  id='choice_17_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_5' id='label_17_13_5' class='gform-field-label gform-field-label--type-inline'>Hispanic\/Latino<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Other'  id='choice_17_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_6' id='label_17_13_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Military Status<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_42'>\n\t\t\t<div class='gchoice gchoice_17_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Veteran'  id='choice_17_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_42_0' id='label_17_42_0' class='gform-field-label gform-field-label--type-inline'>Veteran<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Active Duty'  id='choice_17_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_42_1' id='label_17_42_1' class='gform-field-label gform-field-label--type-inline'>Active Duty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Reserves'  id='choice_17_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_42_2' id='label_17_42_2' class='gform-field-label gform-field-label--type-inline'>Reserves<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Spouse'  id='choice_17_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_42_3' id='label_17_42_3' class='gform-field-label gform-field-label--type-inline'>Spouse<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_42_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Dependent'  id='choice_17_42_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_42_4' id='label_17_42_4' class='gform-field-label gform-field-label--type-inline'>Dependent<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_43\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_43'>Proof of Military Status and\/or Discharge Paperwork<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_43' id='input_17_43' type='file' class='large' aria-describedby=\"gfield_upload_rules_17_43\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_17_43'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_17_43'><\/div> <\/div><\/div><div id=\"field_17_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_14'>High School Attended<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_17_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_15'>High School State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_17_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_16'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_17_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Obtained a GED\/HSE' >Obtained a GED\/HSE<\/option><\/select><\/div><\/div><div id=\"field_17_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_17'>Graduation Year\/GED Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_17_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_19'>Have you attended college or trade school?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_17_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='Third Choice' >Third Choice<\/option><\/select><\/div><\/div><div id=\"field_17_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_20'>If yes, where?<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_17_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_27'>Year(s) of attendance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_17_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_29'>Did you graduate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_17_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_17_23\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_23'>Are you currently employed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_17_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Yes, full time' >Yes, full time<\/option><option value='Yes, part time' >Yes, part time<\/option><option value='Yes, seasonal' >Yes, seasonal<\/option><option value='Yes, per diem' >Yes, per diem<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_17_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_31'>Employment History (last or current job). Please include the following: Company Name, Title, Dates of Employment, Work Hours, Reason for Leaving (if applicable)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_17_31' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_24\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_24'>Source of income (please select all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_24[]' id='input_17_24' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Employment' >Employment<\/option><option value='Unemployment Benefits' >Unemployment Benefits<\/option><option value='Veteran&#039;s Benefits' >Veteran&#039;s Benefits<\/option><option value='Social Services' >Social Services<\/option><option value='TANK\/SNAP\/Food Stamp' >TANK\/SNAP\/Food Stamp<\/option><option value='Medicaid\/Health Insurance' >Medicaid\/Health Insurance<\/option><option value='Family Support' >Family Support<\/option><option value='Other' >Other<\/option><option value='Workman Compensation' >Workman Compensation<\/option><option value='SSI\/Disability' >SSI\/Disability<\/option><\/select><\/div><\/div><div id=\"field_17_25\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_25'>How did you hear about our program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_25[]' id='input_17_25' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='TV' >TV<\/option><option value='Facebook' >Facebook<\/option><option value='Job Fair' >Job Fair<\/option><option value='Faith-based Flyer' >Faith-based Flyer<\/option><option value='Visit Trocaire Website' >Visit Trocaire Website<\/option><option value='Referred by Agency' >Referred by Agency<\/option><option value='Flyer' >Flyer<\/option><option value='Community Outreach Activity' >Community Outreach Activity<\/option><option value='Google\/Internet Search' >Google\/Internet Search<\/option><option value='Family\/Friend' >Family\/Friend<\/option><option value='Word of Mouth' >Word of Mouth<\/option><option value='' ><\/option><\/select><\/div><\/div><fieldset id=\"field_17_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I hereby certify that the information contained in the Pharmacy Technician Application I submit to Trocaire College  is true and complete to the best of my knowledge, I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration or dismissal from Trocaire Pharmacy Technician Program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_26'>\n\t\t\t<div class='gchoice gchoice_17_26_0'>\n\t\t\t\t\t<input 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learn about the healthcare system and various career opportunities available within healthcare. Career opportunities highlighted include:NursingMedical AssistingRadiologic TechnologyHealthcare ManagementSurgical TechnologyMassage TherapyHealthcare InformaticsPharmacy TechnicianPhlebotomySterile Processing and DistributionEKG Technician EKG Technician This program prepares interested students for entry-level positions of cardiac EKG and Cardiac Monitor Technicians employed in hospitals, [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":3177,"parent":97,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_oasis_is_in_workflow":0,"_oasis_original":0,"_oasis_task_priority":"","_searchwp_excluded":"","footnotes":""},"class_list":["post-3190","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Healthcare Training at Gerard Place | Trocaire College | 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