{"id":200,"date":"2021-07-01T18:18:05","date_gmt":"2021-07-01T18:18:05","guid":{"rendered":"https:\/\/wplawinc.com\/?page_id=200"},"modified":"2022-03-02T09:11:19","modified_gmt":"2022-03-02T14:11:19","slug":"job-application","status":"publish","type":"page","link":"https:\/\/wplawinc.com\/about\/job-application","title":{"rendered":"Job Application"},"content":{"rendered":"<div class=\"frm_forms \" id=\"frm_form_7_container\" data-token=\"8ec0dda26c5b88a338ac7cf1ac08ed0a\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form \" id=\"form_applicationforemployment\"  data-token=\"8ec0dda26c5b88a338ac7cf1ac08ed0a\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"7\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_7\" id=\"frm_hide_fields_7\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"applicationforemployment\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_7\" name=\"frm_submit_entry_7\" value=\"7d70dd79da\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/200\" \/><div class=\"form-default form-application\">\r\n<div id=\"frm_field_35_container\" class=\"frm_form_field frm_section_heading form-field  block fa-personal\">\r\n<h2 class=\"frm_pos_top frm_section_spacing\">Personal<\/h2>\r\n\r\n\r\n<div class=\"row\">\r\n<div class=\"box col col-2_10 f-fname\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_w9tj4\" name=\"item_meta[37]\" value=\"\"  data-sectionid=\"35\" placeholder=\"First Name*\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-lname\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_bnp97\" name=\"item_meta[38]\" value=\"\"  data-sectionid=\"35\" placeholder=\"Last Name*\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-date\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_i9vs9\" name=\"item_meta[39]\" value=\"04\/25\/2024\"  data-sectionid=\"35\" maxlength=\"10\" data-frmval=\"04\/25\/2024\" placeholder=\"Date*\" data-reqmsg=\"Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-4_10 f-address\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_ulwih\" name=\"item_meta[40]\" value=\"\"  data-sectionid=\"35\" placeholder=\"Address*\" data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-city\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_4m4lq\" name=\"item_meta[41]\" value=\"\"  data-sectionid=\"35\" placeholder=\"City*\" data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-state\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <div class=\"select\">\t\t<select name=\"item_meta[43]\" id=\"field_ydahq\"  data-sectionid=\"35\" data-placeholder=\"State*\"  placeholder=\"State*\" data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">State*<\/option><option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/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=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t<\/select>\n\t<\/div>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-1_10 f-zcode\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_y1cuy\" name=\"item_meta[42]\" value=\"\"  data-sectionid=\"35\" placeholder=\"Zip*\" data-reqmsg=\"Zip cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-eaddress\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"email\" id=\"field_78412a\" name=\"item_meta[44]\" value=\"\"  data-sectionid=\"35\" placeholder=\"Email Address*\" data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-pnumber\">\r\n    <div class=\"form-item  frm_required_field frm_top_container frm_form_field frm12 frm_first\">\r\n        <input type=\"tel\" id=\"field_v6p6g\" name=\"item_meta[45]\" value=\"\"  data-sectionid=\"35\" placeholder=\"Phone Number*\" data-reqmsg=\"Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\r\n<\/div>\n<div class=\"row mt-3\"><div class=\"box col\">\r\n<div id=\"frm_field_126_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_byr7p\" id=\"field_byr7p_label\" class=\"frm_primary_label\">Upload Resume\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" name=\"item_meta[126]\"  value=\"\" data-frmfile=\"126\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file126_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file126\" id=\"field_byr7p\"\n\t\t\t data-sectionid=\"35\" data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Upload Resume. Drop a file here or click to upload. Maximum file size: 104.86MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Upload Resume. Choose File. Maximum file size: 104.86MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 104.86MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\r\n    \r\n    \r\n<\/div><\/div><\/div>\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field frm_section_heading form-field  block fa-workpreferences\">\r\n<h2 class=\"frm_pos_top frm_section_spacing\">Work Preferences<\/h2>\r\n\r\n\r\n<div class=\"row\">\r\n<div class=\"box col col-2_10 f-fptime\">\r\n    <div class=\"form-item  frm_top_container vertical_radio\">\r\n       \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_48-46-0\"><label for=\"field_an0wg-0\"><input type=\"checkbox\" name=\"item_meta[48][]\" id=\"field_an0wg-0\" value=\"Full Time\"  data-sectionid=\"46\" data-invmsg=\"Work Time is invalid\" aria-invalid=\"false\"   \/> <span>Full Time<\/span><\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_48-46-1\"><label for=\"field_an0wg-1\"><input type=\"checkbox\" name=\"item_meta[48][]\" id=\"field_an0wg-1\" value=\"Part Time\"  data-sectionid=\"46\" data-invmsg=\"Work Time is invalid\" aria-invalid=\"false\"   \/> <span>Part Time<\/span><\/label><\/div>\n\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-ipthmhpw\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_gs3tk\" name=\"item_meta[49]\" value=\"\"  data-sectionid=\"46\" placeholder=\"If part time, how many hours per week?*\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-epay\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_zwxsq\" name=\"item_meta[50]\" value=\"\"  data-sectionid=\"46\" placeholder=\"Expected Pay*\" data-reqmsg=\"Expected Pay cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-pdesired\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_melrg\" name=\"item_meta[51]\" value=\"\"  data-sectionid=\"46\" placeholder=\"Position Desired*\" data-reqmsg=\"Position Desired cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-atwtwo\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_hcn21\" name=\"item_meta[52]\" value=\"\"  data-sectionid=\"46\" placeholder=\"Are you willing to work overtime?\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-wwybatw\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_gs23v\" name=\"item_meta[53]\" value=\"\"  data-sectionid=\"46\" placeholder=\"When will you be available to work?\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-12 f-dygassot\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <textarea name=\"item_meta[54]\" id=\"field_ev5rh\" rows=\"5\"  data-sectionid=\"46\" placeholder=\"Do you have any special skill or training?\" data-invmsg=\"Do you have any special skill or training? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-dyhavdl\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_3ifew\" name=\"item_meta[55]\" value=\"\"  data-sectionid=\"46\" placeholder=\"DO YOU HAVE A VALID DRIVER\u2019S LICENSE?\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-lnas\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_1ifd1\" name=\"item_meta[56]\" value=\"\"  data-sectionid=\"46\" placeholder=\"License # and State\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\r\n<\/div>\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field frm_section_heading form-field  block fa-education\">\r\n<h2 class=\"frm_pos_top frm_section_spacing\">Education<\/h2>\r\n\r\n\r\n<div class=\"row\">\r\n<div class=\"box col col-4_10 f-hschool\">\r\n    <div class=\"form-item  frm_required_field frm_top_container\">\r\n        <input type=\"text\" id=\"field_h5jlk\" name=\"item_meta[59]\" value=\"\"  data-sectionid=\"57\" placeholder=\"High School*\" data-reqmsg=\"High School cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-4_10 f-college\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_lq2pz\" name=\"item_meta[60]\" value=\"\"  data-sectionid=\"57\" placeholder=\"College\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-cos\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_fhfal\" name=\"item_meta[61]\" value=\"\"  data-sectionid=\"57\" placeholder=\"Course of Study\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-10_10 f-dreceived\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_vit7q\" name=\"item_meta[62]\" value=\"\"  data-sectionid=\"57\" placeholder=\"Degree(s)* Received\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-noyc\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_yvlbl\" name=\"item_meta[63]\" value=\"\"  data-sectionid=\"57\" placeholder=\"# of years completed\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-8_10 f-ahonors\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <textarea name=\"item_meta[64]\" id=\"field_1zxjl\" rows=\"5\"  data-sectionid=\"57\" placeholder=\"Awards\/Honors\" data-invmsg=\"Awards\/Honors is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n        \r\n    <\/div>\r\n<\/div>\r\n<\/div>\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field frm_section_heading form-field  block fa-military\">\r\n<h2 class=\"frm_pos_top frm_section_spacing\">Military<\/h2>\r\n\r\n\r\n<div class=\"row\">\r\n<div class=\"box col col-4_10 f-bos\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_qxytf\" name=\"item_meta[67]\" value=\"\"  data-sectionid=\"65\" placeholder=\"Branch of Service\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-dod\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_dbrur\" name=\"item_meta[68]\" value=\"\"  data-sectionid=\"65\" maxlength=\"10\" placeholder=\"Date of discharge\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-3_10 f-rad\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_s79sr\" name=\"item_meta[69]\" value=\"\"  data-sectionid=\"65\" placeholder=\"Rank at discharge\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-10_10 f-addf\">\r\n    <div class=\"form-item\">\r\n<label>ACTIVE DUTY DATES FROM:<\/label>\r\n        <span>\r\n<input type=\"text\" id=\"field_qpndx\" name=\"item_meta[70]\" value=\"\"  data-sectionid=\"65\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n      \n<label>TO<\/label>\r\n<input type=\"text\" id=\"field_o11kk\" name=\"item_meta[71]\" value=\"\"  data-sectionid=\"65\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n<\/span>\r\n<\/div>\r\n<\/div>\n<div class=\"box col col-10_10 f-dast\">\r\n    <div class=\"form-item  frm_top_container\">\r\n        <input type=\"text\" id=\"field_veeps\" name=\"item_meta[72]\" value=\"\"  data-sectionid=\"65\" placeholder=\"Duties &amp; Special Training\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\r\n<\/div>\n<\/div>\n<div id=\"frm_field_82_container\" class=\"frm_form_field frm_section_heading form-field  block fa-employmenthistory\">\r\n<h2 class=\"frm_pos_top\">Employment History<\/h2>\r\n<div id=\"frm_desc_field_wtust\" class=\"frm_description frm_section_spacing\">Please provide accurate and complete full-time and part-time employment record. Start with most recent.<\/div>\r\n<input type=\"hidden\" name=\"item_meta[82][form]\" value=\"8\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_82-0\" class=\"frm_repeat_sec frm_repeat_82 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[82][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[82][0][0]\" value=\"\" \/><div class=\"row\">\r\n<div class=\"box col col-4_10 f-cname\">\r\n    <div class=\"form-item  frm_top_container frm_field_84_container\">\r\n        <input type=\"text\" id=\"field_ai7ts-0\" name=\"item_meta[82][0][84]\" value=\"\"  data-sectionid=\"82\" placeholder=\"Company Name*\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-pnumber\">\r\n    <div class=\"form-item  frm_required_field frm_top_container frm_field_85_container\">\r\n        <input type=\"text\" id=\"field_plu3s-0\" name=\"item_meta[82][0][85]\" value=\"\"  data-sectionid=\"82\" placeholder=\"Phone Number*\" data-reqmsg=\"Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-4_10 f-sname\">\r\n    <div class=\"form-item  frm_required_field frm_top_container frm_field_86_container\">\r\n        <input type=\"text\" id=\"field_kwoqc-0\" name=\"item_meta[82][0][86]\" value=\"\"  data-sectionid=\"82\" placeholder=\"Supervisor Name*\" data-reqmsg=\"Supervisor Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-25_100 f-mwcfar\">\r\n    <div class=\"form-item  frm_required_field frm_top_container frm_field_87_container\">\r\n        <input type=\"text\" id=\"field_x2aie-0\" name=\"item_meta[82][0][87]\" value=\"\"  data-sectionid=\"82\" placeholder=\"May we call for a reference?*\" data-reqmsg=\"May we call for a reference? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n        \r\n    <\/div>\r\n<\/div>\n<div class=\"box col col-55_100 f-edates\">\r\n    <div class=\"form-item\">\r\n<label>EMPLOYMENT DATES:<\/label>\r\n        <span><input type=\"text\" id=\"field_2yo2w-0\" name=\"item_meta[82][0][88]\" value=\"\"  data-sectionid=\"82\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n<label>TO<\/label>\n <input type=\"text\" id=\"field_mszmj-0\" name=\"item_meta[82][0][89]\" value=\"\"  data-sectionid=\"82\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/><\/span>\r\n<\/div>\r\n<\/div>\n<div class=\"box col col-2_10 f-lpr\">\r\n    <div class=\"form-item  frm_top_container frm_field_90_container\">\r\n        <input type=\"text\" id=\"field_91rlf-0\" name=\"item_meta[82][0][90]\" value=\"\"  data-sectionid=\"82\" 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