{"id":695,"date":"2026-06-24T12:57:45","date_gmt":"2026-06-24T12:57:45","guid":{"rendered":"https:\/\/c12tulsa.webaika.com\/?page_id=695"},"modified":"2026-06-24T14:05:21","modified_gmt":"2026-06-24T14:05:21","slug":"c12-ceo-member-application","status":"publish","type":"page","link":"https:\/\/c12tulsa.webaika.com\/?page_id=695","title":{"rendered":"C12 CEO Member Application"},"content":{"rendered":"<h3 style=\"color: #003b49; font-family: Lato; font-weight: 500; text-align: center;\">C12 Candidate Questionnaire &amp; Application Information<\/h3>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" data-token=\"2977b7fb146a6b9ba4b82616be9fb0fc\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_c12-candidate-questionnaire-application-information-1\" data-token=\"2977b7fb146a6b9ba4b82616be9fb0fc\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">C12 Candidate Questionnaire & Application Information (1)<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"c12-candidate-questionnaire-application-information-1\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"0c1e39a863\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F695\" \/><div id=\"frm_field_96_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><em>Required fields marked with *.<\/em><\/p>\n<h3 style=\"text-align: center;\">Agreement<\/h3>\n<\/div>\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n\t<div  id=\"field_bm20s_label\" class=\"frm_primary_label\">I desire to become a member of C12 Greater Phoenix.\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_bm20s_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_21-0\">\t\t\t<label  for=\"field_bm20s-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[21][]\" id=\"field_bm20s-0\" value=\"I desire to become a member of C12 Greater Phoenix.\"  data-reqmsg=\"I desire to become a member of C12 Greater Phoenix. cannot be blank.\" data-invmsg=\"I desire to become a member of C12 Greater Phoenix. is invalid\"   aria-required=\"true\"  \/> I desire to become a member of C12 Greater Phoenix.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\">About You<\/h3>\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_cazfu\" id=\"field_cazfu_label\" class=\"frm_primary_label\">What are your primary reasons and desired outcomes for joining C12?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[22]\" id=\"field_cazfu\" rows=\"5\"  data-reqmsg=\"What are your primary reasons and desired outcomes for joining C12? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What are your primary reasons and desired outcomes for joining C12? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_jzfd2\" id=\"field_jzfd2_label\" class=\"frm_primary_label\">What is your starting month as a C12 member? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[23]\" id=\"field_jzfd2\" rows=\"5\"  data-reqmsg=\"What is your starting month as a C12 member?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is your starting month as a C12 member?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_83hh2\" id=\"field_83hh2_label\" class=\"frm_primary_label\">What is working well in your business\/organization? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[24]\" id=\"field_83hh2\" rows=\"5\"  data-reqmsg=\"What is working well in your business\/organization?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is working well in your business\/organization?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_k9j2v\" id=\"field_k9j2v_label\" class=\"frm_primary_label\">What is not working well in your business\/organization? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[25]\" id=\"field_k9j2v\" rows=\"5\"  data-reqmsg=\"What is not working well in your business\/organization?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is not working well in your business\/organization?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_gy95l\" id=\"field_gy95l_label\" class=\"frm_primary_label\">What were the two biggest decisions you made in the last year? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[26]\" id=\"field_gy95l\" rows=\"5\"  data-reqmsg=\"What were the two biggest decisions you made in the last year?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"What were the two biggest decisions you made in the last year?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_wznol\" id=\"field_wznol_label\" class=\"frm_primary_label\">What are the most important decisions you are facing today? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[27]\" id=\"field_wznol\" rows=\"5\"  data-reqmsg=\"What are the most important decisions you are facing today?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"What are the most important decisions you are facing today?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_28_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_6gggv\" id=\"field_6gggv_label\" class=\"frm_primary_label\">What experience, background, and skill sets will you bring to add to the C12 Advisory Board?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[28]\" id=\"field_6gggv\" rows=\"5\"  data-reqmsg=\"What experience, background, and skill sets will you bring to add to the C12 Advisory Board? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What experience, background, and skill sets will you bring to add to the C12 Advisory Board? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_k3u63\" id=\"field_k3u63_label\" class=\"frm_primary_label\">How did you discover C12? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[29]\" id=\"field_k3u63\" rows=\"5\"  data-reqmsg=\"How did you discover C12?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"How did you discover C12?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\">Forum Selection<\/h3>\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_9hg5p\" id=\"field_9hg5p_label\" class=\"frm_primary_label\">What C12 Greater Phoenix forum will you be attending?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[30]\" id=\"field_9hg5p\" rows=\"5\"  data-reqmsg=\"What C12 Greater Phoenix forum will you be attending? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What C12 Greater Phoenix forum will you be attending? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_vchu1\" id=\"field_vchu1_label\" class=\"frm_primary_label\">Who will be your C12 Chair? Please select from the list of chairs (Kathie Julian \/ Mike Stanley \/ Tim Smith)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[31]\" id=\"field_vchu1\"  data-placeholder=\"Please make your selection\"  placeholder=\"Please make your selection\" data-reqmsg=\"Who will be your C12 Chair? Please select from the list of chairs (Kathie Julian \/ Mike Stanley \/ Tim Smith) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Who will be your C12 Chair? Please select from the list of chairs (Kathie Julian \/ Mike Stanley \/ Tim Smith) is invalid\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Please make your selection<\/option><option  value=\"Kathie.Julian@c12forums.com\">Kathie Julian<\/option><option  value=\"Mike.Stanley@c12forums.com\">Mike Stanley<\/option><option  value=\"Tim.Smith@c12forums.com\">Tim Smith<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\">Personal & Company Information<\/h3>\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_g3j0z\" id=\"field_g3j0z_label\" class=\"frm_primary_label\">First and Last Name \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_g3j0z\" name=\"item_meta[32]\" value=\"\"  data-reqmsg=\"First and Last Name  cannot be blank.\" aria-required=\"true\" data-invmsg=\"First and Last Name  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_ppdvm\" id=\"field_ppdvm_label\" class=\"frm_primary_label\">Nick Name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_ppdvm\" name=\"item_meta[33]\" value=\"\"  data-invmsg=\"Nick Name is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_3kaf5\" id=\"field_3kaf5_label\" class=\"frm_primary_label\">Position Title (e.g., Owner, CEO, President)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[34]\" id=\"field_3kaf5\" rows=\"5\"  data-reqmsg=\"Position Title (e.g., Owner, CEO, President) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Position Title (e.g., Owner, CEO, President) is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_wlz2i\" id=\"field_wlz2i_label\" class=\"frm_primary_label\">Company Name \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_wlz2i\" name=\"item_meta[35]\" value=\"\"  data-reqmsg=\"Company Name  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Company Name  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_bub7m\" id=\"field_bub7m_label\" class=\"frm_primary_label\">Primary Market Area \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_bub7m\" name=\"item_meta[36]\" value=\"\"  data-reqmsg=\"Primary Market Area  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Primary Market Area  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_ubiwm\" id=\"field_ubiwm_label\" class=\"frm_primary_label\">Industry or Business Description \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_ubiwm\" name=\"item_meta[37]\" value=\"\"  data-reqmsg=\"Industry or Business Description  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Industry or Business Description  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_1806j\" id=\"field_1806j_label\" class=\"frm_primary_label\">Years with Company \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_1806j\" name=\"item_meta[38]\" value=\"\"  data-reqmsg=\"Years with Company  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Years with Company  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_l6iex\" id=\"field_l6iex_label\" class=\"frm_primary_label\">Years in Industry \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_l6iex\" name=\"item_meta[39]\" value=\"\"  data-reqmsg=\"Years in Industry  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Years in Industry  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_ku5op\" id=\"field_ku5op_label\" class=\"frm_primary_label\">Number of Employees \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_ku5op\" name=\"item_meta[40]\" value=\"\"  data-reqmsg=\"Number of Employees  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number of Employees  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_ndb0y\" id=\"field_ndb0y_label\" class=\"frm_primary_label\">Estimated Current Annual Revenue \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_ndb0y\" name=\"item_meta[41]\" value=\"\"  data-reqmsg=\"Estimated Current Annual Revenue  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Estimated Current Annual Revenue  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\">Contact & Billing Information<\/h3>\n<\/div>\n<div id=\"frm_field_42_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_uya7t\" id=\"field_uya7t_label\" class=\"frm_primary_label\">Business Phone Number \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_uya7t\" name=\"item_meta[42]\" value=\"\"  data-reqmsg=\"Business Phone Number  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Business Phone Number  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_kv8k6\" id=\"field_kv8k6_label\" class=\"frm_primary_label\">Cell Phone Number \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_kv8k6\" name=\"item_meta[43]\" value=\"\"  data-reqmsg=\"Cell Phone Number  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Cell Phone Number  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_kuypd\" id=\"field_kuypd_label\" class=\"frm_primary_label\">Primary Email Address \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_kuypd\" name=\"item_meta[44]\" value=\"\"  autocomplete=\"email\"  data-reqmsg=\"Primary Email Address  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Primary Email Address  is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_lfvyr\" id=\"field_lfvyr_label\" class=\"frm_primary_label\">Website Address \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_lfvyr\" name=\"item_meta[45]\" value=\"\"  data-reqmsg=\"Website Address  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Website Address  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_101_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div  id=\"field_b7lgb_label\" class=\"frm_primary_label\">Company Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_b7lgb_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tCompany Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_101-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_b7lgb_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tCompany Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_b7lgb_line1\" value=\"\" name=\"item_meta[101][line1]\"  data-reqmsg=\"Company Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Company Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_101-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_b7lgb_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tCompany Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_b7lgb_line2\" value=\"\" name=\"item_meta[101][line2]\"  data-reqmsg=\"Company Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Company Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_101-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_b7lgb_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_b7lgb_city\" value=\"\" name=\"item_meta[101][city]\"  data-reqmsg=\"Company Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Company Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_101-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_b7lgb_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[101][state]\" id=\"field_b7lgb_state\"  data-reqmsg=\"Company Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Company Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"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\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_101-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_b7lgb_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_b7lgb_zip\" value=\"\" name=\"item_meta[101][zip]\"  data-reqmsg=\"Company Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Company Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_5fsfu\" id=\"field_5fsfu_label\" class=\"frm_primary_label\">Billing Contact Name \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_5fsfu\" name=\"item_meta[47]\" value=\"\"  data-reqmsg=\"Billing Contact Name  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Billing Contact Name  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_102_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_g3o67\" id=\"field_g3o67_label\" class=\"frm_primary_label\">Billing Contact Email\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_g3o67\" name=\"item_meta[102]\" value=\"\"  autocomplete=\"email\"  data-reqmsg=\"Billing Contact Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Billing Contact Email is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_103_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div  id=\"field_1ef4n_label\" class=\"frm_primary_label\">Home Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_1ef4n_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tHome Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_103-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_1ef4n_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_1ef4n_line1\" value=\"\" name=\"item_meta[103][line1]\"  data-reqmsg=\"Home Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_103-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_1ef4n_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_1ef4n_line2\" value=\"\" name=\"item_meta[103][line2]\"  data-reqmsg=\"Home Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Home Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_103-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_1ef4n_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_1ef4n_city\" value=\"\" name=\"item_meta[103][city]\"  data-reqmsg=\"Home Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_103-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_1ef4n_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[103][state]\" id=\"field_1ef4n_state\"  data-reqmsg=\"Home Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"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\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_103-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_1ef4n_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_1ef4n_zip\" value=\"\" name=\"item_meta[103][zip]\"  data-reqmsg=\"Home Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_oeuqb\" id=\"field_oeuqb_label\" class=\"frm_primary_label\">Date of Birth \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_oeuqb\" name=\"item_meta[49]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Date of Birth  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date of Birth  is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_50_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_286f3\" id=\"field_286f3_label\" class=\"frm_primary_label\">Spouse's Name \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_286f3\" name=\"item_meta[50]\" value=\"\"  data-reqmsg=\"Spouse&#039;s Name  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Spouse&#039;s Name  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_pjm4g\" id=\"field_pjm4g_label\" class=\"frm_primary_label\">Spouse's Phone Number \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_pjm4g\" name=\"item_meta[51]\" value=\"\"  data-reqmsg=\"Spouse&#039;s Phone Number  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Spouse&#039;s Phone Number  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_7nnqx\" id=\"field_7nnqx_label\" class=\"frm_primary_label\">Primary Church Name and City \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_7nnqx\" name=\"item_meta[52]\" value=\"\"  data-reqmsg=\"Primary Church Name and City  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Primary Church Name and City  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_none_container\"><div  id=\"field_7f3ac\" class=\"frm-g-recaptcha\" data-sitekey=\"6Lccyz0tAAAAAOeW4LrFgDDDaBtbmfPzqhluZTsj\" data-size=\"normal\" data-theme=\"light\"><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit My Application<\/button>\r\n\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_111_container\">\n\t\t\t<label for=\"field_i1bzl\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_i1bzl\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[111]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"3t5eGNEX0ffu3S35bjwlgFchq58EnlzNVpGQjJhnfm8k0vYzg\/Rf11z5f52KXSww\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>C12 Candidate Questionnaire &amp; Application 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