{"id":699,"date":"2026-06-24T13:03:12","date_gmt":"2026-06-24T13:03:12","guid":{"rendered":"https:\/\/c12tulsa.webaika.com\/?page_id=699"},"modified":"2026-06-24T13:03:12","modified_gmt":"2026-06-24T13:03:12","slug":"c12-key-player-application","status":"publish","type":"page","link":"https:\/\/c12tulsa.webaika.com\/?page_id=699","title":{"rendered":"C12 Key Player Application"},"content":{"rendered":"<h3 style=\"color: #003b49; font-family: Lato; font-weight: 500; text-align: center;\">C12 Key Players Questionnaire &amp; Application<\/h3>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_5_container\" data-token=\"2977b7fb146a6b9ba4b82616be9fb0fc\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_c12-key-players-questionnaire-application\" data-token=\"2977b7fb146a6b9ba4b82616be9fb0fc\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">C12 Key Players Questionnaire & Application<\/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=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"c12-key-players-questionnaire-application\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"0c1e39a863\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F699\" \/><div id=\"frm_field_55_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n\t<div  id=\"field_npbij_label\" class=\"frm_primary_label\">Agreement of Terms \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_npbij_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_55-0\">\t\t\t<label  for=\"field_npbij-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[55][]\" id=\"field_npbij-0\" value=\"Yes, I am in agreement to these terms and conditions and desire to formally submit this application to C12 Greater Phoenix and C12, LLC for consideration. This must be checked before you can proceed with the questionnaire and application.\"  data-invmsg=\"Agreement of Terms  is invalid\"   \/> <span style=\"text-decoration: underline\">Yes<\/span>, I am in agreement to these terms and conditions and desire to formally submit this application to C12 Greater Phoenix and C12, LLC for consideration. This must be checked before you can proceed with the questionnaire and application.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_x0cdj\" id=\"field_x0cdj_label\" class=\"frm_primary_label\">What is your starting month as a member? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[56]\" id=\"field_x0cdj\" rows=\"5\"  data-reqmsg=\"What is your starting month as a member?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is your starting month as a member?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_m3zls\" id=\"field_m3zls_label\" class=\"frm_primary_label\">What is your motivation for participating in the Key Player program? (Personal, professional, etc.)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[57]\" id=\"field_m3zls\" rows=\"5\"  data-reqmsg=\"What is your motivation for participating in the Key Player program? (Personal, professional, etc.) cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is your motivation for participating in the Key Player program? (Personal, professional, etc.) is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_58_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_qa9gy\" id=\"field_qa9gy_label\" class=\"frm_primary_label\">What are your expectations and\/or objectives for the next 12 months? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[58]\" id=\"field_qa9gy\" rows=\"5\"  data-reqmsg=\"What are your expectations and\/or objectives for the next 12 months?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"What are your expectations and\/or objectives for the next 12 months?  is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_mw78s\" id=\"field_mw78s_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[59]\" id=\"field_mw78s\" 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_92_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\"><span lang=\"EN-US\">Personal Information<\/span><\/h3>\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_wcxy0\" id=\"field_wcxy0_label\" class=\"frm_primary_label\">Who will be your C12 Chair?\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[62]\" id=\"field_wcxy0\"  data-placeholder=\"Please make your selection\"  placeholder=\"Please make your selection\" data-reqmsg=\"Who will be your C12 Chair? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Who will be your C12 Chair? 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_63_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_ti8z2\" id=\"field_ti8z2_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_ti8z2\" name=\"item_meta[63]\" 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_64_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_4py8y\" id=\"field_4py8y_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_4py8y\" name=\"item_meta[64]\" value=\"\"  data-invmsg=\"Nick Name is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_7wcl3\" id=\"field_7wcl3_label\" class=\"frm_primary_label\">Position Title (Example: VP of Operations, Director of Sales, other)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_7wcl3\" name=\"item_meta[65]\" value=\"\"  data-reqmsg=\"Position Title (Example: VP of Operations, Director of Sales, other) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Position Title (Example: VP of Operations, Director of Sales, other) is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_66_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_85t26\" id=\"field_85t26_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_85t26\" name=\"item_meta[66]\" 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_67_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_42z40\" id=\"field_42z40_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_42z40\" name=\"item_meta[67]\" 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_68_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_z6vdr\" id=\"field_z6vdr_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_z6vdr\" name=\"item_meta[68]\" 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_69_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_zat04\" id=\"field_zat04_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_zat04\" name=\"item_meta[69]\" 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_70_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_q709h\" id=\"field_q709h_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_q709h\" name=\"item_meta[70]\" 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_71_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_wjhjo\" id=\"field_wjhjo_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_wjhjo\" name=\"item_meta[71]\" 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_93_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\"><span lang=\"EN-US\">Contact Information<\/span><\/h3>\n<\/div>\n<div id=\"frm_field_73_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_gcgr1\" id=\"field_gcgr1_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=\"tel\" id=\"field_gcgr1\" name=\"item_meta[73]\" value=\"\"  data-reqmsg=\"Business Phone Number  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Business Phone Number  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}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_74_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_usznr\" id=\"field_usznr_label\" class=\"frm_primary_label\">Cell Phone Number \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_usznr\" name=\"item_meta[74]\" value=\"\"  data-reqmsg=\"Cell Phone Number  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Cell Phone Number  is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_t1bfv\" id=\"field_t1bfv_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_t1bfv\" name=\"item_meta[75]\" 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_76_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_46vnd\" id=\"field_46vnd_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_46vnd\" name=\"item_meta[76]\" 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_94_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div  id=\"field_qzrjq_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_qzrjq_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_94-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_qzrjq_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tCompany Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_qzrjq_line1\" value=\"\" name=\"item_meta[94][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_94-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_qzrjq_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tCompany Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_qzrjq_line2\" value=\"\" name=\"item_meta[94][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_94-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_qzrjq_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_qzrjq_city\" value=\"\" name=\"item_meta[94][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_94-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_qzrjq_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[94][state]\" id=\"field_qzrjq_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_94-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_qzrjq_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_qzrjq_zip\" value=\"\" name=\"item_meta[94][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_95_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div  id=\"field_xmjhy_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_xmjhy_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_95-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_xmjhy_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_xmjhy_line1\" value=\"\" name=\"item_meta[95][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_95-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_xmjhy_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_xmjhy_line2\" value=\"\" name=\"item_meta[95][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_95-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_xmjhy_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_xmjhy_city\" value=\"\" name=\"item_meta[95][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_95-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xmjhy_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[95][state]\" id=\"field_xmjhy_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_95-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xmjhy_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_xmjhy_zip\" value=\"\" name=\"item_meta[95][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_80_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_c0lkx\" id=\"field_c0lkx_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_c0lkx\" name=\"item_meta[80]\" 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_81_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_i40et\" id=\"field_i40et_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_i40et\" name=\"item_meta[81]\" 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_82_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_lhml0\" id=\"field_lhml0_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=\"tel\" id=\"field_lhml0\" name=\"item_meta[82]\" 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\" 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\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_84_container\" class=\"frm_form_field form-field  frm_none_container\"><div  id=\"field_1v4c8\" 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_54_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_b2af9\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_b2af9\" 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=\"3t5eGNEX0ffu3S35bjwlgJcvPCjobfP+XbnT+qbUvysk0vYzg\/Rf11z5f52KXSww\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>C12 Key Players Questionnaire &amp; Application<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"all-pages":[],"class_list":["post-699","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=\/wp\/v2\/pages\/699","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=699"}],"version-history":[{"count":1,"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=\/wp\/v2\/pages\/699\/revisions"}],"predecessor-version":[{"id":700,"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=\/wp\/v2\/pages\/699\/revisions\/700"}],"wp:attachment":[{"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=699"}],"wp:term":[{"taxonomy":"all-pages","embeddable":true,"href":"https:\/\/c12tulsa.webaika.com\/index.php?rest_route=%2Fwp%2Fv2%2Fall-pages&post=699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}