{"id":8147,"date":"2023-07-05T00:52:48","date_gmt":"2023-07-05T00:52:48","guid":{"rendered":"https:\/\/foundation.bertsautopartsjm.com\/?page_id=8147"},"modified":"2023-07-05T01:19:44","modified_gmt":"2023-07-05T01:19:44","slug":"pep-grant-application","status":"publish","type":"page","link":"https:\/\/foundation.bertsautopartsjm.com\/?page_id=8147","title":{"rendered":"PEP GRANT APPLICATION"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8147\" class=\"elementor elementor-8147\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4fc86f5 e-flex e-con-boxed e-con e-parent\" data-id=\"4fc86f5\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c7b0410 elementor-widget elementor-widget-wpforms\" data-id=\"c7b0410\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-8143\"><form id=\"wpforms-form-8143\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"8143\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F8147&#038;wpforms_form_id=8143\" data-token=\"696c1bccf7a052b25b4f009279f6d919\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-8143-field_3-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"3\"><h3 id=\"wpforms-8143-field_3\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-8143-field_3-error\">Personal Details<\/h3><\/div><div id=\"wpforms-8143-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-8143-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" aria-errormessage=\"wpforms-8143-field_0-error\" required><label for=\"wpforms-8143-field_0\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-8143-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" aria-errormessage=\"wpforms-8143-field_0-last-error\" required><label for=\"wpforms-8143-field_0-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-8143-field_13-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8143-field_13\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][13][address1]\" aria-errormessage=\"wpforms-8143-field_13-error\" required><label for=\"wpforms-8143-field_13\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8143-field_13-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][13][address2]\" aria-errormessage=\"wpforms-8143-field_13-address2-error\" ><label for=\"wpforms-8143-field_13-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-8143-field_13-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][13][city]\" aria-errormessage=\"wpforms-8143-field_13-city-error\" required><label for=\"wpforms-8143-field_13-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-8143-field_13-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][13][state]\" aria-errormessage=\"wpforms-8143-field_13-state-error\" required><label for=\"wpforms-8143-field_13-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-8143-field_4-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"4\"><h3 id=\"wpforms-8143-field_4\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-8143-field_4-error\">SCHOOL INFORMATION<\/h3><\/div><div id=\"wpforms-8143-field_15-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_15\">Name of Current School: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8143-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-8143-field_15-error\" required><\/div><div id=\"wpforms-8143-field_37-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_37\">School\u2019s Telephone Number: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-8143-field_37\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-8143-field_37-error\" required><\/div><div id=\"wpforms-8143-field_38-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"38\"><fieldset><legend class=\"wpforms-field-label\">Address  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8143-field_38\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][38][address1]\" aria-errormessage=\"wpforms-8143-field_38-error\" required><label for=\"wpforms-8143-field_38\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8143-field_38-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][38][address2]\" aria-errormessage=\"wpforms-8143-field_38-address2-error\" ><label for=\"wpforms-8143-field_38-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-8143-field_38-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][38][city]\" aria-errormessage=\"wpforms-8143-field_38-city-error\" required><label for=\"wpforms-8143-field_38-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-8143-field_38-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][38][state]\" aria-errormessage=\"wpforms-8143-field_38-state-error\" required><label for=\"wpforms-8143-field_38-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-8143-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_18\">Extra-Curricular Activities: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-8143-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-8143-field_18-error\" required><\/textarea><\/div><div id=\"wpforms-8143-field_5-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"5\"><h3 id=\"wpforms-8143-field_5\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-8143-field_5-error\">REQUIRED DOCUMENTS<\/h3><\/div><div id=\"wpforms-8143-field_39-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_39\">Please upload certified copies of past term reports from the Grade 6 academic year <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"39\"\n\t\tdata-form-id=\"8143\"\n\t\tdata-input-name=\"wpforms_8143_39\"\n\t\tdata-extensions=\"docx,pdf\"\n\t\tdata-max-size=\"26214400\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"536870912\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-8143-field_39\"\n\t\tname=\"wpforms_8143_39\" required\t\tvalue=\"\">\n<div id=\"wpforms-8143-field_39-description\" class=\"wpforms-field-description\">Allowed file types docx, pdf<\/div><\/div><div id=\"wpforms-8143-field_40-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_40\">Please upload your Reference <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"40\"\n\t\tdata-form-id=\"8143\"\n\t\tdata-input-name=\"wpforms_8143_40\"\n\t\tdata-extensions=\"doc,pdf,png,jpg\"\n\t\tdata-max-size=\"26214400\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"536870912\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-8143-field_40\"\n\t\tname=\"wpforms_8143_40\" required\t\tvalue=\"\">\n<div id=\"wpforms-8143-field_40-description\" class=\"wpforms-field-description\">At least one (1) reference- Principal, Pastor, Justice of the Pease or Superintendent of Police<\/div><\/div><div id=\"wpforms-8143-field_49-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_49\">Please submit a 600-word essay on why you should be selected. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"49\"\n\t\tdata-form-id=\"8143\"\n\t\tdata-input-name=\"wpforms_8143_49\"\n\t\tdata-extensions=\"docx,pdf\"\n\t\tdata-max-size=\"26214400\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"536870912\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-8143-field_49\"\n\t\tname=\"wpforms_8143_49\" required\t\tvalue=\"\">\n<div id=\"wpforms-8143-field_49-description\" class=\"wpforms-field-description\">Disclaimer: The use of AI or any automated tools for the creation or completion of the essay is strictly prohibited. Any application found to have used AI assistance will be disqualified from consideration. Applicants are expected to submit their own original work and to refrain from using AI or similar technologies to generate or modify their essay content.<\/div><\/div><div id=\"wpforms-8143-field_41-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_41\">Please upload any other relevant supporting documentation (optional)<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"41\"\n\t\tdata-form-id=\"8143\"\n\t\tdata-input-name=\"wpforms_8143_41\"\n\t\tdata-extensions=\"doc,pdf,png,jpg\"\n\t\tdata-max-size=\"26214400\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"536870912\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-8143-field_41\"\n\t\tname=\"wpforms_8143_41\" \t\tvalue=\"\">\n<div id=\"wpforms-8143-field_41-description\" class=\"wpforms-field-description\">Allowed file types docx, pdf<\/div><\/div><div id=\"wpforms-8143-field_6-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"6\"><h3 id=\"wpforms-8143-field_6\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-8143-field_6-error\">PARENT\/GUARDIAN\u2019S INFORMATION<\/h3><\/div><div id=\"wpforms-8143-field_43-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"43\"><fieldset><legend class=\"wpforms-field-label\">Parent\/Guardian\u2019s  Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-8143-field_43\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][43][first]\" aria-errormessage=\"wpforms-8143-field_43-error\" required><label for=\"wpforms-8143-field_43\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-8143-field_43-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][43][last]\" aria-errormessage=\"wpforms-8143-field_43-last-error\" required><label for=\"wpforms-8143-field_43-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-8143-field_44-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_44\">Parent\/Guardian\u2019s Contact Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-8143-field_44\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-8143-field_44-error\" required><\/div><div id=\"wpforms-8143-field_45-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_45\">Parent\/Guardian\u2019s Contact Number #2 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-8143-field_45\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-8143-field_45-error\" required><\/div><div id=\"wpforms-8143-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_46\">Parent\/Guardian\u2019s Occupation <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8143-field_46\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-8143-field_46-error\" required><\/div><div id=\"wpforms-8143-field_47-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"47\"><fieldset><legend class=\"wpforms-field-label\">Parent\/Guardian\u2019s Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-8143-field_47\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][47][primary]\" spellcheck=\"false\" aria-errormessage=\"wpforms-8143-field_47-error\" required><label for=\"wpforms-8143-field_47\" class=\"wpforms-field-sublabel after \">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-8143-field_47-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-8143-field_47\" name=\"wpforms[fields][47][secondary]\" spellcheck=\"false\" aria-errormessage=\"wpforms-8143-field_47-secondary-error\" required><label for=\"wpforms-8143-field_47-secondary\" class=\"wpforms-field-sublabel after \">Confirm Email<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-8143-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Are you a current employee of Bert\u2019s Auto Parts?  <span 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aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-signature-wrap wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-8143-field_9-signature\" data-color=\"#000000\"><\/canvas><button class=\"wpforms-signature-clear\" title=\"Clear Signature\">Clear Signature<\/button><\/div><input type=\"text\" id=\"wpforms-8143-field_9\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-8143-field_9-error\" required><\/div><div id=\"wpforms-8143-field_10-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-8143-field_10\">Date Signed <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-8143-field_10\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][10][date]\" aria-errormessage=\"wpforms-8143-field_10-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"8143\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"2\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-8143\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/foundation.bertsautopartsjm.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8147","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=\/wp\/v2\/pages\/8147","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8147"}],"version-history":[{"count":9,"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=\/wp\/v2\/pages\/8147\/revisions"}],"predecessor-version":[{"id":8174,"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=\/wp\/v2\/pages\/8147\/revisions\/8174"}],"wp:attachment":[{"href":"https:\/\/foundation.bertsautopartsjm.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8147"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}