{"id":897,"date":"2023-12-12T13:15:14","date_gmt":"2023-12-12T13:15:14","guid":{"rendered":"https:\/\/lpinc.org\/?page_id=897"},"modified":"2024-02-02T14:13:31","modified_gmt":"2024-02-02T19:13:31","slug":"submit-a-referral","status":"publish","type":"page","link":"https:\/\/lpinc.org\/get-involved\/submit-a-referral\/","title":{"rendered":"Refer a Participant"},"content":{"rendered":"            <section  class=\"visual visual--submit-referral \">\n            <div class=\"container\">\n                                <div class=\"visual__img\">\n                                            <img decoding=\"async\" src=\"https:\/\/lpinc.org\/wp-content\/uploads\/2023\/12\/img-89.png\" alt=\"\">\n                                    <\/div>\n                <div class=\"visual__text\">\n                                            <h5>SUPPORT OUR MISSION<\/h5>\n                                                                <h1>Submit a Referral<\/h1>\n                                        <h6>Know someone who might want to learn more about Leadership Pittsburgh Inc.&#8217;s programs?<\/h6>\n<p>We&#8217;ll be happy to contact the individual and provide the information they need. We&#8217;ll be sure to mention your referral!<\/p>\n                <\/div>\n            <\/div>\n        <\/section>\n    \n\n        \n        <div  class=\"form-block color__light-blue\">\n            <div class=\"container\">\n                                <script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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class='gform_description'>Know someone who might want to learn more about Leadership Pittsburgh Inc.&#8217;s programs?<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/wp-json\/wp\/v2\/pages\/897' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_7_3\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_3\" ><h3>Your Information<\/h3><\/div><fieldset id=\"field_7_4\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_4\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Referrer&#039;s First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_7_4'>\n                            \n                            <span id='input_7_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_7_4_3' class='gform-field-label gform-field-label--type-sub '>Referrer&#8217;s First Name<\/label>\n                                                    <input type='text' name='input_4.3' id='input_7_4_3' value=''   aria-required='true'   placeholder='Referrer&#039;s First Name' autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/fieldset><fieldset id=\"field_7_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Referrer&#039;s Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_7_5'>\n                            \n                            \n                            \n                            <span id='input_7_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_7_5_6' class='gform-field-label gform-field-label--type-sub '>Referrer&#8217;s Last Name<\/label>\n                                                            <input type='text' name='input_5.6' id='input_7_5_6' value=''   aria-required='true'   placeholder='Referrer&#039;s Last Name' autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_7_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_7\" ><label class='gfield_label gform-field-label' for='input_7_7'>Referrer&#039;s Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_7_7' type='text' value='' class='large'    placeholder='Referrer\u2019s Organization'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_6\" ><label class='gfield_label gform-field-label' for='input_7_6'>Referrer&#039;s Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_7_6' type='email' value='' class='large'   placeholder='Referrer\u2019s Email' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><div id=\"field_7_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_1\" ><h3>Referral Information<\/h3><\/div><fieldset id=\"field_7_8\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_8\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Referee&#039;s First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_7_8'>\n                            \n                            <span id='input_7_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_8.3' id='input_7_8_3' value=''   aria-required='true'   placeholder='Referee&#039;s First Name' autocomplete=\"given-name\" \/>\n                                                    <label for='input_7_8_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Referee&#8217;s First Name<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/fieldset><fieldset id=\"field_7_9\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_9\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Referee&#039;s Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_7_9'>\n                            \n                            \n                            \n                            <span id='input_7_9_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.6' id='input_7_9_6' value=''   aria-required='true'   placeholder='Referee&#039;s Last Name' autocomplete=\"family-name\" \/>\n                                                    <label for='input_7_9_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Referee&#8217;s First Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_7_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_11\" ><label class='gfield_label gform-field-label' for='input_7_11'>Referee&#039;s Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_7_11' type='text' value='' class='large'    placeholder='Referee&#039;s Organization'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_10\" ><label class='gfield_label gform-field-label' for='input_7_10'>Referee&#039;s Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_7_10' type='email' value='' class='large'   placeholder='Referee&#039;s Email' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><div id=\"field_7_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description 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