{"id":918,"date":"2023-12-12T13:31:45","date_gmt":"2023-12-12T13:31:45","guid":{"rendered":"https:\/\/lpinc.org\/?page_id=918"},"modified":"2024-12-04T14:02:00","modified_gmt":"2024-12-04T19:02:00","slug":"clcv-application","status":"publish","type":"page","link":"https:\/\/lpinc.org\/programs\/community-leadership-course-for-veterans\/clcv-application\/","title":{"rendered":"CLCV\u2122 Application"},"content":{"rendered":"            <section  class=\"visual visual--programs-leadership-course \">\n            <div class=\"container\">\n                                    <span class=\"visual__decor\"><\/span>\n                                <div class=\"visual__img\">\n                                            <img decoding=\"async\" src=\"https:\/\/lpinc.org\/wp-content\/uploads\/2023\/12\/img-70.png\" alt=\"\">\n                                    <\/div>\n                <div class=\"visual__text\">\n                                            <h5>Apply Now<\/h5>\n                                                                <h1>CLCV\u2122<\/h1>\n                                        <p>The Community Leadership Course for Veterans\u2122 (CLCV\u2122) is a nationally recognized program that leverages the skills and experiences of current or former military service members for the betterment of Southwestern Pennsylvania.<\/p>\n<p>Applicants can apply one of two ways:<\/p>\n<ul>\n<li><strong><a href=\"https:\/\/lpinc.org\/wp-content\/uploads\/2024\/12\/CLCV-XII-Application24-25-for-website.pdf\">Download PDF Application<\/a> and submit to to info@lpinc.org<\/strong><\/li>\n<li><strong>OR Continue scrolling to submit through our online form<\/strong><\/li>\n<\/ul>\n<p>Please <a href=\"https:\/\/lpinc.org\/wp-content\/uploads\/2024\/11\/CLCV-XII-External-Schedule-November-2024-1.pdf\">click here<\/a> to download the schedule and review the application instructions before starting your application.<\/p>\n                <\/div>\n            <\/div>\n        <\/section>\n    \n\n<div class=\"container\">\n<h2 class=\"wp-block-heading\">Application Instructions<\/h2>\n<\/div>\n\n<div class=\"container\">\n<p><\/p>\n<\/div>\n\n<div class=\"container\">\n<h3 class=\"wp-block-heading\">Application Deadline<\/h3>\n<\/div>\n\n<div class=\"container\">\n<p>Friday, February 14, 2025<\/p>\n<\/div>\n\n<div class=\"container\">\n<p><\/p>\n<\/div>\n\n<div class=\"container\">\n<h3 class=\"wp-block-heading\">Eligibility<\/h3>\n<\/div>\n\n<div class=\"container\">\n<p>Participation in CLCV\u2122 is based on a selection-process. Applicants must be current or former military service members who achieved a rank of at least E-3. Additionally, applicants must be separated or a current service member who is not within their PCS window. Successful applicants who get the most out of CLCV\u2122 are typically military service members who have served after September 11, 2001. Applications are due Friday, February 14, 2025 for the cohort that begins in May 2025. No application fee is required.<\/p>\n<\/div>\n\n<div class=\"container\">\n<h3 class=\"wp-block-heading\">Timeline<\/h3>\n<\/div>\n\n<div class=\"container\">\n<p>February: Applications must be submitted by 5:00 PM on Friday, February 14, 2025. Please complete the online form on our website OR submit a pdf via email to info@lpinc.org. <\/p>\n<\/div>\n\n<div class=\"container\">\n<p>Late-March\/Early-April: Letters of invitation emailed to accepted candidates.<\/p>\n<\/div>\n\n<div class=\"container\">\n<p>May 1, 2025: Welcome Orientation &amp; Reception (ATTENDANCE REQUIRED)<\/p>\n<\/div>\n\n<div class=\"container\">\n<p>May 9-10, 2025: CLCV\u2122 Overnight Retreat (ATTENDANCE REQUIRED)<\/p>\n<\/div>\n\n<div class=\"container\">\n<h3 class=\"wp-block-heading\">Application Info<\/h3>\n<\/div>\n\n<div class=\"container\">\n<p>The Community Leadership Course for Veterans\u2122 Selection Committee considers letters of recommendation in the application process. We strongly encourage each applicant to submit at least two but no more than four letters of recommendation from individuals who can speak to the professional capacities of the applicant. Examples of potential sources of letters of recommendation include employers, supervisors, commanding officers, professors and\/or alums of CLCV\u2122 and\/or other LPInc. programs. Alumni directories can be found on our website or requested by contacting Krissy DeShetler at <a href=\"mailto:Krissy@lpinc.org\">Krissy@lpinc.org<\/a>.&nbsp;All active service members are required to submit a letter of support from their commanding officer acknowledging the time commitment of the program. Due to the contributions of regional philanthropic organizations and Leadership Pittsburgh Inc. Alumni, this course is being made available for a nominal tuition fee of $300. Tuition will be due upon acceptance. No application fee is required.&nbsp;<strong>The Leadership Pittsburgh Inc. Board of Directors does not want tuition to be a barrier to your application, as such scholarships may&nbsp;be made available.&nbsp;<\/strong>Please contact Krissy DeShetler (<a href=\"mailto:krissy@lpinc.org\">krissy@lpinc.org<\/a>) for questions regarding tuition.<\/p>\n<\/div>\n\n<div class=\"container\">\n<h3 class=\"wp-block-heading\">Session Info<\/h3>\n<\/div>\n\n<div class=\"container\">\n<p>CLCV XII sessions will take place primarily on two to four Tuesday evening(s) each month, May through September, generally from 4:30 \u2013 8:30 PM. The calendar for the year can be found <a href=\"https:\/\/lpinc.org\/wp-content\/uploads\/2024\/11\/CLCV-XII-External-Schedule-November-2024-1.pdf\">here<\/a>. Sessions focus on connecting and enhancing Veteran leadership skills within the context of community needs. Session locations may vary but all will be within 15-miles of downtown Pittsburgh (other than the initial retreat which will be within a 90-minute drive from downtown Pittsburgh). Credits are assigned to each session and graduation is dependent upon completion of a required number of credits (in addition to attendance at sessions indicated as \u2018Must Attend\u2019 on the schedule). In order to allow for busy professional schedules, a higher number of credits are offered than are required for graduation (e.g., 30 credits are offered with 25 required for graduation). In order to achieve the full benefit of the course, participants are strongly advised to attend all regularly scheduled sessions in their entirety.<\/p>\n<\/div>\n\n        \n        <div id=\"clcv-application\" class=\"form-block color__green\">\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 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    <h2 class=\"gform_title\">CLCV XII Application<\/h2>\n                            <p class='gform_description'><\/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_27'  action='\/wp-json\/wp\/v2\/pages\/918#gf_27' data-formid='27' novalidate><div id='gf_page_steps_27' class='gf_page_steps'><div id='gf_step_27_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_6' class='gf_step gf_step_pending'><span class='gf_step_number'>6<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_7' class='gf_step gf_step_pending'><span class='gf_step_number'>7<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_8' class='gf_step gf_step_pending'><span class='gf_step_number'>8<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_9' class='gf_step gf_step_pending'><span class='gf_step_number'>9<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_10' class='gf_step gf_step_pending'><span class='gf_step_number'>10<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_11' class='gf_step gf_step_pending'><span class='gf_step_number'>11<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_12' class='gf_step gf_step_pending'><span class='gf_step_number'>12<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_13' class='gf_step gf_step_pending'><span class='gf_step_number'>13<\/span><span class='gf_step_label'><\/span><\/div><div id='gf_step_27_14' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>14<\/span><span class='gf_step_label'><\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_27_1' class='gform_page ' data-js='page-field-id-0' >\n                                    <div class='gform_page_fields'><div id='gform_fields_27' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_3\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_3\" ><h2>Section 1: Personal Data<\/h2><\/div><fieldset id=\"field_27_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >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 has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_27_5'>\n                            \n                            <span id='input_27_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_27_5_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                    <input type='text' name='input_5.3' id='input_27_5_3' value=''   aria-required='true'   placeholder='First Name' autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_27_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_27_5_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                            <input type='text' name='input_5.6' id='input_27_5_6' value=''   aria-required='true'   placeholder='Last Name' autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_27_191\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_191\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Home Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_27_191' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_27_191_1_container' >\n                                        <label for='input_27_191_1' id='input_27_191_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_191.1' id='input_27_191_1' value=''   placeholder='Street Address' aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_27_191_2_container' >\n                                        <label for='input_27_191_2' id='input_27_191_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_191.2' id='input_27_191_2' value=''   placeholder='Address Line 2'  aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_27_191_3_container' >\n                                    <label for='input_27_191_3' id='input_27_191_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_191.3' id='input_27_191_3' value=''   placeholder='City' aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_27_191_4_container' >\n                                        <label for='input_27_191_4' id='input_27_191_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_191.4' id='input_27_191_4' value=''     placeholder='State \/ Province \/ Region' aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_27_191_5_container' >\n                                    <label for='input_27_191_5' id='input_27_191_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_191.5' id='input_27_191_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_191.6' id='input_27_191_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_27_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_9\" ><label class='gfield_label gform-field-label' for='input_27_9'>Cell Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_27_9' type='tel' value='' class='large'  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><div id=\"field_27_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_10\" ><label class='gfield_label gform-field-label' for='input_27_10'>Personal 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_27_10' type='email' value='' class='large'   placeholder='Personal Email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_27_16\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_16\" >The LPinc. Selection Committee strives to curate a diverse cohort based upon our applicant pool and information received. The following demographical information is not required.<\/div><div id=\"field_27_164\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_164\" ><label class='gfield_label gform-field-label' for='input_27_164'>Gender<\/label><div class='ginput_container ginput_container_text'><input name='input_164' id='input_27_164' type='text' value='' class='large'    placeholder='Gender'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_14\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_14\" ><label class='gfield_label gform-field-label' for='input_27_14'>Age<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_27_14' type='number' step='any'   value='' class='large'    placeholder='Age'  aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_27_192\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_192\" ><legend class='gfield_label gform-field-label' >Race\/Ethnic Identification:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_192'>\n\t\t\t<div class='gchoice gchoice_27_192_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_192' type='radio' value='American Indian\/Alaska Native'  id='choice_27_192_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_192_0' id='label_27_192_0' class='gform-field-label gform-field-label--type-inline'>American Indian\/Alaska Native<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_192_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_192' type='radio' value='Asian'  id='choice_27_192_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_192_1' id='label_27_192_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_192_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_192' type='radio' value='Black or African American'  id='choice_27_192_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_192_2' id='label_27_192_2' class='gform-field-label gform-field-label--type-inline'>Black or African American<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_192_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_192' type='radio' value='Hispanic or Latino'  id='choice_27_192_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_192_3' id='label_27_192_3' class='gform-field-label gform-field-label--type-inline'>Hispanic or Latino<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_192_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_192' type='radio' value='Native Hawaiian or Pacific Islander'  id='choice_27_192_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_192_4' id='label_27_192_4' class='gform-field-label gform-field-label--type-inline'>Native Hawaiian or Pacific Islander<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_192_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_192' type='radio' value='White'  id='choice_27_192_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_192_5' id='label_27_192_5' class='gform-field-label gform-field-label--type-inline'>White<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_192_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_192' type='radio' value='gf_other_choice'  id='choice_27_192_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_192_6' id='label_27_192_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_27_192_other' class='gchoice_other_control' name='input_192_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_27_19' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_2_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_2' class='gform_page' data-js='page-field-id-19' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_20\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_20\" ><h2>Section 2: Student Information<\/h2>\n<p>Skip this section if you are not currently a full-time or part-time student.<\/p><\/div><div id=\"field_27_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_21\" ><label class='gfield_label gform-field-label' for='input_27_21'>Name of School<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_27_21' type='text' value='' class='large'    placeholder='Name of School'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_22\" ><label class='gfield_label gform-field-label' for='input_27_22'>Name of Degree\/Certificate Program<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_27_22' type='text' value='' class='large'    placeholder='Name of Degree\/Certificate Program'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_24\" ><label class='gfield_label gform-field-label' for='input_27_24'>Area of Focus<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_27_24' type='text' value='' class='large'    placeholder='Area of Focus'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_25\" ><label class='gfield_label gform-field-label' for='input_27_25'>Number of Credits Remaining for Completion<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_27_25' type='text' value='' class='large'    placeholder='Number of Credits Remaining for Completion'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_3_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_3' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_28\" ><h2>Section 3: Employment Information<\/h2>\n<p>Skip this section if you are a full-time student.<\/p><\/div><div id=\"field_27_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_33\" ><label class='gfield_label gform-field-label' for='input_27_33'>Position\/Job Title<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_27_33' type='text' value='' class='large'    placeholder='Position\/Job Title'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_34\" ><label class='gfield_label gform-field-label' for='input_27_34'>Employer<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_27_34' type='text' value='' class='large'    placeholder='Employer'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_29\" ><label class='gfield_label gform-field-label' for='input_27_29'>Size of Organization\/Total Number of Employees<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_27_29' type='text' value='' class='large'    placeholder='Size of Organization\/Total Number of Employees'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_27_193\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_193\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Work Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_27_193' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_27_193_1_container' >\n                                        <label for='input_27_193_1' id='input_27_193_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_193.1' id='input_27_193_1' value=''   placeholder='Street Address' aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_27_193_2_container' >\n                                        <label for='input_27_193_2' id='input_27_193_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_193.2' id='input_27_193_2' value=''   placeholder='Address Line 2'  aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_27_193_3_container' >\n                                    <label for='input_27_193_3' id='input_27_193_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_193.3' id='input_27_193_3' value=''   placeholder='City' aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_27_193_4_container' >\n                                        <label for='input_27_193_4' id='input_27_193_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_193.4' id='input_27_193_4' value=''     placeholder='State \/ Province \/ Region' aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_27_193_5_container' >\n                                    <label for='input_27_193_5' id='input_27_193_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_193.5' id='input_27_193_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_193.6' id='input_27_193_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_27_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_31\" ><label class='gfield_label gform-field-label' for='input_27_31'>Work Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_27_31' type='text' value='' class='large'    placeholder='Work Phone'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_32\" ><label class='gfield_label gform-field-label' for='input_27_32'>Work Email<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_27_32' type='text' value='' class='large'    placeholder='Work Email'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_201' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_201' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_4_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_4' class='gform_page' data-js='page-field-id-201' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_35\" ><h2>Section 4: Employer Agreement (If Applicable)<\/h2>\n<p>Skip this section if you are a full-time student.<\/p>\n<p>Because a portion of the CLCV<sup>TM<\/sup> sessions are held during normal business hours, the support of your employer\/organization is imperative. The applicant is expected to obtain this support, and completion of this section indicates the applicant has done so. Your supervisor and\/or head of your business or organization may be contacted. All active service members are required to submit a letter of support from their commanding officer acknowledging the time commitment of the program in addition to the Employer Agreement.<\/p><\/div><div id=\"field_27_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_36\" ><label class='gfield_label gform-field-label' for='input_27_36'>Supervisor\/Head of the Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_27_36' type='text' value='' class='large'    placeholder='Supervisor\/Head of Organization'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_165\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_165\" ><label class='gfield_label gform-field-label' for='input_27_165'>Name of Business\/Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_165' id='input_27_165' type='text' value='' class='large'    placeholder='Name of Business\/Organization'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_37\" ><label class='gfield_label gform-field-label' for='input_27_37'>Title<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_27_37' type='text' value='' class='large'    placeholder='Title'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_27_38\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_38\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Work Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_27_38' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_27_38_1_container' >\n                                        <label for='input_27_38_1' id='input_27_38_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_38.1' id='input_27_38_1' value=''   placeholder='Street Address' aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_27_38_2_container' >\n                                        <label for='input_27_38_2' id='input_27_38_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_38.2' id='input_27_38_2' value=''   placeholder='Address Line 2'  aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_27_38_3_container' >\n                                    <label for='input_27_38_3' id='input_27_38_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_38.3' id='input_27_38_3' value=''   placeholder='City' aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_27_38_4_container' >\n                                        <label for='input_27_38_4' id='input_27_38_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_38.4' id='input_27_38_4' value=''     placeholder='State \/ Province \/ Region' aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_27_38_5_container' >\n                                    <label for='input_27_38_5' id='input_27_38_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_38.5' id='input_27_38_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_38.6' id='input_27_38_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_27_39\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_39\" ><label class='gfield_label gform-field-label' for='input_27_39'>Work Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_27_39' type='tel' value='' class='large'  placeholder='Work Phone'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_40\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_40\" ><label class='gfield_label gform-field-label' for='input_27_40'>Work Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_40' id='input_27_40' type='email' value='' class='large'   placeholder='Work Email'  aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_202' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_202' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_5_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_5' class='gform_page' data-js='page-field-id-202' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_41\" ><h2>Section 5: Person who referred you to CLCV<sup>TM<\/sup>(If different from above)<\/h2>\n<p>Skip this section if you are self-nominating.<\/p>\n<p>Please list the individual within your network (organization\/professional\/personal) who has been the most influential in your decision to apply to the Community Leadership Course for Veterans<sup>TM<\/sup> program. In the event of your acceptance into the program, this individual, along with the person listed in the Employer Agreement section above, will be extended an invitation to join you at the CLCV<sup>TM<\/sup> Graduation Reception at the end of the program.<\/p><\/div><fieldset id=\"field_27_194\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_194\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of the Referrer<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_27_194'>\n                            \n                            <span id='input_27_194_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_27_194_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                    <input type='text' name='input_194.3' id='input_27_194_3' value=''   aria-required='false'   placeholder='First Name'  \/>\n                                                <\/span>\n                            \n                            <span id='input_27_194_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_27_194_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                            <input type='text' name='input_194.6' id='input_27_194_6' value=''   aria-required='false'   placeholder='Last Name'  \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_27_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_43\" ><label class='gfield_label gform-field-label' for='input_27_43'>Name of Business\/Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_27_43' type='text' value='' class='large'    placeholder='Organization'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_44\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_44\" ><label class='gfield_label gform-field-label' for='input_27_44'>Title<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_27_44' type='text' value='' class='large'    placeholder='Title'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_27_45\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_45\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Work Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_27_45' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_27_45_1_container' >\n                                        <label for='input_27_45_1' id='input_27_45_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_45.1' id='input_27_45_1' value=''   placeholder='Street Address' aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_27_45_2_container' >\n                                        <label for='input_27_45_2' id='input_27_45_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_45.2' id='input_27_45_2' value=''   placeholder='Address Line 2'  aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_27_45_3_container' >\n                                    <label for='input_27_45_3' id='input_27_45_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_45.3' id='input_27_45_3' value=''   placeholder='City' aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_27_45_4_container' >\n                                        <label for='input_27_45_4' id='input_27_45_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_45.4' id='input_27_45_4' value=''     placeholder='State \/ Province \/ Region' aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_27_45_5_container' >\n                                    <label for='input_27_45_5' id='input_27_45_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_45.5' id='input_27_45_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_45.6' id='input_27_45_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_27_46\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_46\" ><label class='gfield_label gform-field-label' for='input_27_46'>Work Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_46' id='input_27_46' type='tel' value='' class='large'  placeholder='Work Phone'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_47\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_47\" ><label class='gfield_label gform-field-label' for='input_27_47'>Work Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_47' id='input_27_47' type='email' value='' class='large'   placeholder='Work Email'  aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_200' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_200' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_6_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_6' class='gform_page' data-js='page-field-id-200' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_49\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_49\" ><h2>Section 6: Civilian Professional\/Educational Background<\/h2>\n<p>Please answer the professional\/education background section OR attach your resume to the application.<\/p><\/div><div id=\"field_27_177\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_177\" ><label class='gfield_label gform-field-label' for='input_27_177'>Attach Resume<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_177' id='input_27_177' type='file' class='large' aria-describedby=\"gfield_upload_rules_27_177\" onchange='javascript:gformValidateFileSize( this, 52428800 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_27_177'>Accepted file types: pdf, doc, Max. file size: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_27_177'><\/div><\/div><\/div><div id=\"field_27_50\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_50\" ><h3>Civilian Professional Experience (If Applicable)<\/h3>\n<p>List past and present employment highlights including employer, job title, a brief job description, and dates of employment.<\/p>\n<p>Note: Should your education status change after you have submitted your application, please call the Leadership Pittsburgh Inc. office at <a href=\"tel:+1412.392.4505\" aria-label=\"Call 412.392.4505\">412.392.4505<\/a> and email <a href=\"mailto:krissy@lpinc.org\" aria-label=\"Email krissy@lpinc.org\">Krissy@lpinc.org<\/a> so that this information can be presented to the CLCV<sup>TM<\/sup> Selection Committee.<\/p><\/div><div id=\"field_27_51\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_51\" ><h4>Civilian Work Experience 1 (most recent)<\/h4><\/div><div id=\"field_27_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_52\" ><label class='gfield_label gform-field-label' for='input_27_52'>Employer<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_27_52' type='text' value='' class='large'    placeholder='Employer'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_53\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_53\" ><label class='gfield_label gform-field-label' for='input_27_53'>Job Title<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_27_53' type='text' value='' class='large'    placeholder='Job Title'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_166\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_166\" ><label class='gfield_label gform-field-label' for='input_27_166'>Dates of Employment<\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_27_166' type='text' value='' class='large'    placeholder='Dates of Employment'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_55\" ><label class='gfield_label gform-field-label' for='input_27_55'>Brief Job Description<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_27_55' type='text' value='' class='large'    placeholder='Brief Job Description'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_56\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_56\" ><h4>Civilian Work Experience 2<\/h4><\/div><div id=\"field_27_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_57\" ><label class='gfield_label gform-field-label' for='input_27_57'>Employer<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_27_57' type='text' value='' class='large'    placeholder='Employer'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_58\" ><label class='gfield_label gform-field-label' for='input_27_58'>Job Title<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_27_58' type='text' value='' class='large'    placeholder='Job Title'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_167\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_167\" ><label class='gfield_label gform-field-label' for='input_27_167'>Dates of Employment<\/label><div class='ginput_container ginput_container_text'><input name='input_167' id='input_27_167' type='text' value='' class='large'    placeholder='Dates of Employment'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_60\" ><label class='gfield_label gform-field-label' for='input_27_60'>Brief Job Description<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_27_60' type='text' value='' class='large'    placeholder='Brief Job Description'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_62\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_62\" ><h3>Civilian Educational Experience (If Applicable)<\/h3>\n<p>List civilian educational highlights and include dates, coursework completed, degrees or certificates obtained, fields of study, training programs, and awards. List any educational activities ongoing at the time of application.<\/p>\n<p>Note: Should your education status change after you have submitted your application, please call the Leadership Pittsburgh Inc. office at <a href=\"tel:+1412.392.4505\" aria-label=\"Call 412.392.4505\">412.392.4505<\/a> and email <a href=\"mailto:krissy@lpinc.org\" aria-label=\"Email krissy@lpinc.org\">Krissy@lpinc.org<\/a> so that this information can be presented to the CLCV<sup>TM<\/sup> Selection Committee.<\/p><\/div><div id=\"field_27_64\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_64\" ><h4>Civilian Educational Activity 1 (most recent)<\/h4><\/div><div id=\"field_27_79\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_79\" ><label class='gfield_label gform-field-label' for='input_27_79'>School\/Institution<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_27_79' type='text' value='' class='large'    placeholder='School\/Institution'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_66\" ><label class='gfield_label gform-field-label' for='input_27_66'>Degree\/Certification<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_27_66' type='text' value='' class='large'    placeholder='Degree\/Certificate'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_67\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_67\" ><label class='gfield_label gform-field-label' for='input_27_67'>Field of Study<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_27_67' type='text' value='' class='large'    placeholder='Field of Study'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_69\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_69\" ><label class='gfield_label gform-field-label' for='input_27_69'>Graduation Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_69' id='input_27_69' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='Graduation Date' aria-describedby=\"input_27_69_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_27_69_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_69' class='gform_hidden' value='https:\/\/lpinc.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_27_70\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_70\" ><label class='gfield_label gform-field-label' for='input_27_70'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_27_70' type='text' value='' class='medium'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_168\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_168\" ><h4>Civilian Educational Activity 2<\/h4><\/div><div id=\"field_27_76\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_76\" ><label class='gfield_label gform-field-label' for='input_27_76'>School\/Institution<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_27_76' type='text' value='' class='large'    placeholder='School\/Institution'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_78\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_78\" ><label class='gfield_label gform-field-label' for='input_27_78'>Degree\/Certification<\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_27_78' type='text' value='' class='large'    placeholder='Degree\/Certificate'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_74\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_74\" ><label class='gfield_label gform-field-label' for='input_27_74'>Field of Study<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_27_74' type='text' value='' class='large'    placeholder='Field of Study'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_75\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_75\" ><label class='gfield_label gform-field-label' for='input_27_75'>Graduation Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_75' id='input_27_75' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='Graduation Date' aria-describedby=\"input_27_75_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_27_75_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_75' class='gform_hidden' value='https:\/\/lpinc.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_27_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_73\" ><label class='gfield_label gform-field-label' for='input_27_73'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_27_73' type='text' value='' class='medium'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_80\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_80\" ><h3>Professional Activities<\/h3>\n<p>List, in order of importance, the employer-related or professionally based activities in which you participate or have participated. For each activity, state the nature of your participation including leadership positions held, special recognition received, and the date(s) of your involvement.<\/p><\/div><div id=\"field_27_81\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_81\" ><h4>Professional Activity 1<\/h4><\/div><div id=\"field_27_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_83\" ><label class='gfield_label gform-field-label' for='input_27_83'>Activity Name<\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_27_83' type='text' value='' class='large'    placeholder='Activity Name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_84\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_84\" ><label class='gfield_label gform-field-label' for='input_27_84'>Role in Activity<\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_27_84' type='text' value='' class='large'    placeholder='Role in Activity'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_178\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_178\" ><label class='gfield_label gform-field-label' for='input_27_178'>Activity Date(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_178' id='input_27_178' type='text' value='' class='large'    placeholder='Activity Date(s)'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_86\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_86\" ><label class='gfield_label gform-field-label' for='input_27_86'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_27_86' type='text' value='' class='large'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_82\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_82\" ><h4>Professional Activity 2<\/h4><\/div><div id=\"field_27_87\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_87\" ><label class='gfield_label gform-field-label' for='input_27_87'>Activity Name<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_27_87' type='text' value='' class='large'    placeholder='Activity Name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_88\" ><label class='gfield_label gform-field-label' for='input_27_88'>Role in Activity<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_27_88' type='text' value='' class='large'    placeholder='Role in Activity'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_179\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_179\" ><label class='gfield_label gform-field-label' for='input_27_179'>Activity Date(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_179' id='input_27_179' type='text' value='' class='large'    placeholder='Activity Date(s)'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_90\" ><label class='gfield_label gform-field-label' for='input_27_90'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_27_90' type='text' value='' class='large'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_91' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_91' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_7_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_7' class='gform_page' data-js='page-field-id-91' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_92\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_92\" ><h2>Section 7: Military Professional\/Educational Background<\/h2>\n<p>Please include a DD Form 214 (Member-1 copy) with your application as proof of your military service. If a DD Form 214 cannot be obtained, please submit a current ERB or ORB instead. *PLEASE BLACK OUT YOUR SOCIAL SECURITY NUMBER \u2013 we do not want\/need\/require this information.* Only applicants without a dishonorable discharge will be considered for CLCV<sup>TM<\/sup>. If you received a discharge from the military that was less than honorable, please include a brief description of the reason for your discharge. Application materials are confidential and will be shared only with the small group comprising the CLCV<sup>TM<\/sup> Selection Committee.<\/p><\/div><fieldset id=\"field_27_207\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_207\" ><legend class='gfield_label gform-field-label' >I would like to upload a file<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_207'>\n\t\t\t<div class='gchoice gchoice_27_207_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_207' type='radio' value='Yes (we will contact you if we do not receive your upload)'  id='choice_27_207_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_207_0' id='label_27_207_0' class='gform-field-label gform-field-label--type-inline'>Yes (we will contact you if we do not receive your upload)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_207_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_207' type='radio' value='No, I will email the file to krissy@lpinc.org'  id='choice_27_207_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_207_1' id='label_27_207_1' class='gform-field-label gform-field-label--type-inline'>No, I will email the file to krissy@lpinc.org<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_180\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_180\" ><label class='gfield_label gform-field-label' for='input_27_180'>Upload DD214<\/label><div class='gfield_description' id='gfield_description_27_180'>Upload your DD Form 214 or email to Krissy@lpinc.org &#8211; please black out your social security number on all pages of the form. <\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_180' id='input_27_180' type='file' class='large' aria-describedby=\"gfield_upload_rules_27_180 gfield_description_27_180\" onchange='javascript:gformValidateFileSize( this, 52428800 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_27_180'>Max. file size: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_27_180'><\/div><\/div><\/div><div id=\"field_27_93\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_93\" ><h3>Military Professional Experience<\/h3>\n<p>List past and present military employment highlights including employer, job title, a brief job description, and dates of employment.<\/p>\n<p>Note: Should your employment status change after you have submitted your application, please call the Leadership Pittsburgh Inc. office at <a href=\"tel:+1412.392.4505\" aria-label=\"Call 412.392.4505\">412.392.4505<\/a> or email <a href=\"mailto:krissy@lpinc.org\" aria-label=\"Email krissy@lpinc.org\">Krissy@lpinc.org<\/a>  so that this information can be presented to the CLCV<sup>TM<\/sup> Selection Committee.<\/p><\/div><div id=\"field_27_94\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_94\" ><h4>Military Work Experience 1 (most recent)<\/h4><\/div><div id=\"field_27_95\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_95\" ><label class='gfield_label gform-field-label' for='input_27_95'>Unit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_27_95' type='text' value='' class='large'    placeholder='Unit' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_96\" ><label class='gfield_label gform-field-label' for='input_27_96'>Title of Position Held<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_27_96' type='text' value='' class='large'    placeholder='Title of Position Held' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_181\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_181\" ><label class='gfield_label gform-field-label' for='input_27_181'>Dates Assigned<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_181' id='input_27_181' type='text' value='' class='large'    placeholder='Dates Assigned' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_98\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_98\" ><label class='gfield_label gform-field-label' for='input_27_98'>Brief Summary of Duties<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_27_98' type='text' value='' class='large'    placeholder='Brief Summary of Duties' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_103\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_103\" ><h4>Military Work Experience 2<\/h4><\/div><div id=\"field_27_99\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_99\" ><label class='gfield_label gform-field-label' for='input_27_99'>Unit<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_27_99' type='text' value='' class='large'    placeholder='Unit'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_100\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_100\" ><label class='gfield_label gform-field-label' for='input_27_100'>Title of Position Held<\/label><div class='ginput_container ginput_container_text'><input name='input_100' id='input_27_100' type='text' value='' class='large'    placeholder='Title of Position Held'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_182\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_182\" ><label class='gfield_label gform-field-label' for='input_27_182'>Dates Assigned<\/label><div class='ginput_container ginput_container_text'><input name='input_182' id='input_27_182' type='text' value='' class='large'    placeholder='Dates Assigned'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_102\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_102\" ><label class='gfield_label gform-field-label' for='input_27_102'>Brief Summary of Duties<\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_27_102' type='text' value='' class='large'    placeholder='Brief Summary of Duties'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_104\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_104\" ><h3>Military Educational Experience<\/h3>\n<p>List civilian educational highlights and include dates, coursework completed, degrees or certificates obtained, fields of study, training programs, and awards. List any educational activities ongoing at the time of application. Any changes to this post submission of application should be reported to LPInc. per above.<\/p><\/div><div id=\"field_27_106\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_106\" ><h4>Military Educational Activity 1 (most recent)<\/h4><\/div><div id=\"field_27_107\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_107\" ><label class='gfield_label gform-field-label' for='input_27_107'>Degree\/Certificate<\/label><div class='ginput_container ginput_container_text'><input name='input_107' id='input_27_107' type='text' value='' class='large'    placeholder='Degree\/Certificate'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_108\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_108\" ><label class='gfield_label gform-field-label' for='input_27_108'>Graduation Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_108' id='input_27_108' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='Graduation Date' aria-describedby=\"input_27_108_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_27_108_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_108' class='gform_hidden' value='https:\/\/lpinc.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_27_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_109\" ><label class='gfield_label gform-field-label' for='input_27_109'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_27_109' type='text' value='' class='large'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_110\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_110\" ><h4>Military Educational Activity 2<\/h4><\/div><div id=\"field_27_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_111\" ><label class='gfield_label gform-field-label' for='input_27_111'>Degree\/Certificate<\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_27_111' type='text' value='' class='large'    placeholder='Degree\/Certificate'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_112\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_112\" ><label class='gfield_label gform-field-label' for='input_27_112'>Graduation Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_112' id='input_27_112' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='Graduation Date' aria-describedby=\"input_27_112_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_27_112_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_112' class='gform_hidden' value='https:\/\/lpinc.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_27_113\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_113\" ><label class='gfield_label gform-field-label' for='input_27_113'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_27_113' type='text' value='' class='large'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_114' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_114' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_8_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_8' class='gform_page' data-js='page-field-id-114' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_116\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_116\" ><h2>Section 8: Community Involvement<\/h2>\n<p>List, in order of importance, the community and civic (including faith-based) service activities in which you participate or have participated. For each activity, state the nature of your participation, including leadership positions held or special recognition received.<\/p><\/div><div id=\"field_27_115\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_115\" ><h4>Community Activity 1<\/h4><\/div><div id=\"field_27_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_119\" ><label class='gfield_label gform-field-label' for='input_27_119'>Activity Name<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_27_119' type='text' value='' class='large'    placeholder='Activity Name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_120\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_120\" ><label class='gfield_label gform-field-label' for='input_27_120'>Role in Activity<\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_27_120' type='text' value='' class='large'    placeholder='Role in Activity'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_183\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_183\" ><label class='gfield_label gform-field-label' for='input_27_183'>Activity Date<\/label><div class='ginput_container ginput_container_text'><input name='input_183' id='input_27_183' type='text' value='' class='large'    placeholder='Activity Date'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_124\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_124\" ><label class='gfield_label gform-field-label' for='input_27_124'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_27_124' type='text' value='' class='large'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_117\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_117\" ><h4>Community Activity 2<\/h4><\/div><div id=\"field_27_121\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_121\" ><label class='gfield_label gform-field-label' for='input_27_121'>Activity Name<\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_27_121' type='text' value='' class='large'    placeholder='Activity Name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_122\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_122\" ><label class='gfield_label gform-field-label' for='input_27_122'>Role in Activity<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_27_122' type='text' value='' class='large'    placeholder='Role in Activity'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_184\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_184\" ><label class='gfield_label gform-field-label' for='input_27_184'>Activity Date<\/label><div class='ginput_container ginput_container_text'><input name='input_184' id='input_27_184' type='text' value='' class='large'    placeholder='Activity Date'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_129\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_129\" ><label class='gfield_label gform-field-label' for='input_27_129'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_27_129' type='text' value='' class='large'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_132\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_132\" ><h4>Community Activity 3<\/h4><\/div><div id=\"field_27_130\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_130\" ><label class='gfield_label gform-field-label' for='input_27_130'>Activity Name<\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_27_130' type='text' value='' class='large'    placeholder='Activity Name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_131\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_131\" ><label class='gfield_label gform-field-label' for='input_27_131'>Role in Activity<\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_27_131' type='text' value='' class='large'    placeholder='Role in Activity'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_185\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_185\" ><label class='gfield_label gform-field-label' for='input_27_185'>Activity Date<\/label><div class='ginput_container ginput_container_text'><input name='input_185' id='input_27_185' type='text' value='' class='large'    placeholder='Activity Date'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_125\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_125\" ><label class='gfield_label gform-field-label' for='input_27_125'>Awards\/Recognitions<\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_27_125' type='text' value='' class='large'    placeholder='Awards &amp; Recognitions'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_133' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_133' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_9_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_9' class='gform_page' data-js='page-field-id-133' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_134\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_134\" ><h2>Personal Insights<\/h2>\n<p>In a separate document\/attachment, please answer each of the following questions within the requested word limits:<\/p>\n<ol>\n<li>How do you anticipate being able to (or how have you been able to) use your military experience and skills in civilian leadership roles? (500-word limit)<\/li>\n<li>In what ways has military training and\/or service changed you? Please elaborate on this in regards to how you see yourself serving the community in the future. (500-word limit)<\/li>\n<li>Describe one major issue facing the Pittsburgh region that you would like to impact. (500-word limit)<\/li>\n<\/ol><\/div><fieldset id=\"field_27_204\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_204\" ><legend class='gfield_label gform-field-label' >I would like to upload a file<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_204'>\n\t\t\t<div class='gchoice gchoice_27_204_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_204' type='radio' value='Yes (we will contact you if we do not receive your upload)'  id='choice_27_204_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_204_0' id='label_27_204_0' class='gform-field-label gform-field-label--type-inline'>Yes (we will contact you if we do not receive your upload)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_204_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_204' type='radio' value='No, I will email the file to krissy@lpinc.org'  id='choice_27_204_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_204_1' id='label_27_204_1' class='gform-field-label gform-field-label--type-inline'>No, I will email the file to krissy@lpinc.org<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_135\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_135\" ><label class='gfield_label gform-field-label' for='gform_browse_button_27_135'>Upload file<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_135'>Upload personal insight responses.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_27_135' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_27_135&quot;,&quot;container&quot;:&quot;gform_multifile_upload_27_135&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_27_135&quot;,&quot;filelist&quot;:&quot;gform_preview_27_135&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/lpinc.org\\\/?gf_page=4454873e9d4b749&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/lpinc.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/lpinc.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;doc,pdf&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:27,&quot;field_id&quot;:135},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_27_135&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_27_135' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_27_135' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_27_135 gfield_description_27_135\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_27_135'>Accepted file types: doc, pdf, Max. file size: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_27_135'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_27_135' class='ginput_preview_list'><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_136' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_136' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_10_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_10' class='gform_page' data-js='page-field-id-136' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_10' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_137\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_137\" ><h2>Section 10: Personal Bio<\/h2>\n<p>Please attach a personal bio that provides a brief narrative description of your military, work, and educational experiences. Bios should be fewer than 150 words.<\/p><\/div><fieldset id=\"field_27_205\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_205\" ><legend class='gfield_label gform-field-label' >I would like to upload a file<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_205'>\n\t\t\t<div class='gchoice gchoice_27_205_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_205' type='radio' value='Yes (we will contact you if we do not receive your upload)'  id='choice_27_205_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_205_0' id='label_27_205_0' class='gform-field-label gform-field-label--type-inline'>Yes (we will contact you if we do not receive your upload)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_205_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_205' type='radio' value='No, I will email the file to krissy@lpinc.org'  id='choice_27_205_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_205_1' id='label_27_205_1' class='gform-field-label gform-field-label--type-inline'>No, I will email the file to krissy@lpinc.org<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_138\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_138\" ><label class='gfield_label gform-field-label' for='input_27_138'>Upload file<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_138'>Upload personal bio.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_138' id='input_27_138' type='file' class='large' aria-describedby=\"gfield_upload_rules_27_138 gfield_description_27_138\" onchange='javascript:gformValidateFileSize( this, 52428800 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_27_138'>Accepted file types: doc, pdf, Max. file size: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_27_138'><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_139' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_139' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_11_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_11' class='gform_page' data-js='page-field-id-139' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_11' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_140\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_140\" ><h2>Section 11: Letters of Recommendation<\/h2>\n<p>The Community Leadership Course for VeteransTM Selection Committee considers letters of recommendation in the application process. We strongly encourage each applicant to submit at least two but no more than four letters of recommendation from individuals who can speak to the professional capacities of the applicant. Examples of potential sources of letters of recommendation include employers, supervisors, commanding officers, professors and\/or alums of CLCV<sup>TM<\/sup> and\/or other LPInc. programs. Alumni directories can be found on our website or requested by contacting Krissy DeShetler at <a href=\"mailto:krissy@lpinc.org\" aria-label=\"Email krissy@lpinc.org\">Krissy@lpinc.org<\/a>.<\/p>\n\n<p>Letters of recommendations are due in to the Leadership Pittsburgh Inc. office by February 14, 2025 at <strong>February 16, 2024 at 5:00 pm<\/strong>. These can be submitted along with your application or sent separately by e-mail to <a href=\"mailto:krissy@lpinc.org\" aria-label=\"Email krissy@lpinc.org\">Krissy@lpinc.org<\/a>.<\/p><\/div><fieldset id=\"field_27_206\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_206\" ><legend class='gfield_label gform-field-label' >I would like to upload a file<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_206'>\n\t\t\t<div class='gchoice gchoice_27_206_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='Yes (we will contact you if we do not receive your upload)'  id='choice_27_206_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_206_0' id='label_27_206_0' class='gform-field-label gform-field-label--type-inline'>Yes (we will contact you if we do not receive your upload)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_206_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='No, I will email the file to krissy@lpinc.org'  id='choice_27_206_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_206_1' id='label_27_206_1' class='gform-field-label gform-field-label--type-inline'>No, I will email the file to krissy@lpinc.org<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_188\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_188\" ><label class='gfield_label gform-field-label' for='input_27_188'>Upload letters of recommendation<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_188' id='input_27_188' type='file' class='large' aria-describedby=\"gfield_upload_rules_27_188\" onchange='javascript:gformValidateFileSize( this, 52428800 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_27_188'>Max. file size: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_27_188'><\/div><\/div><\/div><div id=\"field_27_187\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_187\" ><label class='gfield_label gform-field-label' for='input_27_187'>Letters of Recommendation<\/label><div class='gfield_description' id='gfield_description_27_187'>Please list the individuals whom you have asked to submit a letter of recommendation on your behalf.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_187' id='input_27_187' class='textarea large'  aria-describedby=\"gfield_description_27_187\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_197' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_197' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_12_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_12' class='gform_page' data-js='page-field-id-197' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_12' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_143\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_143\" ><\/div><fieldset id=\"field_27_198\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_198\" ><legend class='gfield_label gform-field-label' >How did you learn of Leadership Pittsburgh Inc.?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_198'>Please select one or more.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_198'>\n\t\t\t<div class='gchoice gchoice_27_198_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Brochure or marketing materials'  id='choice_27_198_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_27_198\"   \/>\n\t\t\t\t\t<label for='choice_27_198_0' id='label_27_198_0' class='gform-field-label gform-field-label--type-inline'>Brochure or marketing materials<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Community event'  id='choice_27_198_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_1' id='label_27_198_1' class='gform-field-label gform-field-label--type-inline'>Community event<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Email from Leadership Pittsburgh Inc.'  id='choice_27_198_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_2' id='label_27_198_2' class='gform-field-label gform-field-label--type-inline'>Email from Leadership Pittsburgh Inc.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Leadership Pittsburgh Inc. team'  id='choice_27_198_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_3' id='label_27_198_3' class='gform-field-label gform-field-label--type-inline'>Leadership Pittsburgh Inc. team<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Leadership Pittsburgh Inc. program or event'  id='choice_27_198_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_4' id='label_27_198_4' class='gform-field-label gform-field-label--type-inline'>Leadership Pittsburgh Inc. program or event<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Leadership Pittsburgh Inc. website'  id='choice_27_198_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_5' id='label_27_198_5' class='gform-field-label gform-field-label--type-inline'>Leadership Pittsburgh Inc. website<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='News story (TV, newspaper, etc.)'  id='choice_27_198_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_6' id='label_27_198_6' class='gform-field-label gform-field-label--type-inline'>News story (TV, newspaper, etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Online or social media (Instagram, Facebook, Twitter, LinkedIn)'  id='choice_27_198_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_7' id='label_27_198_7' class='gform-field-label gform-field-label--type-inline'>Online or social media (Instagram, Facebook, Twitter, LinkedIn)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Referred by family, friend, or program graduate'  id='choice_27_198_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_8' id='label_27_198_8' class='gform-field-label gform-field-label--type-inline'>Referred by family, friend, or program graduate<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Suggested by employer\/colleague'  id='choice_27_198_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_9' id='label_27_198_9' class='gform-field-label gform-field-label--type-inline'>Suggested by employer\/colleague<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_198_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='gf_other_choice'  id='choice_27_198_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_198_10' id='label_27_198_10' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_27_198_other' class='gchoice_other_control' name='input_198_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_199' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_199' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_13_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_13' class='gform_page' data-js='page-field-id-199' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_13' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_170\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_170\" ><p>Please list the names, phone numbers and email addresses of two individuals who could attest to your leadership capabilities. These could be the people who are writing letters of recommendation or could be other people in your network.<\/p><\/div><div id=\"field_27_171\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_171\" ><h4>Reference #1 <\/h4><\/div><div id=\"field_27_172\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_172\" ><label class='gfield_label gform-field-label' for='input_27_172'>Reference #1 First and Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_172' id='input_27_172' type='text' value='' class='large'    placeholder='Reference #1 First and Last Name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_173\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_173\" ><label class='gfield_label gform-field-label' for='input_27_173'>Reference #1 Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_173' id='input_27_173' type='tel' value='' class='large'  placeholder='Reference #1 Phone'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_189\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_189\" ><label class='gfield_label gform-field-label' for='input_27_189'>Reference #1 Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_189' id='input_27_189' type='email' value='' class='large'   placeholder='Reference #1 Email'  aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_27_174\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_174\" ><h4>Reference #2<\/h4><\/div><div id=\"field_27_175\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_175\" ><label class='gfield_label gform-field-label' for='input_27_175'>Reference #2 First and Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_175' id='input_27_175' type='text' value='' class='large'    placeholder='Reference #2 First and Last Name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_176\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_176\" ><label class='gfield_label gform-field-label' for='input_27_176'>Reference #2 Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_176' id='input_27_176' type='tel' value='' class='large'  placeholder='Reference #2 Phone'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_190\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_190\" ><label class='gfield_label gform-field-label' for='input_27_190'>Reference #2 Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_190' id='input_27_190' type='email' value='' class='large'   placeholder='Reference #2 Email'  aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_27_157\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_157\" ><label class='gfield_label gform-field-label' for='input_27_157'>Additionally, please list the names of any alumni of Leadership Pittsburgh Inc. programs who you know.  (A copy of our alumni directory can be accessed online at www.lpinc.org.) Any of these individuals may be contacted.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_157' id='input_27_157' class='textarea small'    placeholder='Name of individuals...'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_27_142' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='button' id='gform_next_button_27_142' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> <button type='button'  id='gform_save_27_14_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_14' class='gform_page' data-js='page-field-id-142' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_27_14' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_27_159\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_159\" ><h2>Section 14: Acknowledgment of Program Schedule<\/h2>\n<p>The tentative schedule for the 2025 CLCV<sup>TM<\/sup> program can be found <u><a href=https:\/\/lpinc.org\/wp-content\/uploads\/2024\/11\/CLCV-XII-External-Schedule-November-2024-1.pdf>here<\/a><\/u>. Prior to submitting your application, please review this schedule and ensure that you are currently able to attend the 2 required sessions (Welcome Orientation and Reception on May 1st and Retreat May 9th-10th) as well as the majority of the sessions listed on the schedule (so that you can earn 25 of the 30 credits offered).<\/p><\/div><div id=\"field_27_162\" class=\"gfield gfield--type-text gfield--input-type-text acknowledgment gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_162\" ><label class='gfield_label gform-field-label' for='input_27_162'>Initials<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_162'>Please initial here to indicate that you have reviewed the schedule and can (as of now) actively participate in the CLCV XII program \u2013 including the indicated required dates.<\/div><div class='ginput_container ginput_container_text'><input name='input_162' id='input_27_162' type='text' value='' class='large' maxlength='4' aria-describedby=\"gfield_description_27_162\"  placeholder='Initial...' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='submit' id='gform_submit_button_27' class='gform_button btn btn--light-blue button' onclick='gform.submission.handleButtonClick(this);' value='Submit Application'  \/> <button type='button'  id='gform_save_27_footer_link' onclick='gform.submission.handleButtonClick(this);' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; 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