{"id":1649,"date":"2022-05-10T14:02:37","date_gmt":"2022-05-10T19:02:37","guid":{"rendered":"https:\/\/wp.stolaf.edu\/sss\/?page_id=1649"},"modified":"2023-06-07T08:37:08","modified_gmt":"2023-06-07T13:37:08","slug":"sss-application-new-students","status":"publish","type":"page","link":"https:\/\/wp.stolaf.edu\/sss\/sss-application-new-students\/","title":{"rendered":"SSS Application (New Students)"},"content":{"rendered":"<div data-modular-content-collection><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' ><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/sss\/wp-json\/wp\/v2\/pages\/1649' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_112\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_112'>LinkedIn<\/label><div class='ginput_container'><input name='input_112' id='input_4_112' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_4_112'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_4_1\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_1'>Application Date<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_4_1' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_2\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_2'>St. Olaf ID<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_4_2' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_9\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><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_4_9'>\n                            <span id='input_4_9_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_9.3' id='input_4_9_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_9_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_4_9_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_9.6' id='input_4_9_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_9_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_8\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-address\"  data-field-class=\"gf-address\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Permanent Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_4_8' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_8_1_container' >\n                                        <input type='text' name='input_8.1' id='input_4_8_1' value=''    aria-required='false'    \/>\n                                        <label for='input_4_8_1' id='input_4_8_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_4_8_2_container' >\n                                        <input type='text' name='input_8.2' id='input_4_8_2' value=''     aria-required='false'   \/>\n                                        <label for='input_4_8_2' id='input_4_8_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_8_3_container' >\n                                    <input type='text' name='input_8.3' id='input_4_8_3' value=''    aria-required='false'    \/>\n                                    <label for='input_4_8_3' id='input_4_8_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_8_4_container' >\n                                        <select name='input_8.4' id='input_4_8_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_8_4' id='input_4_8_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_8_5_container' >\n                                    <input type='text' name='input_8.5' id='input_4_8_5' value=''    aria-required='false'    \/>\n                                    <label for='input_4_8_5' id='input_4_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_8.6' id='input_4_8_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_11\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-phone\"  data-field-class=\"gf-phone\" ><label class='gfield_label gform-field-label' for='input_4_11'>Permanent Home Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_4_11' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_12\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-phone\"  data-field-class=\"gf-phone\" ><label class='gfield_label gform-field-label' for='input_4_12'>Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_4_12' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_13\" class=\"gfield gfield--type-date gfield--input-type-datefield field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datefield\"  data-field-class=\"gf-date gf-date-layout-datefield\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Birth Date<\/label><div id='input_4_13' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_4_13_1_container'>\n                                            <input type='number' maxlength='2' name='input_13[]' id='input_4_13_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_4_13_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_4_13_2_container'>\n                                            <input type='number' maxlength='2' name='input_13[]' id='input_4_13_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_4_13_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_4_13_3_container'>\n                                            <input type='number' maxlength='4' name='input_13[]' id='input_4_13_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_4_13_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_4_10\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-email\"  data-field-class=\"gf-email\" ><label class='gfield_label gform-field-label' for='input_4_10'>Email (Personal and St. Olaf If known)<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_4_10' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_14\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_14'>Social Security Number<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_4_14' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_15\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label screen-reader-text' ><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_15'>\n\t\t\t<li class='gchoice gchoice_4_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='Female'  id='choice_4_15_0'    \/>\n\t\t\t\t<label for='choice_4_15_0' id='label_4_15_0' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='Male'  id='choice_4_15_1'    \/>\n\t\t\t\t<label for='choice_4_15_1' id='label_4_15_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Please Indicate your Residency Status<\/h2><\/li><li id=\"field_4_17\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label screen-reader-text' ><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_17'>\n\t\t\t<li class='gchoice gchoice_4_17_0'>\n\t\t\t\t<input name='input_17' type='radio' value='U.S Citizen'  id='choice_4_17_0'    \/>\n\t\t\t\t<label for='choice_4_17_0' id='label_4_17_0' class='gform-field-label gform-field-label--type-inline'>U.S Citizen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_17_1'>\n\t\t\t\t<input name='input_17' type='radio' value='Permanent Resident'  id='choice_4_17_1'    \/>\n\t\t\t\t<label for='choice_4_17_1' id='label_4_17_1' class='gform-field-label gform-field-label--type-inline'>Permanent Resident<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_17_2'>\n\t\t\t\t<input name='input_17' type='radio' value='Student Visas'  id='choice_4_17_2'    \/>\n\t\t\t\t<label for='choice_4_17_2' id='label_4_17_2' class='gform-field-label gform-field-label--type-inline'>Student Visas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_17_3'>\n\t\t\t\t<input name='input_17' type='radio' value='Refugee Status'  id='choice_4_17_3'    \/>\n\t\t\t\t<label for='choice_4_17_3' id='label_4_17_3' class='gform-field-label gform-field-label--type-inline'>Refugee Status<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Parent 1 \/ Guardian<\/h2><\/li><li id=\"field_4_19\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><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_4_19'>\n                            \n                            <span id='input_4_19_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_19.3' id='input_4_19_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_19_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_19_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_19.6' id='input_4_19_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_19_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_20\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_20'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_4_20' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_21\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-phone\"  data-field-class=\"gf-phone\" ><label class='gfield_label gform-field-label' for='input_4_21'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_21' id='input_4_21' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_110\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-email\"  data-field-class=\"gf-email\" ><label class='gfield_label gform-field-label' for='input_4_110'>Parent 1\/ Guardian Email (optional) (We will send newsletters, program updates, etc)<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_110' id='input_4_110' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_23\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Parent 2 \/ Guardian<\/h2><\/li><li id=\"field_4_24\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><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_4_24'>\n                            \n                            <span id='input_4_24_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_24.3' id='input_4_24_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_24_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_24_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_24.6' id='input_4_24_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_24_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_25\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_25'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_4_25' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_26\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-phone\"  data-field-class=\"gf-phone\" ><label class='gfield_label gform-field-label' for='input_4_26'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_26' id='input_4_26' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_27\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-email\"  data-field-class=\"gf-email\" ><label class='gfield_label gform-field-label' for='input_4_27'>Parent 2\/ Guardian Email (optional) (We will send newsletters, program updates, etc)<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_27' id='input_4_27' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">If you lived with a parent(s)\/guardian(s), what is the education attainment of the parent(s)\/guardian(s) with whom you lived?<\/h2><\/li><li id=\"field_4_29\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Parent\/Guardian 1<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_29'>\n\t\t\t<li class='gchoice gchoice_4_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Not Applicable'  id='choice_4_29_0'    \/>\n\t\t\t\t<label for='choice_4_29_0' id='label_4_29_0' class='gform-field-label gform-field-label--type-inline'>Not Applicable<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='Less than high school'  id='choice_4_29_1'    \/>\n\t\t\t\t<label for='choice_4_29_1' id='label_4_29_1' class='gform-field-label gform-field-label--type-inline'>Less than high school<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_29_2'>\n\t\t\t\t<input name='input_29' type='radio' value='High school graduate'  id='choice_4_29_2'    \/>\n\t\t\t\t<label for='choice_4_29_2' id='label_4_29_2' class='gform-field-label gform-field-label--type-inline'>High school graduate<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_29_3'>\n\t\t\t\t<input name='input_29' type='radio' value='Some college or 2-year  degree'  id='choice_4_29_3'    \/>\n\t\t\t\t<label for='choice_4_29_3' id='label_4_29_3' class='gform-field-label gform-field-label--type-inline'>Some college or 2-year  degree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_29_4'>\n\t\t\t\t<input name='input_29' type='radio' value='4-year college degree'  id='choice_4_29_4'    \/>\n\t\t\t\t<label for='choice_4_29_4' id='label_4_29_4' class='gform-field-label gform-field-label--type-inline'>4-year college degree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_29_5'>\n\t\t\t\t<input name='input_29' type='radio' value='Post BA-work'  id='choice_4_29_5'    \/>\n\t\t\t\t<label for='choice_4_29_5' id='label_4_29_5' class='gform-field-label gform-field-label--type-inline'>Post BA-work<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_32\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Did you live with this parent\/ guardian in high school?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_32'>\n\t\t\t<li class='gchoice gchoice_4_32_0'>\n\t\t\t\t<input name='input_32' type='radio' value='Yes'  id='choice_4_32_0'    \/>\n\t\t\t\t<label for='choice_4_32_0' id='label_4_32_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_32_1'>\n\t\t\t\t<input name='input_32' type='radio' value='No'  id='choice_4_32_1'    \/>\n\t\t\t\t<label for='choice_4_32_1' id='label_4_32_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_31\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Parent\/Guardian 2<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_31'>\n\t\t\t<li class='gchoice gchoice_4_31_0'>\n\t\t\t\t<input name='input_31' type='radio' value='Not Applicable'  id='choice_4_31_0'    \/>\n\t\t\t\t<label for='choice_4_31_0' id='label_4_31_0' class='gform-field-label gform-field-label--type-inline'>Not Applicable<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_31_1'>\n\t\t\t\t<input name='input_31' type='radio' value='Less than high school'  id='choice_4_31_1'    \/>\n\t\t\t\t<label for='choice_4_31_1' id='label_4_31_1' class='gform-field-label gform-field-label--type-inline'>Less than high school<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_31_2'>\n\t\t\t\t<input name='input_31' type='radio' value='High school graduate'  id='choice_4_31_2'    \/>\n\t\t\t\t<label for='choice_4_31_2' id='label_4_31_2' class='gform-field-label gform-field-label--type-inline'>High school graduate<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_31_3'>\n\t\t\t\t<input name='input_31' type='radio' value='Some college or 2-year  degree'  id='choice_4_31_3'    \/>\n\t\t\t\t<label for='choice_4_31_3' id='label_4_31_3' class='gform-field-label gform-field-label--type-inline'>Some college or 2-year  degree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_31_4'>\n\t\t\t\t<input name='input_31' type='radio' value='4-year college degree'  id='choice_4_31_4'    \/>\n\t\t\t\t<label for='choice_4_31_4' id='label_4_31_4' class='gform-field-label gform-field-label--type-inline'>4-year college degree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_31_5'>\n\t\t\t\t<input name='input_31' type='radio' value='Post BA-work'  id='choice_4_31_5'    \/>\n\t\t\t\t<label for='choice_4_31_5' id='label_4_31_5' class='gform-field-label gform-field-label--type-inline'>Post BA-work<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_33\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Did you live with this parent\/ guardian in high school?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_33'>\n\t\t\t<li class='gchoice gchoice_4_33_0'>\n\t\t\t\t<input name='input_33' type='radio' value='Yes'  id='choice_4_33_0'    \/>\n\t\t\t\t<label for='choice_4_33_0' id='label_4_33_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_33_1'>\n\t\t\t\t<input name='input_33' type='radio' value='No'  id='choice_4_33_1'    \/>\n\t\t\t\t<label for='choice_4_33_1' id='label_4_33_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_34\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-textarea\"  data-field-class=\"gf-textarea\" ><label class='gfield_label gform-field-label' for='input_4_34'>If you did not live with parent\/ guardian 1 or 2, please list the person with whom you lived:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_4_34' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_28\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">CONFIDENTIALITY OF INFORMATION<\/h2><div class='gsection_description' id='gfield_description_4_28'>Information you provide to the Student Support Services (SSS) program is protected by the Privacy Act.\nNo one may see the information unless they work for St. Olaf College, Student Support Services, or if you specifically authorize them to see the information. In addition, some information you give to the SSS Program is sent to the federal government (Department of Education). The information is necessary to confirm that you are eligible to participate in the program and helps the government to measure the program\u2019s success. \n<\/div><\/li><li id=\"field_4_35\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >1. Why are you interested in participating in SSS?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_35'><li class='gchoice gchoice_4_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Summer Bridge Program'  id='choice_4_35_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_1' id='label_4_35_1' class='gform-field-label gform-field-label--type-inline'>Summer Bridge Program<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='Educational achievement and improvement'  id='choice_4_35_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_2' id='label_4_35_2' class='gform-field-label gform-field-label--type-inline'>Educational achievement and improvement<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.3' type='checkbox'  value='Weekly first-year advising'  id='choice_4_35_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_3' id='label_4_35_3' class='gform-field-label gform-field-label--type-inline'>Weekly first-year advising<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.4' type='checkbox'  value='Academic, career, and financial aid advising'  id='choice_4_35_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_4' id='label_4_35_4' class='gform-field-label gform-field-label--type-inline'>Academic, career, and financial aid advising<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.5' type='checkbox'  value='Student leadership opportunities (conferences, Board of Leaders, workshops)'  id='choice_4_35_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_5' id='label_4_35_5' class='gform-field-label gform-field-label--type-inline'>Student leadership opportunities (conferences, Board of Leaders, workshops)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.6' type='checkbox'  value='Supplemental Instruction (SI)'  id='choice_4_35_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_6' id='label_4_35_6' class='gform-field-label gform-field-label--type-inline'>Supplemental Instruction (SI)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.7' type='checkbox'  value='Cultural Events'  id='choice_4_35_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_7' id='label_4_35_7' class='gform-field-label gform-field-label--type-inline'>Cultural Events<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.8' type='checkbox'  value='Graduate School advising and preparation'  id='choice_4_35_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_8' id='label_4_35_8' class='gform-field-label gform-field-label--type-inline'>Graduate School advising and preparation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.9' type='checkbox'  value='Assistance securing internships, research positions, and summer career-related work experience'  id='choice_4_35_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_9' id='label_4_35_9' class='gform-field-label gform-field-label--type-inline'>Assistance securing internships, research positions, and summer career-related work experience<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_36\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >2. What is your current status in school?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_36'>\n\t\t\t<li class='gchoice gchoice_4_36_0'>\n\t\t\t\t<input name='input_36' type='radio' value='First-year student'  id='choice_4_36_0'    \/>\n\t\t\t\t<label for='choice_4_36_0' id='label_4_36_0' class='gform-field-label gform-field-label--type-inline'>First-year student<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_36_1'>\n\t\t\t\t<input name='input_36' type='radio' value='Sophomore'  id='choice_4_36_1'    \/>\n\t\t\t\t<label for='choice_4_36_1' id='label_4_36_1' class='gform-field-label gform-field-label--type-inline'>Sophomore<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_36_2'>\n\t\t\t\t<input name='input_36' type='radio' value='Junior'  id='choice_4_36_2'    \/>\n\t\t\t\t<label for='choice_4_36_2' id='label_4_36_2' class='gform-field-label gform-field-label--type-inline'>Junior<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_36_3'>\n\t\t\t\t<input name='input_36' type='radio' value='Senior'  id='choice_4_36_3'    \/>\n\t\t\t\t<label for='choice_4_36_3' id='label_4_36_3' class='gform-field-label gform-field-label--type-inline'>Senior<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_37\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Are you a former TRIO Upward Bound (UB) or Educational Talent Search (ETS) student?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_37'>\n\t\t\t<li class='gchoice gchoice_4_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='Yes'  id='choice_4_37_0'    \/>\n\t\t\t\t<label for='choice_4_37_0' id='label_4_37_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_37_1'>\n\t\t\t\t<input name='input_37' type='radio' value='No'  id='choice_4_37_1'    \/>\n\t\t\t\t<label for='choice_4_37_1' id='label_4_37_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_38\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_38'>If yes, from which program?<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_4_38' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_44\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">The following information requested on a VOLUNTARY basis:<\/h2><\/li><li id=\"field_4_43\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Ethnicity<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_43'>\n\t\t\t<li class='gchoice gchoice_4_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='Hispanic or Latino'  id='choice_4_43_0'    \/>\n\t\t\t\t<label for='choice_4_43_0' id='label_4_43_0' class='gform-field-label gform-field-label--type-inline'>Hispanic or Latino<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='NOT Hispanic or Latino'  id='choice_4_43_1'    \/>\n\t\t\t\t<label for='choice_4_43_1' id='label_4_43_1' class='gform-field-label gform-field-label--type-inline'>NOT Hispanic or Latino<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_111\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Race (Check ALL that apply)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_111'><li class='gchoice gchoice_4_111_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.1' type='checkbox'  value='Black or African American'  id='choice_4_111_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_111_1' id='label_4_111_1' class='gform-field-label gform-field-label--type-inline'>Black or African American<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_111_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.2' type='checkbox'  value='American Indian or Alaskan Native'  id='choice_4_111_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_111_2' id='label_4_111_2' class='gform-field-label gform-field-label--type-inline'>American Indian or Alaskan Native<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_111_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.3' type='checkbox'  value='Asian'  id='choice_4_111_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_111_3' id='label_4_111_3' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_111_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.4' type='checkbox'  value='White'  id='choice_4_111_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_111_4' id='label_4_111_4' class='gform-field-label gform-field-label--type-inline'>White<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_111_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.5' type='checkbox'  value='Native Hawaiian or other Pacific Islander'  id='choice_4_111_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_111_5' id='label_4_111_5' class='gform-field-label gform-field-label--type-inline'>Native Hawaiian or other Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_45\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_45'>Languages spoken in your home:<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_4_45' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_46\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Student Disabilities (The following information is requested on a VOLUNTARY basis)<\/h2><\/li><li id=\"field_4_47\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Do you have a disability that requires academic accommodations?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_47'>\n\t\t\t<li class='gchoice gchoice_4_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='Yes'  id='choice_4_47_0'    \/>\n\t\t\t\t<label for='choice_4_47_0' id='label_4_47_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='No'  id='choice_4_47_1'    \/>\n\t\t\t\t<label for='choice_4_47_1' id='label_4_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_48\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >If yes, have you been in contact with the St. Olaf Office for Student Disability Services (located within the Academic Support Services (ASC) office?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_48'>\n\t\t\t<li class='gchoice gchoice_4_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='Yes'  id='choice_4_48_0'    \/>\n\t\t\t\t<label for='choice_4_48_0' id='label_4_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='No'  id='choice_4_48_1'    \/>\n\t\t\t\t<label for='choice_4_48_1' id='label_4_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_49\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">For future follow-up contacts, please list relatives&#039; or friends&#039; addresses who will know your whereabouts 5 or 10 years from now.<\/h2><\/li><li id=\"field_4_50\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contact 1<\/label><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_4_50'>\n                            <span id='input_4_50_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_50.3' id='input_4_50_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_50_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_4_50_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_50.6' id='input_4_50_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_50_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_51\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_51'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_4_51' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_52\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-phone\"  data-field-class=\"gf-phone\" ><label class='gfield_label gform-field-label' for='input_4_52'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_52' id='input_4_52' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_53\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contact 2<\/label><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_4_53'>\n                            <span id='input_4_53_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_53.3' id='input_4_53_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_53_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_4_53_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_53.6' id='input_4_53_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_53_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_54\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_54'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_4_54' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_55\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-phone\"  data-field-class=\"gf-phone\" ><label class='gfield_label gform-field-label' for='input_4_55'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_55' id='input_4_55' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_56\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">I affirm that the information I have provided is true and correct to the   best of my knowledge. I authorize program staff to   receive my transcripts, grades, financial data, documentation of a   disability, recommendations and evaluations in order to determine   eligibility and fulfill the requirements of the   TRIO Student Support Services Program   at St. Olaf College.<\/h2><\/li><li id=\"field_4_57\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_57'>Student Signature<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_4_57' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_58\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">ST. OLAF COLLEGE  STUDENT SUPPORT SERVICES (SSS)  AUTHORIZATION FOR THE RELEASE OF ACADEMIC AND FINANCIAL AID INFORMATION<\/h2><\/li><li id=\"field_4_90\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">I authorize the staff of the Student Support Services (SSS) to share information with those concerned   about my academic progress such as the Dean\u2019s office, professors, counselors, residence life, financial   aid, etc. I also authorize the staff of the Student Support Services Program, Financial Aid office and   Student Accounts office to share information concerning my financial aid package and bill\/student account   in order to verify my eligibility for the program and to assist me in completing all necessary documents   needed for receiving financial aid.  I understand that personal information will not be shared and will remain confidential unless we are legally   required to break confidence.<\/h2><\/li><li id=\"field_4_84\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">These exceptions are as follows:<\/h2><\/li><li id=\"field_4_85\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">1. If there is reasonable cause to believe that you are a danger to yourself or others, it may be necessary   to inform the appropriate people.<\/h2><\/li><li id=\"field_4_86\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">2. If we suspect abuse of children or vulnerable adults, we are required to notify the appropriate   agencies.<\/h2><\/li><li id=\"field_4_87\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">3. If you are involved in certain criminal or civil proceedings, we may be required by court subpoena to   release records and\/or have staff testify.<\/h2><\/li><li id=\"field_4_88\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">4. Student Support Services staff may consult with each other in order to provide you with the best   assistance available.<\/h2><\/li><li id=\"field_4_89\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">If you have any questions about our services, confidentiality or other legal or ethical concerns, please feel   free to discuss this with any of the staff of Student Support Services.<\/h2><\/li><li id=\"field_4_59\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_59'>Student Signature<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_4_59' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_60\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker\"  data-field-class=\"gf-date gf-date-layout-datepicker\" ><label class='gfield_label gform-field-label' for='input_4_60'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_60' id='input_4_60' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_60_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_60_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_60' class='gform_hidden' value='https:\/\/wp.stolaf.edu\/sss\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_62\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >STUDENT INFORMED CONSENT AGREEMENT<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_62'><li class='gchoice gchoice_4_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='I give my consent'  id='choice_4_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_62_1' id='label_4_62_1' class='gform-field-label gform-field-label--type-inline'>I give my consent<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='I do not give my consent for St. Olaf College Student Support Services   (SSS) program to use my photo and provide information on my participation in the SSS program in the   SSS website, brochures, Summer Bridge book, newsletters and MN TRIO publications. This agreement   remains in effect during my years as a student at St. Olaf College.'  id='choice_4_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_62_2' id='label_4_62_2' class='gform-field-label gform-field-label--type-inline'>I do not give my consent for St. Olaf College Student Support Services   (SSS) program to use my photo and provide information on my participation in the SSS program in the   SSS website, brochures, Summer Bridge book, newsletters and MN TRIO publications. This agreement   remains in effect during my years as a student at St. Olaf College.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_63\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_63'>Student Signature<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_4_63' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_64\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker\"  data-field-class=\"gf-date gf-date-layout-datepicker\" ><label class='gfield_label gform-field-label' for='input_4_64'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_64' id='input_4_64' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_64_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_64_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_64' class='gform_hidden' value='https:\/\/wp.stolaf.edu\/sss\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_65\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SERVICES PROVIDED BY SSS<\/h2><div class='gsection_description' id='gfield_description_4_65'>(Carefully read this section and sign below)<\/div><\/li><li id=\"field_4_66\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">TUTORING SERVICES<\/h2><\/li><li id=\"field_4_67\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Tutoring is offered to all St. Olaf students through the Academic Success Center (ASC). To request a   tutor, contact the ASC at x3288. Your SSS advisor can also assist you to make an appointment with the   ASC. Supplemental Instruction (SI) is also provided by SSS in many subjects. A listing is available from   your advisor. I understand that the St. Olaf College Academic Support Center provides tutoring and\/or   disability services and that the service is available to me. I also understand that SSS provides SI and that   I am encouraged to attend SI for any classes in which it is offered and in which I am enrolled. Instruction   in biology and writing are provided during the Summer Bridge Program (SBP). Study Skills instruction is   offered during the SBP and in workshop format during the academic year.<\/h2><\/li><li id=\"field_4_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">FINANCIAL LITERACY\/FAFSA\/FINANCIAL AID<\/h2><\/li><li id=\"field_4_69\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Each year, SSS offers sessions on financial literacy, financial aid and completing the FAFSA. The  schedules of these sessions are provided to each student at the beginning of each semester. Information   on financial aid and available private and federal programs is presented during the Summer Bridge   Program. SSS advisors are also available to answer your questions about financial aid individually. The   St. Olaf College Financial Aid Office and SSS offers information and workshops about college financial   aid, loans, and completing the FAFSA and offers financial literacy sessions that I can attend twice a year   which teach me about financial literacy (how to budget, manage, and understand money and credit).<\/h2><\/li><li id=\"field_4_70\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">GRADUATE AND PROFESSIONAL SCHOOL ACTIVITIES<\/h2><\/li><li id=\"field_4_71\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Each year, workshops are offered on graduate school. A graduate school visit is provided each year  during interim break. Advisors are available to provide individual assistance to students interested and\/  or applying to graduate or professional school programs. SSS staff refer students to McNair Scholars   programs and other research opportunities.<\/h2><\/li><li id=\"field_4_72\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">OTHER SSS SERVICES<\/h2><\/li><li id=\"field_4_73\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SSS offers many other services including advising (SSS students are required to have a mandatory minimum of two years advising from SSS), career information, and exposure to cultural and  academic programs, mentoring, Summer Bridge Program, and Supplemental Grant Aid.<\/h2><\/li><li id=\"field_4_74\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">By signing this verification, I understand the services available to me through St. Olaf College and the St.  Olaf College TRIO Student Support Services program.<\/h2><\/li><li id=\"field_4_75\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Print Name<\/label><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_4_75'>\n                            <span id='input_4_75_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_75.3' id='input_4_75_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_75_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_4_75_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_75.6' id='input_4_75_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_75_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_76\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker\"  data-field-class=\"gf-date gf-date-layout-datepicker\" ><label class='gfield_label gform-field-label' for='input_4_76'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_76' id='input_4_76' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_76_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_76_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_76' class='gform_hidden' value='https:\/\/wp.stolaf.edu\/sss\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_77\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_77'>Sign Name<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_4_77' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_78\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker\"  data-field-class=\"gf-date gf-date-layout-datepicker\" ><label class='gfield_label gform-field-label' for='input_4_78'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_78' id='input_4_78' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_78_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_78_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_78' class='gform_hidden' value='https:\/\/wp.stolaf.edu\/sss\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_79\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">STUDENT SUPPORT SERVICES  CONSENT FORM TO OBTAIN AND\/OR RELEASE INFORMATION<\/h2><\/li><li id=\"field_4_80\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">All family and student information provided to SSS or obtained by SSS is kept confidential and will not be   released without permission.  SSS requests your permission to obtain information and\/or to release family and student information for   the following reasons:<\/h2><\/li><li id=\"field_4_81\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">1. To obtain information necessary to establish your eligibility for program services.<\/h2><\/li><li id=\"field_4_82\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">2. To report student progress information to the U. S. Department of Education to demonstrate  program effectiveness.<\/h2><\/li><li id=\"field_4_83\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">I give the Student Support Services (SSS) program permission to obtain and\/or release information on my   behalf for the reasons listed above.<\/h2><\/li><li id=\"field_4_91\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_91'>Student Signature<\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_4_91' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_92\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker\"  data-field-class=\"gf-date gf-date-layout-datepicker\" ><label class='gfield_label gform-field-label' for='input_4_92'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_92' id='input_4_92' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_92_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_92_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_92' class='gform_hidden' value='https:\/\/wp.stolaf.edu\/sss\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_93\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Student Name<\/label><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_4_93'>\n                            <span id='input_4_93_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_93.3' id='input_4_93_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_93_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_4_93_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_93.6' id='input_4_93_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_93_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_94\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">The following release of information is optional to receive program services:<\/h2><\/li><li id=\"field_4_95\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SSS requests your permission to release family and student information for the following reasons:<\/h2><\/li><li id=\"field_4_96\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">1. Scholarship agencies, youth leadership, employment and educational programs contact SSS to offer  opportunities to SSS students. TRIO can release student information (name, address, ethnicity,   economic eligibility) to these carefully screened organizations.<\/h2><\/li><li id=\"field_4_97\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">2. Graduate schools and other postsecondary institutions may waive application fees for students who   meet SSS eligibility guidelines, and will discuss admission and financial aid opportunities for which   students may be eligible.<\/h2><\/li><li id=\"field_4_98\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">I give the Student Support Services (SSS) program permission to obtain and\/or release information on my   behalf for the reasons listed above.<\/h2><\/li><li id=\"field_4_99\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_99'>Student Signature<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_4_99' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_100\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker\"  data-field-class=\"gf-date gf-date-layout-datepicker\" ><label class='gfield_label gform-field-label' for='input_4_100'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_100' id='input_4_100' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_100_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_100_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_100' class='gform_hidden' value='https:\/\/wp.stolaf.edu\/sss\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_101\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Student Name<\/label><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_4_101'>\n                            <span id='input_4_101_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_101.3' id='input_4_101_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_101_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_4_101_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_101.6' id='input_4_101_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_4_101_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_102\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SELECTION PROCESS: As there are a limited number of spaces available in the Student Support  Services Program, priority will be given to:<\/h2><\/li><li id=\"field_4_103\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u2022 Students who are both income eligible and first generation college students;<\/h2><\/li><li id=\"field_4_104\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u2022 Students who have disabilities and are income eligible who require educational accommodations;<\/h2><\/li><li id=\"field_4_105\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u2022 Alumni of other TRIO programs: Upward Bound, Talent Search, Educational Opportunity Center,   other Student Support Services;<\/h2><\/li><li id=\"field_4_106\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u2022 Students with educational histories that reflect a need for academic support<\/h2><\/li><li id=\"field_4_107\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u2022 MOST IMPORTANTLY, students MOTIVATED to make full use of TRIO services<\/h2><\/li><li id=\"field_4_109\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >SSS Application Check List:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_109'><li class='gchoice gchoice_4_109_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.1' type='checkbox'  value='Completed application'  id='choice_4_109_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_109_1' id='label_4_109_1' class='gform-field-label gform-field-label--type-inline'>Completed application<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_109_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.2' type='checkbox'  value='Unofficial current transcript unless applying prior to enrollment at St. Olaf College  or the first semester of college.'  id='choice_4_109_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_109_2' id='label_4_109_2' class='gform-field-label gform-field-label--type-inline'>Unofficial current transcript unless applying prior to enrollment at St. Olaf College  or the first semester of college.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_109_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.3' type='checkbox'  value='If applying under the disability qualification, documentation of the disability is required.  The SSS program\u2019s preference is that students obtain a letter from the Office for   Students with Disabilities at St. Olaf College that confirms a documented disability and   indicates appropriate or recommended academic accommodations.'  id='choice_4_109_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_109_3' id='label_4_109_3' class='gform-field-label gform-field-label--type-inline'>If applying under the disability qualification, documentation of the disability is required.  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