		<div data-elementor-type="wp-page" data-elementor-id="1671" class="elementor elementor-1671">
				{"id":1671,"date":"2020-05-06T10:01:41","date_gmt":"2020-05-06T14:01:41","guid":{"rendered":"http:\/\/italianlanguagefoundation.org\/web\/?page_id=1671"},"modified":"2022-09-02T17:31:38","modified_gmt":"2022-09-02T21:31:38","slug":"student-membership-form","status":"publish","type":"page","link":"https:\/\/italianlanguagefoundation.org\/web\/get-involved\/student-membership-form\/","title":{"rendered":"Student Membership Form"},"content":{"rendered":"\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b2bc769 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2bc769\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-element elementor-element-29bb858 elementor-widget elementor-widget-heading\" data-id=\"29bb858\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Student Membership Form\n<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c9aefae\" data-id=\"c9aefae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-76f64c1 elementor-widget elementor-widget-shortcode\" data-id=\"76f64c1\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div id=\"erf_form_container_1687\" class=\"erf-container erf-label-top erf-layout-two-column erf-style-flat  \">\n        <div class=\"erf-reg-form-container\" style=\"\">\n            \n        \n             \n                            <div class=\"erf-content-above\">\n                    <strong>Welcome Students of Italian and AP Italian.\u00a0<\/strong>\r\n\r\nPlease fill out this Student Registration Member form to become eligible for the Fellowship and the Commitment 2 Excellence Program (Mentorship, Leadership &amp; Internships).\r\n\r\nOnce you hit Register the system will automatically take you to the Member Login Page.\u00a0 Save the user name and password and on our website you can always click Member Login to access the Member portal. Thank you.                <\/div>\n                <form method=\"post\" enctype=\"multipart\/form-data\" class=\"erf-form erf-front-form\" data-parsley-validate=\"\" novalidate=\"true\" autocomplete=\"off\" data-erf-submission-id=\"0\" data-erf-form-id=\"1687\">\n                    <div class=\"erf-form-html\" id=\"erf_form_1687\">\n                        <div class=\"rendered-form\">\n                        <div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-aTD7pkMA' data-ref-id='ref-hqfohNoE' class='' >User Account Details<\/h1><\/div><div class=\"erf-text form-group field-text-9ZeobD erf-element-width-12\"><label for=\"text-9ZeobD\" class=\"erf-text-label\">First Name<span class=\"erf-required\">*<\/span><\/label><input type='text' class='form-control' name='text-9ZeobD' required='required' data-ref-label='First_Name' id='text-9ZeobD'  \/><\/div><div class=\"erf-text form-group field-text-5hWCHx erf-element-width-12\"><label for=\"text-5hWCHx\" class=\"erf-text-label\">Last Name<span class=\"erf-required\">*<\/span><\/label><input type='text' class='form-control' name='text-5hWCHx' required='required' data-ref-label='Last_Name' id='text-5hWCHx'  \/><\/div><div class=\"erf-email form-group field-text-IYFBHU erf-element-width-12\"><label for=\"text-IYFBHU\" class=\"erf-email-label\">User Email<span class=\"erf-required\">*<\/span><\/label><input type='email' required='1' class='form-control' name='text-IYFBHU' data-ref-label='User_Email' id='text-IYFBHU'  \/><\/div><div class=\"erf-password form-group field-text-70uuii erf-element-width-12\"><label for=\"text-70uuii\" class=\"erf-password-label\">Password<span class=\"erf-required\">*<\/span><\/label><input type='password' required='1' class='form-control' name='text-70uuii' data-ref-label='Password' id='text-70uuii'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-tzx8aRzu' data-ref-id='ref-vI73kFjv' class='' >Contact Information<\/h1><\/div><div class=\"erf-street1 form-group field-field-ohV3vNvOZLmm1Zf erf-element-width-12\"><label for=\"field-ohV3vNvOZLmm1Zf\" class=\"erf-street1-label\">Home Street Address1<span class=\"erf-required\">*<\/span><\/label><input type='street1' class='form-control' name='field-ohV3vNvOZLmm1Zf' required='required' data-ref-label='Street_Address1' id='field-ohV3vNvOZLmm1Zf'  \/><\/div><div class=\"erf-street2 form-group field-field-mxzT1Ts3AlKSQFJ erf-element-width-12\"><label for=\"field-mxzT1Ts3AlKSQFJ\" class=\"erf-street2-label\">Home Street Address2<\/label><input type='street2' class='form-control' name='field-mxzT1Ts3AlKSQFJ' data-ref-label='Street_Address2' id='field-mxzT1Ts3AlKSQFJ'  \/><\/div><div class=\"erf-city form-group field-field-324Md21cpT7LRsx erf-element-width-12\"><label for=\"field-324Md21cpT7LRsx\" class=\"erf-city-label\">Student Home City<span class=\"erf-required\">*<\/span><\/label><input type='city' class='form-control' name='field-324Md21cpT7LRsx' required='required' data-ref-label='Student City' id='field-324Md21cpT7LRsx'  \/><\/div><div class=\"erf-text form-group field-field-ycrx4kOz8HPuJMv erf-element-width-12\"><label for=\"field-ycrx4kOz8HPuJMv\" class=\"erf-text-label\">Student Home State \/ Province<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Student State' class='form-control' name='field-ycrx4kOz8HPuJMv' required='required' id='field-ycrx4kOz8HPuJMv'  \/><\/div><div class=\"erf-zip form-group field-field-JV4etFiYGj31iQg erf-element-width-12\"><label for=\"field-JV4etFiYGj31iQg\" class=\"erf-zip-label\">Student Home Postcode \/ Zip<span class=\"erf-required\">*<\/span><\/label><input type='zip' class='form-control' name='field-JV4etFiYGj31iQg' required='required' data-ref-label='Postcode__Zip' id='field-JV4etFiYGj31iQg'  \/><\/div><div class=\"erf-tel form-group field-field-t5AppLKeF7mTCvi erf-element-width-12\"><label for=\"field-t5AppLKeF7mTCvi\" class=\"erf-tel-label\">Phone<\/label><input type='tel' class='form-control' name='field-t5AppLKeF7mTCvi' enable-intl='1' data-ref-label='Phone' id='field-t5AppLKeF7mTCvi'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='Heading8' data-ref-id='header-jatjgfkq' class='' >Parents' Information<\/h1><\/div><div class=\"erf-text form-group field-field-jsfn2t76lFGkk2K erf-element-width-12\"><label for=\"field-jsfn2t76lFGkk2K\" class=\"erf-text-label\">Mother Full Name<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Text_Field9' class='form-control' name='field-jsfn2t76lFGkk2K' required='required' id='field-jsfn2t76lFGkk2K'  \/><\/div><div class=\"erf-email form-group field-field-u2Kq4XlpXJ0corF erf-element-width-12\"><label for=\"field-u2Kq4XlpXJ0corF\" class=\"erf-email-label\">Mother Email<span class=\"erf-required\">*<\/span><\/label><input type='email' data-ref-label='Email1' class='form-control' name='field-u2Kq4XlpXJ0corF' required='required' id='field-u2Kq4XlpXJ0corF'  \/><\/div><div class=\"erf-text form-group field-field-5giXotZbIPzeDx1 erf-element-width-12\"><label for=\"field-5giXotZbIPzeDx1\" class=\"erf-text-label\">Father Full Name<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Text_Field10' class='form-control' name='field-5giXotZbIPzeDx1' required='required' id='field-5giXotZbIPzeDx1'  \/><\/div><div class=\"erf-email form-group field-field-gpUw0TaGODqO6RP erf-element-width-12\"><label for=\"field-gpUw0TaGODqO6RP\" class=\"erf-email-label\">Father Email<span class=\"erf-required\">*<\/span><\/label><input type='email' data-ref-label='Email2' class='form-control' name='field-gpUw0TaGODqO6RP' required='required' id='field-gpUw0TaGODqO6RP'  \/><\/div><div class=\"erf-number form-group field-field-KRlVKAAaFex6vJD erf-element-width-12\"><label for=\"field-KRlVKAAaFex6vJD\" class=\"erf-number-label\">Parent Phone Number<\/label><input type='number' data-ref-label='Parent Phone Number1' class='form-control' name='field-KRlVKAAaFex6vJD' id='field-KRlVKAAaFex6vJD'  \/><\/div><div class=\"erf-street1 form-group field-field-8kkApsim4l9BRCZ erf-element-width-12\"><label for=\"field-8kkApsim4l9BRCZ\" class=\"erf-street1-label\">Parent Street Address (if different from student address)<span class=\"erf-required\">*<\/span><\/label><input type='street1' data-ref-label='Parent Street Address' class='form-control' name='field-8kkApsim4l9BRCZ' required='required' id='field-8kkApsim4l9BRCZ'  \/><\/div><div class=\"erf-street2 form-group field-field-bCj6BdE20F5XJim erf-element-width-12\"><label for=\"field-bCj6BdE20F5XJim\" class=\"erf-street2-label\">Parent Street Address2<\/label><input type='street2' data-ref-label='Parent Street2' class='form-control' name='field-bCj6BdE20F5XJim' id='field-bCj6BdE20F5XJim'  \/><\/div><div class=\"erf-select form-group field-field-LbeaFyNmVQUbkZ3 erf-element-width-12\"><label for=\"field-LbeaFyNmVQUbkZ3\" class=\"erf-state-label\">Parent State \/ Province<\/label><select data-ref-label='Parent State' class='form-control' name='field-LbeaFyNmVQUbkZ3' id='field-LbeaFyNmVQUbkZ3'  ><\/select><\/div><div class=\"erf-city form-group field-field-HhAQojFvpGsP0vF erf-element-width-12\"><label for=\"field-HhAQojFvpGsP0vF\" class=\"erf-city-label\">Parent City<\/label><input type='city' data-ref-label='City' class='form-control' name='field-HhAQojFvpGsP0vF' id='field-HhAQojFvpGsP0vF'  \/><\/div><div class=\"erf-zip form-group field-field-nxSamcNYRnRvRZ9 erf-element-width-12\"><label for=\"field-nxSamcNYRnRvRZ9\" class=\"erf-zip-label\">Parent Postcode \/ Zip<\/label><input type='zip' data-ref-label='zip' class='form-control' name='field-nxSamcNYRnRvRZ9' id='field-nxSamcNYRnRvRZ9'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='education' data-ref-id='ref-VKnycZKn' class='' >Education Details<\/h1><\/div><div class=\"erf-text form-group field-field-dLuNeGLX1Gc5tH6 erf-element-width-12\"><label for=\"field-dLuNeGLX1Gc5tH6\" class=\"erf-text-label\">School \/ College Name<span class=\"erf-required\">*<\/span><\/label><input type='text' class='form-control' name='field-dLuNeGLX1Gc5tH6' required='required' data-ref-label='School_Name' id='field-dLuNeGLX1Gc5tH6'  \/><\/div><div class=\"erf-text form-group field-field-wRBuKMNNBE0k9MH erf-element-width-12\"><label for=\"field-wRBuKMNNBE0k9MH\" class=\"erf-text-label\">Your Teacher of Italian Name \/ College Professor Name<span class=\"erf-required\">*<\/span><\/label><input type='text' class='form-control' name='field-wRBuKMNNBE0k9MH' required='required' data-ref-label='Your_Teacher_of_Italian_Name' id='field-wRBuKMNNBE0k9MH'  \/><\/div><div class=\"erf-city form-group field-field-fQJMNdS4Er3I74Y erf-element-width-12\"><label for=\"field-fQJMNdS4Er3I74Y\" class=\"erf-city-label\">School\/College City<span class=\"erf-required\">*<\/span><\/label><input type='city' class='form-control' name='field-fQJMNdS4Er3I74Y' required='required' data-ref-label='School_City' id='field-fQJMNdS4Er3I74Y'  \/><\/div><div class=\"erf-text form-group field-field-THZYbdRiOBtfFsL erf-element-width-12\"><label for=\"field-THZYbdRiOBtfFsL\" class=\"erf-text-label\">School\/College State \/ Province<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='School\/College State' class='form-control' name='field-THZYbdRiOBtfFsL' required='required' id='field-THZYbdRiOBtfFsL'  \/><\/div><div class=\"erf-select form-group field-field-iMHckikIuWTS4k3[] erf-element-width-12\"><label for=\"field-iMHckikIuWTS4k3[]\" class=\"erf-select-label\">School Grade \/ College Level<span class=\"erf-required\">*<\/span><\/label><select class='form-control' name='field-iMHckikIuWTS4k3[]' required='required' data-ref-label='Grade_Level' id='field-iMHckikIuWTS4k3'  multiple=\"1\"><option selected value=\"Please Select Grade\">Please Select Grade<\/option><option value=\"6th Grade\">6th Grade<\/option><option value=\"7th Grade\">7th Grade<\/option><option value=\"8th Grade\">8th Grade<\/option><option value=\"9th Grade\">9th Grade<\/option><option value=\"10th Grade\">10th Grade<\/option><option value=\"11th Grade\">11th Grade<\/option><option value=\"12th Grade\">12th Grade<\/option><option value=\"College Freshman\">College Freshman<\/option><option value=\"College Sophomore\">College Sophomore<\/option><option value=\"College Junior\">College Junior<\/option><option value=\"College Senior\">College Senior<\/option><\/select><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-Kqb5xO3W' data-ref-id='ref-RkkJpbbi' class='' >Italian Language Experience<\/h1><\/div><div class=\"erf-checkbox-group form-group field-field-5ODpNVcDynICu2B erf-element-width-12\"><label for=\"field-5ODpNVcDynICu2B\" class=\"erf-checkbox-group-label\">Please select all that apply<span class=\"erf-required\">*<\/span><\/label><div class=\"checkbox-group\"><div class=\"checkbox\"><input id=\"field-5ODpNVcDynICu2B-0\" name='field-5ODpNVcDynICu2B[]' required='required' class='form-control' multiple='1' data-ref-label='Please_select_all_that_apply'  type=\"checkbox\" value=\"I am currently taking Italian in High School\" \/><label for=\"field-5ODpNVcDynICu2B-0\">I am currently taking Italian in High School<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ODpNVcDynICu2B-1\" name='field-5ODpNVcDynICu2B[]' required='required' class='form-control' multiple='1' data-ref-label='Please_select_all_that_apply'  type=\"checkbox\" value=\"I am a native Italian Speaker\" \/><label for=\"field-5ODpNVcDynICu2B-1\">I am a native Italian Speaker<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ODpNVcDynICu2B-2\" name='field-5ODpNVcDynICu2B[]' required='required' class='form-control' multiple='1' data-ref-label='Please_select_all_that_apply'  type=\"checkbox\" value=\"I have visited Italy\" \/><label for=\"field-5ODpNVcDynICu2B-2\">I have visited Italy<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ODpNVcDynICu2B-3\" name='field-5ODpNVcDynICu2B[]' required='required' class='form-control' multiple='1' data-ref-label='Please_select_all_that_apply'  type=\"checkbox\" value=\"I plan to study Italian in College\" \/><label for=\"field-5ODpNVcDynICu2B-3\">I plan to study Italian in College<\/label><\/div><\/div><\/div><div class=\"erf-select form-group field-field-cdb9swDr6JBbBYR erf-element-width-12\"><label for=\"field-cdb9swDr6JBbBYR\" class=\"erf-select-label\">What is your experience with the Italian language?<span class=\"erf-required\">*<\/span><\/label><select class='form-control' name='field-cdb9swDr6JBbBYR' required='required' data-ref-label='What_is_your_experience_with_the_Italian' id='field-cdb9swDr6JBbBYR'  ><option selected value=\"Select Experience Level\">Select Experience Level<\/option><option value=\"Beginner\">Beginner<\/option><option value=\"Some Experience\">Some Experience<\/option><option value=\"Fluent\">Fluent<\/option><option value=\"No Experience\">No Experience<\/option><\/select><\/div><div class=\"erf-radio-group form-group field-field-FlmtjANFLoP5r2L erf-element-width-12\"><label for=\"field-FlmtjANFLoP5r2L\" class=\"erf-radio-group-label\">Does your school currently provide AP Italian? (College Students please indicated Not Applicable<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio\"><input id=\"field-FlmtjANFLoP5r2L-0\" name='field-FlmtjANFLoP5r2L' required='required' class='form-control' data-ref-label='Does_your_school_currently_provide_AP_It'  type=\"radio\" value=\"Yes\" \/><label for=\"field-FlmtjANFLoP5r2L-0\">Yes<\/label><\/div><div class=\"radio\"><input id=\"field-FlmtjANFLoP5r2L-1\" name='field-FlmtjANFLoP5r2L' required='required' class='form-control' data-ref-label='Does_your_school_currently_provide_AP_It'  type=\"radio\" value=\"No\" \/><label for=\"field-FlmtjANFLoP5r2L-1\">No<\/label><\/div><div class=\"radio\"><input id=\"field-FlmtjANFLoP5r2L-2\" name='field-FlmtjANFLoP5r2L' required='required' class='form-control' data-ref-label='Does_your_school_currently_provide_AP_It'  type=\"radio\" checked value=\"Not Applicable\" \/><label for=\"field-FlmtjANFLoP5r2L-2\">Not Applicable<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-v9Sa2enxFF7bU1u erf-element-width-12\"><label for=\"field-v9Sa2enxFF7bU1u\" class=\"erf-text-label\">If you belong to a Student Italian Member Club, please indicate Name of Club below or indicate None.<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Text_Field7' class='form-control' name='field-v9Sa2enxFF7bU1u' required='required' id='field-v9Sa2enxFF7bU1u'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-bya5fXC3' data-ref-id='ref-8GedK8sR' class='' >Academic Goals<\/h1><\/div><div class=\"erf-text form-group field-field-DIu4tLn82fBZQxh erf-element-width-12\"><label for=\"field-DIu4tLn82fBZQxh\" class=\"erf-text-label\">What College \/University do you plan to attend and\/or are attending?<span class=\"erf-required\">*<\/span><\/label><input type='text' class='form-control' name='field-DIu4tLn82fBZQxh' required='required' data-ref-label='What_College_University_do_you_plan_to_e' id='field-DIu4tLn82fBZQxh'  \/><\/div><div class=\"erf-textarea form-group field-field-ImxOmgcXHt0bfOT erf-element-width-12\"><label for=\"field-ImxOmgcXHt0bfOT\" class=\"erf-textarea-label\">What plans do you have for learning the Italian language?<span class=\"erf-required\">*<\/span><\/label><textarea class='form-control' name='field-ImxOmgcXHt0bfOT' required='required' data-ref-label='What_plans_do_you_have_for_learning_the_' id='field-ImxOmgcXHt0bfOT' ><\/textarea><\/div><div class=\"erf-textarea form-group field-field-LA8agv9HGGf2Jkt erf-element-width-12\"><label for=\"field-LA8agv9HGGf2Jkt\" class=\"erf-textarea-label\">Please explain how you will use your Italian language skills in your future employment?<span class=\"erf-required\">*<\/span><\/label><textarea data-ref-label='Textarea3' class='form-control' name='field-LA8agv9HGGf2Jkt' required='required' id='field-LA8agv9HGGf2Jkt' ><\/textarea><\/div><div class=\"erf-textarea form-group field-field-VawQlM5CwKAQ4ei erf-element-width-12\"><label for=\"field-VawQlM5CwKAQ4ei\" class=\"erf-textarea-label\">Throughout the year, we will feature a few of our student members in our blogs and social media. Please provide your social media handle below, Instagram is preferred.<\/label><textarea data-ref-label='Social Media' class='form-control' name='field-VawQlM5CwKAQ4ei' id='field-VawQlM5CwKAQ4ei' ><\/textarea><\/div><div class=\"erf-textarea form-group field-field-QixAwgc3DWVQDNp erf-element-width-12\"><label for=\"field-QixAwgc3DWVQDNp\" class=\"erf-textarea-label\">Please submit a quote (up to 3 sentences) describing your impressions of your study of Italian.<span class=\"erf-required\">*<\/span><\/label><textarea data-ref-label='Social Media2' class='form-control' name='field-QixAwgc3DWVQDNp' required='required' id='field-QixAwgc3DWVQDNp' ><\/textarea><\/div><div class=\"erf-file form-group field-field-5gSJfeeuSN4R4cw erf-element-width-12\"><label for=\"field-5gSJfeeuSN4R4cw\" class=\"erf-file-label\">f you'd like to be included in the Wall of Honor, please submit your photo here.<\/label><input type='file' data-ref-label='File_Upload1' class='form-control' name='field-5gSJfeeuSN4R4cw' id='field-5gSJfeeuSN4R4cw'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='Heading7' data-ref-id='header-wngea6ft' class='' >For Data Purposes Only<\/h1><\/div><div class=\"erf-checkbox-group form-group field-field-5ChJtQ0vNVFY0P8 erf-element-width-12\"><label for=\"field-5ChJtQ0vNVFY0P8\" class=\"erf-checkbox-group-label\">Please indicate your Race or Ethnicity<span class=\"erf-required\">*<\/span><\/label><div class=\"checkbox-group\"><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-0\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"Hispanic, Latino or Spanish\" \/><label for=\"field-5ChJtQ0vNVFY0P8-0\">Hispanic, Latino or Spanish<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-1\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"Black or African American\" \/><label for=\"field-5ChJtQ0vNVFY0P8-1\">Black or African American<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-2\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"White\" \/><label for=\"field-5ChJtQ0vNVFY0P8-2\">White<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-3\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"Asian\" \/><label for=\"field-5ChJtQ0vNVFY0P8-3\">Asian<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-4\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"American Indian or Alaska Native\" \/><label for=\"field-5ChJtQ0vNVFY0P8-4\">American Indian or Alaska Native<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-5\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"Middle Eastern or North African\" \/><label for=\"field-5ChJtQ0vNVFY0P8-5\">Middle Eastern or North African<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-6\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"Native Hawaiian or Other Pacific Islander\" \/><label for=\"field-5ChJtQ0vNVFY0P8-6\">Native Hawaiian or Other Pacific Islander<\/label><\/div><div class=\"checkbox\"><input id=\"field-5ChJtQ0vNVFY0P8-7\" name='field-5ChJtQ0vNVFY0P8[]' data-ref-label='Checkbox_Group1' required='required' class='form-control' multiple='1'  type=\"checkbox\" value=\"Other\" \/><label for=\"field-5ChJtQ0vNVFY0P8-7\">Other<\/label><\/div><\/div><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-QDg3lqkM' data-ref-id='ref-XXRFB8Z3' class='' >Student Agreement<\/h1><\/div><div class=\"erf-checkbox-group form-group field-field-xGYjUOOFpEQZ6Jf erf-element-width-12\"><label for=\"field-xGYjUOOFpEQZ6Jf\" class=\"erf-checkbox-group-label\">I agree to become a Student Member of The Italian Language Foundation and give consent for my web data to be used for the Foundation\u2019s study of Italian language and culture.<span class=\"erf-required\">*<\/span><\/label><div class=\"checkbox-group\"><div class=\"checkbox-inline\"><input id=\"field-xGYjUOOFpEQZ6Jf-0\" name='field-xGYjUOOFpEQZ6Jf[]' required='required' class='form-control' multiple='1' data-ref-label='I_agree_to_become_a_Student_Member'  type=\"checkbox\" checked value=\"Yes\" \/><label for=\"field-xGYjUOOFpEQZ6Jf-0\">Yes<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-xGYjUOOFpEQZ6Jf-1\" name='field-xGYjUOOFpEQZ6Jf[]' required='required' class='form-control' multiple='1' data-ref-label='I_agree_to_become_a_Student_Member'  type=\"checkbox\" value=\"No\" \/><label for=\"field-xGYjUOOFpEQZ6Jf-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-checkbox-group form-group field-field-i1olicZritWKgPy erf-element-width-12\"><label for=\"field-i1olicZritWKgPy\" class=\"erf-checkbox-group-label\">I understand The Italian Language Foundation may use my name, image, and likeness for promotional items such as the website, flyers, and other uses for fundraising.<span class=\"erf-required\">*<\/span><\/label><div class=\"checkbox-group\"><div class=\"checkbox-inline\"><input id=\"field-i1olicZritWKgPy-0\" name='field-i1olicZritWKgPy[]' required='required' class='form-control' multiple='1' data-ref-label='I_understand_The_Italian_Language'  type=\"checkbox\" value=\"Yes\" \/><label for=\"field-i1olicZritWKgPy-0\">Yes<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-i1olicZritWKgPy-1\" name='field-i1olicZritWKgPy[]' required='required' class='form-control' multiple='1' data-ref-label='I_understand_The_Italian_Language'  type=\"checkbox\" value=\"No\" \/><label for=\"field-i1olicZritWKgPy-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-button form-group field-button-urVgh7 erf-element-width-12\"><button type='submit'class='btn btn-default'name='button-urVgh7'data-ref-label='Register'id='button-urVgh7'>Register<\/button><\/div>                        <\/div>    \n                    <\/div>   \n\n                    <div class=\"erf-external-form-elements\">\n                        \n                        \n\n                        \n                        \n                                                <div class=\"erf-errors\" style=\"display:none\">\n                            <span class=\"erf-errors-head erf-error-row\">Error occured. Please confirm your data and submit again:<\/span>\n                            <div class=\"erf-errors-body\">\n                                                            <\/div> \n                        <\/div>    \n                    <\/div>\n\n                    <!-- Contains multipage Next,Previous buttons -->\n                    <div class=\"erf-form-nav clearfix\"><\/div>  \n\n                    <!-- Single page form button -->\n                    <div class=\"erf-submit-button clearfix\"><\/div>\n\n                    <input type=\"hidden\" name=\"erform_id\" value=\"1687\" \/>\n                    <input type=\"hidden\" id=\"erform_submission_nonce\" name=\"erform_submission_nonce\" value=\"e69cb6658b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/web\/wp-json\/wp\/v2\/pages\/1671\" \/>                    <input type=\"hidden\" name=\"action\" value=\"erf_submit_form\" \/>\n                    <input type=\"hidden\" name=\"redirect_to\" id=\"erform_redirect_to\" \/>\n\n                    \n                                            <div class=\"erf-account-switch erf-clearfix\">\n                            <a class=\"erf-show-login\" href=\"javascript:void(0)\">Already have an account?<\/a>\n                        <\/div>\n                    \n\n                <\/form>\n                        <\/div>\n\n    <div class=\"\">\n    <div class=\"erf-login-container erf-label-top erf-style-flat erf-layout-two-column\" style=\"display:none\">     \n        <div class=\"erf-message\"><\/div>\n\n                    <form action=\"\" method=\"post\" class=\"erf-login-form erf-form\">\n                <div class=\"fb-text form-group\">\n                    <label for=\"erf_username\" class=\"fb-text-label\">\n                        Username\/Email<span class=\"erf-required\">*<\/span>\n                    <\/label>\n\n                    <input required=\"\" placeholder=\"\" value=\"\" type=\"text\" class=\"form-control\" id=\"erf_username\" name=\"erf_username\">\n                <\/div>\n\n                <div class=\"fb-text form-group\">\n                    <label for=\"erf_password\" class=\"fb-text-label\">\n                        Password<span class=\"erf-required\">*<\/span>\n                    <\/label>\n\n                    <input placeholder=\"\" type=\"password\" value=\"\" required=\"\" class=\"form-control\" id=\"erf_password\" name=\"erf_password\">\n                <\/div>\n\n                <div class=\"fb-text form-group\">\n\n                    <label for=\"rememberme\" class=\"fb-text-label\">\n                        <input name=\"rememberme\"  type=\"checkbox\" id=\"erf_rememberme\" value=\"forever\">\n                        Remember                    <\/label>\n                <\/div>\n\n\n                <input type=\"hidden\" name=\"action\" value=\"erf_login_user\"  \/>\n                <input type=\"hidden\" name=\"erf_login_nonce\" id=\"erf_login_nonce\" value=\"d8eb27f891\" \/>\n\n                <div class=\"erf-before-login-btn\">\n                                    <\/div>   \n\n                <div class=\"erf-external-form-elements\">\n                                    <\/div>   \n                <div class=\"erf-error\"><\/div>\n                <div class=\"erf-submit-button erf-clearfix\">    \n                    <div class=\"fb-button form-group\">\n                        <button type=\"submit\" class=\"btn btn-default\" style=\"default\">Login<\/button>\n                    <\/div>\n                <\/div>\n                                    <div class=\"erf-account-switch\">\n                        <a class=\"erf-show-register\" href=\"javascript:void(0)\">Register<\/a>\n                        <a class=\"erf-show-lost-password\"  href=\"javascript:void(0)\" title=\"Lost\/Forgot Password?\">Lost Password?<\/a>\n                    <\/div>\n                \n            <\/form>\n\n            <form id=\"erf_login_reload_form\" method=\"POST\">\n\n            <\/form>\n\n            <\/div>\n    <\/div>    \n        <div class=\"erf-password-lost-container erf-layouttwo-column erf-style-flat erf-label-top\"  style=\"display:none\">\n\n                    <h3>Forgot Your Password?<\/h3>\n                <p>\n                    Enter your email address                <\/p>\n                <form id=\"lostpasswordform\" class=\"erf-form erf-reset-password-form\" action=\"\" method=\"post\" onkeypress=\"return event.keyCode != 13;\">\n                    <div class=\"fb-text form-group\">\n                        <input type=\"email\" name=\"user_login\" class=\"form-control\" id=\"erf_user_login\">\n                    <\/div>\n                    <div class=\"erf-error\"><\/div>\n                    <div class=\"fb-text form-group\">\n                        <button type=\"button\" name=\"submit\" class=\"lostpassword-button erf-reset-password btn btn-default\">\n                            Reset Password                        <\/button>\n                    <\/div>\n                    <input type=\"hidden\" name=\"action\" value=\"erf_lost_password\" \/>\n                    <div class=\"erf-account-switch erf-clearfix\">\n                            <a class=\"erf-show-login\" href=\"javascript:void(0)\">Back to Login<\/a>\n                    <\/div>\n                <\/form>\n    <\/div>\n    \n    <div class=\"erf-otp-container erf-layouttwo-column erf-style-flat erf-label-top\"  style=\"display:none\">\n        <div class=\"erf-message\"><\/div>\n        <h3>Forgot Your Password?<\/h3>\n        <p>Enter OTP<\/p>\n        <form id=\"otpform\" class=\"erf-form erf-otp-form\" action=\"\" method=\"post\" onkeypress=\"return event.keyCode != 13;\">\n            <div class=\"fb-text form-group\">\n                <input type=\"text\" name=\"user_otp\" class=\"form-control\" id=\"erf_user_otp\">\n            <\/div>\n            <div class=\"erf-error\"><\/div>\n            <div class=\"fb-text form-group\">\n                <button type=\"button\" name=\"submit\" class=\"otp-button erf-otp btn btn-default\">\n                    Submit                <\/button>\n            <\/div>\n            <input type=\"hidden\" name=\"action\" value=\"erf_otp\" \/>\n            <div class=\"erf-account-switch erf-clearfix\">\n                <a class=\"erf-show-login\" href=\"javascript:void(0)\">Back to Login<\/a>\n            <\/div>\n        <\/form>\n    <\/div>\n\n    <div class=\"erf-password-update-container erf-layouttwo-column erf-style-flat erf-label-top\"  style=\"display:none\">\n        <h3>Forgot Your Password?<\/h3>        \n        <p>Enter a new password below<\/p>\n        <form id=\"updatepasswordform\" class=\"erf-form erf-update-password-form\" action=\"\" method=\"post\" onkeypress=\"return event.keyCode != 13;\">\n            <div class=\"fb-text form-group\">\n                <label for=\"user_password\" class=\"fb-text-label\">New Password<\/label>\n                <input type=\"password\" name=\"user_password\" class=\"form-control\" id=\"erf_user_password\">\n            <\/div>\n            <div class=\"fb-text form-group\">\n                <label for=\"user_cpassword\" class=\"fb-text-label\">Re-enter New Password<\/label>\n                <input type=\"password\" name=\"user_cpassword\" class=\"form-control\" id=\"erf_user_cpassword\">\n            <\/div>\n            <div class=\"erf-error\"><\/div>\n            <div class=\"fb-text form-group\">\n                <button type=\"button\" name=\"submit\" class=\"updatepassword-button erf-update-password btn btn-default\">\n                    Update Password                <\/button>\n            <\/div>\n            <input type=\"hidden\" name=\"action\" value=\"erf_update_password\" \/>\n            <div class=\"erf-account-switch erf-clearfix\">\n                <a class=\"erf-show-login\" href=\"javascript:void(0)\">Back to Login<\/a>\n            <\/div>\n        <\/form>\n    <\/div>\n\n<\/div>\n\n\n<div class=\"erf-container\">\n    <div class=\"erf-login-container erf-label-top erf-style-flat erf-layout-one-column\" style=\"\">     \n        <div class=\"erf-message\"><\/div>\n\n                    <form action=\"\" method=\"post\" class=\"erf-login-form erf-form\">\n                <div class=\"fb-text form-group\">\n                    <label for=\"erf_username\" class=\"fb-text-label\">\n                        Username\/Email<span class=\"erf-required\">*<\/span>\n                    <\/label>\n\n                    <input required=\"\" placeholder=\"\" value=\"\" type=\"text\" class=\"form-control\" id=\"erf_username\" name=\"erf_username\">\n                <\/div>\n\n                <div class=\"fb-text form-group\">\n                    <label for=\"erf_password\" class=\"fb-text-label\">\n                        Password<span class=\"erf-required\">*<\/span>\n                    <\/label>\n\n                    <input placeholder=\"\" type=\"password\" value=\"\" required=\"\" class=\"form-control\" id=\"erf_password\" name=\"erf_password\">\n                <\/div>\n\n                <div class=\"fb-text form-group\">\n\n                    <label for=\"rememberme\" class=\"fb-text-label\">\n                        <input name=\"rememberme\"  type=\"checkbox\" id=\"erf_rememberme\" value=\"forever\">\n                        Remember                    <\/label>\n                <\/div>\n\n\n                <input type=\"hidden\" name=\"action\" value=\"erf_login_user\"  \/>\n                <input type=\"hidden\" name=\"erf_login_nonce\" id=\"erf_login_nonce\" value=\"d8eb27f891\" \/>\n\n                <div class=\"erf-before-login-btn\">\n                                    <\/div>   \n\n                <div class=\"erf-external-form-elements\">\n                                    <\/div>   \n                <div class=\"erf-error\"><\/div>\n                <div class=\"erf-submit-button erf-clearfix\">    \n                    <div class=\"fb-button form-group\">\n                        <button type=\"submit\" class=\"btn btn-default\" style=\"default\">Login<\/button>\n                    <\/div>\n                <\/div>\n                                    <div class=\"erf-account-switch\">\n                        <a class=\"erf-show-lost-password\"  href=\"javascript:void(0)\" title=\"Lost\/Forgot Password?\">Lost Password?<\/a>\n                    <\/div>\n                \n            <\/form>\n\n            <form id=\"erf_login_reload_form\" method=\"POST\">\n\n            <\/form>\n\n            <\/div>\n            <div class=\"erf-password-lost-container erf-layoutone-column erf-style-flat erf-label-top\"  style=\"display:none\">\n\n                    <h3>Forgot Your Password?<\/h3>\n                <p>\n                    Enter your email address                <\/p>\n                <form id=\"lostpasswordform\" class=\"erf-form erf-reset-password-form\" action=\"\" method=\"post\" onkeypress=\"return event.keyCode != 13;\">\n                    <div class=\"fb-text form-group\">\n                        <input type=\"email\" name=\"user_login\" class=\"form-control\" id=\"erf_user_login\">\n                    <\/div>\n                    <div class=\"erf-error\"><\/div>\n                    <div class=\"fb-text form-group\">\n                        <button type=\"button\" name=\"submit\" class=\"lostpassword-button erf-reset-password btn btn-default\">\n                            Reset Password                        <\/button>\n                    <\/div>\n                    <input type=\"hidden\" name=\"action\" value=\"erf_lost_password\" \/>\n                    <div class=\"erf-account-switch erf-clearfix\">\n                            <a class=\"erf-show-login\" href=\"javascript:void(0)\">Back to Login<\/a>\n                    <\/div>\n                <\/form>\n    <\/div>\n    \n    <div class=\"erf-otp-container erf-layoutone-column erf-style-flat erf-label-top\"  style=\"display:none\">\n        <div class=\"erf-message\"><\/div>\n        <h3>Forgot Your Password?<\/h3>\n        <p>Enter OTP<\/p>\n        <form id=\"otpform\" class=\"erf-form erf-otp-form\" action=\"\" method=\"post\" onkeypress=\"return event.keyCode != 13;\">\n            <div class=\"fb-text form-group\">\n                <input type=\"text\" name=\"user_otp\" class=\"form-control\" id=\"erf_user_otp\">\n            <\/div>\n            <div class=\"erf-error\"><\/div>\n            <div class=\"fb-text form-group\">\n                <button type=\"button\" name=\"submit\" class=\"otp-button erf-otp btn btn-default\">\n                    Submit                <\/button>\n            <\/div>\n            <input type=\"hidden\" name=\"action\" value=\"erf_otp\" \/>\n            <div class=\"erf-account-switch erf-clearfix\">\n                <a class=\"erf-show-login\" href=\"javascript:void(0)\">Back to Login<\/a>\n            <\/div>\n        <\/form>\n    <\/div>\n\n    <div class=\"erf-password-update-container erf-layoutone-column erf-style-flat erf-label-top\"  style=\"display:none\">\n        <h3>Forgot Your Password?<\/h3>        \n        <p>Enter a new password below<\/p>\n        <form id=\"updatepasswordform\" class=\"erf-form erf-update-password-form\" action=\"\" method=\"post\" onkeypress=\"return event.keyCode != 13;\">\n            <div class=\"fb-text form-group\">\n                <label for=\"user_password\" class=\"fb-text-label\">New Password<\/label>\n                <input type=\"password\" name=\"user_password\" class=\"form-control\" id=\"erf_user_password\">\n            <\/div>\n            <div class=\"fb-text form-group\">\n                <label for=\"user_cpassword\" class=\"fb-text-label\">Re-enter New Password<\/label>\n                <input type=\"password\" name=\"user_cpassword\" class=\"form-control\" id=\"erf_user_cpassword\">\n            <\/div>\n            <div class=\"erf-error\"><\/div>\n            <div class=\"fb-text form-group\">\n                <button type=\"button\" name=\"submit\" class=\"updatepassword-button erf-update-password btn btn-default\">\n                    Update Password                <\/button>\n            <\/div>\n            <input type=\"hidden\" name=\"action\" value=\"erf_update_password\" \/>\n            <div class=\"erf-account-switch erf-clearfix\">\n                <a class=\"erf-show-login\" href=\"javascript:void(0)\">Back to Login<\/a>\n            <\/div>\n        <\/form>\n    <\/div>\n<\/div>    \n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Student Membership Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":322,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_genesis_hide_title":true,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/pages\/1671"}],"collection":[{"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/comments?post=1671"}],"version-history":[{"count":10,"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/pages\/1671\/revisions"}],"predecessor-version":[{"id":13203,"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/pages\/1671\/revisions\/13203"}],"up":[{"embeddable":true,"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/pages\/322"}],"wp:attachment":[{"href":"https:\/\/italianlanguagefoundation.org\/web\/wp-json\/wp\/v2\/media?parent=1671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}