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Tel: (844) 400-SAVI (7284) info@savivets.org

Discovery Questions

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[et_pb_line_break_holder] --> #_form_25_ ._error-arrow { position:absolute; width:0; height:0; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._error-html { margin-bottom:10px; }<!-- [et_pb_line_break_holder] --> .pika-single { z-index:10000001 !important; }<!-- [et_pb_line_break_holder] --> @media all and (min-width:320px) and (max-width:667px) { ::-webkit-scrollbar { display:none; }<!-- [et_pb_line_break_holder] --> #_form_25_ { margin:0; width:100%; min-width:100%; max-width:100%; box-sizing:border-box; }<!-- [et_pb_line_break_holder] --> #_form_25_ * { -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; font-size:1em; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._form-content { margin:0; width:100%; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._form-inner { display:block; min-width:100%; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._form-title,#_form_25_ ._inline-style { margin-top:0; margin-right:0; margin-left:0; }<!-- 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width:initial !important; vertical-align:middle !important; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._form-image { max-width:100%; height:auto !important; }<!-- [et_pb_line_break_holder] --> #_form_25_ input[type="text"] { padding-left:10px; padding-right:10px; font-size:16px; line-height:1.3em; -webkit-appearance:none; }<!-- [et_pb_line_break_holder] --> #_form_25_ input[type="radio"],#_form_25_ input[type="checkbox"] { display:inline-block; width:1.3em; height:1.3em; font-size:1em; margin:0 0.3em 0 0; vertical-align:baseline; }<!-- [et_pb_line_break_holder] --> #_form_25_ button[type="submit"] { padding:20px; font-size:1.5em; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._inline-style { margin:20px 0 0 !important; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #_form_25_ { position:relative; text-align:left; margin:25px auto 0; padding:20px; -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; *zoom:1; background:#fff !important; border:0px solid #b0b0b0 !important; width:800px; -moz-border-radius:0px !important; -webkit-border-radius:0px !important; border-radius:0px !important; color:#000 !important; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._form-title { font-size:22px; line-height:22px; font-weight:600; margin-bottom:0; }<!-- [et_pb_line_break_holder] --> #_form_25_:before,#_form_25_:after { content:" "; display:table; }<!-- [et_pb_line_break_holder] --> #_form_25_:after { clear:both; }<!-- [et_pb_line_break_holder] --> #_form_25_._inline-style { width:auto; display:inline-block; }<!-- [et_pb_line_break_holder] --> #_form_25_._inline-style input[type="text"],#_form_25_._inline-style input[type="date"] { padding:10px 12px; }<!-- [et_pb_line_break_holder] --> #_form_25_._inline-style button._inline-style { position:relative; top:27px; }<!-- [et_pb_line_break_holder] --> #_form_25_._inline-style p { margin:0; }<!-- [et_pb_line_break_holder] --> #_form_25_._inline-style ._button-wrapper { position:relative; margin:27px 12.5px 0 20px; }<!-- [et_pb_line_break_holder] --> #_form_25_ ._form-thank-you { position:relative; left:0; right:0; text-align:center; font-size:18px; }<!-- [et_pb_line_break_holder] --> @media all and (min-width:320px) and (max-width:667px) { #_form_25_._inline-form._inline-style ._inline-style._button-wrapper { margin-top:20px !important; margin-left:0 !important; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><form method="POST" action="https://savivets.activehosted.com/proc.php" id="_form_25_" class="_form _form_25 _inline-form _dark" novalidate><!-- [et_pb_line_break_holder] --> <input type="hidden" name="u" value="25" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="f" value="25" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="s" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="c" value="0" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="m" value="0" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="act" value="sub" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="v" value="2" /><!-- [et_pb_line_break_holder] --> <div class="_form-content"><!-- [et_pb_line_break_holder] --> <div class="_form_element _x70376536 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> First Name*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="firstname" placeholder="Type your first name" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _x75368998 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Last Name*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="lastname" placeholder="Type your last name" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _x57430432 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Email*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="email" placeholder="Type your email" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _x65875773 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Phone*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="phone" placeholder="Type your phone number" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field73 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Call me or I call you?*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="field[73]" value="" placeholder="" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field74 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Where did we connect?*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="field[74]" value="" placeholder="" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field11 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Relationship*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <input type="hidden" name="field[11][]" value="~|"><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <select multiple="true" name="field[11][]" required><!-- [et_pb_line_break_holder] --> <option value="Veteran" ><!-- [et_pb_line_break_holder] --> Veteran<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Employer" ><!-- [et_pb_line_break_holder] --> Employer<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Donor" ><!-- [et_pb_line_break_holder] --> Donor<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Nonprofit" ><!-- [et_pb_line_break_holder] --> Nonprofit<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Tech Company" ><!-- [et_pb_line_break_holder] --> Tech Company<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Educational Resource" ><!-- [et_pb_line_break_holder] --> Educational Resource<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Entrepreneurial Resource" ><!-- [et_pb_line_break_holder] --> Entrepreneurial Resource<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Employment Resource" ><!-- [et_pb_line_break_holder] --> Employment Resource<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Retirement Resource" ><!-- [et_pb_line_break_holder] --> Retirement Resource<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Event Partner" ><!-- [et_pb_line_break_holder] --> Event Partner<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Sponsor" ><!-- [et_pb_line_break_holder] --> Sponsor<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Sponsor Lead" ><!-- [et_pb_line_break_holder] --> Sponsor Lead<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Government Agency" ><!-- [et_pb_line_break_holder] --> Government Agency<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Committee Advisor" ><!-- [et_pb_line_break_holder] --> Committee Advisor<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Volunteer" ><!-- [et_pb_line_break_holder] --> Volunteer<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Board of Directors" ><!-- [et_pb_line_break_holder] --> Board of Directors<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Board of Directors Lead" ><!-- [et_pb_line_break_holder] --> Board of Directors Lead<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Student" ><!-- [et_pb_line_break_holder] --> Student<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Employment" ><!-- [et_pb_line_break_holder] --> Employment<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Retiree" ><!-- [et_pb_line_break_holder] --> Retiree<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Entreprenuer" ><!-- [et_pb_line_break_holder] --> Entreprenuer<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Homeless" ><!-- [et_pb_line_break_holder] --> Homeless<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="At-Risk" ><!-- [et_pb_line_break_holder] --> At-Risk<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="VA Employee" ><!-- [et_pb_line_break_holder] --> VA Employee<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Media" ><!-- [et_pb_line_break_holder] --> Media<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Partner Lead" ><!-- [et_pb_line_break_holder] --> Partner Lead<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Partner" ><!-- [et_pb_line_break_holder] --> Partner<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Independent Contractor" ><!-- [et_pb_line_break_holder] --> Independent Contractor<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Comp & Pen SME" ><!-- [et_pb_line_break_holder] --> Comp & Pen SME<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="GI Bill SME" ><!-- [et_pb_line_break_holder] --> GI Bill SME<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Voc Rehab SME" ><!-- [et_pb_line_break_holder] --> Voc Rehab SME<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Mental Health Provider" ><!-- [et_pb_line_break_holder] --> Mental Health Provider<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Veteran Service Provider" ><!-- [et_pb_line_break_holder] --> Veteran Service Provider<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Speaker" ><!-- [et_pb_line_break_holder] --> Speaker<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Financial Market" ><!-- [et_pb_line_break_holder] --> Financial Market<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Sponsorship Team Lead" ><!-- [et_pb_line_break_holder] --> Sponsorship Team Lead<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Sponsorship Team" ><!-- [et_pb_line_break_holder] --> Sponsorship Team<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Military Spouse" ><!-- [et_pb_line_break_holder] --> Military Spouse<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="TSM" ><!-- [et_pb_line_break_holder] --> TSM<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field10 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Connected On*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="field[10]" value="" placeholder="" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field52 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Current Location*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="field[52]" value="" placeholder="" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field53 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Post-Transition Location*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="field[53]" value="" placeholder="" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field54 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Primary Objective*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <select name="field[54]" required><!-- [et_pb_line_break_holder] --> <option 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[et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[55]" placeholder="area of study" ></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field56 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> - If Employment<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[56]" placeholder="desired location, salary, benefits, accommodations, employment type (FT/PT/contract/telework)" ></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field57 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> - If Entrepreneurship<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[57]" placeholder="what market, planned investment, experience, partners" ></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field58 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Programs/organizations they've been in contact with or utilized*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[58]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field59 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Post transition plans/current projects (if they’ve separated)*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[59]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field60 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Family dynamics (very general questions but try to find out if there is a spouse [married], children, parents, etc)*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[60]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field61 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Biggest thing they’re looking FORWARD to when they get out*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[61]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field63 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> VA benefits, have they filed their initial disability claim<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_row _checkbox-radio"><!-- [et_pb_line_break_holder] --> <input id="field_63Yes" 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assistance of a VA rep)<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[64]" placeholder="" ></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field65 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> If no: why not?<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[65]" placeholder="" ></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field66 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Do they feel like they understand the process and what additional entitlements they may be eligible for?*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[66]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field67 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Any specific VA benefits questions*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[67]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field68 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Extra-curricular activities: are they interested in sports? Social events? Family activities? Self-development? Art? Music? Concerts? Fishing? Online Gaming? Singing? Automoative? Travel? Reading?*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[68]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field6 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> LinkedIn Profile*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="field[6]" value="" placeholder="" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field70 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> LinkedIn: how effective do they feel like LinkedIn is for their networking goals? How confident are they in their profile? Has it rendered any good connections? Would they like assistance with utilizing LinkedIn and a free LinkedIn profile review?*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[70]" placeholder="" required></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field71 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Technology: do they have any interest in the technology space whether it’s learning particular programs, platforms, and tools that can help them with skills development (Lynda.com), job opportunities, daily organization (Trello, Evernote, etc)?*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <textarea name="field[71]" placeholder="" 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class="_clear-element"><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form-thank-you" style="display:none;"><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </form><script type="text/javascript"><!-- [et_pb_line_break_holder] -->window.cfields = 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[et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> var fieldVal = getUrlParam(allInputs[i].dataset.name);<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> if (fieldVal) {<!-- [et_pb_line_break_holder] --> if (allInputs[i].type == "radio" || allInputs[i].type == "checkbox") {<!-- [et_pb_line_break_holder] --> if (allInputs[i].value == fieldVal) {<!-- [et_pb_line_break_holder] --> allInputs[i].checked = true;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> allInputs[i].value = fieldVal;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> var remove_tooltips = function() {<!-- [et_pb_line_break_holder] --> for (var i = 0; i < tooltips.length; i++) {<!-- [et_pb_line_break_holder] --> tooltips[i].tip.parentNode.removeChild(tooltips[i].tip);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> tooltips = [];<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var remove_tooltip = function(elem) {<!-- [et_pb_line_break_holder] --> for (var i = 0; i < tooltips.length; i++) {<!-- [et_pb_line_break_holder] --> if (tooltips[i].elem === elem) {<!-- [et_pb_line_break_holder] --> tooltips[i].tip.parentNode.removeChild(tooltips[i].tip);<!-- [et_pb_line_break_holder] --> tooltips.splice(i, 1);<!-- [et_pb_line_break_holder] --> return;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var create_tooltip = function(elem, text) {<!-- [et_pb_line_break_holder] --> var tooltip = document.createElement('div'), arrow = document.createElement('div'), inner = document.createElement('div'), new_tooltip = {};<!-- [et_pb_line_break_holder] --> if (elem.type != 'radio' && elem.type != 'checkbox') {<!-- [et_pb_line_break_holder] --> tooltip.className = '_error';<!-- [et_pb_line_break_holder] --> arrow.className = '_error-arrow';<!-- [et_pb_line_break_holder] --> inner.className = '_error-inner';<!-- [et_pb_line_break_holder] --> inner.innerHTML = text;<!-- [et_pb_line_break_holder] --> tooltip.appendChild(arrow);<!-- [et_pb_line_break_holder] --> tooltip.appendChild(inner);<!-- [et_pb_line_break_holder] --> elem.parentNode.appendChild(tooltip);<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> tooltip.className = '_error-inner _no_arrow';<!-- [et_pb_line_break_holder] --> tooltip.innerHTML = text;<!-- [et_pb_line_break_holder] --> elem.parentNode.insertBefore(tooltip, elem);<!-- [et_pb_line_break_holder] --> new_tooltip.no_arrow = true;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> new_tooltip.tip = tooltip;<!-- [et_pb_line_break_holder] --> new_tooltip.elem = elem;<!-- [et_pb_line_break_holder] --> tooltips.push(new_tooltip);<!-- [et_pb_line_break_holder] --> return new_tooltip;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var resize_tooltip = function(tooltip) {<!-- [et_pb_line_break_holder] --> var rect = tooltip.elem.getBoundingClientRect();<!-- [et_pb_line_break_holder] --> var doc = document.documentElement, scrollPosition = rect.top - ((window.pageYOffset || doc.scrollTop) - (doc.clientTop || 0));<!-- [et_pb_line_break_holder] --> if (scrollPosition < 40) {<!-- [et_pb_line_break_holder] --> tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _below';<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _above';<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var resize_tooltips = function() {<!-- [et_pb_line_break_holder] --> if (_removed) return;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < tooltips.length; i++) {<!-- [et_pb_line_break_holder] --> if (!tooltips[i].no_arrow) resize_tooltip(tooltips[i]);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var validate_field = function(elem, remove) {<!-- [et_pb_line_break_holder] --> var tooltip = null, value = elem.value, no_error = true;<!-- [et_pb_line_break_holder] --> remove ? remove_tooltip(elem) : false;<!-- [et_pb_line_break_holder] --> if (elem.type != 'checkbox') elem.className = elem.className.replace(/ ?_has_error ?/g, '');<!-- [et_pb_line_break_holder] --> if (elem.getAttribute('required') !== null) {<!-- [et_pb_line_break_holder] --> if (elem.type == 'radio' || (elem.type == 'checkbox' && /any/.test(elem.className))) {<!-- [et_pb_line_break_holder] --> var elems = form_to_submit.elements[elem.name];<!-- [et_pb_line_break_holder] --> if (!(elems instanceof NodeList || elems instanceof HTMLCollection) || elems.length <= 1) {<!-- [et_pb_line_break_holder] --> no_error = elem.checked;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> else {<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elems.length; i++) {<!-- [et_pb_line_break_holder] --> if (elems[i].checked) no_error = true;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!no_error) {<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Please select an option.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if (elem.type =='checkbox') {<!-- [et_pb_line_break_holder] --> var elems = form_to_submit.elements[elem.name], found = false, err = [];<!-- [et_pb_line_break_holder] --> no_error = true;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elems.length; i++) {<!-- [et_pb_line_break_holder] --> if (elems[i].getAttribute('required') === null) continue;<!-- [et_pb_line_break_holder] --> if (!found && elems[i] !== elem) return true;<!-- [et_pb_line_break_holder] --> found = true;<!-- [et_pb_line_break_holder] --> elems[i].className = elems[i].className.replace(/ ?_has_error ?/g, '');<!-- [et_pb_line_break_holder] --> if (!elems[i].checked) {<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> elems[i].className = elems[i].className + ' _has_error';<!-- [et_pb_line_break_holder] --> err.push("Checking %s is required".replace("%s", elems[i].value));<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!no_error) {<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, err.join('<br/>'));<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if (elem.tagName == 'SELECT') {<!-- [et_pb_line_break_holder] --> var selected = true;<!-- [et_pb_line_break_holder] --> if (elem.multiple) {<!-- [et_pb_line_break_holder] --> selected = false;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elem.options.length; i++) {<!-- [et_pb_line_break_holder] --> if (elem.options[i].selected) {<!-- [et_pb_line_break_holder] --> selected = true;<!-- [et_pb_line_break_holder] --> break;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elem.options.length; i++) {<!-- [et_pb_line_break_holder] --> if (elem.options[i].selected && !elem.options[i].value) {<!-- [et_pb_line_break_holder] --> selected = false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!selected) {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Please select an option.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if (value === undefined || value === null || value === '') {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "This field is required.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (no_error && elem.name == 'email') {<!-- [et_pb_line_break_holder] --> if (!value.match(/^[\+_a-z0-9-'&=]+(\.[\+_a-z0-9-']+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,})$/i)) {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Enter a valid email address.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (no_error && /date_field/.test(elem.className)) {<!-- [et_pb_line_break_holder] --> if (!value.match(/^\d\d\d\d-\d\d-\d\d$/)) {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Enter a valid date.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> tooltip ? resize_tooltip(tooltip) : false;<!-- [et_pb_line_break_holder] --> return no_error;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var needs_validate = function(el) {<!-- [et_pb_line_break_holder] --> return el.name == 'email' || el.getAttribute('required') !== null;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var validate_form = function(e) {<!-- [et_pb_line_break_holder] --> var err = form_to_submit.querySelector('._form_error'), no_error = true;<!-- [et_pb_line_break_holder] --> if (!submitted) {<!-- [et_pb_line_break_holder] --> submitted = true;<!-- [et_pb_line_break_holder] --> for (var i = 0, len = allInputs.length; i < len; i++) {<!-- [et_pb_line_break_holder] --> var input = allInputs[i];<!-- [et_pb_line_break_holder] --> if (needs_validate(input)) {<!-- [et_pb_line_break_holder] --> if (input.type == 'text') {<!-- [et_pb_line_break_holder] --> addEvent(input, 'blur', function() {<!-- [et_pb_line_break_holder] --> this.value = this.value.trim();<!-- [et_pb_line_break_holder] --> validate_field(this, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> addEvent(input, 'input', function() {<!-- [et_pb_line_break_holder] --> validate_field(this, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> } else if (input.type == 'radio' || input.type == 'checkbox') {<!-- [et_pb_line_break_holder] --> (function(el) {<!-- [et_pb_line_break_holder] --> var radios = form_to_submit.elements[el.name];<!-- [et_pb_line_break_holder] --> for (var i = 0; i < radios.length; i++) {<!-- [et_pb_line_break_holder] --> addEvent(radios[i], 'click', function() {<!-- [et_pb_line_break_holder] --> validate_field(el, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> })(input);<!-- [et_pb_line_break_holder] --> } else if (input.tagName == 'SELECT') {<!-- [et_pb_line_break_holder] --> addEvent(input, 'change', function() {<!-- [et_pb_line_break_holder] --> validate_field(this, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> remove_tooltips();<!-- [et_pb_line_break_holder] --> for (var i = 0, len = allInputs.length; i < len; i++) {<!-- [et_pb_line_break_holder] --> var elem = allInputs[i];<!-- [et_pb_line_break_holder] --> if (needs_validate(elem)) {<!-- [et_pb_line_break_holder] --> if (elem.tagName.toLowerCase() !== "select") {<!-- [et_pb_line_break_holder] --> elem.value = elem.value.trim();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> validate_field(elem) ? true : no_error = false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!no_error && e) {<!-- [et_pb_line_break_holder] --> e.preventDefault();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> resize_tooltips();<!-- [et_pb_line_break_holder] --> return no_error;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> addEvent(window, 'resize', resize_tooltips);<!-- [et_pb_line_break_holder] --> addEvent(window, 'scroll', resize_tooltips);<!-- [et_pb_line_break_holder] --> window._old_serialize = null;<!-- [et_pb_line_break_holder] --> if (typeof serialize !== 'undefined') window._old_serialize = window.serialize;<!-- [et_pb_line_break_holder] --> _load_script("//d3rxaij56vjege.cloudfront.net/form-serialize/0.3/serialize.min.js", function() {<!-- [et_pb_line_break_holder] --> window._form_serialize = window.serialize;<!-- [et_pb_line_break_holder] --> if (window._old_serialize) window.serialize = window._old_serialize;<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> var form_submit = function(e) {<!-- [et_pb_line_break_holder] --> e.preventDefault();<!-- [et_pb_line_break_holder] --> if (validate_form()) {<!-- [et_pb_line_break_holder] --> // use this trick to get the submit button & disable it using plain javascript<!-- [et_pb_line_break_holder] --> document.querySelector('[id^="_form"][id$="_submit"]').disabled = true;<!-- [et_pb_line_break_holder] --> var serialized = _form_serialize(document.getElementById('_form_25_'));<!-- [et_pb_line_break_holder] --> var err = form_to_submit.querySelector('._form_error');<!-- [et_pb_line_break_holder] --> err ? err.parentNode.removeChild(err) : false;<!-- [et_pb_line_break_holder] --> _load_script('https://savivets.activehosted.com/proc.php?' + serialized + '&jsonp=true');<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> addEvent(form_to_submit, 'submit', form_submit);<!-- [et_pb_line_break_holder] -->})();<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></script>
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