www.npower.org
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2606:4700:10::6816:3fcf
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URL:
https://www.npower.org/apply/program-application/
Submission: On June 11 via manual from US — Scanned from DE
Submission: On June 11 via manual from US — Scanned from DE
Form analysis 2 forms found in the DOM
GET https://www.npower.org/
<form class="raven-search-form raven-search-form-full" method="get" action="https://www.npower.org/" role="search">
<div class="raven-search-form-container">
<span class="raven-search-form-button raven-search-form-toggle fas fa-search" tabindex="-1"></span>
</div>
<div class="raven-search-form-lightbox">
<span class="raven-search-form-close" tabindex="-1">×</span>
<label class="elementor-screen-only" for="raven-search-form-input">Search</label>
<input id="raven-search-form-input" class="raven-search-form-input" type="search" name="s" placeholder="Search">
</div>
</form>POST /apply/program-application/#gf_41
<form method="post" enctype="multipart/form-data" id="gform_41" action="/apply/program-application/#gf_41" data-formid="41" novalidate="" data-form_id="41">
<div class="gform-body gform_body">
<div id="gform_page_41_1" class="gform_page " data-js="page-field-id-1">
<div class="gform_page_fields">
<div id="gform_fields_41" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_41_126" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_41_126">
<div class="ginput_container ginput_container_text"><input name="input_126" id="input_41_126" type="hidden" class="gform_hidden" aria-invalid="false" value="GA1.1.126649828.1718142297"></div>
</div>
<div id="field_41_127" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_41_127">
<div class="ginput_container ginput_container_text"><input name="input_127" id="input_41_127" type="hidden" class="gform_hidden" aria-invalid="false" value="(direct)"></div>
</div>
<div id="field_41_128" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_41_128">
<div class="ginput_container ginput_container_text"><input name="input_128" id="input_41_128" type="hidden" class="gform_hidden" aria-invalid="false" value="(none)"></div>
</div>
<div id="field_41_129" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_41_129">
<div class="ginput_container ginput_container_text"><input name="input_129" id="input_41_129" type="hidden" class="gform_hidden" aria-invalid="false" value="(not set)"></div>
</div>
<div id="field_41_130" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_41_130">
<div class="ginput_container ginput_container_text"><input name="input_130" id="input_41_130" type="hidden" class="gform_hidden" aria-invalid="false" value="undefined"></div>
</div>
<fieldset id="field_41_33" class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_33">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_41_33">
<span id="input_41_33_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_33.3" id="input_41_33_3" value="" aria-required="true">
<label for="input_41_33_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span>
<span id="input_41_33_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_33.6" id="input_41_33_6" value="" aria-required="true">
<label for="input_41_33_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
</span>
</div>
</fieldset>
<div id="field_41_34" class="gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_34"><label class="gfield_label gform-field-label" for="input_41_34">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_34" id="input_41_34" type="email" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_41_35" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_35"><label class="gfield_label gform-field-label" for="input_41_35">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_35" id="input_41_35" type="tel" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_41_1"
class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_1"><label class="gfield_label gform-field-label" for="input_41_1">Date of Birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_date">
<input name="input_1" id="input_41_1" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy"
aria-describedby="input_41_1_date_format gfield_description_41_1" aria-invalid="false" aria-required="true">
<span id="input_41_1_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_41_1" class="gform_hidden" value="https://www.npower.org/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
<div class="gfield_description" id="gfield_description_41_1">The format must be MM/DD/YYYY and include slashes.</div>
</div>
<div id="field_41_156" class="gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_156">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_156">Age Calculation v2</label>
<div class="ginput_container ginput_container_number"><input name="input_156" id="input_41_156" type="text" step="any" value="" class="large" readonly="readonly" aria-invalid="false"></div>
</div>
<div id="field_41_3"
class="gfield gfield--type-gfgeo_address gfield--input-type-gfgeo_address gfield--width-full gfgeo_field_type_gfgeo_address gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_3"><label class="gfield_label gform-field-label" for="input_41_3">Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div id="gfgeo-address-locator-wrapper-41_3" class="ginput_container ginput_container_gfgeo_address "><input name="input_3" id="input_41_3" type="text" value="" class="gfgeo-address-field large pac-target-input"
aria-describedby="gfield_description_41_3" aria-required="true" aria-invalid="false" data-field_id="41_3" data-geocoder_id="41_140" placeholder="Geben Sie einen Standort ein." autocomplete="off"> </div>
<div class="gfield_description" id="gfield_description_41_3">Please enter a valid address and ensure it loads in the map below before proceeding.</div>
</div>
<fieldset id="field_41_93" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible"
data-js-reload="field_41_93">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Temp Address</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_93">
<div class="gchoice gchoice_41_93_1">
<input class="gfield-choice-input" name="input_93.1" type="checkbox" value="This is a temporary address" id="choice_41_93_1">
<label for="choice_41_93_1" id="label_41_93_1" class="gform-field-label gform-field-label--type-inline">This is a temporary address</label>
</div>
</div>
</div>
</fieldset>
<div id="field_41_16" class="gfield gfield--type-gfgeo_map gfield--input-type-gfgeo_map gfield--width-full gfgeo_field_type_gfgeo_map field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_16"><label class="gfield_label gform-field-label" for="input_41_16">Address Location Map</label>
<div id="gfgeo-map-wrapper-41_16" class="ginput_container ginput_container_gfgeo_google_map gfgeo-map-wrapper">
<div id="gfgeo-map-41_16" class="gfgeo-map" data-geocoder_id="41_140" data-map_id="41_16" style="height: 300px; width: 100%; position: relative; overflow: hidden;">
<div style="height: 100%; width: 100%; position: absolute; top: 0px; left: 0px; background-color: rgb(241, 241, 241);">
<div><button draggable="false" aria-label="Kurzbefehle" title="Kurzbefehle" type="button"
style="background: none transparent; display: block; border: none; margin: 0px; padding: 0px; text-transform: none; appearance: none; position: absolute; cursor: pointer; user-select: none; z-index: 1000002; outline-offset: 3px; right: 0px; bottom: 0px; transform: translateX(100%);"></button>
</div>
<div tabindex="0" aria-label="Karte" aria-roledescription="Karte" role="region" aria-describedby="BB5D7F5C-16D0-4C9D-B0DC-92F1AF1436DF"
style="position: absolute; height: 100%; width: 100%; padding: 0px; border-width: 0px; margin: 0px; left: 0px; top: 0px;">
<div id="BB5D7F5C-16D0-4C9D-B0DC-92F1AF1436DF" style="display: none;">
<div class="LGLeeN-keyboard-shortcuts-view">
<table>
<tbody>
<tr>
<td><kbd aria-label="Linkspfeil">←</kbd></td>
<td aria-label="Nach links.">Nach links</td>
</tr>
<tr>
<td><kbd aria-label="Rechtspfeil">→</kbd></td>
<td aria-label="Nach rechts.">Nach rechts</td>
</tr>
<tr>
<td><kbd aria-label="Aufwärtspfeil">↑</kbd></td>
<td aria-label="Nach oben.">Nach oben</td>
</tr>
<tr>
<td><kbd aria-label="Abwärtspfeil">↓</kbd></td>
<td aria-label="Nach unten.">Nach unten</td>
</tr>
<tr>
<td><kbd>+</kbd></td>
<td aria-label="Heranzoomen.">Heranzoomen</td>
</tr>
<tr>
<td><kbd>-</kbd></td>
<td aria-label="Herauszoomen.">Herauszoomen</td>
</tr>
<tr>
<td><kbd>Pos1</kbd></td>
<td aria-label="Um 75 % nach links.">Um 75 % nach links</td>
</tr>
<tr>
<td><kbd>Ende</kbd></td>
<td aria-label="Um 75 % nach rechts.">Um 75 % nach rechts</td>
</tr>
<tr>
<td><kbd>Bild auf</kbd></td>
<td aria-label="Um 75 % nach oben.">Um 75 % nach oben</td>
</tr>
<tr>
<td><kbd>Bild ab</kbd></td>
<td aria-label="Um 75 % nach unten.">Um 75 % nach unten</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div class="gm-style" style="position: absolute; z-index: 0; left: 0px; top: 0px; height: 100%; width: 100%; padding: 0px; border-width: 0px; margin: 0px;">
<div
style="position: absolute; z-index: 0; left: 0px; top: 0px; height: 100%; width: 100%; padding: 0px; border-width: 0px; margin: 0px; cursor: url("https://maps.gstatic.com/mapfiles/openhand_8_8.cur"), default; touch-action: pan-x pan-y;">
<div style="z-index: 1; position: absolute; left: 50%; top: 50%; width: 100%; will-change: transform; transform: translate(0px, 0px);">
<div style="position: absolute; left: 0px; top: 0px; z-index: 100; width: 100%;">
<div style="position: absolute; left: 0px; top: 0px; z-index: 0;">
<div style="position: absolute; z-index: 989; transform: matrix(1, 0, 0, 1, -56, -124);">
<div style="position: absolute; left: 0px; top: 0px; width: 256px; height: 256px;">
<div style="width: 256px; height: 256px;"></div>
</div>
<div style="position: absolute; left: -256px; top: 0px; width: 256px; height: 256px;">
<div style="width: 256px; height: 256px;"></div>
</div>
<div style="position: absolute; left: -256px; top: -256px; width: 256px; height: 256px;">
<div style="width: 256px; height: 256px;"></div>
</div>
<div style="position: absolute; left: 0px; top: -256px; width: 256px; height: 256px;">
<div style="width: 256px; height: 256px;"></div>
</div>
<div style="position: absolute; left: 256px; top: -256px; width: 256px; height: 256px;">
<div style="width: 256px; height: 256px;"></div>
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<div style="position: absolute; left: 256px; top: 0px; width: 256px; height: 256px;">
<div style="width: 256px; height: 256px;"></div>
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<div style="position: absolute; left: 256px; top: 256px; width: 256px; height: 256px;">
<div style="width: 256px; height: 256px;"></div>
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<div style="width: 256px; height: 256px;"></div>
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<div style="position: absolute; left: -512px; top: 256px; width: 256px; height: 256px;">
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<div style="position: absolute; left: -512px; top: 0px; width: 256px; height: 256px;">
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<div style="position: absolute; left: -512px; top: -256px; width: 256px; height: 256px;">
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<div style="position: absolute; left: 0px; top: -256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
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style="width: 256px; height: 256px; user-select: none; border: 0px; padding: 0px; margin: 0px; max-width: none;"></div>
<div style="position: absolute; left: -256px; top: 0px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
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style="width: 256px; height: 256px; user-select: none; border: 0px; padding: 0px; margin: 0px; max-width: none;"></div>
<div style="position: absolute; left: -256px; top: -256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
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<div style="position: absolute; left: -512px; top: 256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
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<div style="position: absolute; left: -512px; top: 0px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
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<div style="position: absolute; left: 0px; top: 256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
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<div style="position: absolute; left: 512px; top: 256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
src="https://maps.googleapis.com/maps/vt?pb=!1m5!1m4!1i11!2i605!3i770!4i256!2m3!1e0!2sm!3i696442221!3m12!2sde-DE!3sUS!5e18!12m4!1e68!2m2!1sset!2sRoadmap!12m3!1e37!2m1!1ssmartmaps!4e0!5m1!1e3&key=AIzaSyDlISby3Y3pwZhZwpgOeP4HHb34BcBKx7k&token=75421"
style="width: 256px; height: 256px; user-select: none; border: 0px; padding: 0px; margin: 0px; max-width: none;"></div>
<div style="position: absolute; left: 256px; top: 0px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
src="https://maps.googleapis.com/maps/vt?pb=!1m5!1m4!1i11!2i604!3i769!4i256!2m3!1e0!2sm!3i696442221!3m12!2sde-DE!3sUS!5e18!12m4!1e68!2m2!1sset!2sRoadmap!12m3!1e37!2m1!1ssmartmaps!4e0!5m1!1e3&key=AIzaSyDlISby3Y3pwZhZwpgOeP4HHb34BcBKx7k&token=96808"
style="width: 256px; height: 256px; user-select: none; border: 0px; padding: 0px; margin: 0px; max-width: none;"></div>
<div style="position: absolute; left: -256px; top: 256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
src="https://maps.googleapis.com/maps/vt?pb=!1m5!1m4!1i11!2i602!3i770!4i256!2m3!1e0!2sm!3i696442221!3m12!2sde-DE!3sUS!5e18!12m4!1e68!2m2!1sset!2sRoadmap!12m3!1e37!2m1!1ssmartmaps!4e0!5m1!1e3&key=AIzaSyDlISby3Y3pwZhZwpgOeP4HHb34BcBKx7k&token=56591"
style="width: 256px; height: 256px; user-select: none; border: 0px; padding: 0px; margin: 0px; max-width: none;"></div>
<div style="position: absolute; left: 512px; top: -256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
src="https://maps.googleapis.com/maps/vt?pb=!1m5!1m4!1i11!2i605!3i768!4i256!2m3!1e0!2sm!3i696442209!3m12!2sde-DE!3sUS!5e18!12m4!1e68!2m2!1sset!2sRoadmap!12m3!1e37!2m1!1ssmartmaps!4e0!5m1!1e3&key=AIzaSyDlISby3Y3pwZhZwpgOeP4HHb34BcBKx7k&token=12491"
style="width: 256px; height: 256px; user-select: none; border: 0px; padding: 0px; margin: 0px; max-width: none;"></div>
<div style="position: absolute; left: 256px; top: -256px; width: 256px; height: 256px; transition: opacity 200ms linear 0s;"><img draggable="false" alt="" role="presentation"
src="https://maps.googleapis.com/maps/vt?pb=!1m5!1m4!1i11!2i604!3i768!4i256!2m3!1e0!2sm!3i696442209!3m12!2sde-DE!3sUS!5e18!12m4!1e68!2m2!1sset!2sRoadmap!12m3!1e37!2m1!1ssmartmaps!4e0!5m1!1e3&key=AIzaSyDlISby3Y3pwZhZwpgOeP4HHb34BcBKx7k&token=93595"
style="width: 256px; height: 256px; user-select: none; border: 0px; padding: 0px; margin: 0px; max-width: none;"></div>
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</div>
</div>
<div style="z-index: 3; position: absolute; height: 100%; width: 100%; padding: 0px; border-width: 0px; margin: 0px; left: 0px; top: 0px; touch-action: pan-x pan-y;">
<div style="z-index: 4; position: absolute; left: 50%; top: 50%; width: 100%; will-change: transform; transform: translate(0px, 0px);">
<div style="position: absolute; left: 0px; top: 0px; z-index: 104; width: 100%;"></div>
<div style="position: absolute; left: 0px; top: 0px; z-index: 105; width: 100%;"></div>
<div style="position: absolute; left: 0px; top: 0px; z-index: 106; width: 100%;"><span id="7AF58F57-0D6A-4D2F-BDCE-858D1D2E5E50" style="display: none;">Zum Verschieben drückst du die Pfeiltasten entsprechend.</span>
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<p class="gm-style-mot"></p>
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</div><iframe aria-hidden="true" frameborder="0" tabindex="-1" style="z-index: -1; position: absolute; width: 100%; height: 100%; top: 0px; left: 0px; border: none; opacity: 0;"></iframe>
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<div>
<div class="gmnoprint gm-style-mtc-bbw" role="menubar" style="margin: 10px; z-index: 0; position: absolute; cursor: pointer; left: 0px; top: 0px;">
<div class="gm-style-mtc" style="float: left; position: relative;"><button draggable="false" aria-label="Stadtplan anzeigen" title="Stadtplan anzeigen" type="button" role="menuitemradio" aria-checked="true"
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<ul role="menu" aria-labelledby="94138B52-7D6E-4470-8E3D-04D44220E74E"
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<span><span
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<ul role="menu" aria-labelledby="E237737C-EB4C-41EF-A83C-3E4ED1D6FF60"
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style="width: 20px; height: 20px;"></button>
<div style="position: relative; overflow: hidden; width: 30px; height: 1px; margin: 0px 5px; background-color: rgb(230, 230, 230); display: none;"></div><button draggable="false"
aria-label="Karte gegen den Uhrzeigersinn drehen" title="Karte gegen den Uhrzeigersinn drehen" type="button" class="gm-control-active"
style="background: none; display: none; border: 0px; margin: 0px; padding: 0px; text-transform: none; appearance: none; position: relative; cursor: pointer; user-select: none; left: 0px; top: 0px; overflow: hidden; width: 40px; height: 40px; transform: scaleX(-1);"><img
alt=""
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style="width: 20px; height: 20px;"><img alt=""
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style="width: 20px; height: 20px;"><img alt=""
src="data:image/svg+xml,%3Csvg%20xmlns%3D%22http%3A//www.w3.org/2000/svg%22%20viewBox%3D%220%200%2024%2024%22%3E%3Cpath%20fill%3D%22none%22%20d%3D%22M0%200h24v24H0V0z%22/%3E%3Cpath%20fill%3D%22%23111%22%20d%3D%22M12.06%209.06l4-4-4-4-1.41%201.41%201.59%201.59h-.18c-2.3%200-4.6.88-6.35%202.64-3.52%203.51-3.52%209.21%200%2012.72%201.5%201.5%203.4%202.36%205.36%202.58v-2.02c-1.44-.21-2.84-.86-3.95-1.97-2.73-2.73-2.73-7.17%200-9.9%201.37-1.37%203.16-2.05%204.95-2.05h.17l-1.59%201.59%201.41%201.41zm8.94%203c-.19-1.74-.88-3.32-1.91-4.61l-1.43%201.43c.69.92%201.15%202%201.32%203.18H21zm-7.94%207.92V22c1.74-.19%203.32-.88%204.61-1.91l-1.43-1.43c-.91.68-2%201.15-3.18%201.32zm4.6-2.74l1.43%201.43c1.04-1.29%201.72-2.88%201.91-4.61h-2.02c-.17%201.18-.64%202.27-1.32%203.18z%22/%3E%3C/svg%3E"
style="width: 20px; height: 20px;"></button>
<div style="position: relative; overflow: hidden; width: 30px; height: 1px; margin: 0px 5px; background-color: rgb(230, 230, 230); display: none;"></div><button draggable="false" aria-label="Karte neigen"
title="Karte neigen" type="button" class="gm-tilt gm-control-active"
style="background: none; display: block; border: 0px; margin: 0px; padding: 0px; text-transform: none; appearance: none; position: relative; cursor: pointer; user-select: none; top: 0px; left: 0px; overflow: hidden; width: 40px; height: 40px;"><img
alt=""
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style="width: 18px;"><img alt=""
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style="width: 18px;"><img alt=""
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</div><button draggable="false" aria-label="Pegman auf die Karte ziehen, um Street View aufzurufen" title="Pegman auf die Karte ziehen, um Street View aufzurufen" type="button" class="gm-svpc" dir="ltr" data-control-width="40"
data-control-height="40"
style="background: rgb(255, 255, 255); border: 0px; margin: 0px; padding: 0px; text-transform: none; appearance: none; position: absolute; cursor: url("https://maps.gstatic.com/mapfiles/openhand_8_8.cur"), default; user-select: none; --pegman-scaleX: 1; box-shadow: rgba(0, 0, 0, 0.3) 0px 1px 4px -1px; border-radius: 2px; width: 40px; height: 40px; touch-action: none; left: 0px; top: 0px;">
<div style="position: absolute; left: 50%; top: 50%; transform: scaleX(var(--pegman-scaleX));"><img
src="data:image/svg+xml,%3Csvg%20xmlns%3D%22http%3A//www.w3.org/2000/svg%22%20viewBox%3D%220%200%2023%2038%22%3E%3Cpath%20d%3D%22M16.6%2038.1h-5.5l-.2-2.9-.2%202.9h-5.5L5%2025.3l-.8%202a1.53%201.53%200%2001-1.9.9l-1.2-.4a1.58%201.58%200%2001-1-1.9v-.1c.3-.9%203.1-11.2%203.1-11.2a2.66%202.66%200%20012.3-2l.6-.5a6.93%206.93%200%20014.7-12%206.8%206.8%200%20014.9%202%207%207%200%20012%204.9%206.65%206.65%200%2001-2.2%205l.7.5a2.78%202.78%200%20012.4%202s2.9%2011.2%202.9%2011.3a1.53%201.53%200%2001-.9%201.9l-1.3.4a1.63%201.63%200%2001-1.9-.9l-.7-1.8-.1%2012.7zm-3.6-2h1.7L14.9%2020.3l1.9-.3%202.4%206.3.3-.1c-.2-.8-.8-3.2-2.8-10.9a.63.63%200%2000-.6-.5h-.6l-1.1-.9h-1.9l-.3-2a4.83%204.83%200%20003.5-4.7A4.78%204.78%200%200011%202.3H10.8a4.9%204.9%200%2000-1.4%209.6l-.3%202h-1.9l-1%20.9h-.6a.74.74%200%2000-.6.5c-2%207.5-2.7%2010-3%2010.9l.3.1L4.8%2020l1.9.3.2%2015.8h1.6l.6-8.4a1.52%201.52%200%20011.5-1.4%201.5%201.5%200%20011.5%201.4l.9%208.4zm-10.9-9.6zm17.5-.1z%22%20style%3D%22isolation%3Aisolate%22%20fill%3D%22%23333%22%20opacity%3D%22.7%22/%3E%3Cpath%20d%3D%22M5.9%2013.6l1.1-.9h7.8l1.2.9%22%20fill%3D%22%23ce592c%22/%3E%3Cellipse%20cx%3D%2210.9%22%20cy%3D%2213.1%22%20rx%3D%222.7%22%20ry%3D%22.3%22%20style%3D%22isolation%3Aisolate%22%20fill%3D%22%23ce592c%22%20opacity%3D%22.5%22/%3E%3Cpath%20d%3D%22M20.6%2026.1l-2.9-11.3a1.71%201.71%200%2000-1.6-1.2H5.699999999999999a1.69%201.69%200%2000-1.5%201.3l-3.1%2011.3a.61.61%200%2000.3.7l1.1.4a.61.61%200%2000.7-.3l2.7-6.7.2%2016.8h3.6l.6-9.3a.47.47%200%2001.44-.5h.06c.4%200%20.4.2.5.5l.6%209.3h3.6L15.7%2020.3l2.5%206.6a.52.52%200%2000.66.31l1.2-.4a.57.57%200%2000.5-.7z%22%20fill%3D%22%23fdbf2d%22/%3E%3Cpath%20d%3D%22M7%2013.6l3.9%206.7%203.9-6.7%22%20style%3D%22isolation%3Aisolate%22%20fill%3D%22%23cf572e%22%20opacity%3D%22.6%22/%3E%3Ccircle%20cx%3D%2210.9%22%20cy%3D%227%22%20r%3D%225.9%22%20fill%3D%22%23fdbf2d%22/%3E%3C/svg%3E"
alt="Street View-Pegman-Steuerung" style="height: 30px; width: 30px; position: absolute; transform: translate(-50%, -50%); pointer-events: none;"><img
src="data:image/svg+xml,%3Csvg%20xmlns%3D%22http%3A//www.w3.org/2000/svg%22%20viewBox%3D%220%200%2024%2038%22%3E%3Cpath%20d%3D%22M22%2026.6l-2.9-11.3a2.78%202.78%200%2000-2.4-2l-.7-.5a6.82%206.82%200%20002.2-5%206.9%206.9%200%2000-13.8%200%207%207%200%20002.2%205.1l-.6.5a2.55%202.55%200%2000-2.3%202s-3%2011.1-3%2011.2v.1a1.58%201.58%200%20001%201.9l1.2.4a1.63%201.63%200%20001.9-.9l.8-2%20.2%2012.8h11.3l.2-12.6.7%201.8a1.54%201.54%200%20001.5%201%201.09%201.09%200%2000.5-.1l1.3-.4a1.85%201.85%200%2000.7-2zm-1.2.9l-1.2.4a.61.61%200%2001-.7-.3l-2.5-6.6-.2%2016.8h-9.4L6.6%2021l-2.7%206.7a.52.52%200%2001-.66.31l-1.1-.4a.52.52%200%2001-.31-.66l3.1-11.3a1.69%201.69%200%20011.5-1.3h.2l1-.9h2.3a5.9%205.9%200%20113.2%200h2.3l1.1.9h.2a1.71%201.71%200%20011.6%201.2l2.9%2011.3a.84.84%200%2001-.4.7z%22%20fill%3D%22%23333%22%20fill-opacity%3D%22.2%22/%3E%26quot%3B%3C/svg%3E"
alt="Pegman bewegt sich über die Karte" style="height: 30px; width: 30px; position: absolute; transform: translate(-50%, -50%); pointer-events: none; display: none;"><img alt="Street View-Pegman-Steuerung"
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style="height: 18px; width: 18px;"><img
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<div></div>
<div>
<div style="display: inline-flex; position: absolute; right: 0px; bottom: 0px;">
<div class="gmnoprint" style="z-index: 1000001;">
<div draggable="false" class="gm-style-cc" style="user-select: none; position: relative; height: 14px; line-height: 14px;">
<div style="opacity: 0.7; width: 100%; height: 100%; position: absolute;">
<div style="width: 1px;"></div>
<div style="background-color: rgb(245, 245, 245); width: auto; height: 100%; margin-left: 1px;"></div>
</div>
<div
style="position: relative; padding-right: 6px; padding-left: 6px; box-sizing: border-box; font-family: Roboto, Arial, sans-serif; font-size: 10px; color: rgb(0, 0, 0); white-space: nowrap; direction: ltr; text-align: right; vertical-align: middle; display: inline-block;">
<button draggable="false" aria-label="Kurzbefehle" title="Kurzbefehle" type="button"
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<div class="gmnoprint" style="z-index: 1000001;">
<div draggable="false" class="gm-style-cc" style="user-select: none; position: relative; height: 14px; line-height: 14px;">
<div style="opacity: 0.7; width: 100%; height: 100%; position: absolute;">
<div style="width: 1px;"></div>
<div style="background-color: rgb(245, 245, 245); width: auto; height: 100%; margin-left: 1px;"></div>
</div>
<div
style="position: relative; padding-right: 6px; padding-left: 6px; box-sizing: border-box; font-family: Roboto, Arial, sans-serif; font-size: 10px; color: rgb(0, 0, 0); white-space: nowrap; direction: ltr; text-align: right; vertical-align: middle; display: inline-block;">
<button draggable="false" aria-label="Kartendaten" title="Kartendaten" type="button"
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style="">Kartendaten ©2024 Google</span></div>
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<div style="font-family: Roboto, Arial, sans-serif; font-size: 11px; color: rgb(0, 0, 0); direction: ltr; text-align: right; background-color: rgb(245, 245, 245);">Kartendaten ©2024 Google</div>
</div><button draggable="false" aria-label="Skalierung der Karte: 2 km pro 35 Pixel" title="Skalierung der Karte: 2 km pro 35 Pixel" type="button" class="gm-style-cc"
aria-describedby="D7D55EAF-0D88-457D-BC85-7470CBC851CF"
style="background: none; display: none; border: 0px; margin: 0px; padding: 0px; text-transform: none; appearance: none; position: relative; cursor: pointer; user-select: none; height: 14px; line-height: 14px;">
<div style="opacity: 0.7; width: 100%; height: 100%; position: absolute;">
<div style="width: 1px;"></div>
<div style="background-color: rgb(245, 245, 245); width: auto; height: 100%; margin-left: 1px;"></div>
</div>
<div
style="position: relative; padding-right: 6px; padding-left: 6px; box-sizing: border-box; font-family: Roboto, Arial, sans-serif; font-size: 10px; color: rgb(0, 0, 0); white-space: nowrap; direction: ltr; text-align: right; vertical-align: middle; display: inline-block;">
<span>2 km </span>
<div style="position: relative; display: inline-block; height: 8px; bottom: -1px; width: 39px;">
<div style="width: 100%; height: 4px; position: absolute; left: 0px; top: 0px;"></div>
<div style="width: 4px; height: 8px; left: 0px; top: 0px; background-color: rgb(255, 255, 255);"></div>
<div style="width: 4px; height: 8px; position: absolute; background-color: rgb(255, 255, 255); right: 0px; bottom: 0px;"></div>
<div style="position: absolute; background-color: rgb(102, 102, 102); height: 2px; left: 1px; bottom: 1px; right: 1px;"></div>
<div style="position: absolute; width: 2px; height: 6px; left: 1px; top: 1px; background-color: rgb(102, 102, 102);"></div>
<div style="width: 2px; height: 6px; position: absolute; background-color: rgb(102, 102, 102); bottom: 1px; right: 1px;"></div>
</div>
</div><span id="D7D55EAF-0D88-457D-BC85-7470CBC851CF" style="display: none;">Klicken, um zwischen metrischen und angloamerikanischen Maßeinheiten zu wechseln</span>
</button>
<div class="gmnoprint gm-style-cc" draggable="false" style="z-index: 1000001; user-select: none; position: relative; height: 14px; line-height: 14px;">
<div style="opacity: 0.7; width: 100%; height: 100%; position: absolute;">
<div style="width: 1px;"></div>
<div style="background-color: rgb(245, 245, 245); width: auto; height: 100%; margin-left: 1px;"></div>
</div>
<div
style="position: relative; padding-right: 6px; padding-left: 6px; box-sizing: border-box; font-family: Roboto, Arial, sans-serif; font-size: 10px; color: rgb(0, 0, 0); white-space: nowrap; direction: ltr; text-align: right; vertical-align: middle; display: inline-block;">
<a href="https://www.google.com/intl/de-DE_US/help/terms_maps.html" target="_blank" rel="noopener" style="text-decoration: none; cursor: pointer; color: rgb(0, 0, 0);">Nutzungsbedingungen</a></div>
</div>
<div draggable="false" class="gm-style-cc" style="user-select: none; position: relative; height: 14px; line-height: 14px;">
<div style="opacity: 0.7; width: 100%; height: 100%; position: absolute;">
<div style="width: 1px;"></div>
<div style="background-color: rgb(245, 245, 245); width: auto; height: 100%; margin-left: 1px;"></div>
</div>
<div
style="position: relative; padding-right: 6px; padding-left: 6px; box-sizing: border-box; font-family: Roboto, Arial, sans-serif; font-size: 10px; color: rgb(0, 0, 0); white-space: nowrap; direction: ltr; text-align: right; vertical-align: middle; display: inline-block;">
<a target="_blank" rel="noopener" title="Google falsche Straßenkarte oder Bilder melden" dir="ltr" href="https://www.google.com/maps/@40.7827096,-73.965309,11z/data=!10m1!1e1!12b1?source=apiv3&rapsrc=apiv3" style="font-family: Roboto, Arial, sans-serif; font-size: 10px; color: rgb(0, 0, 0); text-decoration: none; position: relative;">Fehler bei Google Maps melden</a>
</div>
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</div>
</div>
</div>
</div>
</div>
</div>
</div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_149">Raleigh, North Carolina Distance</label>
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<legend class="gfield_label gform-field-label gfield_label_before_complex">Address is Confirmed<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
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<label for="choice_41_135_1" id="label_41_135_1" class="gform-field-label gform-field-label--type-inline">Yes, my address is confirmed on the map above.</label>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_140">Geocoder</label>
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class="gfgeo-geocoded-field-41_140 street_bw gfgeo-geocoded-field-street_bw" data-field_id="41_140" value=""><input type="hidden" name="input_140[premise]" id="input_41_140_premise"
class="gfgeo-geocoded-field-41_140 premise gfgeo-geocoded-field-premise" data-field_id="41_140" value=""><input type="hidden" name="input_140[subpremise]" id="input_41_140_subpremise"
class="gfgeo-geocoded-field-41_140 subpremise gfgeo-geocoded-field-subpremise" data-field_id="41_140" value=""><input type="hidden" name="input_140[neighborhood]" id="input_41_140_neighborhood"
class="gfgeo-geocoded-field-41_140 neighborhood gfgeo-geocoded-field-neighborhood" data-field_id="41_140" value=""><input type="hidden" name="input_140[city]" id="input_41_140_city"
class="gfgeo-geocoded-field-41_140 city gfgeo-geocoded-field-city" data-field_id="41_140" value=""><input type="hidden" name="input_140[county]" id="input_41_140_county"
class="gfgeo-geocoded-field-41_140 county gfgeo-geocoded-field-county" data-field_id="41_140" value=""><input type="hidden" name="input_140[region_code]" id="input_41_140_region_code"
class="gfgeo-geocoded-field-41_140 region_code gfgeo-geocoded-field-region_code" data-field_id="41_140" value=""><input type="hidden" name="input_140[region_name]" id="input_41_140_region_name"
class="gfgeo-geocoded-field-41_140 region_name gfgeo-geocoded-field-region_name" data-field_id="41_140" value=""><input type="hidden" name="input_140[postcode]" id="input_41_140_postcode"
class="gfgeo-geocoded-field-41_140 postcode gfgeo-geocoded-field-postcode" data-field_id="41_140" value=""><input type="hidden" name="input_140[country_code]" id="input_41_140_country_code"
class="gfgeo-geocoded-field-41_140 country_code gfgeo-geocoded-field-country_code" data-field_id="41_140" value=""><input type="hidden" name="input_140[country_name]" id="input_41_140_country_name"
class="gfgeo-geocoded-field-41_140 country_name gfgeo-geocoded-field-country_name" data-field_id="41_140" value=""><input type="hidden" name="input_140[address]" id="input_41_140_address"
class="gfgeo-geocoded-field-41_140 address gfgeo-geocoded-field-address" data-field_id="41_140" value=""><input type="hidden" name="input_140[formatted_address]" id="input_41_140_formatted_address"
class="gfgeo-geocoded-field-41_140 formatted_address gfgeo-geocoded-field-formatted_address" data-field_id="41_140" value=""><input type="hidden" name="input_140[latitude]" id="input_41_140_latitude"
class="gfgeo-geocoded-field-41_140 latitude gfgeo-geocoded-field-latitude" data-field_id="41_140" value=""><input type="hidden" name="input_140[longitude]" id="input_41_140_longitude"
class="gfgeo-geocoded-field-41_140 longitude gfgeo-geocoded-field-longitude" data-field_id="41_140" value=""><input type="hidden" name="input_140[distance_text]" id="input_41_140_distance_text"
class="gfgeo-geocoded-field-41_140 distance_text gfgeo-geocoded-field-distance_text" data-field_id="41_140" value=""><input type="hidden" name="input_140[distance_value]" id="input_41_140_distance_value"
class="gfgeo-geocoded-field-41_140 distance_value gfgeo-geocoded-field-distance_value" data-field_id="41_140" value=""><input type="hidden" name="input_140[distance_in_meters]" id="input_41_140_distance_in_meters"
class="gfgeo-geocoded-field-41_140 distance_in_meters gfgeo-geocoded-field-distance_in_meters" data-field_id="41_140" value=""><input type="hidden" name="input_140[duration_text]" id="input_41_140_duration_text"
class="gfgeo-geocoded-field-41_140 duration_text gfgeo-geocoded-field-duration_text" data-field_id="41_140" value=""><input type="hidden" name="input_140[duration_value]" id="input_41_140_duration_value"
class="gfgeo-geocoded-field-41_140 duration_value gfgeo-geocoded-field-duration_value" data-field_id="41_140" value=""><input name="input_140[0]" id="input_41_140_0" type="hidden"></div>
</div>
<div id="field_41_2" class="gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_2">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_2">Age</label>
<div class="ginput_container ginput_container_number"><input name="input_2" id="input_41_2" type="number" step="any" value="" class="large" aria-invalid="false"></div>
</div>
</div>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_next_button_41_36" class="gform_next_button gform-theme-button button" value="Next"
onclick="jQuery("#gform_target_page_number_41").val("2"); jQuery("#gform_41").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_41").val("2"); jQuery("#gform_41").trigger("submit",[true]); } " disabled="disabled" data-conditional-logic="hidden"
style="display: none;">
</div>
</div>
<div id="gform_page_41_2" class="gform_page" data-js="page-field-id-36" style="display:none;">
<div class="gform_page_fields">
<div id="gform_fields_41_2" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_41_37"
class="gfield gfield--type-select gfield--input-type-select gfield--width-full gppa-prepend-static-choices gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_37"><label class="gfield_label gform-field-label" for="input_41_37">Are you applying as a young adult (Ages 18-26) or as a military-affiliated person?<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select disabled="true" name="input_37" id="input_41_37" class="large gfield_select" aria-required="true" aria-invalid="false">
<option disabled="true" selected="" value="" class="gf_placeholder">Please select...</option>
<option disabled="true" selected="" value="">– Fill Out Other Fields –</option>
</select></div>
</div>
<div id="field_41_44" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_44">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_44">Age + Young Adult</label>
<div class="ginput_container ginput_container_text"><input name="input_44" id="input_41_44" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<fieldset id="field_41_38"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_38" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label">Do you have a high school diploma or equivalent?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_41_38">
<div class="gchoice gchoice_41_38_0">
<input class="gfield-choice-input" name="input_38" type="radio" value="0" id="choice_41_38_0" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_41_38_0" id="label_41_38_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</div>
<div class="gchoice gchoice_41_38_1">
<input class="gfield-choice-input" name="input_38" type="radio" value="1" id="choice_41_38_1" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_41_38_1" id="label_41_38_1" class="gform-field-label gform-field-label--type-inline">No</label>
</div>
</div>
</div>
</fieldset>
<div id="field_41_39" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_39" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_41_39">Was the discharge general or honorable?<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_39" id="input_41_39" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
<option value="" selected="selected" class="gf_placeholder">Please select...</option>
<option value="0">Yes - General</option>
<option value="0">Yes - Honorable</option>
<option value="1">No - Other</option>
</select></div>
</div>
<fieldset id="field_41_40"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_40">
<legend class="gfield_label gform-field-label">Are you a US Citizen?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_41_40">
<div class="gchoice gchoice_41_40_0">
<input class="gfield-choice-input" name="input_40" type="radio" value="Yes" id="choice_41_40_0" onchange="gformToggleRadioOther( this )" aria-describedby="gfield_description_41_40">
<label for="choice_41_40_0" id="label_41_40_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</div>
<div class="gchoice gchoice_41_40_1">
<input class="gfield-choice-input" name="input_40" type="radio" value="No" id="choice_41_40_1" onchange="gformToggleRadioOther( this )">
<label for="choice_41_40_1" id="label_41_40_1" class="gform-field-label gform-field-label--type-inline">No</label>
</div>
</div>
</div>
<div class="gfield_description" id="gfield_description_41_40">Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Employment Eligibility Verification "Form I-9" be completed for every new hire and that
within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment. You
will be asked to provide proof of eligibility upon interview.</div>
</fieldset>
<fieldset id="field_41_41"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_41" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label">Are you legally authorized to work in the U.S.?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_41_41">
<div class="gchoice gchoice_41_41_0">
<input class="gfield-choice-input" name="input_41" type="radio" value="0" id="choice_41_41_0" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_41_41_0" id="label_41_41_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</div>
<div class="gchoice gchoice_41_41_1">
<input class="gfield-choice-input" name="input_41" type="radio" value="1" id="choice_41_41_1" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_41_41_1" id="label_41_41_1" class="gform-field-label gform-field-label--type-inline">No</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_42" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_42" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label">Will you now, or in the future, require sponsorship employment visa status (e.g., H-1B visa status, Student Visa)</legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_41_42">
<div class="gchoice gchoice_41_42_0">
<input class="gfield-choice-input" name="input_42" type="radio" value="Yes" id="choice_41_42_0" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_41_42_0" id="label_41_42_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</div>
<div class="gchoice gchoice_41_42_1">
<input class="gfield-choice-input" name="input_42" type="radio" value="No" id="choice_41_42_1" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_41_42_1" id="label_41_42_1" class="gform-field-label gform-field-label--type-inline">No</label>
</div>
</div>
</div>
</fieldset>
<div id="field_41_120" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_120"><label class="gfield_label gform-field-label" for="input_41_120">How did you hear about NPower?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_120" id="input_41_120" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Please select...</option>
<option value="Social Media (Facebook, LinkedIn, Instagram, Tik Tok, etc.)">Social Media (Facebook, LinkedIn, Instagram, Tik Tok, etc.)</option>
<option value="Media (TV, Radio, Print Flyers and Publications, Outdoor Ads)">Media (TV, Radio, Print Flyers and Publications, Outdoor Ads)</option>
<option value="Job Boards (Craigslist, Indeed, etc.)">Job Boards (Craigslist, Indeed, etc.)</option>
<option value="Community-Based Organization">Community-Based Organization</option>
<option value="HRA">HRA</option>
<option value="Veteran-Based Organization">Veteran-Based Organization</option>
<option value="Online Search (Google, etc.)">Online Search (Google, etc.)</option>
<option value="NPower Staff">NPower Staff</option>
<option value="NPower Graduate">NPower Graduate</option>
<option value="Friend/Family Member">Friend/Family Member</option>
<option value="School or Training Provider">School or Training Provider</option>
<option value="Other">Other</option>
</select></div>
</div>
<div id="field_41_121" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_41_121"
data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_41_121">Please Specify</label>
<div class="ginput_container ginput_container_text"><input name="input_121" id="input_41_121" type="text" value="" class="large" aria-invalid="false" disabled="disabled"> </div>
</div>
<div id="field_41_43" class="gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_43">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_43">Question Logic</label>
<div class="ginput_container ginput_container_number"><input name="input_43" id="input_41_43" type="text" step="any" value="" class="large" readonly="readonly" aria-invalid="false" aria-describedby="gfield_description_41_43"></div>
<div class="gfield_description" id="gfield_description_41_43">0= Eligible / 1 or greater is Not eligible</div>
</div>
<div id="field_41_92"
class="gfield gfield--type-html gfield--input-type-html gfield--width-full description address-text gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_92" data-conditional-logic="visible">
<div style="text-align: center; font-size: 17px; font-weight: 600;">Please enter your home address. Once your address is confirmed, you will then be able to check your eligibility.</div>
</div>
<div id="field_41_161" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_161">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_161">Sacramento, CA Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_161" id="input_41_161" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_162" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_162">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_162">Sacramento, CA Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_162" id="input_41_162" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_159" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_159">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_159">Kansas City Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_159" id="input_41_159" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_160" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_160">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_160">Kansas City Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_160" id="input_41_160" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_152" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_152">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_152">Dayton, Ohio Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_152" id="input_41_152" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_151" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_151">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_151">Dayton, Ohio Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_151" id="input_41_151" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_12" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_12">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_12">Dallas, Texas Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_41_12" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_9" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_9">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_9">Dallas, Texas Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_41_9" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_142" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_142">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_142">San Antonio, Texas Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_142" id="input_41_142" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_141" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_141">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_141">San Antonio, Texas Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_141" id="input_41_141" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_144" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_144">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_144">Houston, Texas Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_144" id="input_41_144" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_143" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_143">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_143">Houston, Texas Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_143" id="input_41_143" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_46" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_46">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_46">NY Harlem Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_46" id="input_41_46" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_45" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_45">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_45">NY Harlem Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_45" id="input_41_45" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_60" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_60">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_60">San Jose, California Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_60" id="input_41_60" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_57" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_57">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_57">San Jose, California Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_57" id="input_41_57" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_62" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_62">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_62">Detroit, Michigan Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_62" id="input_41_62" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_61" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_61">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_61">Detroit, Michigan Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_61" id="input_41_61" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_68" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_68">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_68">St Louis, Missouri Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_68" id="input_41_68" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_67" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_67">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_67">St Louis, Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_67" id="input_41_67" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_74" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_74">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_74">Baltimore, MD Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_74" id="input_41_74" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_73" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_73">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_73">Baltimore, MD Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_73" id="input_41_73" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_80" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_80">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_80">Newark, New Jersey Duration</label>
<div class="ginput_container ginput_container_text"><input name="input_80" id="input_41_80" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_79" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_79">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_79">Newark, New Jersey Distance</label>
<div class="ginput_container ginput_container_text"><input name="input_79" id="input_41_79" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_146"
class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_41_146" data-conditional-logic="hidden" style="display: none;">Please be sure to wait 5-15 seconds (do not click or go back) after clicking the "Check Eligibility" button for confirmation. </div>
<div id="field_41_31"
class="gfield gfield--type-text gfield--input-type-text gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-street-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_31">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_31">Address</label>
<div class="ginput_container ginput_container_text"><input name="input_31" id="input_41_31" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_52"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-city-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_52">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_52">City</label>
<div class="ginput_container ginput_container_text"><input name="input_52" id="input_41_52" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_91"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-neighborhood-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_91">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_91">Neighborhood</label>
<div class="ginput_container ginput_container_text"><input name="input_91" id="input_41_91" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_53"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-region_code-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_53">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_53">State (code)</label>
<div class="ginput_container ginput_container_text"><input name="input_53" id="input_41_53" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_136"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-region_name-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_136">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_136">State (full name)</label>
<div class="ginput_container ginput_container_text"><input name="input_136" id="input_41_136" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_54"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-postcode-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_54">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_54">Zipcode</label>
<div class="ginput_container ginput_container_text"><input name="input_54" id="input_41_54" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_122"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-county-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_122">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_122">County</label>
<div class="ginput_container ginput_container_text"><input name="input_122" id="input_41_122" type="text" value="(not set)" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_137"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-latitude-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_137">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_137">Latitude</label>
<div class="ginput_container ginput_container_text"><input name="input_137" id="input_41_137" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_138"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfgeo-dynamic-location-field gfgeo-dynamic-field-41_140 gfgeo-dynamic-longitude-41_140 field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_138">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_138">Longitude</label>
<div class="ginput_container ginput_container_text"><input name="input_138" id="input_41_138" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_41_133" class="gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--has-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_133">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_133">Location Option Calculation</label>
<div class="ginput_container ginput_container_number"><input name="input_133" id="input_41_133" type="text" step="any" value="" class="large" readonly="readonly" aria-invalid="false" aria-describedby="gfield_description_41_133"></div>
<div class="gfield_description" id="gfield_description_41_133">0 for no location available, 1 or greater for a location available</div>
</div>
<div id="field_41_145" class="gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--has-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_145">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_41_145">Distance Total</label>
<div class="ginput_container ginput_container_number"><input name="input_145" id="input_41_145" type="text" step="any" value="" class="large" readonly="readonly" aria-invalid="false" aria-describedby="gfield_description_41_145"></div>
<div class="gfield_description" id="gfield_description_41_145">Anything greater than 0 means the geo script loaded data into the form.</div>
</div>
<fieldset id="field_41_154" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_154" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Raleigh, North Carolina</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_154">
<div class="gchoice gchoice_41_154_1">
<input class="gfield-choice-input" name="input_154.1" type="checkbox" value="1" checked="checked" id="choice_41_154_1" disabled="disabled">
<label for="choice_41_154_1" id="label_41_154_1" class="gform-field-label gform-field-label--type-inline">Raleigh, North Carolina</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_155" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_155" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Dayton, Ohio</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_155">
<div class="gchoice gchoice_41_155_1">
<input class="gfield-choice-input" name="input_155.1" type="checkbox" value="1" checked="checked" id="choice_41_155_1" disabled="disabled">
<label for="choice_41_155_1" id="label_41_155_1" class="gform-field-label gform-field-label--type-inline">Dayton, Ohio</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_123" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_123" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Los Angeles, California</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_123">
<div class="gchoice gchoice_41_123_1">
<input class="gfield-choice-input" name="input_123.1" type="checkbox" value="1" checked="checked" id="choice_41_123_1" disabled="disabled">
<label for="choice_41_123_1" id="label_41_123_1" class="gform-field-label gform-field-label--type-inline">Los Angeles, California</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_134" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
data-js-reload="field_41_134" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">TSM - Any Location</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_134">
<div class="gchoice gchoice_41_134_1">
<input class="gfield-choice-input" name="input_134.1" type="checkbox" value="1" checked="checked" id="choice_41_134_1" disabled="disabled">
<label for="choice_41_134_1" id="label_41_134_1" class="gform-field-label gform-field-label--type-inline">TSM - Any Location</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_147" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_147" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">San Antonio, Texas</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_147">
<div class="gchoice gchoice_41_147_1">
<input class="gfield-choice-input" name="input_147.1" type="checkbox" value="1" checked="checked" id="choice_41_147_1" disabled="disabled">
<label for="choice_41_147_1" id="label_41_147_1" class="gform-field-label gform-field-label--type-inline">San Antonio, Texas</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_148" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_148" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Harris County, Texas</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_148">
<div class="gchoice gchoice_41_148_1">
<input class="gfield-choice-input" name="input_148.1" type="checkbox" value="1" checked="checked" id="choice_41_148_1" disabled="disabled">
<label for="choice_41_148_1" id="label_41_148_1" class="gform-field-label gform-field-label--type-inline">Harris County, Texas</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_157" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_157" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Newark, New Jersey - PA County Zip Codes</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_157">
<div class="gchoice gchoice_41_157_1">
<input class="gfield-choice-input" name="input_157.1" type="checkbox" value="1" checked="checked" id="choice_41_157_1" disabled="disabled">
<label for="choice_41_157_1" id="label_41_157_1" class="gform-field-label gform-field-label--type-inline">Newark, New Jersey</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_158" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_158" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Kansas City, MO</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_158">
<div class="gchoice gchoice_41_158_1">
<input class="gfield-choice-input" name="input_158.1" type="checkbox" value="1" checked="checked" id="choice_41_158_1" disabled="disabled">
<label for="choice_41_158_1" id="label_41_158_1" class="gform-field-label gform-field-label--type-inline">Kansas City, MO</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_101" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
data-js-reload="field_41_101" data-conditional-logic="hidden" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">San Jose, California</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_41_101">
<div class="gchoice gchoice_41_101_1">
<input class="gfield-choice-input" name="input_101.1" type="checkbox" value="1" checked="checked" id="choice_41_101_1" disabled="disabled">
<label for="choice_41_101_1" id="label_41_101_1" class="gform-field-label gform-field-label--type-inline">San Jose, California</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_41_163" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<div id="field_41_114" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_41_114"
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<h3 class="gsection_title"></h3>
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<h4>Select a Military Program Location</h4>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<h4>Select a Young Adult Program Location</h4>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
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<fieldset id="field_41_104" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_hidden"
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Baltimore, Maryland</legend>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">Dallas, Texas</legend>
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label gform-field-label gfield_label_before_complex">St Louis, Missouri</legend>
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</div>
</div>
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</form>Text Content
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ROUTINE MAINTENANCE To better serve you, we are currently updating our application. It shouldn’t take long, please check back in about - 00 Minutes Please refresh the page. Click here if you are applying to an Advanced Training Program. "*" indicates required fields Name* First Last Email* Phone* Date of Birth* MM slash DD slash YYYY The format must be MM/DD/YYYY and include slashes. Hidden Age Calculation v2 Address* Please enter a valid address and ensure it loads in the map below before proceeding. Temp Address This is a temporary address Address Location Map ←Nach links→Nach rechts↑Nach oben↓Nach unten+Heranzoomen-HerauszoomenPos1Um 75 % nach linksEndeUm 75 % nach rechtsBild aufUm 75 % nach obenBild abUm 75 % nach unten Zum Verschieben drückst du die Pfeiltasten entsprechend. Karte * Gelände Satellit * Beschriftungen Kurzbefehle KartendatenKartendaten ©2024 Google Kartendaten ©2024 Google 2 km Klicken, um zwischen metrischen und angloamerikanischen Maßeinheiten zu wechseln Nutzungsbedingungen Fehler bei Google Maps melden Hidden Raleigh, North Carolina Duration Hidden Raleigh, North Carolina Distance Address is Confirmed* Yes, my address is confirmed on the map above. Hidden Geocoder Hidden Age Are you applying as a young adult (Ages 18-26) or as a military-affiliated person?* Please select...– Fill Out Other Fields – Hidden Age + Young Adult Do you have a high school diploma or equivalent?* Yes No Was the discharge general or honorable?* Please select...Yes - GeneralYes - HonorableNo - Other Are you a US Citizen?* Yes No Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Employment Eligibility Verification "Form I-9" be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment. You will be asked to provide proof of eligibility upon interview. Are you legally authorized to work in the U.S.?* Yes No Will you now, or in the future, require sponsorship employment visa status (e.g., H-1B visa status, Student Visa) Yes No How did you hear about NPower?* Please select...Social Media (Facebook, LinkedIn, Instagram, Tik Tok, etc.)Media (TV, Radio, Print Flyers and Publications, Outdoor Ads)Job Boards (Craigslist, Indeed, etc.)Community-Based OrganizationHRAVeteran-Based OrganizationOnline Search (Google, etc.)NPower StaffNPower GraduateFriend/Family MemberSchool or Training ProviderOther Please Specify Hidden Question Logic 0= Eligible / 1 or greater is Not eligible Please enter your home address. Once your address is confirmed, you will then be able to check your eligibility. Hidden Sacramento, CA Duration Hidden Sacramento, CA Distance Hidden Kansas City Duration Hidden Kansas City Distance Hidden Dayton, Ohio Duration Hidden Dayton, Ohio Distance Hidden Dallas, Texas Duration Hidden Dallas, Texas Distance Hidden San Antonio, Texas Duration Hidden San Antonio, Texas Distance Hidden Houston, Texas Duration Hidden Houston, Texas Distance Hidden NY Harlem Duration Hidden NY Harlem Distance Hidden San Jose, California Duration Hidden San Jose, California Distance Hidden Detroit, Michigan Duration Hidden Detroit, Michigan Distance Hidden St Louis, Missouri Duration Hidden St Louis, Distance Hidden Baltimore, MD Duration Hidden Baltimore, MD Distance Hidden Newark, New Jersey Duration Hidden Newark, New Jersey Distance Please be sure to wait 5-15 seconds (do not click or go back) after clicking the "Check Eligibility" button for confirmation. Hidden Address Hidden City Hidden Neighborhood Hidden State (code) Hidden State (full name) Hidden Zipcode Hidden County Hidden Latitude Hidden Longitude Hidden Location Option Calculation 0 for no location available, 1 or greater for a location available Hidden Distance Total Anything greater than 0 means the geo script loaded data into the form. Hidden Raleigh, North Carolina Raleigh, North Carolina Hidden Dayton, Ohio Dayton, Ohio Hidden Los Angeles, California Los Angeles, California Hidden TSM - Any Location TSM - Any Location Hidden San Antonio, Texas San Antonio, Texas Hidden Harris County, Texas Harris County, Texas Hidden Newark, New Jersey - PA County Zip Codes Newark, New Jersey Hidden Kansas City, MO Kansas City, MO Hidden San Jose, California San Jose, California Hidden Sacramento, CA Sacramento, CA Hidden SELECT A MILITARY PROGRAM LOCATION Hidden Dallas, Texas Dallas, Texas Hidden Baltimore, Maryland Baltimore, Maryland Hidden Newark, New Jersey Newark, New Jersey Hidden Detroit, Michigan Detroit, Michigan Hidden SELECT A YOUNG ADULT PROGRAM LOCATION Hidden Brooklyn, New York Brooklyn, New York Hidden Harlem, New York Harlem, New York Hidden Newark, New Jersey Newark, New Jersey Hidden Detroit, Michigan Detroit, Michigan Hidden Baltimore, Maryland Baltimore, Maryland Hidden Dallas, Texas Dallas, Texas Hidden St Louis, Missouri St Louis, Missouri NPower Headquarters 55 Washington Street, Suite 560 Brooklyn, New York 11201 Phone: 212-564-7010 info@npower.org SIGNUP FOR OUR EMAIL LIST Subscibe Today Instagram Youtube Linkedin-in Facebook-f © 2024 NPower. 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