{"id":77522,"date":"2024-01-18T12:44:35","date_gmt":"2024-01-18T17:44:35","guid":{"rendered":"https:\/\/www.rochester.edu\/alumni\/?page_id=77522"},"modified":"2024-01-18T12:46:35","modified_gmt":"2024-01-18T17:46:35","slug":"form-eastman-institute-for-oral-health","status":"publish","type":"page","link":"https:\/\/www.rochester.edu\/alumni\/forms\/form-eastman-institute-for-oral-health\/","title":{"rendered":"Form &#8211; Eastman Institute for Oral Health"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;grid&#8221; use_row_as_full_screen_section_slide=&#8221;no&#8221; text_align=&#8221;center&#8221; background_color=&#8221;#ffc70a&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column_inner][vc_empty_space image_repeat=&#8221;no-repeat&#8221;][vc_column_text]<\/p>\n<h1>Eastman Institute for Oral Health alumni class notes<\/h1>\n<p>[\/vc_column_text][vc_empty_space image_repeat=&#8221;no-repeat&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_empty_space image_repeat=&#8221;no-repeat&#8221;]<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_572' ><form method='post' enctype='multipart\/form-data'  id='gform_572'  action='\/alumni\/wp-json\/wp\/v2\/pages\/77522' data-formid='572' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_572' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_572_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Submit your class news and updates\u2014we\u2019d love to hear from you! Please complete the form below to share your latest contact information, professional and personal accomplishments, awards or honors, a new job, research, grant awards, publication publishing, or personal updates like travel, marriage, births, and anything else you\u2019d like to share. <\/p>\n\n<p>* indicates a required field<\/p><\/li><li id=\"field_572_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_2'><span class='gform-field-label__text'>First name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_572_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_3\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_3'><span class='gform-field-label__text'>Last name while at the University of Rochester<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_572_3' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_4\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_4'><span class='gform-field-label__text'>Last name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_572_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_5\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_5'><span class='gform-field-label__text'>Class year<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_572_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_6\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_6'><span class='gform-field-label__text'>Degree<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_572_6' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_572_18\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_18'><span class='gform-field-label__text'>Residency\/Fellowship specialty and year<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_572_18' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_15\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_15'><span class='gform-field-label__text'>Occupation<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_572_15' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_16\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_16'><span class='gform-field-label__text'>Title<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_572_16' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_17\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_17'><span class='gform-field-label__text'>Business name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_572_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_7\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_7'><span class='gform-field-label__text'>Category<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_572_7' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--select--<\/option><option value='General' >General<\/option><option value='Career news' >Career news<\/option><option value='Births and adoptions' >Births and adoptions<\/option><option value='Marriages and commitments' >Marriages and commitments<\/option><option value='Educational news' >Educational news<\/option><option value='In memoriam' >In memoriam<\/option><\/select><\/div><\/li><li id=\"field_572_8\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_8'><span class='gform-field-label__text'>What news and\/or updates would you like to share?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_572_8' class='textarea medium'    placeholder='This could be related to career, research, birth announcements, birthdays, grandchildren, pets, relocation, running a marathon, vacations you\u2019ve taken, visiting Rochester, retirement, information about articles, case studies or abstracts published\u2014or simply a check in to let everyone know what\u2019s new with you.' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_572_9\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_9'><span class='gform-field-label__text'>Photo<\/span><\/label><div class='gfield_description' id='gfield_description_572_9'>20MB size limit. Photos must be 300 kb or larger to be considered for print.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20971520' \/><input name='input_9' id='input_572_9' type='file' class='medium' aria-describedby=\"gfield_upload_rules_572_9 gfield_description_572_9\" onchange='javascript:gformValidateFileSize( this, 20971520 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_572_9'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_572_9'><\/div> <\/div><\/li><li id=\"field_572_10\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_572_10'><span class='gform-field-label__text'>Photo caption<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_572_10' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_572_11\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Submission consent<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_572_11'><li class='gchoice gchoice_572_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Please share my class note to be published online and in relevant print and electronic publications.'  id='choice_572_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_572_11_1' id='label_572_11_1' class='gform-field-label gform-field-label--type-inline'>Please share my class note to be published online and in relevant print and electronic publications.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_572_12\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Alumni Directory<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_572_12'><li class='gchoice gchoice_572_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='I do not want my class note to be published online to the Alumni Directory portal'  id='choice_572_12_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_572_12_1' id='label_572_12_1' class='gform-field-label gform-field-label--type-inline'>I do not want my class note to be published online to the Alumni Directory portal<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_572' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit news<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_572' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_572' id='gform_theme_572' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_572' id='gform_style_settings_572' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_572' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='572' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='GtAhavCao\/u4cNggW1KdQ1So03L4p16uEld637G+OntPSUfgNww6XHEWhY0XeGXxB+RFsKDkUKjA+q12RjDxhnUOOzncANCfVnHFLlJEqXpDbjc=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_572' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_572' id='gform_target_page_number_572' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_572' id='gform_source_page_number_572' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"185\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>[\/vc_column][\/vc_row][vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_empty_space height=&#8221;100px&#8221; image_repeat=&#8221;no-repeat&#8221;][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;grid&#8221; use_row_as_full_screen_section_slide=&#8221;no&#8221; text_align=&#8221;center&#8221; background_color=&#8221;#ffc70a&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column_inner][vc_empty_space image_repeat=&#8221;no-repeat&#8221;][vc_column_text] Eastman Institute for Oral Health alumni class notes [\/vc_column_text][vc_empty_space image_repeat=&#8221;no-repeat&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_empty_space image_repeat=&#8221;no-repeat&#8221;][\/vc_column][\/vc_row][vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_empty_space height=&#8221;100px&#8221; image_repeat=&#8221;no-repeat&#8221;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":56,"featured_media":0,"parent":7096,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"footnotes":""},"class_list":["post-77522","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/pages\/77522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/users\/56"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/comments?post=77522"}],"version-history":[{"count":3,"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/pages\/77522\/revisions"}],"predecessor-version":[{"id":77572,"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/pages\/77522\/revisions\/77572"}],"up":[{"embeddable":true,"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/pages\/7096"}],"wp:attachment":[{"href":"https:\/\/www.rochester.edu\/alumni\/wp-json\/wp\/v2\/media?parent=77522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}