{"id":66,"date":"2020-11-10T20:00:07","date_gmt":"2020-11-10T20:00:07","guid":{"rendered":"https:\/\/www.rochester.edu\/college\/student-funding\/supplemental-funding\/?page_id=66"},"modified":"2023-02-17T11:45:24","modified_gmt":"2023-02-17T16:45:24","slug":"home","status":"publish","type":"page","link":"https:\/\/www.rochester.edu\/college\/student-funding\/supplemental-funding\/","title":{"rendered":"Home"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='gform_browse_button_6_61'>Student Files<\/label><\/p>\n<div class='ginput_container ginput_container_fileupload'>\n<div id='gform_multifile_upload_6_61' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_6_61&quot;,&quot;container&quot;:&quot;gform_multifile_upload_6_61&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_6_61&quot;,&quot;filelist&quot;:&quot;gform_preview_6_61&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.rochester.edu\\\/college\\\/student-funding\\\/supplemental-funding\\\/?gf_page=a70025124e36ae1&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.rochester.edu\\\/college\\\/student-funding\\\/supplemental-funding\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.rochester.edu\\\/college\\\/student-funding\\\/supplemental-funding\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;20971520b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:6,&quot;field_id&quot;:61,&quot;_gform_file_upload_nonce_6_61&quot;:&quot;4133326239&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_6_61&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n<div id='gform_drag_drop_area_6_61' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span><br \/>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_6_61' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_6_61\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<p><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_61'>Max. file size: 20 MB.<\/span><\/p>\n<ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_6_61'><\/ul>\n<div id='gform_preview_6_61' class='ginput_preview_list'><\/div>\n<\/div>\n<\/div>\n<div id=\"field_6_8\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >\n<h3 class=\"gsection_title\">Applicant Information<\/h3>\n<\/div>\n<fieldset id=\"field_6_2\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-name form-control-icon-complex\"  data-field-class=\"gf-name form-control-icon-complex\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>\n<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_6_2'>\n<p>                            <span id='input_6_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' ><br \/>\n                                                    <input type='text' name='input_2.3' id='input_6_2_3' value=''   aria-required='true'     \/><br \/>\n                                                    <label for='input_6_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label><br \/>\n                                                <\/span><\/p>\n<p>                            <span id='input_6_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' ><br \/>\n                                                    <input type='text' name='input_2.6' id='input_6_2_6' value=''   aria-required='true'     \/><br \/>\n                                                    <label for='input_6_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label><br \/>\n                                                <\/span><\/p><\/div>\n<\/fieldset>\n<div id=\"field_6_23\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_23'>UR Student ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_23' id='input_6_23' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_4\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker form-control-icon\"  data-field-class=\"gf-date gf-date-layout-datepicker form-control-icon\" ><label class='gfield_label gform-field-label' for='input_6_4'>Date of Birth<\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_6_4' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_4_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_6_4_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_6_4' class='gform_hidden' value='https:\/\/www.rochester.edu\/college\/student-funding\/supplemental-funding\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<div id=\"field_6_50\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-phone form-control-icon\"  data-field-class=\"gf-phone form-control-icon\" ><label class='gfield_label gform-field-label' for='input_6_50'>Phone<\/label><\/p>\n<div class='ginput_container ginput_container_phone'><input name='input_50' id='input_6_50' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_52\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-email form-control-icon\"  data-field-class=\"gf-email form-control-icon\" ><label class='gfield_label gform-field-label' for='input_6_52'>Student Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_email'>\n                            <input name='input_52' id='input_6_52' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div>\n<\/div>\n<div id=\"field_6_34\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_34'>CMC Box<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_34' id='input_6_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_35\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_35'>Mailing Address (if different)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_35' id='input_6_35' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_36\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_36'>Mailing address 2<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_36' id='input_6_36' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_37\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_37'>City<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_37' id='input_6_37' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_38\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_38'>State<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_38' id='input_6_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_39\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_39'>Zip<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_39' id='input_6_39' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<fieldset id=\"field_6_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >International<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_53'>\n<div class='gchoice gchoice_6_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='yes'  id='choice_6_53_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_53_0' id='label_6_53_0' class='gform-field-label gform-field-label--type-inline'><strong>I am<\/strong> an international student<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='no'  id='choice_6_53_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_53_1' id='label_6_53_1' class='gform-field-label gform-field-label--type-inline'><strong>I am not<\/strong> an international student<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_6\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-textarea\"  data-field-class=\"gf-textarea\" ><label class='gfield_label gform-field-label' for='input_6_6'>Please list any leadership role(s) you currently hold on campus.<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_6_6' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<fieldset id=\"field_6_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >Are you applying as a representative of a student group, or as an individual student?<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_7'>\n<div class='gchoice gchoice_6_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Individual'  id='choice_6_7_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_7_0' id='label_6_7_0' class='gform-field-label gform-field-label--type-inline'>Individual<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Representative'  id='choice_6_7_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_7_1' id='label_6_7_1' class='gform-field-label gform-field-label--type-inline'>Representative<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_9\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  >\n<h3 class=\"gsection_title\">Group Information<\/h3>\n<div class='gsection_description' id='gfield_description_6_9'>Undergraduate groups only, if applicable.<\/div>\n<\/div>\n<div id=\"field_6_10\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_10'>What is the name of the group?<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_10' id='input_6_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_11\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>How many students plan to participate in this activity?<\/label><\/p>\n<div class='ginput_container ginput_container_number'><input name='input_11' id='input_6_11' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div>\n<\/div>\n<fieldset id=\"field_6_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >Is this group an SA-recognized organization?<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_12'>\n<div class='gchoice gchoice_6_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Yes'  id='choice_6_12_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_6_12\"   \/><br \/>\n\t\t\t\t\t<label for='choice_6_12_0' id='label_6_12_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='No'  id='choice_6_12_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_12_1' id='label_6_12_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<div class='gfield_description' id='gfield_description_6_12'>View <a href=\"https:\/\/ccc.rochester.edu\/organizations\/\" target=\"_blank\">list of SA-recognized organizations<\/a> on the Campus Community Connection site.<\/div>\n<\/fieldset>\n<fieldset id=\"field_6_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >If no, why is your organization ineligible to apply for SAAC funding?<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_48'>\n<div class='gchoice gchoice_6_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='The event or program requires funding for activities that SAAC does not fund'  id='choice_6_48_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_48_0' id='label_6_48_0' class='gform-field-label gform-field-label--type-inline'>The event or program requires funding for activities that SAAC does not fund<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='The organization would exceed the number of SAAC funding applications allowed per year.'  id='choice_6_48_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_48_1' id='label_6_48_1' class='gform-field-label gform-field-label--type-inline'>The organization would exceed the number of SAAC funding applications allowed per year.<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_48_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='The organization is not in good standing with the SA'  id='choice_6_48_2' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_48_2' id='label_6_48_2' class='gform-field-label gform-field-label--type-inline'>The organization is not in good standing with the SA<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_48_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='gf_other_choice'  id='choice_6_48_3' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_48_3' id='label_6_48_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_6_48_other' class='gchoice_other_control' name='input_48_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >\n<h3 class=\"gsection_title\">For SA-recognized organizations only<\/h3>\n<\/div>\n<div id=\"field_6_14\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_14'>Who is the primary advisor?<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_14' id='input_6_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_16\" class=\"gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-email form-control-icon\"  data-field-class=\"gf-email form-control-icon\" ><label class='gfield_label gform-field-label' for='input_6_16'>SA Primary Advisor&#039;s Email<\/label><\/p>\n<div class='ginput_container ginput_container_email'>\n                            <input name='input_16' id='input_6_16' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div>\n<\/div>\n<fieldset id=\"field_6_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >Have you met with your SA advisor regarding this funding request?<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_17'>\n<div class='gchoice gchoice_6_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Yes'  id='choice_6_17_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_17_0' id='label_6_17_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='No'  id='choice_6_17_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_17_1' id='label_6_17_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"field_6_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >Is this organization eligible to apply for SAAC supplemental funding?<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_18'>\n<div class='gchoice gchoice_6_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Yes'  id='choice_6_18_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_6_18\"   \/><br \/>\n\t\t\t\t\t<label for='choice_6_18_0' id='label_6_18_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='No'  id='choice_6_18_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_18_1' id='label_6_18_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<div class='gfield_description' id='gfield_description_6_18'>If eligible, organizations must apply for SAAC supplemental funding before completing this application. Please consult with your SA advisor on this as needed.<\/div>\n<\/fieldset>\n<div id=\"field_6_19\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-file\"  data-field-class=\"gf-file\" ><label class='gfield_label gform-field-label' for='input_6_19'>SA Supplemental Application<\/label><\/p>\n<div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20971520' \/><input name='input_19' id='input_6_19' type='file' class='large' aria-describedby=\"gfield_upload_rules_6_19\" onchange='javascript:gformValidateFileSize( this, 20971520 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_19'>Max. file size: 20 MB.<\/span><\/p>\n<div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_19'><\/div>\n<\/p><\/div>\n<\/div>\n<div id=\"field_6_20\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_20'>How much did you apply for?<\/label><\/p>\n<div class='ginput_container ginput_container_number'><input name='input_20' id='input_6_20' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div>\n<\/div>\n<fieldset id=\"field_6_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >Why is your organization ineligible to apply for SAAC supplemental funding?<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_21'>\n<div class='gchoice gchoice_6_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='The event or program requires funding for activities that SAAC does not fund&lt;br \/&gt;&lt;small&gt;Such as funding for individual member fees or food expenses for sit down dinners&lt;\/small&gt;'  id='choice_6_21_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_6_21\"   \/><br \/>\n\t\t\t\t\t<label for='choice_6_21_0' id='label_6_21_0' class='gform-field-label gform-field-label--type-inline'>The event or program requires funding for activities that SAAC does not fund<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='The organization would exceed the number of SAAC funding applications allowed per year.'  id='choice_6_21_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_21_1' id='label_6_21_1' class='gform-field-label gform-field-label--type-inline'>The organization would exceed the number of SAAC funding applications allowed per year.<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='The organization is not in good standing with the SA'  id='choice_6_21_2' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_21_2' id='label_6_21_2' class='gform-field-label gform-field-label--type-inline'>The organization is not in good standing with the SA<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='gf_other_choice'  id='choice_6_21_3' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_21_3' id='label_6_21_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_6_21_other' class='gchoice_other_control' name='input_21_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<div class='gfield_description' id='gfield_description_6_21'>Groups must be eligible to apply for SAAC funding in order to complete this application. Please consult with your SA advisor on this as needed.<\/div>\n<\/fieldset>\n<div id=\"field_6_22\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  >\n<h3 class=\"gsection_title\">Academics<\/h3>\n<div class='gsection_description' id='gfield_description_6_22'>Reminder: this funding is only available for undergraduate students.<\/div>\n<\/div>\n<div id=\"field_6_24\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker form-control-icon\"  data-field-class=\"gf-date gf-date-layout-datepicker form-control-icon\" ><label class='gfield_label gform-field-label' for='input_6_24'>Expected Date of Graduation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_6_24' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_24_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/><br \/>\n                            <span id='input_6_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_6_24' class='gform_hidden' value='https:\/\/www.rochester.edu\/college\/student-funding\/supplemental-funding\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<div id=\"field_6_25\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_25'>Major(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_25' id='input_6_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_26\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_26'>Minor(s)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_26' id='input_6_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_27\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_27'>Cluster(s)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_27' id='input_6_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<fieldset id=\"field_6_28\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >I am currently enrolled in or identify as the following (select all that apply)<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_6_28'>\n<div class='gchoice gchoice_6_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Brady Scholar'  id='choice_6_28_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_1' id='label_6_28_1' class='gform-field-label gform-field-label--type-inline'>Brady Scholar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Citation in Community-Engaged Learning Scolar'  id='choice_6_28_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_2' id='label_6_28_2' class='gform-field-label gform-field-label--type-inline'>Citation in Community-Engaged Learning Scolar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.3' type='checkbox'  value='E5 or T5 Scholar'  id='choice_6_28_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_3' id='label_6_28_3' class='gform-field-label gform-field-label--type-inline'>E5 or T5 Scholar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.4' type='checkbox'  value='Early Connection Opportunity Program (ECO)'  id='choice_6_28_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_4' id='label_6_28_4' class='gform-field-label gform-field-label--type-inline'>Early Connection Opportunity Program (ECO)<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.5' type='checkbox'  value='First-Generation Student'  id='choice_6_28_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_5' id='label_6_28_5' class='gform-field-label gform-field-label--type-inline'>First-Generation Student<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.6' type='checkbox'  value='French Scholar'  id='choice_6_28_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_6' id='label_6_28_6' class='gform-field-label gform-field-label--type-inline'>French Scholar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.7' type='checkbox'  value='GEM Fellow'  id='choice_6_28_7'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_7' id='label_6_28_7' class='gform-field-label gform-field-label--type-inline'>GEM Fellow<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.8' type='checkbox'  value='Handler Scholar'  id='choice_6_28_8'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_8' id='label_6_28_8' class='gform-field-label gform-field-label--type-inline'>Handler Scholar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.9' type='checkbox'  value='Higher Education Opportunity Program (HEOP)'  id='choice_6_28_9'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_9' id='label_6_28_9' class='gform-field-label gform-field-label--type-inline'>Higher Education Opportunity Program (HEOP)<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.11' type='checkbox'  value='Kearns Scholar'  id='choice_6_28_11'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_11' id='label_6_28_11' class='gform-field-label gform-field-label--type-inline'>Kearns Scholar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.12' type='checkbox'  value='Office of Mentorship and Student Advocacy'  id='choice_6_28_12'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_12' id='label_6_28_12' class='gform-field-label gform-field-label--type-inline'>Office of Mentorship and Student Advocacy<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.13' type='checkbox'  value='Research and Innovation Grant (RIG) Scholar'  id='choice_6_28_13'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_13' id='label_6_28_13' class='gform-field-label gform-field-label--type-inline'>Research and Innovation Grant (RIG) Scholar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.14' type='checkbox'  value='Rochester CIty School District (RCSD) Graduate'  id='choice_6_28_14'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_14' id='label_6_28_14' class='gform-field-label gform-field-label--type-inline'>Rochester CIty School District (RCSD) Graduate<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.15' type='checkbox'  value='SSS\/TRiO'  id='choice_6_28_15'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_15' id='label_6_28_15' class='gform-field-label gform-field-label--type-inline'>SSS\/TRiO<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.16' type='checkbox'  value='Writing Scholar'  id='choice_6_28_16'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_16' id='label_6_28_16' class='gform-field-label gform-field-label--type-inline'>Writing Scholar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.17' type='checkbox'  value='Xerox Research Fellow'  id='choice_6_28_17'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_17' id='label_6_28_17' class='gform-field-label gform-field-label--type-inline'>Xerox Research Fellow<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_28_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.18' type='checkbox'  value='Other'  id='choice_6_28_18'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_28_18' id='label_6_28_18' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_54\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_54'>If &quot;Other&quot;, please state<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_54' id='input_6_54' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_47\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  >\n<h3 class=\"gsection_title\">Funding Information<\/h3>\n<div class='gsection_description' id='gfield_description_6_47'>You are encouraged to review the website and mission statement of the department(s) you select to ensure it aligns with your request.<\/div>\n<\/div>\n<fieldset id=\"field_6_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Which category(s) best identifies the type of request you are making?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_6_40'>\n<div class='gchoice gchoice_6_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Academic Conference'  id='choice_6_40_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_1' id='label_6_40_1' class='gform-field-label gform-field-label--type-inline'>Academic Conference<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Community-Based Project'  id='choice_6_40_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_2' id='label_6_40_2' class='gform-field-label gform-field-label--type-inline'>Community-Based Project<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Entrepreneurship'  id='choice_6_40_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_3' id='label_6_40_3' class='gform-field-label gform-field-label--type-inline'>Entrepreneurship<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Experience Abroad'  id='choice_6_40_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_4' id='label_6_40_4' class='gform-field-label gform-field-label--type-inline'>Experience Abroad<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.5' type='checkbox'  value='Internship'  id='choice_6_40_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_5' id='label_6_40_5' class='gform-field-label gform-field-label--type-inline'>Internship<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.6' type='checkbox'  value='Professional Development - Seminar \/ Conference'  id='choice_6_40_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_6' id='label_6_40_6' class='gform-field-label gform-field-label--type-inline'>Professional Development - Seminar \/ Conference<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.7' type='checkbox'  value='Profesional \/ Academic Development - Tool or Resource'  id='choice_6_40_7'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_7' id='label_6_40_7' class='gform-field-label gform-field-label--type-inline'>Profesional \/ Academic Development - Tool or Resource<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.8' type='checkbox'  value='SA-Sponsored Event'  id='choice_6_40_8'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_8' id='label_6_40_8' class='gform-field-label gform-field-label--type-inline'>SA-Sponsored Event<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.9' type='checkbox'  value='Student Competition - Athletic'  id='choice_6_40_9'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_9' id='label_6_40_9' class='gform-field-label gform-field-label--type-inline'>Student Competition - Athletic<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.11' type='checkbox'  value='Student Competition - Academic'  id='choice_6_40_11'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_11' id='label_6_40_11' class='gform-field-label gform-field-label--type-inline'>Student Competition - Academic<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.12' type='checkbox'  value='Student Competition - Performance'  id='choice_6_40_12'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_12' id='label_6_40_12' class='gform-field-label gform-field-label--type-inline'>Student Competition - Performance<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.13' type='checkbox'  value='Undergraduate Research'  id='choice_6_40_13'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_13' id='label_6_40_13' class='gform-field-label gform-field-label--type-inline'>Undergraduate Research<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_40_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.14' type='checkbox'  value='Other'  id='choice_6_40_14'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_14' id='label_6_40_14' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_51\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_51'>If &quot;Other&quot;, please state the category<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_51' id='input_6_51' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_6_62\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gf-textarea\"  data-field-class=\"gf-textarea\" ><label class='gfield_label gform-field-label' for='input_6_62'>Describe the activity you are seeking funding for and how you will benefit from it:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_6_62' class='textarea large'  aria-describedby=\"gfield_description_6_62\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<div class='gfield_description' id='gfield_description_6_62'>Please include weblinks to the activity or event if they are available.<\/div>\n<\/div>\n<fieldset id=\"field_6_42\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Select the department(s) that you believe are most connected to the goals or outcomes of this activity:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_6_42'>\n<div class='gchoice gchoice_6_42_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.1' type='checkbox'  value='Office of Academic Excellence'  id='choice_6_42_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_1' id='label_6_42_1' class='gform-field-label gform-field-label--type-inline'>Office of Academic Excellence<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.2' type='checkbox'  value='Center for Community Engagement'  id='choice_6_42_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_2' id='label_6_42_2' class='gform-field-label gform-field-label--type-inline'>Center for Community Engagement<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.3' type='checkbox'  value='David T. Kearns Center'  id='choice_6_42_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_3' id='label_6_42_3' class='gform-field-label gform-field-label--type-inline'>David T. Kearns Center<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.4' type='checkbox'  value='Greene Center for Career Education &amp; Connections'  id='choice_6_42_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_4' id='label_6_42_4' class='gform-field-label gform-field-label--type-inline'>Greene Center for Career Education &amp; Connections<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.5' type='checkbox'  value='Hajim School of Engineering &amp; Applied Sciences Dean\u2019s Office'  id='choice_6_42_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_5' id='label_6_42_5' class='gform-field-label gform-field-label--type-inline'>Hajim School of Engineering &amp; Applied Sciences Dean\u2019s Office<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.6' type='checkbox'  value='Interfaith Chapel'  id='choice_6_42_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_6' id='label_6_42_6' class='gform-field-label gform-field-label--type-inline'>Interfaith Chapel<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.7' type='checkbox'  value='Office of Mentorship and Student Advocacy'  id='choice_6_42_7'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_7' id='label_6_42_7' class='gform-field-label gform-field-label--type-inline'>Office of Mentorship and Student Advocacy<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.8' type='checkbox'  value='Office for Residential Life'  id='choice_6_42_8'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_8' id='label_6_42_8' class='gform-field-label gform-field-label--type-inline'>Office for Residential Life<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.9' type='checkbox'  value='Office of Undergraduate Research'  id='choice_6_42_9'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_9' id='label_6_42_9' class='gform-field-label gform-field-label--type-inline'>Office of Undergraduate Research<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.11' type='checkbox'  value='Paul J. Burgett Intercultural Center'  id='choice_6_42_11'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_11' id='label_6_42_11' class='gform-field-label gform-field-label--type-inline'>Paul J. Burgett Intercultural Center<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_6_42_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.12' type='checkbox'  value='Wilson Commons Student Activities'  id='choice_6_42_12'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_42_12' id='label_6_42_12' class='gform-field-label gform-field-label--type-inline'>Wilson Commons Student Activities<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_44\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-textarea\"  data-field-class=\"gf-textarea\" ><label class='gfield_label gform-field-label' for='input_6_44'>Briefly explain how this activity is connected to the selected department(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_44' id='input_6_44' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<div id=\"field_6_63\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-date gf-date-layout-datepicker form-control-icon\"  data-field-class=\"gf-date gf-date-layout-datepicker form-control-icon\" ><label class='gfield_label gform-field-label' for='input_6_63'>Starting date of activity:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_6_63' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_63_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/><br \/>\n                            <span id='input_6_63_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_6_63' class='gform_hidden' value='https:\/\/www.rochester.edu\/college\/student-funding\/supplemental-funding\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<div id=\"field_6_67\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_67'>What is your total requested budget for this activity?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_number'><input name='input_67' id='input_6_67' type='text' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div>\n<\/div>\n<fieldset id=\"field_6_64\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Please list itemized costs. Include name and dollar amount. Click (+) to add as many items as needed:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>\n<div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'>\n<div class='gfield_list gfield_list_container'>\n<div class=\"gfield_list_header gform-grid-row\">\n<div class=\"gform-field-label gfield_header_item gform-grid-col\">Name<\/div>\n<div class=\"gform-field-label gfield_header_item gform-grid-col\">US Dollar Amount<\/div>\n<div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div>\n<\/div>\n<div class=\"gfield_list_groups\">\n<div class='gfield_list_row_odd gfield_list_group gform-grid-row'>\n<div class='gfield_list_group_item gfield_list_cell gfield_list_64_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_64[]' value=''   \/><\/div>\n<div class='gfield_list_group_item gfield_list_cell gfield_list_64_cell2 gform-grid-col' data-label='US Dollar Amount'><input aria-invalid='false' aria-required=\"true\"  aria-label='US Dollar Amount, Row 1' data-aria-label-template='US Dollar Amount, Row {0}' type='text' name='input_64[]' value=''   \/><\/div>\n<div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_81\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-textarea\"  data-field-class=\"gf-textarea\" ><label class='gfield_label gform-field-label' for='input_6_81'>Describe any additional funding towards this request that you have recieved from other sources, if applicable.<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_81' id='input_6_81' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<fieldset id=\"field_6_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" >\n<legend class='gfield_label gform-field-label' >Have you already received funding from this request program for an activity during this academic year?<\/legend>\n<div class='ginput_container ginput_container_radio'>\n<div class='gfield_radio' id='input_6_55'>\n<div class='gchoice gchoice_6_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Yes'  id='choice_6_55_0' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_55_0' id='label_6_55_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n<div class='gchoice gchoice_6_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='No'  id='choice_6_55_1' onchange='gformToggleRadioOther( this )'    \/><br \/>\n\t\t\t\t\t<label for='choice_6_55_1' id='label_6_55_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_6_82\" class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_82'>CAPTCHA<\/label><\/p>\n<div id='input_6_82' 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