{"id":16,"date":"2020-03-27T19:01:54","date_gmt":"2020-03-27T19:01:54","guid":{"rendered":"https:\/\/www.rochester.edu\/students\/support\/?page_id=2"},"modified":"2022-03-29T23:02:12","modified_gmt":"2022-03-29T23:02:12","slug":"form","status":"publish","type":"page","link":"https:\/\/www.rochester.edu\/students\/support\/form\/","title":{"rendered":"Student Support Form"},"content":{"rendered":"<div class=\"home\">\n<section class=\"hero version-three no-image\">\n<div class=\"hero-site\">\n<div class=\"hero-text-section\">\n<div class=\"intro-section\">\n<p><span style=\"color: inherit; font-size: 2rem; font-weight: bold; letter-spacing: -0.03125rem;\">Form Instructions<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section>\n<div class=\"row\">\n<div class=\"columns large-12 content\">\n<div class=\"inner-content\">\n<p>This form is to facilitate the connection of campus and community resources to students with unmet basic needs such as food, clothing, housing, and academic tools. The information collected will only be shared as necessary with professional staff. Submitting the form does not guarantee support, and all efforts should be made to continue to resolve your personal situation. The following criteria will be considered in allocating support resources: demonstrated need, availability of resources, relevance, and timing of request.<\/p>\n<p>We aim to respond to your inquiry by email within one to two business days. You may be asked to speak with an advisor to discuss your situation in further detail to assess your specific needs.<\/p>\n<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 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\/* ]]> *\/\n<\/script>\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_6' style='display:none'>\n<form method='post' enctype='multipart\/form-data'  id='gform_6'  novalidate action='\/students\/support\/wp-json\/wp\/v2\/pages\/16' data-formid='6' novalidate>\n<div class='gform-body gform_body'>\n<ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_above validation_below'>\n<li id=\"field_6_37\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<h2 class=\"gsection_title\">Administrative Fields<\/h2>\n<\/li>\n<li id=\"field_6_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-radio\"  data-field-class=\"gf-radio\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' >Funds Disbursal Bursar Approval<\/label><\/p>\n<div class='ginput_container ginput_container_radio'>\n<ul class='gfield_radio' id='input_6_50'>\n<li class='gchoice gchoice_6_50_0'>\n\t\t\t\t<input name='input_50' type='radio' value='Disbursed'  id='choice_6_50_0'    \/><br \/>\n\t\t\t\t<label for='choice_6_50_0' id='label_6_50_0' class='gform-field-label gform-field-label--type-inline'>Disbursed<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_50_1'>\n\t\t\t\t<input name='input_50' type='radio' value='Non-disbursed (complete)'  id='choice_6_50_1'    \/><br \/>\n\t\t\t\t<label for='choice_6_50_1' id='label_6_50_1' class='gform-field-label gform-field-label--type-inline'>Non-disbursed (complete)<\/label>\n\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-radio\"  data-field-class=\"gf-radio\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' >Funds Disbursal Financial Aid Approval<\/label><\/p>\n<div class='ginput_container ginput_container_radio'>\n<ul class='gfield_radio' id='input_6_51'>\n<li class='gchoice gchoice_6_51_0'>\n\t\t\t\t<input name='input_51' type='radio' value='Disbursed'  id='choice_6_51_0'    \/><br \/>\n\t\t\t\t<label for='choice_6_51_0' id='label_6_51_0' class='gform-field-label gform-field-label--type-inline'>Disbursed<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_51_1'>\n\t\t\t\t<input name='input_51' type='radio' value='Non-disbursed (complete)'  id='choice_6_51_1'    \/><br \/>\n\t\t\t\t<label for='choice_6_51_1' id='label_6_51_1' class='gform-field-label gform-field-label--type-inline'>Non-disbursed (complete)<\/label>\n\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_31\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-textarea\"  data-field-class=\"gf-textarea\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_31'>Financial Aid Information<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_6_31' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/li>\n<li id=\"field_6_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-radio\"  data-field-class=\"gf-radio\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' >Financial Aid Assessment<\/label><\/p>\n<div class='ginput_container ginput_container_radio'>\n<ul class='gfield_radio' id='input_6_52'>\n<li class='gchoice gchoice_6_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='No Need'  id='choice_6_52_0'    \/><br \/>\n\t\t\t\t<label for='choice_6_52_0' id='label_6_52_0' class='gform-field-label gform-field-label--type-inline'>No Need<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='Low'  id='choice_6_52_1'    \/><br \/>\n\t\t\t\t<label for='choice_6_52_1' id='label_6_52_1' class='gform-field-label gform-field-label--type-inline'>Low<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_52_2'>\n\t\t\t\t<input name='input_52' type='radio' value='Medium'  id='choice_6_52_2'    \/><br \/>\n\t\t\t\t<label for='choice_6_52_2' id='label_6_52_2' class='gform-field-label gform-field-label--type-inline'>Medium<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_52_3'>\n\t\t\t\t<input name='input_52' type='radio' value='High'  id='choice_6_52_3'    \/><br \/>\n\t\t\t\t<label for='choice_6_52_3' id='label_6_52_3' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_27\" class=\"gfield gfield--type-workflow_multi_user gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_27'>Advisor<\/label><\/p>\n<div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_27[]' id='input_6_27' class='large gfield_select'   aria-invalid=\"false\"  ><option value='622' >Adeel Ahsan<\/option><option value='512' >Amber Rivera<\/option><option value='582' >Brian Ferrigno<\/option><option value='246' >Carmona Ross<\/option><option value='236' >Charlene Higgins<\/option><option value='82' >Chazet Webb<\/option><option value='562' >Clarissa Baston<\/option><option value='326' >Col Raimond<\/option><option value='296' >Colleen Johnson<\/option><option value='62' >Crystal Cusimano<\/option><option value='522' >Dennis Proulx<\/option><option value='442' >Elizabeth Bremer<\/option><option value='366' >Emily Cihon<\/option><option value='316' >Galina Bellinger<\/option><option value='542' >Haley Mars<\/option><option value='502' >Hali Conrad<\/option><option value='532' >Hannah Corey<\/option><option value='462' >Herbert Revill<\/option><option value='206' >J.B. Rodgers<\/option><option value='216' >Jazmin Dunham<\/option><option value='612' >Jess McCane<\/option><option value='142' >John Hain<\/option><option value='226' >Jordan Ratzlaff<\/option><option value='572' >Jory Osterptak<\/option><option value='436' >Kaitlin Legg<\/option><option value='102' >Kathryn Castle<\/option><option value='266' >Katie Ferruzza<\/option><option value='16' >kdonov13<\/option><option value='256' >Kristine Seewagen<\/option><option value='162' >Linda Lipani<\/option><option value='182' >Martha Mock<\/option><option value='602' >Melissa Raucci<\/option><option value='26' >mjones15<\/option><option value='52' >Molly Jolliff<\/option><option value='492' >Monica Ferraraccio<\/option><option value='186' >Nick Scipione<\/option><option value='152' >Pam Black-Colton<\/option><option value='632' >Philip Sennett<\/option><option value='406' >Sam Veeder<\/option><option value='482' >Sara Stabley<\/option><option value='452' >Scott Flaherty<\/option><option value='112' >Sharon McCullough<\/option><option value='472' >Sheryl deNormand<\/option><option value='592' >Steve Zajaczkowski<\/option><option value='92' >Tressa Newton<\/option><option value='6' >webhelp<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_28\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-textarea\"  data-field-class=\"gf-textarea\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_28'>Advisor Notes and Recommendation<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_6_28' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/li>\n<li id=\"field_6_30\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-select form-control-icon gf-select-no-chosen\"  data-field-class=\"gf-select form-control-icon gf-select-no-chosen\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_30'>Request Status<\/label><\/p>\n<div class='ginput_container ginput_container_select'><select name='input_30' id='input_6_30' class='large gfield_select'     aria-invalid=\"false\" ><option value='Pending' selected='selected'>Pending<\/option><option value='Approved' >Approved<\/option><option value='Denied' >Denied<\/option><option value='Referred' >Referred<\/option><option value='No Response' >No Response<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_33\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_33'>Final Amount - GF620168 French Fund<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_33' id='input_6_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_59\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_59'>Final Amount - GF621089 Lam CARE Fund<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_59' id='input_6_59' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_54\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_54'>Final Amount - GF620877 Emergency Fund<\/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<\/li>\n<li id=\"field_6_58\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_58'>Final Amount - GF620025 Brady Scholars Emergency Fund<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_58' id='input_6_58' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_55\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_55'>Final Amount - GF620803 LGBTQ Fund<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_55' id='input_6_55' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_56\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_56'>Final Amount - Nondisbursable<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_56' id='input_6_56' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_60\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label' for='input_6_60'>Final Amount -Other<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_60' id='input_6_60' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-checkbox\"  data-field-class=\"gf-checkbox\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label gfield_label_before_complex' >Final Fund<\/label><\/p>\n<div class='ginput_container ginput_container_checkbox'>\n<ul class='gfield_checkbox' id='input_6_40'>\n<li 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='French Fund - GF620168'  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'>French Fund - GF620168<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li 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='Lam CARE Fund - GF621089'  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'>Lam CARE Fund - GF621089<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li 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='Emergency Fund - GF620877'  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'>Emergency Fund - GF620877<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li 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='Brady Scholars Emergency Fund - GF620025'  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'>Brady Scholars Emergency Fund - GF620025<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li 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='LGBTQ Fund - GF620803'  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'>LGBTQ Fund - GF620803<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li 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='Global Emergency Fund (Nondisbursable)'  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'>Global Emergency Fund (Nondisbursable)<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li 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='Nondisbursable'  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'>Nondisbursable<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li 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='Other'  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'>Other<\/label>\n\t\t\t\t\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_41\" 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_6_41'>Final Other Fund<\/label>\n<div class='ginput_container ginput_container_text'><input name='input_41' id='input_6_41' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-checkbox\"  data-field-class=\"gf-checkbox\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label gfield_label_before_complex' >Final Needs Met<\/label><\/p>\n<div class='ginput_container ginput_container_checkbox'>\n<ul class='gfield_checkbox' id='input_6_35'>\n<li class='gchoice gchoice_6_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Food'  id='choice_6_35_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_1' id='label_6_35_1' class='gform-field-label gform-field-label--type-inline'>Food<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='Housing'  id='choice_6_35_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_2' id='label_6_35_2' class='gform-field-label gform-field-label--type-inline'>Housing<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_35_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.3' type='checkbox'  value='Academic Tools'  id='choice_6_35_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_3' id='label_6_35_3' class='gform-field-label gform-field-label--type-inline'>Academic Tools<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_35_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.4' type='checkbox'  value='Medical\/Vision\/Dental'  id='choice_6_35_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_4' id='label_6_35_4' class='gform-field-label gform-field-label--type-inline'>Medical\/Vision\/Dental<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_35_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.5' type='checkbox'  value='Transportation'  id='choice_6_35_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_5' id='label_6_35_5' class='gform-field-label gform-field-label--type-inline'>Transportation<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_35_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.6' type='checkbox'  value='Other'  id='choice_6_35_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_35_6' id='label_6_35_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_36\" 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_6_36'>Final Other Needs<\/label>\n<div class='ginput_container ginput_container_text'><input name='input_36' id='input_6_36' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_42\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-select form-control-icon gf-select-no-chosen\"  data-field-class=\"gf-select form-control-icon gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_6_42'>Denied Reason<\/label>\n<div class='ginput_container ginput_container_select'><select name='input_42' id='input_6_42' class='large gfield_select'     aria-invalid=\"false\" ><option value='Exceeded Limit of Support' >Exceeded Limit of Support<\/option><option value='Expense Does Not Qualify' >Expense Does Not Qualify<\/option><option value='Already Covered By Financial Aid' >Already Covered By Financial Aid<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_38\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<h2 class=\"gsection_title\">Student Fields<\/h2>\n<\/li>\n<li id=\"field_6_45\" class=\"gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-address form-control-icon-complex\"  data-field-class=\"gf-address form-control-icon-complex\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div>\n<p><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/label>    <\/p>\n<div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_6_45' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_45_1_container' ><br \/>\n                                        <input type='text' name='input_45.1' id='input_6_45_1' value=''    aria-required='false'    \/><br \/>\n                                        <label for='input_6_45_1' id='input_6_45_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label><br \/>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_6_45_2_container' ><br \/>\n                                        <input type='text' name='input_45.2' id='input_6_45_2' value=''     aria-required='false'   \/><br \/>\n                                        <label for='input_6_45_2' id='input_6_45_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label><br \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_45_3_container' ><br \/>\n                                    <input type='text' name='input_45.3' id='input_6_45_3' value=''    aria-required='false'    \/><br \/>\n                                    <label for='input_6_45_3' id='input_6_45_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label><br \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_45_4_container' ><br \/>\n                                        <input type='text' name='input_45.4' id='input_6_45_4' value=''      aria-required='false'    \/><br \/>\n                                        <label for='input_6_45_4' id='input_6_45_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label><br \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_45_5_container' ><br \/>\n                                    <input type='text' name='input_45.5' id='input_6_45_5' value=''    aria-required='false'    \/><br \/>\n                                    <label for='input_6_45_5' id='input_6_45_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label><br \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_6_45_6_container' ><br \/>\n                                        <select name='input_45.6' id='input_6_45_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select><br \/>\n                                        <label for='input_6_45_6' id='input_6_45_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label><br \/>\n                                    <\/span><\/p>\n<div class='gf_clear gf_clear_complex'><\/div>\n<\/p><\/div>\n<\/li>\n<li id=\"field_6_44\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden gf-file\"  data-field-class=\"gf-file\" >\n<div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the 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_44'>File Uploads<\/label><\/p>\n<div class='ginput_container ginput_container_fileupload'>\n<div id='gform_multifile_upload_6_44' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_6_44&quot;,&quot;container&quot;:&quot;gform_multifile_upload_6_44&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_6_44&quot;,&quot;filelist&quot;:&quot;gform_preview_6_44&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/?gf_page=617794666359a6c&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/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;:44,&quot;_gform_file_upload_nonce_6_44&quot;:&quot;b9cc039fe8&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_6_44&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_44' 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_44' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_6_44\"  >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_44'>Max. file size: 20 MB.<\/span><\/p>\n<ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_6_44'><\/ul>\n<div id='gform_preview_6_44' class='ginput_preview_list'><\/div>\n<\/div>\n<\/li>\n<li id=\"field_6_1\" 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_6_1'>University ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_text'><input name='input_1' id='input_6_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_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_6_2'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_text'><input name='input_2' id='input_6_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_3\" 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_6_3'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_text'><input name='input_3' id='input_6_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_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_6_4'>University of Rochester Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_47\" class=\"gfield gfield--type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_above 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_47'>Phone<\/label>\n<div class='ginput_container ginput_container_phone'><input name='input_47' id='input_6_47' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >International?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_radio'>\n<ul class='gfield_radio' id='input_6_5'>\n<li class='gchoice gchoice_6_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Yes'  id='choice_6_5_0'    \/><br \/>\n\t\t\t\t<label for='choice_6_5_0' id='label_6_5_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='No'  id='choice_6_5_1'    \/><br \/>\n\t\t\t\t<label for='choice_6_5_1' id='label_6_5_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Are you a(n)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_radio'>\n<ul class='gfield_radio' id='input_6_6'>\n<li class='gchoice gchoice_6_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Undergraduate'  id='choice_6_6_0'    \/><br \/>\n\t\t\t\t<label for='choice_6_6_0' id='label_6_6_0' class='gform-field-label gform-field-label--type-inline'>Undergraduate<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Graduate\/medical student'  id='choice_6_6_1'    \/><br \/>\n\t\t\t\t<label for='choice_6_6_1' id='label_6_6_1' class='gform-field-label gform-field-label--type-inline'>Graduate\/medical student<\/label>\n\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_7\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-select form-control-icon gf-select-no-chosen\"  data-field-class=\"gf-select form-control-icon gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_6_7'>What school do you attend?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_select'><select name='input_7' id='input_6_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='Arts, Sciences and Engineering' >Arts, Sciences and Engineering<\/option><option value='Eastman School of Music' >Eastman School of Music<\/option><option value='School of Nursing' >School of Nursing<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_8\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-select form-control-icon gf-select-no-chosen\"  data-field-class=\"gf-select form-control-icon gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_6_8'>What school do you attend?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_select'><select name='input_8' id='input_6_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='Arts, Sciences and Engineering' >Arts, Sciences and Engineering<\/option><option value='Eastman School of Music' >Eastman School of Music<\/option><option value='School of Nursing' >School of Nursing<\/option><option value='Warner School of Education' >Warner School of Education<\/option><option value='Simon School of Business' >Simon School of Business<\/option><option value='School of Medicine and Dentistry' >School of Medicine and Dentistry<\/option><option value='Eastman Institute of Oral Health' >Eastman Institute of Oral Health<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_9\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-select form-control-icon gf-select-no-chosen\"  data-field-class=\"gf-select form-control-icon gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_6_9'>What level are you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_select'><select name='input_9' id='input_6_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='Master&#039;s' >Master&#039;s<\/option><option value='Doctoral' >Doctoral<\/option><option value='Medical student' >Medical student<\/option><option value='Advanced certificate' >Advanced certificate<\/option><option value='Other' >Other<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are you affiliated or identify with any of the following?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_checkbox'>\n<ul class='gfield_checkbox' id='input_6_10'>\n<li class='gchoice gchoice_6_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Kearns Scholar'  id='choice_6_10_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_1' id='label_6_10_1' class='gform-field-label gform-field-label--type-inline'>Kearns Scholar<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='McNair Scholar (TRiO) - Kearns'  id='choice_6_10_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_2' id='label_6_10_2' class='gform-field-label gform-field-label--type-inline'>McNair Scholar (TRiO) - Kearns<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='SSS Program (TRiO) - Kearns'  id='choice_6_10_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_3' id='label_6_10_3' class='gform-field-label gform-field-label--type-inline'>SSS Program (TRiO) - Kearns<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Brady Scholar - OMSA'  id='choice_6_10_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_4' id='label_6_10_4' class='gform-field-label gform-field-label--type-inline'>Brady Scholar - OMSA<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.5' type='checkbox'  value='Early Connection Opportunity Program (ECO) - OMSA'  id='choice_6_10_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_5' id='label_6_10_5' class='gform-field-label gform-field-label--type-inline'>Early Connection Opportunity Program (ECO) - OMSA<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.6' type='checkbox'  value='Higher Education Opportunity Program (HEOP) - OMSA'  id='choice_6_10_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_6' id='label_6_10_6' class='gform-field-label gform-field-label--type-inline'>Higher Education Opportunity Program (HEOP) - OMSA<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.7' type='checkbox'  value='Davis UWC Scholar'  id='choice_6_10_7'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_7' id='label_6_10_7' class='gform-field-label gform-field-label--type-inline'>Davis UWC Scholar<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.8' type='checkbox'  value='French Scholar'  id='choice_6_10_8'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_8' id='label_6_10_8' class='gform-field-label gform-field-label--type-inline'>French Scholar<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.9' type='checkbox'  value='Handler Scholar'  id='choice_6_10_9'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_9' id='label_6_10_9' class='gform-field-label gform-field-label--type-inline'>Handler Scholar<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.11' type='checkbox'  value='Posse Scholar'  id='choice_6_10_11'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_11' id='label_6_10_11' class='gform-field-label gform-field-label--type-inline'>Posse Scholar<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.12' type='checkbox'  value='LGBTQ Community'  id='choice_6_10_12'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_12' id='label_6_10_12' class='gform-field-label gform-field-label--type-inline'>LGBTQ Community<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.13' type='checkbox'  value='Take Five or e5 Program'  id='choice_6_10_13'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_13' id='label_6_10_13' class='gform-field-label gform-field-label--type-inline'>Take Five or e5 Program<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.14' type='checkbox'  value='Currently Studying Abroad'  id='choice_6_10_14'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_14' id='label_6_10_14' class='gform-field-label gform-field-label--type-inline'>Currently Studying Abroad<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_10_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.15' type='checkbox'  value='None'  id='choice_6_10_15'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_15' id='label_6_10_15' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t\t\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_11\" 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_6_11'>Are you affiliated with any other scholars program or group?<\/label>\n<div class='ginput_container ginput_container_text'><input name='input_11' id='input_6_11' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_12\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-select form-control-icon gf-select-no-chosen\"  data-field-class=\"gf-select form-control-icon gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_6_12'>Class Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_select'><select name='input_12' id='input_6_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='N\/A' >N\/A<\/option><option value='2020' >2020<\/option><option value='2021' >2021<\/option><option value='2022' >2022<\/option><option value='2023' >2023<\/option><option value='2024' >2024<\/option><option value='2025' >2025<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Residential Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_radio'>\n<ul class='gfield_radio' id='input_6_13'>\n<li class='gchoice gchoice_6_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Living in campus residential housing'  id='choice_6_13_0'    \/><br \/>\n\t\t\t\t<label for='choice_6_13_0' id='label_6_13_0' class='gform-field-label gform-field-label--type-inline'>Living in campus residential housing<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Not living in campus residential housing'  id='choice_6_13_1'    \/><br \/>\n\t\t\t\t<label for='choice_6_13_1' id='label_6_13_1' class='gform-field-label gform-field-label--type-inline'>Not living in campus residential housing<\/label>\n\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_39\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-select form-control-icon gf-select-no-chosen\"  data-field-class=\"gf-select form-control-icon gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_6_39'>Meal Plan<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_select'><select name='input_39' id='input_6_39' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='No Meal Plan' >No Meal Plan<\/option><option value='Blue Unlimited Pass Plan' >Blue Unlimited Pass Plan<\/option><option value='Meliora Unlimited Pass Plan' >Meliora Unlimited Pass Plan<\/option><option value='150 Pass Plan' >150 Pass Plan<\/option><option value='Option A Dining Declining' >Option A Dining Declining<\/option><option value='Option B Dining Declining' >Option B Dining Declining<\/option><option value='Option C Dining Declining' >Option C Dining Declining<\/option><option value='Commuter Dining Declining' >Commuter Dining Declining<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_6_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_6_17'>How much declining\/UROS do you have on your dining account currently?<\/label>\n<div class='ginput_container ginput_container_text'><input name='input_17' id='input_6_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><label class='gfield_label gform-field-label' >Employment Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_radio'>\n<ul class='gfield_radio' id='input_6_15'>\n<li class='gchoice gchoice_6_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='Unemployed'  id='choice_6_15_0'    \/><br \/>\n\t\t\t\t<label for='choice_6_15_0' id='label_6_15_0' class='gform-field-label gform-field-label--type-inline'>Unemployed<\/label>\n\t\t\t<\/li>\n<li class='gchoice gchoice_6_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='Employed'  id='choice_6_15_1'    \/><br \/>\n\t\t\t\t<label for='choice_6_15_1' id='label_6_15_1' class='gform-field-label gform-field-label--type-inline'>Employed<\/label>\n\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_53\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If employed, how many hours do you typically work per week?<\/label>\n<div class='ginput_container ginput_container_checkbox'>\n<ul class='gfield_checkbox' id='input_6_53'>\n<li class='gchoice gchoice_6_53_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.1' type='checkbox'  value='1 - 9 hours'  id='choice_6_53_1'   \/><br \/>\n\t\t\t\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'>1 - 9 hours<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_53_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.2' type='checkbox'  value='10 - 19 hours'  id='choice_6_53_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_53_2' id='label_6_53_2' class='gform-field-label gform-field-label--type-inline'>10 - 19 hours<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_53_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.3' type='checkbox'  value='20 - 29 hours'  id='choice_6_53_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_53_3' id='label_6_53_3' class='gform-field-label gform-field-label--type-inline'>20 - 29 hours<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_53_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.4' type='checkbox'  value='30+ hours'  id='choice_6_53_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_53_4' id='label_6_53_4' class='gform-field-label gform-field-label--type-inline'>30+ hours<\/label>\n\t\t\t\t\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_19\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >\n<h2 class=\"gsection_title\">Areas of Need<\/h2>\n<\/li>\n<li id=\"field_6_32\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Needs<\/label>\n<div class='ginput_container ginput_container_checkbox'>\n<ul class='gfield_checkbox' id='input_6_32'>\n<li class='gchoice gchoice_6_32_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.1' type='checkbox'  value='Food'  id='choice_6_32_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_1' id='label_6_32_1' class='gform-field-label gform-field-label--type-inline'>Food<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_32_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.2' type='checkbox'  value='Housing'  id='choice_6_32_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_2' id='label_6_32_2' class='gform-field-label gform-field-label--type-inline'>Housing<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_32_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.3' type='checkbox'  value='Academic Tools'  id='choice_6_32_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_3' id='label_6_32_3' class='gform-field-label gform-field-label--type-inline'>Academic Tools<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_32_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.4' type='checkbox'  value='Medical\/Vision\/Dental'  id='choice_6_32_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_4' id='label_6_32_4' class='gform-field-label gform-field-label--type-inline'>Medical\/Vision\/Dental<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_32_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.5' type='checkbox'  value='Transportation'  id='choice_6_32_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_5' id='label_6_32_5' class='gform-field-label gform-field-label--type-inline'>Transportation<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice gchoice_6_32_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.6' type='checkbox'  value='Other'  id='choice_6_32_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_6' id='label_6_32_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_23\" 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_6_23'>Other Needs<\/label>\n<div class='ginput_container ginput_container_text'><input name='input_23' id='input_6_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_6_24\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-textarea\"  data-field-class=\"gf-textarea\" ><label class='gfield_label gform-field-label' for='input_6_24'>Please briefly share information about your circumstance that helps us better understand your need(s)<\/label>\n<div class='gfield_description' id='gfield_description_6_24'>You may also indicate here if this is a confidential matter that you'd prefer to discuss in person. <\/p>\n<p>If you have been awarded financial aid that includes the cost of academic tools, food, or housing, and you are seeking one of those, please explain why funding is not available for this purpose.<\/p><\/div>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_6_24' class='textarea medium'  aria-describedby=\"gfield_description_6_24\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/li>\n<li id=\"field_6_49\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgment<\/label>\n<div class='gfield_description' id='gfield_description_6_49'>By checking the box below, I acknowledge that I have read the instructions and guidelines on the Basic Needs Hub website and understand that the Basic Needs Hub is not intended to supplement or take the place of my financial aid package, including offered loans.<\/div>\n<div class='ginput_container ginput_container_checkbox'>\n<ul class='gfield_checkbox' id='input_6_49'>\n<li class='gchoice gchoice_6_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='I have read the acknowledgement.'  id='choice_6_49_1'   aria-describedby=\"gfield_description_6_49\"\/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_49_1' id='label_6_49_1' class='gform-field-label gform-field-label--type-inline'>I have read the acknowledgement.<\/label>\n\t\t\t\t\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id=\"field_6_61\" class=\"gfield gfield--type-captcha 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_6_61'>CAPTCHA<\/label>\n<div id='input_6_61' class='ginput_container ginput_recaptcha' data-sitekey='6LfbXZsUAAAAALJbV4Jag6HXfyENPmP84YY28tWw'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div>\n<\/li>\n<\/ul>\n<\/div>\n<div class='gform-footer gform_footer top_label'> <button type=\"submit\" id=\"gform_submit_button_6\" class=\"gform_button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\">Submit<\/button><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_6' value='postback' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_6' id='gform_theme_6' value='legacy' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_6' id='gform_style_settings_6' value='[]' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/><\/p>\n<p>            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='hPVw+2DtssqG9EazI9K1lNxKQ+vWgCMpY8Sv7HFqoRZTaXfQDYWxLWxqwD+LF9ch09V+ZUnis7+CEacg\/ctJigTMq9d0G0n7qTwNnkBOexoiykc=' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='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' \/><br \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' \/><br \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/><br \/>\n            <input type='hidden' name='gform_field_values' value='' \/><br \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_6' value='' \/>\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=\"188\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p>\n<\/form><\/div>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/www.rochester.edu\/students\/support\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/www.rochester.edu\/students\/support\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_6').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [6]);window['gf_submitting_6'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_6').text());}else{jQuery('#gform_6').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"6\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_6\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_6\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_6\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 6, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Form Instructions This form is to facilitate the connection of campus and community resources to students with unmet basic needs such as food, clothing, housing, and academic tools. The information&hellip;<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Student Support Form - Basic Needs Hub<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rochester.edu\/students\/support\/form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Student Support Form - Basic Needs Hub\" \/>\n<meta property=\"og:description\" content=\"Form Instructions This form is to facilitate the connection of campus and community resources to students with unmet basic needs such as food, clothing, housing, and academic tools. The information&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rochester.edu\/students\/support\/form\/\" \/>\n<meta property=\"og:site_name\" content=\"Basic Needs Hub\" \/>\n<meta property=\"article:modified_time\" content=\"2022-03-29T23:02:12+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/form\\\/\",\"url\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/form\\\/\",\"name\":\"Student Support Form - Basic Needs Hub\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/#website\"},\"datePublished\":\"2020-03-27T19:01:54+00:00\",\"dateModified\":\"2022-03-29T23:02:12+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/form\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/form\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/form\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Student Support Form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/#website\",\"url\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/\",\"name\":\"Basic Needs Hub\",\"description\":\"University of Rochester\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.rochester.edu\\\/students\\\/support\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Student Support Form - Basic Needs Hub","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.rochester.edu\/students\/support\/form\/","og_locale":"en_US","og_type":"article","og_title":"Student Support Form - Basic Needs Hub","og_description":"Form Instructions This form is to facilitate the connection of campus and community resources to students with unmet basic needs such as food, clothing, housing, and academic tools. The information&hellip;","og_url":"https:\/\/www.rochester.edu\/students\/support\/form\/","og_site_name":"Basic Needs Hub","article_modified_time":"2022-03-29T23:02:12+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.rochester.edu\/students\/support\/form\/","url":"https:\/\/www.rochester.edu\/students\/support\/form\/","name":"Student Support Form - Basic Needs Hub","isPartOf":{"@id":"https:\/\/www.rochester.edu\/students\/support\/#website"},"datePublished":"2020-03-27T19:01:54+00:00","dateModified":"2022-03-29T23:02:12+00:00","breadcrumb":{"@id":"https:\/\/www.rochester.edu\/students\/support\/form\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.rochester.edu\/students\/support\/form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.rochester.edu\/students\/support\/form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.rochester.edu\/students\/support\/"},{"@type":"ListItem","position":2,"name":"Student Support Form"}]},{"@type":"WebSite","@id":"https:\/\/www.rochester.edu\/students\/support\/#website","url":"https:\/\/www.rochester.edu\/students\/support\/","name":"Basic Needs Hub","description":"University of Rochester","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.rochester.edu\/students\/support\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":9,"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":926,"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/pages\/16\/revisions\/926"}],"wp:attachment":[{"href":"https:\/\/www.rochester.edu\/students\/support\/wp-json\/wp\/v2\/media?parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}