{"id":2512,"date":"2019-03-08T10:46:58","date_gmt":"2019-03-08T15:46:58","guid":{"rendered":"https:\/\/health.uconn.edu\/health-disparities\/?page_id=2512"},"modified":"2019-03-08T10:46:58","modified_gmt":"2019-03-08T15:46:58","slug":"bmocrcard-webinar","status":"publish","type":"page","link":"https:\/\/health.uconn.edu\/health-disparities\/bmocrcard-webinar\/","title":{"rendered":"2018 BMOC Report Card Webinar"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='legacy' data-form-index='0' id='gform_wrapper_13' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">CTBMoCReportCard Webinar Registration<\/h3>\n                            <p class='gform_description'>Registration form <\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/health-disparities\/wp-json\/wp\/v2\/pages\/2512' data-formid='13' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_13_18\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_18'><span class='gform-field-label__text'>Comments<\/span><\/label><div class='ginput_container'><input name='input_18' id='input_13_18' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_13_18'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_13_17\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_17' id='input_13_17' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='03\/25\/2019' \/><\/div><\/li><li id=\"field_13_6\" class=\"gfield gfield--type-name 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 gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_13_6'>\n                            <span id='input_13_6_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_6.2' id='input_13_6_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Miss' >Miss<\/option><option value='Ms.' >Ms.<\/option><option value='Dr.' >Dr.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option>\n                      <\/select>\n                                                    <label for='input_13_6_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                  <\/span>\n                            <span id='input_13_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_13_6_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_13_6_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_13_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_13_6_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_13_6_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_13_5\" class=\"gfield gfield--type-email 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_13_5'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_13_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_13_4\" 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_13_4'><span class='gform-field-label__text'>Organization<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_13_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_7\" class=\"gfield gfield--type-website field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_7'><span class='gform-field-label__text'>Website<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_7' id='input_13_7' type='url' value='' class='medium'    placeholder='http:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/li><li id=\"field_13_3\" class=\"gfield gfield--type-multiselect field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_3'><span class='gform-field-label__text'>Which of the following sectors does your organization work in?<\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_3[]' id='input_13_3' class='large gfield_select'   aria-invalid=\"false\"  ><option value='Criminal Justice' >Criminal Justice<\/option><option value='Education' >Education<\/option><option value='Government' >Government<\/option><option value='Health' >Health<\/option><option value='Housing' >Housing<\/option><option value='Labor' >Labor<\/option><option value='Law Enforcement\/Public Safety' >Law Enforcement\/Public 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