{"id":64,"date":"2018-08-06T16:23:29","date_gmt":"2018-08-06T16:23:29","guid":{"rendered":"https:\/\/forms.bellevuecollege.edu\/hci\/?page_id=64"},"modified":"2018-08-06T16:23:29","modified_gmt":"2018-08-06T16:23:29","slug":"hci-readmission-application","status":"publish","type":"page","link":"https:\/\/forms.bellevuecollege.edu\/hci\/hci-readmission-application\/","title":{"rendered":"HCI Readmission Application"},"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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'>Welcome to the readmission application for the Healthcare Informatics program. This form is for students who were previously accepted into the program and are planning to return to their studies after an approved leave of absence. Students who were offered admittance but chose to defer their start may also use this form if returning within two (2) quarters. <\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/hci\/wp-json\/wp\/v2\/pages\/64' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><li id=\"field_5_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_5_1' 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 no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_1'>\n                            \n                            <span id='input_5_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_5_1_3' value=''   aria-required='true'     aria-labelledby=\"input_5_1_3_label gfield_label_5_1\"\/>\n                                                    <label for='input_5_1_3' id='input_5_1_3_label' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_5_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_1_6' id='input_5_1_6_label' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_82\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_5_82' class='gfield_label gform-field-label' for='input_5_82'><span class='gform-field-label__text'>Student ID Number (SID)<\/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_82' id='input_5_82' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_5_10' class='gfield_label gform-field-label' for='input_5_10'><span class='gform-field-label__text'>BC Student Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_10'>We will communicate with you using your BC student email. <\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_5_10' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_5_10\" \/>\n                        <\/div><\/li><li id=\"field_5_87\" 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 gfield--choice-align-vertical\"><label id='gfield_label_5_87' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Which statement best fits your situation?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_87'>\n\t\t\t<li class='gchoice gchoice_5_87_0'>\n\t\t\t\t<input name='input_87' type='radio' value='I am returning after an approved leave of absence'  id='choice_5_87_0'    \/>\n\t\t\t\t<label for='choice_5_87_0' id='label_5_87_0' class='gform-field-label gform-field-label--type-inline'>I am returning after an approved leave of absence<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_87_1'>\n\t\t\t\t<input name='input_87' type='radio' value='I deferred my acceptance to the program'  id='choice_5_87_1'    \/>\n\t\t\t\t<label for='choice_5_87_1' id='label_5_87_1' class='gform-field-label gform-field-label--type-inline'>I deferred my acceptance to the program<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_84\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_5_84' class='gfield_label gform-field-label' for='input_5_84'><span class='gform-field-label__text'>Which program option were you pursuing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_84' id='input_5_84' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Healthcare Informatics, BAS degree' >Healthcare Informatics, BAS degree<\/option><option value='Healthcare Informatics Certificate' >Healthcare Informatics Certificate<\/option><option value='Healthcare Data Analytics Certificate' >Healthcare Data Analytics Certificate<\/option><\/select><\/div><\/li><li id=\"field_5_86\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_5_86' class='gfield_label gform-field-label' for='input_5_86'><span class='gform-field-label__text'>When would you like to resume the program?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_86' id='input_5_86' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Winter 2021' >Winter 2021<\/option><option value='Spring 2021' >Spring 2021<\/option><option value='Summer 2021' >Summer 2021<\/option><option value='Fall 2021' >Fall 2021<\/option><option value='Winter 2022' >Winter 2022<\/option><option value='Spring 2022' >Spring 2022<\/option><option value='Summer 2022' >Summer 2022<\/option><\/select><\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_5_6' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Please indicate which enrollment status you are most interested in.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_6'>To assist our scheduling and advising, please indicate if you plan to continue as a full-time student (3 courses per quarter-usually 15 credits) or part-time (1 or 2 courses per quarter- 5 to 10 credits).<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_6'>\n\t\t\t<li class='gchoice gchoice_5_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Full-Time'  id='choice_5_6_0'    \/>\n\t\t\t\t<label for='choice_5_6_0' id='label_5_6_0' class='gform-field-label gform-field-label--type-inline'>Full-Time<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Part-Time'  id='choice_5_6_1'    \/>\n\t\t\t\t<label for='choice_5_6_1' id='label_5_6_1' class='gform-field-label gform-field-label--type-inline'>Part-Time<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_94\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_5_94' class='gfield_label gform-field-label' for='input_5_94'><span class='gform-field-label__text'>Signature<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_94'>Please type your full name to illustrate your formal e-signature. By signing, you acknowledge that all fields completed above are correct and true and that submitting a Request for Readmission does not guarantee readmission as admission to the program is competitive. <\/div><div class='ginput_container ginput_container_text'><input name='input_94' id='input_5_94' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_94\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_5' class='gform_button button btn btn-primary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='Ea1iM\/20EyzSIBGmEyydkQmb8zzdMWuPmIxdLAjpLykSMR5NkgNc2bg\/sZI0BPmjvO9MxraE\/kYuS+5x5+vihM2ZKM8HN3Ob+BCdmfOU5mQP+Lo=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJ7XCJnZm9ybV9zdWJtaXNzaW9uX21ldGhvZFwiOltcImRmNGFmMzA4MzcyZWFlNTQzOTI2ZWNjNGRiYTQ1ZjM3XCIsXCJmNTA4ZWViYWUzY2Y2Y2E5Njg0NDJjOGE5Y2UwMTM5M1wiXSxcImdmb3JtX3RoZW1lXCI6XCI2Mjc3ZjBjYjBjZWZiNTFlMzQ0YjE0MzY1YzQ0NjhjMlwiLFwiZ2Zvcm1fc3R5bGVfc2V0dGluZ3NcIjpcIjRhNTk3MDYzMmUwMmM3YWQ0ZmVhMWQ2ZGJhOTJiMjE2XCIsXCJmb3JtX2lkXCI6XCJhNzg5MmUzYzExNjk5MjA5OTQyYmM0N2I3NDYwNzMzYVwiLFwidXJsXCI6XCJlZGE3N2U0NzY0ZTRmZWJhNzk5MWNiZGEyODc2OGU0NFwiLFwic3RhdGVfdGltZXN0YW1wXCI6XCIyYTBjYmZlNGMxZjRjOWM2OTJiODkzYTMzNjQ3MzI0ZlwifSIsImRiYzJjZjZlMjViZTkzYTM3YmQ4OTIwN2QwMDY2NDM5IiwxNzkzNzkyMTIzXQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-64","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/pages\/64","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/comments?post=64"}],"version-history":[{"count":1,"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/pages\/64\/revisions"}],"predecessor-version":[{"id":68,"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/pages\/64\/revisions\/68"}],"wp:attachment":[{"href":"https:\/\/forms.bellevuecollege.edu\/hci\/wp-json\/wp\/v2\/media?parent=64"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}