{"id":87,"date":"2018-11-05T16:36:22","date_gmt":"2018-11-05T16:36:22","guid":{"rendered":"https:\/\/forms.bellevuecollege.edu\/stemtostern\/?page_id=87"},"modified":"2018-11-05T16:36:31","modified_gmt":"2018-11-05T16:36:31","slug":"application","status":"publish","type":"page","link":"https:\/\/forms.bellevuecollege.edu\/stemtostern\/application\/","title":{"rendered":"STEM to Stern Application"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_16' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_16'  action='\/stemtostern\/wp-json\/wp\/v2\/pages\/87' data-formid='16' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_16' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_16_46\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_46'>Comments<\/label><div class='gfield_description' id='gfield_description_16_46'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_46' id='input_16_46' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_16_35\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/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_16_35'>\n                            \n                            <span id='input_16_35_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.3' id='input_16_35_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_16_35_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_16_35_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.6' id='input_16_35_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_16_35_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_16_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_2'>Email<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_2' id='input_16_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_16_3\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_3'>Home Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_16_3' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_27\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_27'>Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_16_27' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_9\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_9'>What level of math do you intend to take at BC in Fall Quarter?<\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_16_9' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Math 76' selected='selected'>Math 76<\/option><option value='Math 098' >Math 098<\/option><option value='Math 099' >Math 099<\/option><option value='Math 141' >Math 141<\/option><option value='Math 142' >Math 142<\/option><option value='Math 151' >Math 151<\/option><option value='Math 152' >Math 152<\/option><option value='Math 152 or higher' >Math 152 or higher<\/option><\/select><\/div><\/li><li id=\"field_16_10\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_10'>What level of English do you intend to take this year at BC?<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_16_10' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Select ...' >Select ...<\/option><option value='ENGL 092' >ENGL 092<\/option><option value='ENGL 093' >ENGL 093<\/option><option value='ENGL 101' >ENGL 101<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_16_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Which of these describe you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_34'>Please select all that apply<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_34'><li class='gchoice gchoice_16_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Running Start (RS)'  id='choice_16_34_1'   aria-describedby=\"gfield_description_16_34\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_34_1' id='label_16_34_1' class='gform-field-label gform-field-label--type-inline'>Running Start (RS)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='College in the High School (CHS)'  id='choice_16_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_34_2' id='label_16_34_2' class='gform-field-label gform-field-label--type-inline'>College in the High School (CHS)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_34_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.3' type='checkbox'  value='Career Education Options (CEO)'  id='choice_16_34_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_34_3' id='label_16_34_3' class='gform-field-label gform-field-label--type-inline'>Career Education Options (CEO)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_34_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.4' type='checkbox'  value='Language Integration Program (LIP)'  id='choice_16_34_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_34_4' id='label_16_34_4' class='gform-field-label gform-field-label--type-inline'>Language Integration Program (LIP)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_34_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.5' type='checkbox'  value='International High School Completion Program at Bellevue College'  id='choice_16_34_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_34_5' id='label_16_34_5' class='gform-field-label gform-field-label--type-inline'>International High School Completion Program at Bellevue College<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_34_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.6' type='checkbox'  value='Transfer Student'  id='choice_16_34_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_34_6' id='label_16_34_6' class='gform-field-label gform-field-label--type-inline'>Transfer Student<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_34_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.7' type='checkbox'  value='Bellevue College Bachelor Student'  id='choice_16_34_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_34_7' id='label_16_34_7' class='gform-field-label gform-field-label--type-inline'>Bellevue College Bachelor Student<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_42\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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 gfield_label_before_complex' >I identify as:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_42'><li class='gchoice gchoice_16_42_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.1' type='checkbox'  value='Female'  id='choice_16_42_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_42_1' id='label_16_42_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_42_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.2' type='checkbox'  value='Male'  id='choice_16_42_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_42_2' id='label_16_42_2' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_42_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.3' type='checkbox'  value='Other'  id='choice_16_42_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_42_3' id='label_16_42_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_44\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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 gfield_label_before_complex' >I identify as:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_44'><li class='gchoice gchoice_16_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='Asian Pacific Islander'  id='choice_16_44_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_44_1' id='label_16_44_1' class='gform-field-label gform-field-label--type-inline'>Asian Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_44_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.2' type='checkbox'  value='American Indian, Alaska Native, Indigenous, or First Nations'  id='choice_16_44_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_44_2' id='label_16_44_2' class='gform-field-label gform-field-label--type-inline'>American Indian, Alaska Native, Indigenous, or First Nations<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_44_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.3' type='checkbox'  value='White or European American'  id='choice_16_44_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_44_3' id='label_16_44_3' class='gform-field-label gform-field-label--type-inline'>White or European American<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_44_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.4' type='checkbox'  value='Black or African American'  id='choice_16_44_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_44_4' id='label_16_44_4' class='gform-field-label gform-field-label--type-inline'>Black or African American<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_44_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.5' type='checkbox'  value='Latinx or Hispanic'  id='choice_16_44_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_44_5' id='label_16_44_5' class='gform-field-label gform-field-label--type-inline'>Latinx or Hispanic<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_44_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.6' type='checkbox'  value='Multiracial or Bi-Racial'  id='choice_16_44_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_44_6' id='label_16_44_6' class='gform-field-label gform-field-label--type-inline'>Multiracial or Bi-Racial<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_44_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.7' type='checkbox'  value='Prefer not to answer'  id='choice_16_44_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_44_7' id='label_16_44_7' class='gform-field-label gform-field-label--type-inline'>Prefer not to answer<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_45\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are you a veteran?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_45'><li class='gchoice gchoice_16_45_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.1' type='checkbox'  value='Yes'  id='choice_16_45_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_1' id='label_16_45_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.2' type='checkbox'  value='No'  id='choice_16_45_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_2' id='label_16_45_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_33\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full 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_16_33'>How did you hear about STEM to Stern program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_16_33' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Website' >Website<\/option><option value='High School Advisor' >High School Advisor<\/option><option value='Bellevue College Advisor' >Bellevue College Advisor<\/option><option value='Friend' >Friend<\/option><option value='Recruitment Call' >Recruitment Call<\/option><option value='Banner on Bellevue College homepage' >Banner on Bellevue College homepage<\/option><option value='Information session' selected='selected'>Information session<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_16_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Please write one to two paragraphs on each of the following questions:\n\n<ul style=\"padding-left: 20px;\">\n<li>What is your intended major and\/or desired career?<\/li>\n<li>How did you become interested in this subject and\/or career field?<\/li>\n<li>Why are you interested in participating in the STEM to Stern program at Bellevue College?<\/li>\n<\/ul><\/li><li id=\"field_16_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_19'>Please write one to two paragraphs on each of the above questions:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_16_19' class='textarea large'   maxlength='4000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_36\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Participation Agreement and Signature:<\/label><div class='gfield_description' id='gfield_description_16_36'>If selected to participate in the STEM to Stern program, I understand that I will be committed to register for the corresponding 2-credit course during Fall, Winter and Spring quarters. 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