{"id":6002,"date":"2023-02-17T15:48:33","date_gmt":"2023-02-17T23:48:33","guid":{"rendered":"https:\/\/forms.bellevuecollege.edu\/veterans\/?page_id=6002"},"modified":"2025-07-24T16:27:17","modified_gmt":"2025-07-24T23:27:17","slug":"mcapapplication","status":"publish","type":"page","link":"https:\/\/forms.bellevuecollege.edu\/veterans\/mcapapplication\/","title":{"rendered":"Military Community Assistance Program"},"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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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_208' style='display:none'><div id='gf_208' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_208'  action='\/veterans\/wp-json\/wp\/v2\/pages\/6002#gf_208' data-formid='208' novalidate>\n        <div id='gf_progressbar_wrapper_208' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>5<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_20' style='width:20%;'><span>20%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_208_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_208' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_208_35\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_208_35'>\n                            \n                            <span id='input_208_35_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.3' id='input_208_35_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_208_35_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_208_35_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.4' id='input_208_35_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_208_35_4' class='gform-field-label gform-field-label--type-sub '>MI<\/label>\n                                                <\/span>\n                            <span id='input_208_35_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.6' id='input_208_35_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_208_35_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_208_61\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_61'>ctcLink ID<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_208_61' type='text' value='' class='large' maxlength='9'     aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_208_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_6'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_208_6' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_208_6_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_208_6_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_208_6' class='gform_hidden' value='https:\/\/forms.bellevuecollege.edu\/veterans\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_208_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_7'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_208_7' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_208_8\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_8'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_8' id='input_208_8' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_208_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you want to receive text messages from the Veterans Resource Center (VRC) at the phone number entered above?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_208_9'>\n\t\t\t<div class='gchoice gchoice_208_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_208_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_9_0' id='label_208_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No'  id='choice_208_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_9_1' id='label_208_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_208_11\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How did you hear about the Veterans Resource Center?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_208_11'><div class='gchoice gchoice_208_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Bellevue College Department'  id='choice_208_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_11_1' id='label_208_11_1' class='gform-field-label gform-field-label--type-inline'>Bellevue College Department<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='Bellevue College Website'  id='choice_208_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_11_2' id='label_208_11_2' class='gform-field-label gform-field-label--type-inline'>Bellevue College Website<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_11_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.3' type='checkbox'  value='Community-Based Organization'  id='choice_208_11_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_11_3' id='label_208_11_3' class='gform-field-label gform-field-label--type-inline'>Community-Based Organization<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_11_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.4' type='checkbox'  value='Flyer or Handout'  id='choice_208_11_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_11_4' id='label_208_11_4' class='gform-field-label gform-field-label--type-inline'>Flyer or Handout<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_11_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.5' type='checkbox'  value='Classmate\/Friend\/Family'  id='choice_208_11_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_11_5' id='label_208_11_5' class='gform-field-label gform-field-label--type-inline'>Classmate\/Friend\/Family<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_11_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.6' type='checkbox'  value='Registered with VRC Before'  id='choice_208_11_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_11_6' id='label_208_11_6' class='gform-field-label gform-field-label--type-inline'>Registered with VRC Before<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_11_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.7' type='checkbox'  value='Other'  id='choice_208_11_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_11_7' id='label_208_11_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_208_12' class='gform_next_button gform-theme-button button btn btn-primary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_208_2' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_208_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_208_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Demographics<\/h3><\/div><fieldset id=\"field_208_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you a veteran or family member of a veteran\/service member? (spouse\/child)<\/legend><div class='gfield_description' id='gfield_description_208_13'>*If active duty, guard, or reserve, please select &#8220;yes&#8221; for veteran<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_208_13'>\n\t\t\t<div class='gchoice gchoice_208_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes (Veteran)'  id='choice_208_13_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_208_13\"   \/>\n\t\t\t\t\t<label for='choice_208_13_0' id='label_208_13_0' class='gform-field-label gform-field-label--type-inline'>Yes (Veteran)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes (Family Member)'  id='choice_208_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_13_1' id='label_208_13_1' class='gform-field-label gform-field-label--type-inline'>Yes (Family Member)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_208_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_13_2' id='label_208_13_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_208_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you a King County resident?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_208_14'>\n\t\t\t<div class='gchoice gchoice_208_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Yes'  id='choice_208_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_14_0' id='label_208_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='No'  id='choice_208_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_14_1' id='label_208_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_208_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you eligible for any VA education benefits?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_208_15'>\n\t\t\t<div class='gchoice gchoice_208_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Yes'  id='choice_208_15_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_208_15\"   \/>\n\t\t\t\t\t<label for='choice_208_15_0' id='label_208_15_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='No'  id='choice_208_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_15_1' id='label_208_15_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_208_15'>*MCAP funds are not available to veterans and dependents who are eligible for VA education benefits (GI Bill\u00ae, Dependents Education Assistance, etc.) If selecting &#8220;No&#8221;, you are affirming that you have verified with the Dept. of Veterans Affairs you are ineligible to receive any VA education benefits. If it is later determined you are eligible, you may be required to repay any funds received through the MCAP program.<\/div><\/fieldset><div id=\"field_208_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_16'>If you are eligible for any VA education benefits, which one(s)?<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_208_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_208_17\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Read each of the following statements and select ALL that apply to you (your responses are optional and will be kept confidential)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_208_17'><div class='gchoice gchoice_208_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Do you identify as Black, Indigenous, or a Person of Color (BIPOC)?'  id='choice_208_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_17_1' id='label_208_17_1' class='gform-field-label gform-field-label--type-inline'>Do you identify as Black, Indigenous, or a Person of Color (BIPOC)?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Have you ever been incarcerated (served time in jail or prison)?'  id='choice_208_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_17_2' id='label_208_17_2' class='gform-field-label gform-field-label--type-inline'>Have you ever been incarcerated (served time in jail or prison)?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Do you identify as a person with a disability? This includes physical, sensory, cognitive, mental health, or other conditions that may impact daily activities.'  id='choice_208_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_17_3' id='label_208_17_3' class='gform-field-label gform-field-label--type-inline'>Do you identify as a person with a disability? This includes physical, sensory, cognitive, mental health, or other conditions that may impact daily activities.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_17_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Do you identify as part of the LGBTQ+ community?'  id='choice_208_17_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_17_4' id='label_208_17_4' class='gform-field-label gform-field-label--type-inline'>Do you identify as part of the LGBTQ+ community?<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_208_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button btn btn-outline-secondary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_208_21' class='gform_next_button gform-theme-button button btn btn-primary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_208_3' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_208_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_208_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Household and Income<\/h3><\/div><div id=\"field_208_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_25'>Number of People in Household (including spouse and\/or children under 24)<\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_208_25' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><\/select><\/div><\/div><div id=\"field_208_57\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_208_39\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Net Monthly Earnings<\/h3><div class='gsection_description' id='gfield_description_208_39'>Income after any taxes or deductions<\/div><\/div><div id=\"field_208_27\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_27'>Your Work Earnings<\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_208_27' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_208_28\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_28'>Spouse\/Partner&#039;s Earnings<\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_208_28' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_208_29\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_29'>Social Security Benefits<\/label><div class='ginput_container ginput_container_number'><input name='input_29' id='input_208_29' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_208_30\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_30'>Veteran Benefits<\/label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_208_30' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_208_31\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_31'>Alimony Received<\/label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_208_31' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_208_32\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_32'>Child Support Received<\/label><div class='ginput_container ginput_container_number'><input name='input_32' id='input_208_32' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_208_33\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_33'>Other Income<\/label><div class='ginput_container ginput_container_number'><input name='input_33' id='input_208_33' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_208_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_208_38\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter readonly gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_38'>Total Monthly Net Income:<\/label><div class='ginput_container ginput_container_number'><input name='input_38' id='input_208_38' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div data-fieldId=\"38\" class=\"spacer gfield\" style=\"grid-column: span 9;\" data-groupId=\"0cf042e5\"><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_208_42' class='gform_previous_button gform-theme-button gform-theme-button--secondary button btn btn-outline-secondary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_208_42' class='gform_next_button gform-theme-button button btn btn-primary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_208_4' class='gform_page' data-js='page-field-id-42' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_208_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_208_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Education History and Goals<\/h3><\/div><fieldset id=\"field_208_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you ever attended Bellevue College?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_208_41'>\n\t\t\t<div class='gchoice gchoice_208_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes'  id='choice_208_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_41_0' id='label_208_41_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No'  id='choice_208_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_41_1' id='label_208_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_208_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_44'>Your Highest Education Level Completed<\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_208_44' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Below High School' >Below High School<\/option><option value='Some High School' >Some High School<\/option><option value='GED' >GED<\/option><option value='Graduated High School' >Graduated High School<\/option><option value='Less than 45 College Credits' >Less than 45 College Credits<\/option><option value='45 College Credits or More' >45 College Credits or More<\/option><option value='College Certificate' >College Certificate<\/option><option value='Associate Degree' >Associate Degree<\/option><option value='Bachelors Degree' >Bachelors Degree<\/option><option value='Masters Degree or Higher' >Masters Degree or Higher<\/option><\/select><\/div><\/div><div id=\"field_208_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_45'>What Program of Study Interests You?<\/label><div class='gfield_description' id='gfield_description_208_45'>It&#8217;s okay to write &#8220;undecided&#8221; if you are not sure &#8211; you can discuss options during your intake appointment.<\/div><div class='ginput_container ginput_container_text'><input name='input_45' id='input_208_45' type='text' value='' class='large'  aria-describedby=\"gfield_description_208_45\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_208_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your desired enrollment level?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_208_46'>\n\t\t\t<div class='gchoice gchoice_208_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Full-Time (12+ Credits)'  id='choice_208_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_46_0' id='label_208_46_0' class='gform-field-label gform-field-label--type-inline'>Full-Time (12+ Credits)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='3\/4-Time (9-11 Credits)'  id='choice_208_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_46_1' id='label_208_46_1' class='gform-field-label gform-field-label--type-inline'>3\/4-Time (9-11 Credits)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_46_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='1\/2-Time (6-8 Credits)'  id='choice_208_46_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_46_2' id='label_208_46_2' class='gform-field-label gform-field-label--type-inline'>1\/2-Time (6-8 Credits)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_208_46_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Less than 1\/2-Time (1-5 Credits)'  id='choice_208_46_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_208_46_3' id='label_208_46_3' class='gform-field-label gform-field-label--type-inline'>Less than 1\/2-Time (1-5 Credits)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_208_56\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_208_48\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which resources were you interested in utilizing to help pay tuition costs?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_208_48'><div class='gchoice gchoice_208_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='Military Community Assistance Program (MCAP) Funds'  id='choice_208_48_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_48_1' id='label_208_48_1' class='gform-field-label gform-field-label--type-inline'>Military Community Assistance Program (MCAP) Funds<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_48_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.2' type='checkbox'  value='Federal Financial Aid (FAFSA)'  id='choice_208_48_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_48_2' id='label_208_48_2' class='gform-field-label gform-field-label--type-inline'>Federal Financial Aid (FAFSA)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_48_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.3' type='checkbox'  value='Workforce Education'  id='choice_208_48_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_48_3' id='label_208_48_3' class='gform-field-label gform-field-label--type-inline'>Workforce Education<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_48_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.4' type='checkbox'  value='Other'  id='choice_208_48_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_48_4' id='label_208_48_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_208_49\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_208_49'>What job would you like to have after completing your training at BC?<\/label><div class='gfield_description' id='gfield_description_208_49'>Examples: nurse, software developer, business analyst, accounting<\/div><div class='ginput_container ginput_container_text'><input name='input_49' id='input_208_49' type='text' value='' class='large'  aria-describedby=\"gfield_description_208_49\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_208_50\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Potential Challenges<\/legend><div class='gfield_description' id='gfield_description_208_50'>Which of these items might make it challenging for you to succeed in school or work? Select all that apply. Our staff may be able to refer you to school or community resources.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_208_50'><div class='gchoice gchoice_208_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.4' type='checkbox'  value='Limited time to study'  id='choice_208_50_1'   aria-describedby=\"gfield_description_208_50\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_1' id='label_208_50_1' class='gform-field-label gform-field-label--type-inline'>Limited time to study<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.5' type='checkbox'  value='No dedicated study space'  id='choice_208_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_2' id='label_208_50_2' class='gform-field-label gform-field-label--type-inline'>No dedicated study space<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.6' type='checkbox'  value='No reliable transportation'  id='choice_208_50_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_3' id='label_208_50_3' class='gform-field-label gform-field-label--type-inline'>No reliable transportation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.7' type='checkbox'  value='Unstable living situation'  id='choice_208_50_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_4' id='label_208_50_4' class='gform-field-label gform-field-label--type-inline'>Unstable living situation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.8' type='checkbox'  value='Financial planning\/budgeting'  id='choice_208_50_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_5' id='label_208_50_5' class='gform-field-label gform-field-label--type-inline'>Financial planning\/budgeting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.9' type='checkbox'  value='No reliable childcare or backup plan'  id='choice_208_50_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_6' id='label_208_50_6' class='gform-field-label gform-field-label--type-inline'>No reliable childcare or backup plan<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.11' type='checkbox'  value='No supportive friends or family'  id='choice_208_50_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_7' id='label_208_50_7' class='gform-field-label gform-field-label--type-inline'>No supportive friends or family<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.12' type='checkbox'  value='Health (mental and\/or physical)'  id='choice_208_50_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_8' id='label_208_50_8' class='gform-field-label gform-field-label--type-inline'>Health (mental and\/or physical)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_208_50_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.13' type='checkbox'  value='No reliable computer\/internet access'  id='choice_208_50_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_208_50_9' id='label_208_50_9' class='gform-field-label gform-field-label--type-inline'>No reliable computer\/internet access<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_208_51' class='gform_previous_button gform-theme-button gform-theme-button--secondary button btn btn-outline-secondary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_208_51' class='gform_next_button gform-theme-button button btn btn-primary' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_208_5' class='gform_page' data-js='page-field-id-51' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_208_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_208_52\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Release of Information<\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_208_52' tabindex='0'>I give permission for the Veterans Resource Center (VRC) and Bellevue College to use and share confidential information about me, as necessary, to the King County Veterans, Seniors and Human Services \u201cSupporting Student Veterans and their Families\u201d program. This consent is valid for a maximum of 2 years from the date signed, unless I withdraw or change my consent in writing.<br \/>\n<br \/>\nThis consent DOES NOT permit sharing of sensitive information about my mental health, chemical dependency, HIV\/AIDS<br \/>\n<br \/>\nBellevue College adheres to FERPA regulations regarding the privacy of student information. The information you give us is confidential. 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