https://bit.ly/2Xu7L2Y

Last Checked: Jul 08, 2019, 21:36 EDT

IP Address: 67.199.248.11
ASN #: AS395224 BITLY-AS - Bitly Inc, US
Location: Data unavailable.
URL Reputation:
  • Unknown This URL is not identified as malicious in the PhishTank Database.
  • Unknown PhishCheck thinks this URL is likely not a phish.
  • Unknown OpenPhish: URL not in feed.

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                               Domain Name: bit.ly
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  • https://bit.ly/2Xu7L2Y https://www.cognitoforms.com/ShadowShoppers/APPLICATION
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/*!
 * Datepicker for Bootstrap
 *
 * Copyright 2012 Stefan Petre
 * Improvements by Andrew Rowls
 * Licensed under the Apache License v2.0
 * http://www.apache.org/licenses/LICENSE-2.0
 *
 */
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1s}.cognito #c-save-resume-dialog .c-email-sent-message span::before{color:#aed136;content:"";font-family:fontawesome;font-size:35px;margin-right:10px;vertical-align:-35%}.cognito.c-iframe #c-modal-overlay{background-color:transparent!important}.cognito.c-iframe #c-save-resume-dialog{box-shadow:0 0 2px 2px #ccc}.cognito #c-save-resume-dialog .c-email-sent-transition .c-save-resume-header .c-save-resume-title{opacity:.3;transition:opacity .5s}.cognito #c-save-resume-dialog .c-email-sent-transition .c-save-resume-body #c-save-resume-content{opacity:.3;transition:opacity .5s}.cognito #c-save-resume-dialog .c-email-sent-transition .c-email-sent-message span{left:31px;opacity:1;transition:opacity .5s}.cognito .c-forms-checkout{border:none;overflow:hidden;width:100%;margin-top:4px}.cognito .c-forms-payment{border:1px solid transparent;margin:0;clear:both;overflow:visible}.cognito .c-forms-payment h2,.cognito .c-forms-payment h3{border-bottom:0}.cognito .c-forms-payment .c-order-noaccount{float:right!important}.cognito .c-forms-payment .c-payment-section,.cognito .c-forms-confirmation .c-payment-section{padding:8px;margin:0}.cognito .c-forms-payment .c-payment-section .c-field{padding-right:5px;padding-left:5px}.cognito .c-forms-payment .c-background-highlight{overflow:auto;margin:0}.cognito .c-forms-payment table,.cognito .c-forms-payment .c-payment-section table{border-width:0;margin:0}.cognito .c-forms-payment .c-payment-section.c-payment-paypal-section .c-col-1{display:none}.cognito .c-forms-payment .c-payment-section.c-payment-paypal-section .c-col-13{width:100%;max-width:none}.cognito .c-payment-section.c-payment-paypal-section .c-order-summary{max-width:none}.cognito .c-order-summary tr td:first-child{width:65%}.cognito .c-order-summary tr td:first-child+td:last-child{width:35%}.cognito .c-forms-payment-order-summary.c-section{float:none!important}.cognito .c-order-summary{width:100%;border-spacing:0;background-color:transparent;float:right;border-width:0}.cognito .c-order-summary td,.cognito .c-payment-section .c-order-summary th{border:none}.cognito .c-order-item>td{text-align:right;padding:6px;min-width:100px;background-color:transparent}.cognito .c-order-item div,.c-order-total div{float:left}.cognito .c-order-item .c-forms-payment-lineitem-amount{font-weight:normal;white-space:nowrap}.cognito .c-order-item.c-line-item>td:first-child{text-align:left}.cognito .c-order-item.c-subtotal{font-weight:bold!important}.cognito .c-forms-payment-lineitem-group td,.cognito td.c-forms-payment-lineitem-group{float:none!important;font-weight:bold;padding:6px}.cognito .c-order-item .c-forms-payment-lineitem-label{text-align:left;font-weight:normal}.cognito .c-order-item .c-forms-payment-lineitem-label.grouped{padding-left:15px}.cognito .c-payment-section-lineitem-variant{font-style:italic}.cognito .c-order-total{font-weight:bold;clear:both}.cognito .c-forms-payment-label{margin:0 5px;padding:0}.cognito .c-forms-payment-order-summary .c-forms-payment-total-amount{font-size:150%;margin:0 8px;padding:10px 5px 0 5px;text-align:right;font-weight:bold!important;line-height:120%}.cognito .c-forms-payment-total-amount,.cognito .c-forms-order-total-amount{font-size:150%;margin:0;padding:10px 5px 0 5px;text-align:right;font-weight:bold!important;line-height:120%}.cognito .c-footer-terms ul{padding-bottom:10px}.cognito .c-order-amount-due{display:table;width:100%;font-weight:bold}.cognito .c-order-amount-due>div{display:table-cell;padding:4px;text-align:right}.cognito .c-order-amount-due>div:first-child{text-align:left}.cognito .c-forms-payment-order-summary .detail{padding:5px 8px;line-height:100%}.cognito .c-forms-payment-order-summary .c-background-highlight{overflow:auto;padding:8px}.cognito .c-forms-payment-subtotal-amount,.cognito .c-forms-payment-fee-amount{white-space:nowrap}.cognito .c-forms-payment.c-not-collecting-payment .c-order-summary{display:none}.cognito .c-forms-payment.c-not-collecting-payment .c-forms-payment-total-amount{display:none}.cognito .c-forms-payment .c-card-on-file-agreement-field{display:none}.cognito .c-forms-payment .c-card-on-file-agreement-field.c-show-card-agreement{display:block}.cognito.c-med .c-forms-payment .c-order-item>td{min-width:initial}.cognito.c-med .c-table .c-payment-account .c-section{padding-left:0!important}.cognito.c-sml .c-table .c-payment-account .c-section{padding-left:0!important}.cognito.c-sml .c-table .c-payment-account,.cognito.c-sml .c-table .c-payment-amountdue,.cognito.c-sml .c-table .c-payment-payamount,.cognito.c-sml .c-table .c-payment-item{display:block;width:100%!important}.cognito.c-sml .c-table .c-payment-amountdue,.cognito.c-sml .c-table .c-payment-account{border-bottom:0!important}.cognito.c-sml .c-table .c-payment-payamount{padding:8px 0}.cognito.c-sml #c-save-resume-dialog{width:100%;max-height:90%}.cognito.c-sml #c-save-resume-dialog #c-save-resume-email-link{width:100%;float:none;margin:0;margin-top:10px}.cognito.c-sml #c-save-resume-dialog #c-save-resume-email{float:none;width:100%;display:inline-block}.cognito.c-sml .c-forms-form .c-save-resume-button-container{float:none}.cognito #c-web-paypal-checkout{display:inline-block}.cognito.c-sml #c-web-paypal-checkout{text-align:center;padding:0;margin-bottom:7px}.cognito.c-sml .c-forms-payment .c-payment-section.c-payment-paypal-section .c-order-item>td{min-width:auto;min-width:initial}.cognito .c-forms-template>.c-section,.cognito .c-forms-form-body>.c-section{float:none!important}.cognito .c-forms-template>.c-section:after,.cognito .c-forms-form-body>.c-section:after{content:"";display:table;clear:both}@media print{.cognito .c-page{display:inline-block}}@media screen and (max-width:800px){#c-forms-container .c-forms-form{margin:0!important;border:none;-webkit-box-shadow:none;-moz-box-shadow:none;box-shadow:none}#c-forms-container{padding-top:0}#c-web-powered-by{margin-top:0}}</style>
<link href="https://fonts.googleapis.com/css?family=Open+Sans+Condensed:300,700" rel="stylesheet" type="text/css"><style id="theme">.cognito form { font-size: 16px; }
.cognito:not(.c-forms-actionBar){ max-width: 800px; margin: 0 auto; }
.c-public-form .cognito {	max-width: 800px; }
.cognito .c-forms-form { background-color: #cccccc;}
.cognito .c-forms-form .c-dropdown select{padding-right:26px;}
.cognito.c-ie .c-forms-form .c-dropdown select{padding-right:6px;}
.cognito-background { background-image: url("https://services.cognitoforms.com/file/o3wGBdYgIDuckf-5S-3URY7zVPdOgYPKPyrsumiTys9r0PlLnrWQa8hYHPEb5pzV"); background-size: cover; background-attachment:fixed; background-repeat: repeat; background-color: #ffffff; }

.cognito .c-forms-form .c-forms-heading {background-color:#cccccc;}
.cognito .c-forms-form .c-forms-form-title h2 { font-family: 'Open Sans Condensed',Helvetica,sans-serif; font-weight: bold; font-size: 1.625em; color:#000000; line-height:1.15em; }
.cognito .c-forms-form .c-forms-description{color:#000000;font-family:Arial,Helvetica,sans-serif;font-size:0.8125em;}
.cognito .c-forms-form .dropdown-menu > li > a {font-family:Arial,Helvetica,sans-serif;font-size:100%;}
.cognito .c-forms-form .c-helptext{font-family:Arial,Helvetica,sans-serif;color:#000000;font-size:calc(0.8125em * .9);}
.cognito .c-forms-form h1, .cognito .c-forms-form h2,.cognito .c-forms-form h3, .cognito .c-forms-form h4, .cognito .c-forms-form h5, .cognito .c-forms-form h6{font-family: Arial,Helvetica,sans-serif; font-weight: bold; color:#000000;line-height:1.2em;}

.cognito .c-forms-form h1,.cognito .c-forms-form h2,.cognito .c-forms-form h3{font-size: 1.25em;}
.cognito .c-forms-form h4{font-size: calc(1.25em * .9);}
.cognito .c-forms-form h5{font-size: calc(1.25em * .9 * .9);}
.cognito .c-forms-form h6{font-size: calc(1.25em * .9 * .9 * .9);}

.cognito .c-forms-form .c-html h1{font-size: calc(1.25em / 0.813);}
.cognito .c-forms-form .c-html h2{font-size: calc(1.25em * .9 / 0.813);}
.cognito .c-forms-form .c-html h3{font-size: calc(1.25em * .9 * .9 / 0.813);}
.cognito .c-forms-form .c-html h4{font-size: calc(1.25em * .9 * .9 * .9 / 0.813);}
.cognito .c-forms-form .c-html h5{font-size: calc(1.25em * .9 * .9 * .9 * .9 / 0.813);}
.cognito .c-forms-form .c-html h6{font-size: calc(1.25em * .9 * .9 * .9 * .9 * .9 / 0.813);}

.cognito .c-forms-form .c-html a,.cognito .c-forms-form .c-forms-confirmation-message a{font-size:calc(0.875em / 0.813);}

.cognito .c-forms-form :not(.c-question) > .c-label{ font-family: Arial,Helvetica,sans-serif; font-weight: bold; font-size: 1em; color:#000000;line-height:1.3em; }
.cognito .c-forms-form .c-editor-date-icon,.cognito .c-forms-form .c-editor-time-icon, .cognito .c-forms-form .c-remove-item, .cognito .c-forms-form .c-save-resume-close{color:#000000;}
.cognito .c-forms-form .c-remove-item{ padding-top: .1em; font-size: 100%; }
.cognito .remove-icon circle{ fill: #102cef; stroke: #0E27D7; }
.cognito .remove-icon line { stroke: #FFFFFF; }
.cognito .c-forms-form #c-save-resume-email-link{font-size:100%;}
.cognito .c-forms-form .c-email-sent-message{font-family:Arial,Helvetica,sans-serif;font-size:0.8125em;}

.cognito .c-forms-form .c-table-section:not(.c-responsive) select, .cognito.c-med .c-forms-form .c-table-section.c-responsive select, .cognito.c-lrg .c-forms-form .c-table-section.c-responsive select
{font-size:1em}

.cognito .c-forms-form .c-table-section:not(.c-responsive)>*:not(.c-table-header)>*>*,
.cognito.c-med .c-forms-form .c-table-section.c-responsive>*:not(.c-table-header)>*>*,
.cognito.c-lrg .c-forms-form .c-table-section.c-responsive>*:not(.c-table-header)>*>*
{font-size:0.8125em;}

.cognito .c-forms-form .c-table-section:not(.c-responsive)>*>*>* .c-editor,
.cognito.c-med .c-forms-form .c-table-section.c-responsive>*>*>* .c-editor,
.cognito.c-lrg .c-forms-form .c-table-section.c-responsive>*>*>* .c-editor
{font-size:1em}

.cognito.c-sml .c-forms-form .c-table.c-table-section.c-responsive .c-repeating-section-group > .c-repeating-section-item{padding-left: calc(2em * 0.813 - 8px)}
.cognito.c-sml .c-forms-form .c-table.c-table-section.c-responsive .c-repeating-section-group>.c-repeating-section-item .c-repeating-section-item-title{margin-left: calc(-2em * 0.813 + 8px)}

/* Override the indentation for readonly responsive tables */
.cognito.c-sml .c-forms-form .c-table.c-table-section.c-responsive.c-readonly .c-repeating-section-group > .c-repeating-section-item,
.cognito.c-sml .c-forms-form [class*="c-readonly"] .c-table.c-table-section.c-responsive .c-repeating-section-group > .c-repeating-section-item{ padding-left: 0 !important; }
.cognito.c-sml .c-forms-form .c-table.c-table-section.c-responsive.c-readonly .c-repeating-section-group>.c-repeating-section-item .c-repeating-section-item-title,
.cognito.c-sml .c-forms-form [class*="c-readonly"] .c-table.c-table-section.c-responsive .c-repeating-section-group>.c-repeating-section-item .c-repeating-section-item-title{ margin-left: 0 !important; }

/* Above styles shouldn't apply to readonly table section */
.cognito.c-sml .c-forms-form .c-section.c-readonly-always .c-table .c-repeating-section-group>.c-repeating-section-item .c-repeating-section-item-title{ margin-left: 0 !important;}

.cognito .c-table-section:not(.c-responsive)+.c-validation, .cognito.c-med .c-table-section.c-responsive+.c-validation, .cognito.c-lrg .c-table-section.c-responsive+.c-validation
{margin-left: calc(2em / 0.813)}

/* Override previous */
.cognito .c-readonly-always .c-table.c-table-section+.c-validation
{margin-left: 11px; }

.cognito .c-forms-form .c-table-section:not(.c-responsive)~.c-repeating-section-add,
.cognito.c-med .c-forms-form .c-table-section.c-responsive~.c-repeating-section-add,
.cognito.c-lrg .c-forms-form .c-table-section.c-responsive~.c-repeating-section-add{font-size:0.8125em}

.cognito :not(.c-responsive).c-table-section ~ .c-repeating-section-add .c-add-item, .cognito.c-med .c-table-section.c-responsive ~ .c-repeating-section-add .c-add-item, .cognito.c-lrg .c-table-section.c-responsive ~ .c-repeating-section-add .c-add-item
{font-size:calc(1.125em / 0.813)}

.cognito .c-forms-form{ background-color: #cccccc; }
.cognito .c-forms-form .c-rating-scale .c-choice-option .c-label{ font-family:Arial,Helvetica,sans-serif; font-weight: normal; font-size: 0.8125em; color: #000000; }
.cognito .c-forms-form .c-editor, .cognito .c-forms-form .c-rating-scale-questions{ font-family:Arial,Helvetica,sans-serif; font-weight: normal; font-size: 0.8125em; color: #000000; }
.cognito .c-forms-form select, .cognito .c-forms-form input[type=text], .cognito .c-forms-form input[type=password], .cognito .c-forms-form input[type=email], .cognito .c-forms-form input[type=tel], .cognito .c-forms-form input[type=url], .cognito .c-forms-form textarea { font-family:Arial,Helvetica,sans-serif; font-weight: normal;}
.cognito .c-editor .c-choice-option label, .cognito .c-editor label.c-yesno-radio, .cognito .c-editor.c-yesno-checkbox label {font-weight: normal;}

.cognito .c-forms-form input::-webkit-input-placeholder{color: #666666;}
.cognito .c-forms-form input:-ms-input-placeholder {color: #666666;}
.cognito .c-forms-form input::-webkit-input-placeholder {color: #666666;}
.cognito .c-forms-form input:-moz-placeholder {color: #666666;}
.cognito .c-forms-form input::-moz-placeholder {color: #666666;}
.cognito .c-forms-form .c-placeholder-text-styled, .cognito .c-forms-form .c-placeholder-text-styled select {color: #666666;}
.cognito select option[value=""] { color: #666666; }

.cognito .c-forms-form textarea::-webkit-input-placeholder{color: #666666;}
.cognito .c-forms-form textarea:-ms-input-placeholder {color: #666666;}
.cognito .c-forms-form textarea::-webkit-input-placeholder {color: #666666;}
.cognito .c-forms-form textarea:-moz-placeholder {color: #666666;}
.cognito .c-forms-form textarea::-moz-placeholder {color: #666666;}

.cognito .c-forms-form a{ color: #C24B23;font-family: 'Open Sans Condensed',Helvetica,sans-serif; font-weight: normal; }

/* Override link attributes in tables because they look dumb otherwise */
.cognito .c-table-section:not(.c-responsive) .c-table-body a,
.cognito:not(.c-sml) > :not([id="c-forms-publish"]) .c-table-body a
{ font-family: Arial,Helvetica,sans-serif; font-weight: normal; font-size: 1em; }

.cognito .c-forms-form .c-fileupload-download i,.cognito .c-forms-form .c-fileupload-delete i{text-decoration:none;color: #000000;}
.cognito .c-forms-form button:not(.c-icon-button) {padding: .5em 1.25em; }
.cognito .c-forms-form .c-add-item{padding:.5em;}
.cognito .c-forms-form button:not(.c-icon-button),.cognito .c-forms-form .c-add-item, .cognito .c-forms-form input[type=button],.cognito .c-forms-form .c-fileupload-dropzone .c-upload-button button { background-color: #102cef; border-color: #0E27D7; color: #FFFFFF; font-family: Arial,Helvetica,sans-serif; font-weight: bold; font-size: 1.125em;	border-radius:4px; }
.cognito .c-forms-form .c-fileupload-dropzone .c-upload-button { font-size: inherit;	}
.cognito .c-forms-form button:not(.c-icon-button):hover, .cognito .c-forms-form input[type=button]:hover,.cognito .c-forms-form .c-add-item:hover, .cognito .c-forms-form .c-fileupload-dropzone .c-upload-button button:hover { background-color: #0E27D7;}

/* Alternating bg color */
.cognito .c-forms-form .c-repeating-section-group > div:not(.c-table-row):nth-child(odd){background:rgba(0,0,0,0.04);}
.cognito.c-sml .c-forms-form .c-responsive .c-repeating-section-group > div.c-table-row:nth-child(odd){background:rgba(0,0,0,0.04);}
.cognito .c-forms-form .c-repeating-section-group > div:last-child{border-bottom-color:rgba(0,0,0,0.04);}
.cognito .c-forms-form .c-rating-scale tbody:nth-child(even){background:rgba(0,0,0,0.04);}

.c-forms-form-admin-readonly .c-table-body.c-repeating-section-group > div:nth-child(odd) .c-field .c-editor, 
.c-repeating-section-container:not(.c-table-row):nth-child(odd), .c-rating-scale .c-rating-scale-questions > div:nth-child(odd), .c-rating-scale tbody:nth-child(even),
.cognito .c-table-section:not(.c-responsive).c-readonly .c-table-body .c-table-row:nth-child(odd) .c-editor, 
.cognito .c-table-section:not(.c-responsive) [class*="c-readonly"].c-section .c-table-body .c-table-row:nth-child(odd) .c-editor, 
.cognito:not(.c-sml)>:not([id="c-forms-publish"]) .c-table-section.c-readonly .c-table-body .c-table-row:nth-child(odd) .c-editor, 
.cognito:not(.c-sml)>:not([id="c-forms-publish"]) [class*="c-readonly"].c-section .c-table-body .c-table-row:nth-child(odd) .c-editor{
	background: rgba(0,0,0,0.04) !important;
}

.cognito .c-table-section:not(.c-responsive) [class*="c-readonly"].c-section .c-table-footer .c-field,
.cognito .c-table-section:not(.c-responsive) .c-table-section.c-readonly .c-table-footer .c-field,
.cognito:not(.c-sml)>:not([id="c-forms-publish"]) [class*="c-readonly"].c-section .c-table-footer .c-field,
.cognito:not(.c-sml)>:not([id="c-forms-publish"]) .c-table-section.c-readonly .c-table-footer .c-field {
	/* ensure the summary line is visible on light and dark backgrounds on odd-rowed tables */
	background: linear-gradient(to bottom, rgba(0,0,0,0.04) 0%, rgba(0,0,0,0.04) 3px, transparent 3px,transparent 100%),
							linear-gradient(to bottom, rgba(0,0,0,0.04) 0%, rgba(0,0,0,0.04) 3px, transparent 3px,transparent 100%); 
}

.cognito .c-forms-form tbody.c-line-item-container{border-bottom-color: rgba(0,0,0,0.25)!important;}
.cognito .c-forms-form hr {background-color:rgba(0,0,0,0.697);}
.cognito .c-forms-form .c-background-highlight {background:rgba(0,0,0,0.04);}
.cognito .c-forms-form .c-text-light {color:rgba(0,0,0,0.697);}

.cognito .c-forms-form .c-progress-bar a:before{background:rgba(0,0,0,0.04);border-color:#cccccc;}
.cognito .c-forms-form .c-forms-progress li.c-page-selected a:before {background-color: #102cef; color: #FFFFFF;border-color: #102cef;}
.cognito .c-forms-form .c-progress-bar li.c-page-selected a:before {background-color: #102cef;border-color: #102cef;color: #FFFFFF;}
.cognito .c-forms-form .c-progress-bar li.c-page-selected a:after{border-top-color:#102cef;}

.cognito .c-progress-bar.c-progress-notext a:focus { outline: 0; }
.cognito .c-progress-bar.c-progress-notext a:focus:before { outline: 3px solid rgba(0,0,0,0.1); }
.cognito .c-forms-form .c-save-resume-button {position: relative; background-color: transparent !important; margin-right: 0; color: #000000;}
.cognito .c-forms-form .c-number-spinner button{color:#000000;}
.cognito .c-forms-form .c-save-resume-button:hover {background-color: transparent;}

.cognito .c-forms-form .c-save-resume-button:not(.c-icon-button){color:#000000;}
.cognito .c-forms-form #c-save-resume-dialog{background-image: url("https://services.cognitoforms.com/file/o3wGBdYgIDuckf-5S-3URY7zVPdOgYPKPyrsumiTys9r0PlLnrWQa8hYHPEb5pzV"); background-size: cover; background-attachment:fixed; background-repeat: repeat; background-color: #ffffff;}
.cognito .c-forms-form #c-save-resume-dialog .dialog-contents{background-color: #cccccc;}
.cognito .c-forms-form #c-modal-overlay{background:rgba(0,0,0,1);}

.cognito .c-forms-form .c-progress-steps a:before{background-color: rgba(0,0,0,0.1);color:#000000;}

.cognito .c-forms-form .c-forms-payment table{padding-top:8px;}
.cognito .c-forms-form .c-forms-payment-total-amount{font-family:Arial,Helvetica,sans-serif; font-weight: normal; font-size: 1.219em; color: #000000;}


.cognito .c-forms-form .c-footer-terms a {color:#000000;}
.cognito .c-forms-form .c-forms-not-available-message,.cognito .c-forms-form .c-page-numbering, .cognito .c-forms-form .c-forms-confirmation-message, .cognito .c-forms-form #c-save-resume-content,.cognito .c-forms-form .c-progress-section a, .cognito .c-forms-form .c-forms-payment-order-summary .detail, .cognito .c-forms-form .c-web-paypal-processing { font-family:Arial,Helvetica,sans-serif; font-weight: normal; font-size: 0.8125em; color: #000000; }
.cognito .c-forms-form .c-validation { font-family:Arial,Helvetica,sans-serif; font-weight: normal; font-size: 0.8125em; border-radius: 0 0 4px 4px; line-height: 1.3em; }

.cognito .c-forms-form .c-table-section *.c-error:after  { font-family:Arial,Helvetica,sans-serif; font-weight: normal; }

.cognito .c-forms-form .c-table-section:not(.c-responsive)>*>*>* .c-validation,
.cognito.c-med .c-forms-form .c-table-section.c-responsive>*>*>* .c-validation,
.cognito.c-lrg .c-forms-form .c-table-section.c-responsive>*>*>*  .c-validation { font-size:inherit; }

.cognito .c-forms-form .c-forms-payment-lineitem-label,
.cognito .c-forms-form .c-forms-payment-lineitem-amount { font-weight: normal; }

.cognito .c-forms-form .c-validation,
.cognito .c-forms-form .c-error:after,
.cognito .c-forms-form .c-table .c-error .toggle-on:after,
.cognito .c-forms-form .c-validation-icon { background-color: #b91f1f !important; color:white; }

.cognito .c-forms-form .c-forms-heading { text-align: left }
.cognito .c-forms-form input[type=text],.cognito .c-forms-form input[type=password],.cognito .c-forms-form input[type=email],.cognito .c-forms-form input[type=tel],.cognito .c-forms-form input[type=url],.cognito .c-forms-form textarea,.cognito .c-forms-form select,.cognito .c-forms-form .c-repeating-section-container,.cognito .c-forms-form .c-background-highlight,
.cognito .c-forms-form .c-fileupload-dropzone .c-upload-button button, .cognito .c-forms-form .c-button:not(.c-save-resume-button), .cognito .c-forms-form .c-add-item, .cognito .c-forms-form .c-progress-steps li:before,
.cognito .c-forms-form .c-rating-scale table,.cognito .c-forms-form .c-signature .c-editor>div,.cognito.c-payment .c-payment-field
{border:none;-webkit-box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);-moz-box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);}
.cognito .c-forms-form .c-fileupload-dropzone .c-upload-button button {margin: 3px; }
.cognito .c-forms-form input[type=text],.cognito .c-forms-form input[type=password],.cognito .c-forms-form input[type=email],.cognito .c-forms-form input[type=tel],.cognito .c-forms-form input[type=url],.cognito .c-forms-form textarea{-webkit-appearance:none;}
.cognito .c-forms-form .c-readonly .c-signature .c-editor>div {-webkit-box-shadow: none;-moz-box-shadow: none;box-shadow:none;}
.cognito .c-forms-form .c-signature .c-editor{color:#333;}

.cognito .c-forms-form input[type=text],.cognito .c-forms-form input[type=password],.cognito .c-forms-form input[type=email],.cognito .c-forms-form input[type=tel],.cognito .c-forms-form input[type=url],.cognito .c-forms-form textarea,.cognito .c-forms-form select,
.cognito .c-forms-form .c-repeating-section-container,.cognito .c-forms-form .c-background-highlight, .cognito .c-forms-form .c-fileupload-dropzone .c-upload-button button, .cognito .c-forms-form .c-button, .cognito .c-forms-form .c-add-item, .cognito.c-payment .c-payment-field,
.cognito .c-forms-form .c-button{padding:14px 1.5em;}

.cognito .c-table-section:not(.c-responsive) .c-table-section.c-readonly .c-table-body .c-editor, 
.cognito .c-table-section:not(.c-responsive) [class*="c-readonly"].c-section .c-table-body .c-editor, 
.cognito:not(.c-sml)>:not([id="c-forms-publish"]) .c-table-section.c-readonly .c-table-body .c-editor, 
.cognito:not(.c-sml)>:not([id="c-forms-publish"]) [class*="c-readonly"].c-section .c-table-body .c-editor{padding:14px 5px !important;}

.c-table-footer .c-editor span{ padding-top: 14px; padding-bottom: 14px; }
.c-table-footer .c-editor span:first-child{ padding-left: 1.5em !important; }
.c-table-footer .c-editor span:last-child{ padding-right: 1.5em !important; }
.c-readonly .c-table-footer .c-editor span:first-child{ padding-left: calc(1.5em - 5px) !important; }
.c-readonly .c-table-footer .c-editor span:last-child{ padding-right: calc(1.5em - 5px) !important; }

.cognito .c-forms-form .c-validation { border-radius: 0; }

.cognito .c-forms-form .c-table-section:not(.c-responsive):not(.c-readonly)>.c-table-body>*>*,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive:not(.c-readonly)>.c-table-body>*>*,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive:not(.c-readonly)>.c-table-body>*>*
{height:calc(1em + 36px)}

.cognito.c-ie .c-forms-form :not(.c-responsive).c-table-section .c-repeating-section-group .c-repeating-section-item > * .c-validation,
.cognito.c-ie.c-med>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item > * .c-validation,
.cognito.c-ie.c-lrg>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item > * .c-validation
{top:calc(1em + 36px)}

.cognito .c-forms-form :not(.c-responsive).c-table-section .c-repeating-section-group .c-repeating-section-item > *:not(.c-readonly) .c-editor,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item > *:not(.c-readonly) .c-editor,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item > *:not(.c-readonly) .c-editor
{min-height:calc(1em + 36px) !important;}

.cognito.c-sml .c-forms-form input[type=text],.cognito.c-sml .c-forms-form input[type=password],.cognito.c-sml .c-forms-form input[type=email],.cognito.c-sml .c-forms-form input[type=tel],.cognito.c-sml .c-forms-form input[type=url],.cognito.c-sml .c-forms-form textarea,.cognito.c-sml .c-forms-form select, .cognito.c-sml .c-payment-field
{padding:14px 5px;}

.cognito .c-forms-form .c-table-section .c-repeating-section-container{
box-shadow:none;-moz-box-shadow: none;-webkit-box-shadow: none;
}

.cognito .c-forms-form .c-table-section:not(.c-responsive) input[type=text],
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive input[type=text],
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive input[type=text],
.cognito .c-forms-form .c-table-section:not(.c-responsive) input[type=password],
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive input[type=password],
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive input[type=password],
.cognito .c-forms-form .c-table-section:not(.c-responsive) textarea,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive textarea,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive textarea,
.cognito .c-forms-form .c-table-section:not(.c-responsive) select,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive select,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive select
{box-shadow:none;-moz-box-shadow: none;-webkit-box-shadow: none;}

.cognito .c-forms-form .c-table-section:not(.c-responsive) .c-table-footer.c-repeating-section-group .c-repeating-section-item>* .c-editor,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive .c-table-footer.c-repeating-section-group .c-repeating-section-item>* .c-editor,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive .c-table-footer.c-repeating-section-group .c-repeating-section-item>* .c-editor
{border-radius:0;background-color:transparent;}

.cognito .c-forms-form .c-table-section:not(.c-responsive) .c-repeating-section-group.c-table-body .c-repeating-section-item>*,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group.c-table-body .c-repeating-section-item>*,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group.c-table-body .c-repeating-section-item>*
{border:none;}

.cognito .c-forms-form .c-table-section:not(.c-responsive) .c-repeating-section-group.c-table-body .c-repeating-section-item>*:not(:first-child),
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group.c-table-body .c-repeating-section-item>*:not(:first-child),
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group.c-table-body .c-repeating-section-item>*:not(:first-child)
{box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);}

.cognito .c-forms-form .c-table-section:not(.c-responsive) .c-repeating-section-group .c-repeating-section-item>* .c-editor .c-content,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item>* .c-editor .c-content,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item>* .c-editor .c-content
	{padding-left: calc(1.5em - 5px) !important; padding-right: calc(1.5em - 5px) !important; position:relative; z-index:2; color: black;}
	

.cognito .c-forms-form .c-repeating-section-container
{padding-left:0;}

.cognito.c-sml .c-forms-form .c-table-section:not(.c-responsive) .c-repeating-section-group .c-repeating-section-item [class*=c-calculation-]
{padding:14px 5px;}

.cognito .c-forms-form .c-rating-scale {padding-top:8px;}
.cognito .c-forms-form .c-label {padding: 0 8px 10px 8px;}
.cognito .c-forms-form .c-rating-scale td.c-choice-option{padding-top:18px;padding-bottom:18px;}
.cognito .c-forms-form .c-rating-scale th.c-choice-option-header{padding-top:13px;padding-bottom:13px;}
.cognito .c-forms-form .c-rating-scale th.c-choice-question{padding:13px;}
.cognito .c-forms-form .c-rating-scale input[type=radio] + *:before{margin:0;}
.cognito .c-forms-form .c-forms-payment-total-amount {padding:13px 31px}
.cognito .c-forms-form .c-order-summary td {padding:13px 11px}
.cognito .c-forms-form .c-payment-section{padding-left:8px;padding-right:8px;padding-top:5px;}

.cognito .c-forms-form .has-switch > * > *{ padding: 14px !important; line-height: normal; }
	/* putting the checkable element offscreen prevents edge and ie from scrolling to it when focused. */
	.cognito .c-forms-form input[type=checkbox],.cognito .c-forms-form input[type=radio] {position: absolute; transform: scale(0); z-index: -1; opacity: 0; transform: scale(0);}
.cognito .c-forms-form input[type=checkbox] + *{position: relative; cursor: pointer;}
.cognito .c-forms-form input[type=checkbox] + *:before { content: ''; display:inline-block;vertical-align:middle; width: 1.5em; height: 1.5em;  background: #fff; box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);    margin: -1px .5em 1px 1px; }
	.cognito .c-forms-form input[type=checkbox] + *:after { font-family: FontAwesome; content: "\f00c"; text-indent: 0; height: 1.3em; width: 1.5em; line-height: 1.3; text-align: center; position: absolute; left: 1px; top:0;font-size:1em; color: #666; transition: all .2s;}
.cognito .c-forms-form input[type=checkbox]:not(:checked) + *:after {  opacity: 0;  transform: scale(0);}
.cognito .c-forms-form input[type=checkbox]:checked + *:after {  opacity: 1;  transform: scale(1);}

	.cognito .c-forms-form .c-choice-fillin input[type=checkbox] + *:after { line-height: 1.6; }

.cognito .c-forms-form .c-choice-option label, .cognito .c-forms-form label.c-yesno-radio, .cognito .c-forms-form .c-editor.c-yesno-checkbox label{padding-left:2em;text-indent:-2em;}
.cognito .c-forms-form input[type=radio] + *:before{ content: ''; font-size: 1em; width: 1.5em; height: 1.5em; display: inline-block;background: #fff;border:2px solid transparent;border-radius: 50%; box-shadow: inset 0 0 0 10px #f7f7f7; background: #f7f7f7;transition: all .2s;  vertical-align: middle; visibility: visible;  color: white;  line-height: 1em;  margin: -1px .5em 1px 0px;-webkit-box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);-moz-box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);box-sizing:border-box;}
.cognito .c-forms-form input[type=radio]:checked + *:before{ background: #666; border:2px solid #fff;box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4);}
.cognito.c-sml .c-forms-form .c-rating-scale .c-choice-option span{padding-left:0;}
.cognito .c-forms-form .c-choice-fillin div{padding-left:2em;text-indent:-2em!important;}
.cognito .c-forms-form .c-choice-fillin .c-fillin-text{display:inline-block;vertical-align:top;width:calc(100% - 1px)!important;padding-left:4px;padding-right:4px;}

	.cognito .c-forms-form input[type="checkbox"]:focus + *:before,
	.cognito .c-forms-form input[type="radio"]:focus + *:before { box-shadow: 0 0 2px 2px rgba(0,0,0,.3); }

.cognito .c-forms-form .c-choice-option{user-select: none;-webkit-user-select: none; -khtml-user-select: none; -moz-user-select: none; -o-user-select: none; user-select: none;}

.cognito .c-forms-form input[type=text],.cognito .c-forms-form input[type=password], .cognito .c-forms-form textarea, .cognito .c-forms-form select {  transition: all 0.30s ease-in-out;  border: 1px solid transparent;}

.cognito .c-forms-form .c-editor-date-icon,.cognito .c-forms-form .c-editor-time-icon, .cognito .c-forms-form .c-remove-item, .cognito .c-forms-form .c-save-resume-close{font-size:1.5em;}

.cognito .c-forms-form .c-repeating-section-item-title {margin-left:0;}
.cognito .c-forms-form .c-progress-steps li:before{border-radius:0;font-size:0.8125em;padding:4px;}
.cognito .c-forms-form .c-progress-bar li:before{height:12px;}
.cognito .c-forms-form .c-progress-bar li.c-page-selected:after{top:4px;}
.cognito .c-forms-form .c-repeating-section-group > div:last-child{border-bottom:0;}

.cognito.c-sml .c-forms-form .c-rating-scale .c-choice-option span{padding-left:18px; }
.cognito.c-sml .c-forms-form .c-repeating-section-container{padding-left:0;}

.cognito .c-forms-form .c-repeating-section-item { margin-left: calc(3em - 8px); }
	.cognito.c-sml .c-forms-form .c-table.c-table-section.c-responsive .c-repeating-section-group > .c-repeating-section-item{padding-left: calc(3em - 8px)}
	.cognito.c-sml .c-forms-form .c-table.c-table-section.c-responsive .c-repeating-section-group>.c-repeating-section-item .c-repeating-section-item-title{margin-left: calc(-3em + 8px)}

	.cognito .c-forms-form .c-table-section.c-readonly:not(.c-responsive) .c-repeating-section-group .c-repeating-section-item>*,
	.cognito.c-med>form .c-forms-form .c-table-section.c-readonly.c-responsive .c-repeating-section-group .c-repeating-section-item>*,
	.cognito.c-lrg>form .c-forms-form .c-table-section.c-readonly.c-responsive .c-repeating-section-group .c-repeating-section-item>*,
	.cognito:not(.c-sml) [class*="c-readonly"] .c-table-section .c-repeating-section-group .c-repeating-section-item>*,
	.cognito.c-sml [class*="c-readonly"] .c-table-section:not(.c-responsive) .c-repeating-section-group .c-repeating-section-item>*
	{box-shadow:none !important;}

.cognito .c-forms-form .c-table-section:not(.c-responsive) .c-repeating-section-group .c-repeating-section-item>*:not(.c-editor-focused) .c-dropdown select,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item>*:not(.c-editor-focused) .c-dropdown select,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive .c-repeating-section-group .c-repeating-section-item>*:not(.c-editor-focused) .c-dropdown select
{padding-right:20px}

.cognito .c-forms-form .c-table-section:not(.c-readonly):not(.c-responsive) .c-repeating-section-group .c-repeating-section-item .c-text-multiplelines,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive:not(.c-readonly) .c-repeating-section-group .c-repeating-section-item .c-text-multiplelines,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive:not(.c-readonly) .c-repeating-section-group .c-repeating-section-item .c-text-multiplelines {
  background-color: #fff;
}

.cognito .c-forms-form .c-table-section:not(.c-readonly):not(.c-responsive) textarea,
.cognito.c-med>form .c-forms-form .c-table-section.c-responsive:not(.c-readonly) textarea,
.cognito.c-lrg>form .c-forms-form .c-table-section.c-responsive:not(.c-readonly) textarea {
  background-color: transparent;
}

.cognito.c-payment .c-payment-field{background-color:#fff;}
.c-loading-spinner { top: 32%; }
.c-lookup-radiobuttons .c-loading,
.c-lookup-checkboxes .c-loading {
	min-height: 35px;
}

/* Spinner */
.cognito .c-forms-form .c-number-spinner button { border: 0 !important; box-shadow: 0px 0px 3px 0px rgba(0,0,0,0.4); }</style>
<form novalidate="" lang="en"><div class="c-forms-form" tabindex="0"><div class="c-editor" style="display:none;"><input type="text" class="c-forms-form-style"></div><div class="c-forms-form-body toggle-on" sys:attach="toggle" toggle:on="{ binding displayConfirmation, source = {{ Cognito.Forms.model }} }" toggle:action="hide"><div class="c-forms-heading"><div class="c-forms-logo"><img style="max-width: 100%;" src="https://services.cognitoforms.com/file/o3wGBdYgIDuckf-5S-3URQcDjLzcc9O7dYjpEZ2mP6aJIjm8uuA0nLFriH_ILkoW"></div><div class="c-forms-form-title"><h2>APPLICATION</h2></div></div><div class="c-forms-template" sys:attach="dataview" dataview:data="{binding entry, source={{ Cognito.Forms.model }} }"><div class="c-forms-form-main c-span-24 c-sml-span-12"><fieldset class="c-name c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required"><legend class="c-label ">Name <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>First and Last are required.</span></span></legend><div><div style="width: 44.4444%; float: left;" class="c-editor c-span-1"><input type="text" id="c-0-10" placeholder="First" title="First"></div><div style="width: 11.1111%; float: left;" class="c-editor c-span-1"><input type="text" id="c-1-10" placeholder="MI" title="MI" maxlength="1"></div><div style="width: 44.4444%; float: left;" class="c-editor c-span-1"><input type="text" id="c-2-10" placeholder="Last" title="Last"></div></div><div class="c-validation" aria-hidden="true">First and Last are required.</div></fieldset><fieldset class="c-address c-address-us c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required"><legend class="c-label ">Address <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Address Line 1, City, State and Zip Code are required.</span></span></legend><div><div style="float: left;" class="c-editor"><input type="text" id="c-4-9" title="Address Line 1" placeholder="Address Line 1"></div><div style="float: left;" class="c-editor"><input type="text" id="c-5-9" title="Address Line 2" placeholder="Address Line 2"></div><div style="float: left;" class="c-editor c-partial-line"><input type="text" id="c-6-9" title="City" placeholder="City"></div><div style="float: left;" class="c-editor c-partial-line"><div class="c-dropdown"><select id="c-7-9" title="State" class="c-placeholder-text-styled toggle-on"><option value="">State</option><option value="Armed Forces America">Armed Forces America</option><option value="Armed Forces">Armed Forces</option><option value="Armed Forces Pacific">Armed Forces Pacific</option><option value="Alabama">Alabama</option><option value="Alaska">Alaska</option><option value="Arizona">Arizona</option><option value="Arkansas">Arkansas</option><option value="California">California</option><option value="Colorado">Colorado</option><option value="Connecticut">Connecticut</option><option value="District of Columbia">District of Columbia</option><option value="Delaware">Delaware</option><option value="Florida">Florida</option><option value="Georgia">Georgia</option><option value="Guam">Guam</option><option value="Hawaii">Hawaii</option><option value="Idaho">Idaho</option><option value="Illinois">Illinois</option><option value="Indiana">Indiana</option><option value="Iowa">Iowa</option><option value="Kansas">Kansas</option><option value="Kentucky">Kentucky</option><option value="Louisiana">Louisiana</option><option value="Maine">Maine</option><option value="Maryland">Maryland</option><option value="Massachusetts">Massachusetts</option><option value="Michigan">Michigan</option><option value="Minnesota">Minnesota</option><option value="Mississippi">Mississippi</option><option value="Missouri">Missouri</option><option value="Montana">Montana</option><option value="Nebraska">Nebraska</option><option value="New Hampshire">New Hampshire</option><option value="New Jersey">New Jersey</option><option value="New Mexico">New Mexico</option><option value="New York">New York</option><option value="Nevada">Nevada</option><option value="North Carolina">North Carolina</option><option value="North Dakota">North Dakota</option><option value="Ohio">Ohio</option><option value="Oklahoma">Oklahoma</option><option value="Oregon">Oregon</option><option value="Pennsylvania">Pennsylvania</option><option value="Puerto Rico">Puerto Rico</option><option value="Rhode Island">Rhode Island</option><option value="South Carolina">South Carolina</option><option value="South Dakota">South Dakota</option><option value="Tennessee">Tennessee</option><option value="Texas">Texas</option><option value="Utah">Utah</option><option value="Vermont">Vermont</option><option value="Virgin Islands">Virgin Islands</option><option value="Virginia">Virginia</option><option value="Washington">Washington</option><option value="West Virginia">West Virginia</option><option value="Wisconsin">Wisconsin</option><option value="Wyoming">Wyoming</option></select></div></div><div style="float: left;" class="c-editor c-partial-line"><input type="text" id="c-8-9" class="c-mask" data-mask="#####?-####" title="Zip Code" placeholder="Zip Code" novalidate=""></div></div><div class="c-validation" aria-hidden="true">Address Line 1, City, State and Zip Code are required.</div></fieldset><div class="c-email c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12  c-required"><div class="c-label  "><label id="c-10-8-label" for="c-10-8">Email <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Email is required.</span></span></label></div><div class="c-editor c-editor-email"><input type="text" id="c-10-8" placeholder="" novalidate=""></div><div class="c-validation" aria-hidden="true">Email is required.</div></div><div class="c-phone c-phone-us c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12  c-required"><div class="c-label  "><label id="c-11-7-label" for="c-11-7">Mobile Phone <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Mobile Phone is required.</span></span></label></div><div class="c-editor c-editor-phone"><input type="text" id="c-11-7" class="c-mask" placeholder="" data-mask="(###) ###-####? x########" novalidate=""></div><div class="c-validation" aria-hidden="true">Mobile Phone is required.</div></div><fieldset class="c-yesno-radiobuttons c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12"><legend class="c-label  ">Are You Currently Employed? <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></legend><div class="c-editor c-columns-0"><label class="c-yesno-radio" for="c-12-5"><input type="radio" name="group4" id="c-12-5"><span>Yes</span></label><label class="c-yesno-radio" for="c-12-6"><input type="radio" name="group4" id="c-12-6" checked="checked"><span>No</span></label></div><div class="c-validation" aria-hidden="true"></div></fieldset><span class="c-visible-container toggle-off" style="display: none;"><div class="c-text-singleline c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12  c-required"><div class="c-label  "><label id="c-13-3-label" for="c-13-3">Current Employer's Name <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Current Employer's Name is required.</span></span></label></div><div class="c-editor"><input type="text" id="c-13-3" placeholder=""></div><div class="c-validation" aria-hidden="true">Current Employer's Name is required.</div></div></span><div class="c-choice-dropdown c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12  c-required"><div class="c-label  "><label id="c-14-2-label" for="c-14-2">How Did You Hear About Us <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></label></div><div class="c-editor"><div class="c-dropdown"><select id="c-14-2"><option></option><option value="Google">Google</option><option value="Email">Email</option><option selected="selected" value="Social Media">Social Media</option><option value="News">News</option><option value="Recommendation">Recommendation</option></select></div></div><div class="c-validation" aria-hidden="true"></div></div></div></div><div id="c-recaptcha-div"></div><div class="c-forms-error"><div aria-hidden="true" class="c-validation"></div></div><div class="c-button-section"><div class="c-action"><button type="submit" class="c-button" id="c-submit-button">Submit Application</button></div></div></div><div class="c-forms-confirmation toggle-off" sys:attach="toggle" toggle:on="{binding displayConfirmation, source={{ Cognito.Forms.model }} }" toggle:action="render" style="display: none;"></div><div class="c-footer-terms" sys:attach="dataview" dataview:data="{binding entry, source={{ Cognito.Forms.model }} }"><ul class="terms"><li><a href="https://www.cognitoforms.com/reportabuse?form=https%3A%2F%2Fwww.cognitoforms.com%2FShadowShoppers%2FAPPLICATION" target="_blank">Report Abuse</a></li><li><a href="https://www.cognitoforms.com/terms" target="_blank">Terms of Service</a></li></ul></div></div></form>
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