{"id":7750,"date":"2023-10-04T18:55:56","date_gmt":"2023-10-04T18:55:56","guid":{"rendered":"https:\/\/aacpm.org\/?page_id=7750"},"modified":"2024-10-11T18:18:59","modified_gmt":"2024-10-11T18:18:59","slug":"crip-interview-and-meeting-room-requirements","status":"publish","type":"page","link":"https:\/\/aacpm.org\/podiatric-residency-program-caspr-crip\/crip-interview-and-meeting-room-requirements\/","title":{"rendered":"CRIP Interview and Meeting Room Requirements Form"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">CRIP Interview and Meeting Room Requirements<\/h1>\n\n\n\n<p style=\"font-size:18px\"><strong>PLEASE READ BEFORE ENTERING INFORMATION IN THIS FORM<\/strong><\/p>\n\n\n\n<ul style=\"font-size:18px\" class=\"wp-block-list\">\n<li><strong>BEFORE completing this form, please make ALL needed sleeping room <strong>reservation<\/strong>s at the host hotel, <a href=\"https:\/\/www.hilton.com\/en\/hotels\/chirmes-embassy-suites-chicago-ohare-rosemont\/?SEO_id=GMB-AMER-ES-CHIRMES&amp;y_source=1_MTEwOTkyMC03MTUtbG9jYXRpb24ud2Vic2l0ZQ%3D%3D\">Embassy Suites Chicago O&#8217;Hare Rosemont<\/a> IL.&nbsp;<\/strong>Complete the information below, <strong>AFTER<\/strong> you have made your <a href=\"https:\/\/www.hilton.com\/en\/attend-my-event\/chirmes-aac-0a91c387-ba49-47a8-bef7-29003066d033\/\">sleeping room reservations<\/a> as confirmation numbers will be needed.<\/li>\n\n\n\n<li><strong>If there is any change to the information you provide in this form, notify <a href=\"mailto:casprweb@aacpm.org\">casprweb@aacpm.org<\/a> immediately.<\/strong> If you do not, we cannot guarantee your interview requirements will be properly arranged.<\/li>\n\n\n\n<li>If you need to make changes to hotel reservations that you made with the hotel via reservation link or phone&#8211;changes such as dates of stay, the names of room occupants, or room cancellations, those should be made directly with the hotel via the <a href=\"https:\/\/www.hilton.com\/en\/attend-my-event\/chirmes-aac-0a91c387-ba49-47a8-bef7-29003066d033\/\">reservation link<\/a> or by calling the hotel directly at <a href=\"tel:+1 847-678-4000\">847-928-7648<\/a>. To receive the AACPM CRIP rate, you will need to provide the three letter code AAC at time of booking.<\/li>\n<\/ul>\n\n\n\n<p style=\"font-size:18px\"><\/p>\n\n\n\n<p>If you do not know which CRIP section your program is assigned to, it is on your <a href=\"https:\/\/aacpm.org\/residency_programs\/\">CASPR Directory of Residency Programs<\/a> page.<\/p>\n\n\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_12' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/wp-json\/wp\/v2\/pages\/7750\/' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_80\" 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\"  data-js-reload=\"field_12_80\" ><h3 class=\"gsection_title\">Program Information<\/h3><\/div><div id=\"field_12_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_1\" ><label class='gfield_label gform-field-label' for='input_12_1'>Program Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_12_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_96\" ><label class='gfield_label gform-field-label' for='input_12_96'>CASPR ID #<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_12_96' type='text' value='' class='large'  aria-describedby=\"gfield_description_12_96\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_12_96'>You may identify your CASPR ID# on your program&#8217;s CASPR Directory page. Link is above.<\/div><\/div><div id=\"field_12_72\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_72\" ><label class='gfield_label gform-field-label' for='input_12_72'>CRIP Section<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_12_72' class='large gfield_select'  aria-describedby=\"gfield_description_12_72\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Section 1' >Section 1<\/option><option value='Section 2' >Section 2<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_12_72'>Section 1 programs&#8217; CASPR IDs start with a 5, 6, 7, or 8.  Skip the leading zero. Section 2 programs&#8217; CASPR IDs start with 1, 2, 3, or 4. \n\nYou may also identify your section on your program&#8217;s CASPR Directory page. Link is above. <\/div><\/div><div id=\"field_12_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_4\" ><label class='gfield_label gform-field-label' for='input_12_4'>Program Director<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_12_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_5\" 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\"  data-js-reload=\"field_12_5\" ><label class='gfield_label gform-field-label' for='input_12_5'>Contact Person for CRIP Questions (if other than program director)<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_12_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_6\" ><label class='gfield_label gform-field-label' for='input_12_6'>Phone number to call, if we have questions.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_12_6' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_7\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_7\" ><label class='gfield_label gform-field-label' for='input_12_7'>Email to contact, if we have questions.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_12_7' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_12_19\" 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\"  data-js-reload=\"field_12_19\" ><h3 class=\"gsection_title\">Interview Dates<\/h3><\/div><div id=\"field_12_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_27\" ><p style=\"font-size: 18px;\">&#8220;NOTE:  PROGRAMS ARE RESPONSIBLE FOR CREATING THEIR INTERVIEW SCHEDULES IN THE CASPR NMS SYSTEM. Programs may begin creating interview schedules on October 31 and start issuing interview invitations to applicants on Dec. 4 in the CASPR NMS System.<\/p> <\/div><div id=\"field_12_22\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_22\" ><p style=\"font-size: 18px;\">What days are you interviewing?  Section 1 may interview January 9, 10, and 11. Section 2 may interview January 12, 13, and 14.<\/p><\/div><div id=\"field_12_87\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_87\" ><label class='gfield_label gform-field-label' for='input_12_87'>Interviews Start Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_12_87' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 9, 2025' >January 9, 2025<\/option><option value='January 10, 2025' >January 10, 2025<\/option><option value='January 11, 2025' >January 11, 2025<\/option><\/select><\/div><\/div><div id=\"field_12_88\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_88\" ><label class='gfield_label gform-field-label' for='input_12_88'>Interviews End Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_88' id='input_12_88' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 9, 2025' >January 9, 2025<\/option><option value='January 10, 2025' >January 10, 2025<\/option><option value='January 11, 2025' >January 11, 2025<\/option><\/select><\/div><\/div><div id=\"field_12_89\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_89\" ><label class='gfield_label gform-field-label' for='input_12_89'>Interviews Start Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_89' id='input_12_89' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 12, 2025' >January 12, 2025<\/option><option value='January 13, 2025' >January 13, 2025<\/option><option value='January 14, 2025' >January 14, 2025<\/option><\/select><\/div><\/div><div id=\"field_12_90\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_90\" ><label class='gfield_label gform-field-label' for='input_12_90'>Interviews End Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_90' id='input_12_90' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 12, 2025' >January 12, 2025<\/option><option value='January 13, 2025' >January 13, 2025<\/option><option value='January 14, 2025' >January 14, 2025<\/option><\/select><\/div><\/div><div id=\"field_12_8\" 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\"  data-js-reload=\"field_12_8\" ><h3 class=\"gsection_title\">Interview Rooms<\/h3><\/div><fieldset id=\"field_12_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_9\" ><legend class='gfield_label gform-field-label' >Our program is<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_9'>\n\t\t\t<div class='gchoice gchoice_12_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Interviewing in an Embassy Suites Suite\/Room'  id='choice_12_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_9_0' id='label_12_9_0' class='gform-field-label gform-field-label--type-inline'>Interviewing in an Embassy Suites Suite\/Room<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Requesting a Meeting Room at the Embassy Suites for interviews'  id='choice_12_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_9_1' id='label_12_9_1' class='gform-field-label gform-field-label--type-inline'>Requesting a Meeting Room at the Embassy Suites for interviews<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_75\" ><label class='gfield_label gform-field-label' for='input_12_75'>How many Hotel Suites\/Rooms are to be used for interviews?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_12_75' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><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><\/select><\/div><\/div><fieldset id=\"field_12_17\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_17\" ><legend class='gfield_label gform-field-label' >Provide the Occupant Names for ALL the suites to be used for interviews<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_17_cell1 gform-grid-col' ><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_12_17\" aria-label='Provide the Occupant Names for ALL the suites to be used for interviews, Row 1' data-aria-label-template='Provide the Occupant Names for ALL the suites to be used for interviews, Row {0}' type='text' name='input_17[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_12_17'>We use the occupant names and confirmation codes to have the hotel set interview rooms aside and pre-assign their room numbers. We can then provide you and interview candidates with interview room locations. Otherwise rooms are assigned based on availabililty.<\/div><\/fieldset><div id=\"field_12_81\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_81\" ><label class='gfield_label gform-field-label' for='input_12_81'>Provide the Confirmation Codes for ALL suites used for interviews<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_12_81' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_83\" ><legend class='gfield_label gform-field-label' >Do you require a late check-out (2 pm)? For interview suites ONLY<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_83'>\n\t\t\t<div class='gchoice gchoice_12_83_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Yes'  id='choice_12_83_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_83\"   \/>\n\t\t\t\t\t<label for='choice_12_83_0' id='label_12_83_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_12_83_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='No'  id='choice_12_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_83_1' id='label_12_83_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_12_83'>Only interview rooms may be designated for late check-out (after 11 am and 2 pm latest) and will incur a charge of a half day&#8217;s room rate.<\/div><\/fieldset><div id=\"field_12_73\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_73\" ><label class='gfield_label gform-field-label' for='input_12_73'>Number of conference\/meeting rooms requested<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_12_73' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><\/select><\/div><\/div><div id=\"field_12_74\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_74\" ><label class='gfield_label gform-field-label' for='input_12_74'>Number of days you need the meeting room\/s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_12_74' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1 day' >1 day<\/option><option value='2 days' >2 days<\/option><option value='3 days' >3 days<\/option><\/select><\/div><\/div><div id=\"field_12_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_26\" >Dates a meeting room is needed for interviews<\/div><div id=\"field_12_91\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_91\" ><label class='gfield_label gform-field-label' for='input_12_91'>Start date Conference\/Meeting Room is needed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_91' id='input_12_91' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 9, 2025' >January 9, 2025<\/option><option value='January 10, 2025' >January 10, 2025<\/option><option value='January 11, 2025' >January 11, 2025<\/option><\/select><\/div><\/div><div id=\"field_12_92\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_92\" ><label class='gfield_label gform-field-label' for='input_12_92'>End date Conference\/Meeting Room is needed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_92' id='input_12_92' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 9, 2025' >January 9, 2025<\/option><option value='January 10, 2025' >January 10, 2025<\/option><option value='January 11, 2025' >January 11, 2025<\/option><\/select><\/div><\/div><div id=\"field_12_93\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_93\" ><label class='gfield_label gform-field-label' for='input_12_93'>Start date Conference\/Meeting Room is needed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_12_93' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 12, 2025' >January 12, 2025<\/option><option value='January 13, 2025' >January 13, 2025<\/option><option value='January 14, 2025' >January 14, 2025<\/option><\/select><\/div><\/div><div id=\"field_12_94\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_94\" ><label class='gfield_label gform-field-label' for='input_12_94'>End date Conference\/Meeting Room is needed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_94' id='input_12_94' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 12, 2025' >January 12, 2025<\/option><option value='January 13, 2025' >January 13, 2025<\/option><option value='January 14, 2025' >January 14, 2025<\/option><\/select><\/div><\/div><fieldset id=\"field_12_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_18\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In your Hotel Suite or Meeting Room, do you require any of the following from the hotel for your interviews?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_18'><div class='gchoice gchoice_12_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Food &amp; Beverage'  id='choice_12_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_18_1' id='label_12_18_1' class='gform-field-label gform-field-label--type-inline'>Food &amp; Beverage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='A\/V'  id='choice_12_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_18_2' id='label_12_18_2' class='gform-field-label gform-field-label--type-inline'>A\/V<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='None of the above'  id='choice_12_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_18_3' id='label_12_18_3' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_28\" 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\"  data-js-reload=\"field_12_28\" ><h3 class=\"gsection_title\">Interview Details<\/h3><\/div><div id=\"field_12_29\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_29\" ><label class='gfield_label gform-field-label' for='input_12_29'>Total number of people on your interview team<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_29' id='input_12_29' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_12_29\" \/><\/div><div class='gfield_description' id='gfield_description_12_29'>Please provide a total number of all residents, attendings, program staff, etc. that will be in the interview room during interviews. We use this information to assign an appropriately sized room.<\/div><\/div><div id=\"field_12_30\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_30\" ><label class='gfield_label gform-field-label' for='input_12_30'>Estimated number of applicants to be interviewed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_12_30' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_12_76\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_76\" ><label class='gfield_label gform-field-label' for='input_12_76'>Total minutes for ONE applicant to complete entire interview<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_76' id='input_12_76' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_12_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_32\" ><legend class='gfield_label gform-field-label' >What type of interview will your program use<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_32'>\n\t\t\t<div class='gchoice gchoice_12_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='One applicant at a time'  id='choice_12_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_32_0' id='label_12_32_0' class='gform-field-label gform-field-label--type-inline'>One applicant at a time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Multiple applicants - simultaneous or staggered starts'  id='choice_12_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_32_1' id='label_12_32_1' class='gform-field-label gform-field-label--type-inline'>Multiple applicants &#8211; simultaneous or staggered starts<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_38\" 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\"  data-js-reload=\"field_12_38\" ><h3 class=\"gsection_title\">Multiple Applicant Interviews \u2013 Simultaneous or Staggered Starts<\/h3><\/div><fieldset id=\"field_12_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_40\" ><legend class='gfield_label gform-field-label' >Which type of multiple applicant interview is your program using?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_40'>\n\t\t\t<div class='gchoice gchoice_12_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='We will use more than one room\/station with applicants starting simultaneously.'  id='choice_12_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_40_0' id='label_12_40_0' class='gform-field-label gform-field-label--type-inline'>We will use more than one room\/station with applicants starting simultaneously.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='We will be using staggered starts (Ex: Each applicant must begin in room #1, moves to room #2 as another begins in room #1)'  id='choice_12_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_40_1' id='label_12_40_1' class='gform-field-label gform-field-label--type-inline'>We will be using staggered starts (Ex: Each applicant must begin in room #1, moves to room #2 as another begins in room #1)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_86\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_86\" ><legend class='gfield_label gform-field-label' >If you are interviewing applicants simultaneously, how many applicants begin their interview at the same time?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_86'>\n\t\t\t<div class='gchoice gchoice_12_86_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='1'  id='choice_12_86_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_86_0' id='label_12_86_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_86_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='2'  id='choice_12_86_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_86_1' id='label_12_86_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_86_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='gf_other_choice'  id='choice_12_86_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_86_2' id='label_12_86_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_12_86_other' class='gchoice_other_control' name='input_86_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_77\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_77\" ><label class='gfield_label gform-field-label' for='input_12_77'>How many minutes will an applicant spend in each room or station?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_77' id='input_12_77' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_12_33\" 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\"  data-js-reload=\"field_12_33\" ><h3 class=\"gsection_title\">Interview Room Set-Up<\/h3><div class='gsection_description' id='gfield_description_12_33'><span style=\"font-size: 18px;\">THE DEFAULT SET-UP FOR HOTEL SUITES BEING USED FOR INTERVIEWS IS 3 CHAIRS &#038; 1 TABLE.<\/span><\/div><\/div><div id=\"field_12_34\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_34\" ><label class='gfield_label gform-field-label' for='input_12_34'># of tables per room<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_34' id='input_12_34' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_12_35\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_35\" ><label class='gfield_label gform-field-label' for='input_12_35'># of chairs per table<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_35' id='input_12_35' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_12_36\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_36\" ><label class='gfield_label gform-field-label' for='input_12_36'># of stations per room<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_36' id='input_12_36' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_12_36\" \/><\/div><div class='gfield_description' id='gfield_description_12_36'>(ex. two applicants will be interviewed at the same time in the same room at different tables)<\/div><\/div><div id=\"field_12_37\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_37\" ><label class='gfield_label gform-field-label' for='input_12_37'>Does your program have any other interview or room set-up requests or requirements?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_12_37' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_12_43\" 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\"  data-js-reload=\"field_12_43\" ><h3 class=\"gsection_title\">Name Badges<\/h3><\/div><fieldset id=\"field_12_44\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_44\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Provide the names of all members of the interview team requiring name badges. How you type it  is how it will appear on the badge (including capitalization).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">First Name (Dr. is not a first name)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Last Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Degree (DPM, MD, PhD, MBA, etc.)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_44_cell1 gform-grid-col' data-label='First Name (Dr. is not a first name)'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_12_44\" aria-label='First Name (Dr. is not a first name), Row 1' data-aria-label-template='First Name (Dr. is not a first name), Row {0}' type='text' name='input_44[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_44_cell2 gform-grid-col' data-label='Last Name'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_12_44\" aria-label='Last Name, Row 1' data-aria-label-template='Last Name, Row {0}' type='text' name='input_44[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_44_cell3 gform-grid-col' data-label='Degree (DPM, MD, PhD, MBA, etc.)'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_12_44\" aria-label='Degree (DPM, MD, PhD, MBA, etc.), Row 1' data-aria-label-template='Degree (DPM, MD, PhD, MBA, etc.), Row {0}' type='text' name='input_44[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_12_44'>Click the + sign to the right of the row to add additional names.<\/div><\/fieldset><div id=\"field_12_45\" 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\"  data-js-reload=\"field_12_45\" ><h3 class=\"gsection_title\">Special\/Social Events<\/h3><\/div><fieldset id=\"field_12_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_46\" ><legend class='gfield_label gform-field-label' >Will your program be holding any additional activities for interviewees, either at the host hotel or offsite?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_46'>\n\t\t\t<div class='gchoice gchoice_12_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='No additional activities or events planned.'  id='choice_12_46_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_46\"   \/>\n\t\t\t\t\t<label for='choice_12_46_0' id='label_12_46_0' class='gform-field-label gform-field-label--type-inline'>No additional activities or events planned.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Yes, at the Embassy Suites Rosemont.'  id='choice_12_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_46_1' id='label_12_46_1' class='gform-field-label gform-field-label--type-inline'>Yes, at the Embassy Suites Rosemont.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_46_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Yes, at an offsite location.'  id='choice_12_46_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_46_2' id='label_12_46_2' class='gform-field-label gform-field-label--type-inline'>Yes, at an offsite location.<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_12_46'>Activities include such events as dinners, socials, cocktail parties, slide shows, etc.<\/div><\/fieldset><div id=\"field_12_95\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_95\" ><label class='gfield_label gform-field-label' for='input_12_95'>Date of Event<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_12_95' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='January 9' >January 9<\/option><option value='January 10' >January 10<\/option><option value='January 11' >January 11<\/option><option value='January 12' >January 12<\/option><option value='January 13' >January 13<\/option><option value='January 14' >January 14<\/option><\/select><\/div><\/div><fieldset id=\"field_12_48\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_48\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time of Event<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_12_48'>\n                            <input type='number' maxlength='2' name='input_48[]' id='input_12_48_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_12_48_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_48[]' id='input_12_48_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_12_48_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_48[]' id='input_12_48_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_12_48_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><fieldset id=\"field_12_49\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_49\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Who may attend (check all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_49'><div class='gchoice gchoice_12_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='ALL applicants at CRIP'  id='choice_12_49_1'   aria-describedby=\"gfield_description_12_49\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_12_49_1' id='label_12_49_1' class='gform-field-label gform-field-label--type-inline'>ALL applicants at CRIP<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_49_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='All of the applicants our program interviews'  id='choice_12_49_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_49_2' id='label_12_49_2' class='gform-field-label gform-field-label--type-inline'>All of the applicants our program interviews<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_49_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.3' type='checkbox'  value='Only the applicants our program invites'  id='choice_12_49_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_49_3' id='label_12_49_3' class='gform-field-label gform-field-label--type-inline'>Only the applicants our program invites<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_12_49'>PROGRAMS ARE RESPONSIBLE FOR ISSUING INVITES TO THEIR GUESTS FOR ALL SOCIAL EVENTS.<\/div><\/fieldset><fieldset id=\"field_12_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_50\" ><legend class='gfield_label gform-field-label' >Do you require event space (conference\/meeting room) at the host hotel for your event<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_50'>\n\t\t\t<div class='gchoice gchoice_12_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='No, will be using one of our reserved suites\/rooms for the event.'  id='choice_12_50_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_50\"   \/>\n\t\t\t\t\t<label for='choice_12_50_0' id='label_12_50_0' class='gform-field-label gform-field-label--type-inline'>No, will be using one of our reserved suites\/rooms for the event.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Yes, we are requesting a conference\/meeting room for the event.'  id='choice_12_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_50_1' id='label_12_50_1' class='gform-field-label gform-field-label--type-inline'>Yes, we are requesting a conference\/meeting room for the event.<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_12_50'>NOTE:  Conference\/meeting rooms for evening events incur a fee of $150 per room per night unless the program has also reserved the room for daytime use  for interviews.<\/div><\/fieldset><div id=\"field_12_51\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_51\" ><p>To request a Meeting Room, complete the information above and remit a- $150\/day payment.<\/p>\n<p>The number of meeting rooms is limited and meeting rooms are assigned ONLY when this form is completed AND payment is received by AACPM. AACPM does not guarantee that all programs requesting meeting rooms will be accommodated.<\/p><\/div><fieldset id=\"field_12_52\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_52\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >For your event at the Embassy Suites host hotel, do you require any of the following from the hotel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_52'><div class='gchoice gchoice_12_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Food &amp; Beverage'  id='choice_12_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_52_1' id='label_12_52_1' class='gform-field-label gform-field-label--type-inline'>Food &amp; Beverage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_52_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.2' type='checkbox'  value='A\/V'  id='choice_12_52_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_52_2' id='label_12_52_2' class='gform-field-label gform-field-label--type-inline'>A\/V<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_52_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.3' type='checkbox'  value='None of the above'  id='choice_12_52_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_52_3' id='label_12_52_3' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_79\" 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\"  data-js-reload=\"field_12_79\" ><h3 class=\"gsection_title\">Thank you for completing the form.<\/h3><div class='gsection_description' id='gfield_description_12_79'>If any of the information you entered needs to changed, such as updating names of your interview team members for name badges, please contact casprweb@aacpm.org to inform us of the changes.<\/div><\/div><div id=\"field_12_98\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_12_98\" ><label class='gfield_label gform-field-label' for='input_12_98'>Comments<\/label><div class='ginput_container'><input name='input_98' id='input_12_98' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_12_98'>This field is for validation purposes and should be left unchanged.<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_12' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_12' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_12' id='gform_theme_12' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_12' id='gform_style_settings_12' value='{&quot;formId&quot;:&quot;12&quot;,&quot;title&quot;:false,&quot;description&quot;:false,&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_12' value='1' \/>\n            <input type='hidden' 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