{"Id":"NULL","plugin":"shared","publish":"0","added":"0000-00-00 00:00","title":"Application Form - Example 1","description":"","mail_to":"","confirmation_mail_body":"Thank you for connecting with us. We will respond to you shortly.","admin_email_body":"{{nf_form_data}}","confirmation_mail_subject":"","user_confirmation_mail_subject":"Nex-Forms - NEX-Forms Submission","from_address":"","from_name":"","on_screen_confirmation_message":"Thank you for connecting with us. We will respond to you shortly.","confirmation_page":"","form_fields":"\n\t\t\t\t\t\t\t<div class=\"form_field hidden dropped ui-sortable-handle\" id=\"_11256\" style=\"\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields paragraph html_fields  ui-draggable ui-draggable-handle dropped ui-sortable-handle\" id=\"_92128\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\"><div class=\"job_application_head\"><img src=\"http:\/\/basixonline.net\/demo_images\/job-application.png\"><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields  ui-draggable ui-draggable-handle dropped ui-sortable-handle\" id=\"_70382\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h3 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_center\"><br>Job Application form Example<br><br><\/h3><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required ui-draggable ui-draggable-handle dropped ui-sortable-handle\" data-settings=\"s-text\" id=\"_738\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Name<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-user\"><\/span><\/span><input type=\"text\" name=\"_name\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required ui-draggable ui-draggable-handle dropped ui-sortable-handle\" data-settings=\"s-text\" id=\"_60275\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Surname<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-user\"><\/span><\/span><input type=\"text\" name=\"surname\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required ui-draggable ui-draggable-handle dropped ui-sortable-handle\" data-settings=\"s-text\" id=\"_95358\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Email<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-envelope\"><\/span><\/span><input type=\"text\" name=\"email\" class=\"error_message required email form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields required ui-draggable ui-draggable-handle dropped ui-sortable-handle\" data-settings=\"s-text\" id=\"_36437\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Phone Number<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"phone_number\" class=\"error_message required phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field grid grid-system grid-system-2 ui-draggable ui-draggable-handle dropped ui-sortable-handle\" id=\"_75594\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"panel grid-system panel-default\"><div class=\"panel-body ui-droppable ui-sortable\" style=\"\"><div class=\"form_field all_fields paragraph html_fields  ui-draggable ui-draggable-handle dropped\" id=\"_1484\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-size: 14px; color: rgb(158, 158, 158);\">*Date of Birth<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-8\"><div class=\"panel grid-system panel-default\"><div class=\"panel-body ui-droppable ui-sortable\" style=\"\"><div class=\"form_field grid grid-system grid-system-3 ui-draggable ui-draggable-handle dropped\" id=\"_36458\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"panel grid-system panel-default\"><div class=\"panel-body ui-droppable ui-sortable\" style=\"\"><div class=\"form_field all_fields  select common_fields selection_fields  ui-draggable ui-draggable-handle dropped required\" data-settings=\"s-select\" id=\"_79840\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\" style=\"display: none;\"><label class=\"nf_title \"><span class=\"the_label\">*Reason for Unemployment<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-12\"><select name=\"reason_for_unemployment\" class=\"the_input_element error_message text pre-format form-control  aling_left align_left required\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1584114258739\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"13\" style=\"top:13px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1584114333176\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.046875\" data-y=\"13\" style=\"top:13px;left:15.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"panel grid-system panel-default\"><div class=\"panel-body ui-droppable ui-sortable\" style=\"\"><div class=\"form_field all_fields  select common_fields selection_fields  ui-draggable ui-draggable-handle dropped required\" data-settings=\"s-select\" id=\"_63633\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\" style=\"display: none;\"><label class=\"nf_title \"><span class=\"the_label\">*Month<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-12\"><select name=\"month\" class=\"the_input_element error_message text pre-format form-control  aling_left required\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">Month<\/option><option value=\"1\">January<\/option><option value=\"2\">February<\/option><option value=\"3\">March<\/option><option value=\"4\">April<\/option><option value=\"5\">May<\/option><option value=\"6\">June<\/option><option value=\"7\">July<\/option><option value=\"8\">August<\/option><option value=\"9\">September<\/option><option value=\"10\">October<\/option><option value=\"11\">November<\/option><option value=\"12\">December<\/option><\/select><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"panel grid-system panel-default\"><div class=\"panel-body ui-droppable ui-sortable\" style=\"\"><div class=\"form_field all_fields  select common_fields selection_fields  ui-draggable ui-draggable-handle dropped required\" data-settings=\"s-select\" id=\"_45681\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\" style=\"display: none;\"><label class=\"nf_title \"><span class=\"the_label\">*Year<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-12\"><select name=\"year\" class=\"the_input_element error_message text pre-format form-control  aling_left required\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">Year<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><\/select><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  upload-single upload_fields  ui-draggable ui-draggable-handle dropped required ui-sortable-handle\" data-settings=\"s-upload-file\" id=\"_62995\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Upload your CV<\/span><br><small class=\"sub-text style_italic\">format in .pdf, .doc or .docx<\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element form-control  aling_left uneditable-input span3 error_message required\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\" name=\"upload_your_cv\"><i class=\"glyphicon glyphicon-file fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"input-group-addon btn-default btn-file postfix\"><span class=\"glyphicon glyphicon-file\"><\/span><input type=\"file\" name=\"upload_your_cv\" class=\"the_input_element required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"input-group-addon btn btn-default fileinput-exists\" data-dismiss=\"fileinput\"><span class=\"fa fa-trash-o\"><\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none;\">doc\ndocx\npdf<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  upload-image upload_fields  ui-draggable ui-draggable-handle dropped ui-sortable-handle\" data-settings=\"s-upload-image\" id=\"_51851\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">Upload your ID Photo<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"the_input_element fileinput-preview thumbnail\" data-trigger=\"fileinput\" name=\"upload_your_id_photo\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"nf_add_image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"btn-default btn-file the_input_element error_message\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"top\" name=\"upload_your_id_photo\"><span class=\"fileinput-new \"><span class=\"fa fa-cloud-upload\"><\/span><\/span><span class=\"fileinput-exists nf_change_image\"><span class=\"fa fa-refresh\"><\/span><input type=\"file\" name=\"upload_your_id_photo\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"btn btn-default fileinput-exists nf_remove_image\" data-dismiss=\"fileinput\"><span class=\"fa fa-close\"><\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"get_file_ext\" style=\"display:none;\">gif\njpg\njpeg\npng\npsd\ntif\ntiff<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  radio-group common_fields selection_fields  ui-draggable ui-draggable-handle dropped required ui-sortable-handle\" data-settings=\"s-radios\" id=\"_54495\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Are you currently Employed?<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"the-radios input_container error_message col-sm-8\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"radio-inline \" for=\"are_you_currently_employed_currentyes\"><span class=\"svg_ready has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"are_you_currently_employed\" id=\"are_you_currently_employed_currentyes\" value=\"Current\" style=\"display: none;\"><a class=\"fa ui-state-default  \"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"are_you_currently_employed_lastno\"><span class=\"svg_ready has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"are_you_currently_employed\" id=\"are_you_currently_employed_lastno\" value=\"Last\" style=\"display: none;\"><a class=\"fa ui-state-default  \"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  date special_fields  ui-draggable ui-draggable-handle dropped required ui-sortable-handle\" data-settings=\"s-date\" id=\"_97155\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Employed since<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group date\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\" data-disable-past-dates=\"1\" data-dtp=\"dtp_K4Dpc\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"employed_since\" class=\"error_message form-control the_input_element  aling_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  date special_fields  ui-draggable ui-draggable-handle dropped required ui-sortable-handle\" data-settings=\"s-date\" id=\"_24758\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Last Day<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group date\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"last_day\" class=\"error_message form-control the_input_element  aling_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field grid other-elements is_panel ui-draggable ui-draggable-handle dropped ui-sortable-handle\" id=\"_82295\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default \"><div class=\"panel-heading\">Employer Details<\/div><div class=\"panel-body the-panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields  name preset_fields required ui-draggable ui-draggable-handle dropped has_prefix_icon\" data-settings=\"s-text\" id=\"_74550\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Company Name<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-users\"><\/span><\/span><input type=\"text\" name=\"company_name\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  autocomplete special_fields  ui-draggable ui-draggable-handle dropped has_prefix_icon required\" data-settings=\"s-autocomplete\" id=\"_78915\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Type of Industry<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-briefcase\"><\/span><\/span><input id=\"autocomplete\" value=\"\" name=\"type_of_industry\" type=\"text\" class=\"error_message svg_ready form-control  the_input_element  aling_left ui-autocomplete-input required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-text-color=\"#000000\" data-border-color=\"#CCCCCC\" data-background-color=\"#FFFFFF\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" autocomplete=\"off\"><\/div><div style=\"display:none;\" class=\"get_auto_complete_items\">Accommodation\nAccommodation and Food Services\nAdministrative and Support Services\nAdministrative and Support and Waste Management and Remediation Services\nAgriculture, Forestry, Fishing, and Hunting\nAir Transportation\nAmbulatory Health Care Services\nAmusement, Gambling, and Recreation Industries\nAnimal Production\nApparel Manufacturing\nArts, Entertainment, and Recreation\nBeverage and Tobacco Product Manufacturing\nBroadcasting (except Internet)\nBuilding Material and Garden Equipment and Supplies Dealers\nChemical Manufacturing\nClothing and Clothing Accessories Stores\nComputer and Electronic Product Manufacturing\nConstruction\nConstruction of Buildings\nCouriers and Messengers\nCredit Intermediation and Related Activities\nCrop Production\nData Processing, Hosting, and Related Services\nEducation and Health Services\nEducational Services\nElectrical Equipment, Appliance, and Component Manufacturing\nElectronics and Appliance Stores\nFabricated Metal Product Manufacturing\nFinance and Insurance\nFinancial Activities\nFishing, Hunting, and Trapping\nFood Manufacturing\nFood Services and Drinking Places\nFood and Beverage Stores\nForestry and Logging\nFunds, Trusts, and Other Financial Vehicles\nFurniture and Home Furnishings Stores\nFurniture and Related Product Manufacturing\nGasoline Stations\nGeneral Merchandise Stores\nGoods-Producing Industries\nHealth Care and Social Assistance\nHealth and Personal Care Stores\nHeavy and Civil Engineering Construction\nHospitals\nInformation\nInsurance Carriers and Related Activities\nInternet Publishing and Broadcasting\nLeather and Allied Product Manufacturing\nLeisure and Hospitality\nLessors of Nonfinancial Intangible Assets (except Copyrighted Works)\nMachinery Manufacturing\nManagement of Companies and Enterprises\nManufacturing\nMerchant Wholesalers, Durable Goods\nMerchant Wholesalers, Nondurable Goods\nMining (except Oil and Gas)\nMining, Quarrying, and Oil and Gas Extraction\nMiscellaneous Manufacturing\nMiscellaneous Store Retailers\nMonetary Authorities - Central Bank\nMotion Picture and Sound Recording Industries\nMotor Vehicle and Parts Dealers\nMuseums, Historical Sites, and Similar Institutions\nNatural Resources and Mining\nNonmetallic Mineral Product Manufacturing\nNonstore Retailers\nNursing and Residential Care Facilities\nOil and Gas Extraction\nOther Information Services\nOther Services (except Public Administration)\nPaper Manufacturing\nPerforming Arts, Spectator Sports, and Related Industries\nPersonal and Laundry Services\nPetroleum and Coal Products Manufacturing\nPipeline Transportation\nPlastics and Rubber Products Manufacturing\nPostal Service\nPrimary Metal Manufacturing\nPrinting and Related Support Activities\nPrivate Households\nProfessional and Business Services\nProfessional, Scientific, and Technical Services\nPublishing Industries (except Internet)\nRail Transportation\nReal Estate\nReal Estate and Rental and Leasing\nReligious, Grantmaking, Civic, Professional, and Similar Organizations\nRental and Leasing Services\nRepair and Maintenance\nRetail Trade\nScenic and Sightseeing Transportation\nSecurities, Commodity Contracts, and Other Financial Investments and Related Activities\nService-Providing Industries\nSocial Assistance\nSpecialty Trade Contractors\nSporting Goods, Hobby, Book, and Music Stores\nSupport Activities for Agriculture and Forestry\nSupport Activities for Mining\nSupport Activities for Transportation\nTelecommunications\nTextile Mills\nTextile Product Mills\nTrade, Transportation, and Utilities\nTransit and Ground Passenger Transportation\nTransportation Equipment Manufacturing\nTransportation and Warehousing\nTruck Transportation\nUtilities\nWarehousing and Storage\nWaste Management and Remediation Services\nWater Transportation\nWholesale Electronic Markets and Agents and Brokers\nWholesale Trade\nWood Product Manufacturing<\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required ui-draggable ui-draggable-handle dropped has_prefix_icon\" data-settings=\"s-text\" id=\"_76378\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*{{are_you_currently_employed}} Occupation<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fas fa-cog\"><\/span><\/span><input type=\"text\" name=\"occupation\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields  ui-draggable ui-draggable-handle dropped\" id=\"_60286\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h5 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">Employer Reference<\/h5><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required ui-draggable ui-draggable-handle dropped has_prefix_icon\" data-settings=\"s-text\" id=\"_98321\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Reference Name<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fas fa-user-tie\"><\/span><\/span><input type=\"text\" name=\"reference_name\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required ui-draggable ui-draggable-handle dropped\" data-settings=\"s-text\" id=\"_52783\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Reference Email<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-envelope\"><\/span><\/span><input type=\"text\" name=\"reference_email\" class=\"error_message required email form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields preset_fields required ui-draggable ui-draggable-handle dropped phone_number has_prefix_icon\" data-settings=\"s-text\" id=\"_69155\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Reference Tel<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fas fa-phone\"><\/span><\/span><input type=\"text\" name=\"reference_tel\" class=\"error_message required form-control the_input_element  aling_left phone_number\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number format\"><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1584128325942\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.03125\" data-y=\"14\" style=\"top:14px;left:16.03125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields  ui-draggable ui-draggable-handle dropped\" id=\"_76546\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h5 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">*Reason for Unemployment<\/h5><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  Query preset_fields required ui-draggable ui-draggable-handle dropped\" data-settings=\"s-textarea\" id=\"_17961\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\" style=\"display: none;\"><label class=\"nf_title \"><span class=\"the_label\">*Reason for Unemployment<\/span><br><small class=\"sub-text style_italic\"><\/small><\/label><\/div><div class=\"input_container col-sm-12\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-comment\"><\/span><\/span><textarea name=\"reason_for_unemployment\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message required the_input_element textarea pre-format form-control  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/textarea><\/div><\/div><span class=\"help-block hidden\">Help Text...<\/span><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field grid grid-system grid-system-2 ui-draggable ui-draggable-handle dropped ui-sortable-handle\" id=\"_36042\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"panel grid-system panel-default\"><div class=\"panel-body ui-droppable ui-sortable\"><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-8\"><div class=\"panel grid-system panel-default\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields  ui-draggable ui-draggable-handle dropped\" id=\"_53012\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"nex-submit svg_ready the_input_element btn btn-default col-sm-12\" data-ga=\"\" style=\"background-color: rgb(229, 229, 229);\">Submit<\/button><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"><\/i><\/div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div>","clean_html":"\n\t\t\t\t\t\t\t<div class=\"form_field hidden\" id=\"_11256\" style=\"\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields paragraph html_fields\" id=\"_92128\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\"><div class=\"job_application_head\"><img src=\"http:\/\/basixonline.net\/demo_images\/job-application.png\"><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_70382\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h3 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_center\"><br>Job Application form Example<br><br><\/h3><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_738\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Name<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-user\"><\/span><\/span><input type=\"text\" name=\"_name\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_60275\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Surname<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-user\"><\/span><\/span><input type=\"text\" name=\"surname\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_95358\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Email<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-envelope\"><\/span><\/span><input type=\"text\" name=\"email\" class=\"error_message required email form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_36437\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Phone Number<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"phone_number\" class=\"error_message required phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_75594\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields paragraph html_fields\" id=\"_1484\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-size: 14px; color: rgb(158, 158, 158);\">*Date of Birth<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-8\"><div class=\"grid-system-3 is_grid\" id=\"_36458\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields  select common_fields selection_fields  required\" data-settings=\"s-select\" id=\"_79840\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_container col-sm-12\"><select name=\"reason_for_unemployment\" class=\"the_input_element error_message text pre-format form-control  aling_left align_left required\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1584114258739\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"13\" style=\"top:13px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1584114333176\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.046875\" data-y=\"13\" style=\"top:13px;left:15.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields  select common_fields selection_fields  required\" data-settings=\"s-select\" id=\"_63633\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_container col-sm-12\"><select name=\"month\" class=\"the_input_element error_message text pre-format form-control  aling_left required\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">Month<\/option><option value=\"1\">January<\/option><option value=\"2\">February<\/option><option value=\"3\">March<\/option><option value=\"4\">April<\/option><option value=\"5\">May<\/option><option value=\"6\">June<\/option><option value=\"7\">July<\/option><option value=\"8\">August<\/option><option value=\"9\">September<\/option><option value=\"10\">October<\/option><option value=\"11\">November<\/option><option value=\"12\">December<\/option><\/select><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields  select common_fields selection_fields  required\" data-settings=\"s-select\" id=\"_45681\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_container col-sm-12\"><select name=\"year\" class=\"the_input_element error_message text pre-format form-control  aling_left required\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">Year<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><\/select><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"form_field all_fields  upload-single upload_fields  required has_postfix_icon\" data-settings=\"s-upload-file\" id=\"_62995\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Upload your CV<\/span><br><small class=\"sub-text style_italic\">format in .pdf, .doc or .docx<\/small><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element form-control  aling_left uneditable-input span3 error_message required\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\" name=\"upload_your_cv\"><i class=\"glyphicon glyphicon-file fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"input-group-addon btn-default btn-file postfix\"><span class=\"fa fa-cloud-upload\"><\/span><input type=\"file\" name=\"upload_your_cv\" class=\"the_input_element required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"input-group-addon btn btn-default fileinput-exists\" data-dismiss=\"fileinput\"><span class=\"fa fa-close\"><\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none;\">doc\ndocx\npdf<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  upload-image upload_fields\" data-settings=\"s-upload-image\" id=\"_51851\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">Upload your ID Photo<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"the_input_element fileinput-preview thumbnail\" data-trigger=\"fileinput\" name=\"upload_your_id_photo\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"nf_add_image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"btn-default btn-file the_input_element error_message\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"top\" name=\"upload_your_id_photo\"><span class=\"fileinput-new \"><span class=\"fa fa-cloud-upload\"><\/span><\/span><span class=\"fileinput-exists nf_change_image\"><span class=\"fa fa-refresh\"><\/span><input type=\"file\" name=\"upload_your_id_photo\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"btn btn-default fileinput-exists nf_remove_image\" data-dismiss=\"fileinput\"><span class=\"fa fa-close\"><\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"get_file_ext\" style=\"display:none;\">gif\njpg\njpeg\npng\npsd\ntif\ntiff<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  radio-group common_fields selection_fields  required\" data-settings=\"s-radios\" id=\"_54495\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Are you currently Employed?<\/span><\/label><\/div><div class=\"the-radios input_container error_message col-sm-8\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"are_you_currently_employed_currentyes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"are_you_currently_employed\" id=\"are_you_currently_employed_currentyes\" value=\"Current\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"are_you_currently_employed_lastno\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"are_you_currently_employed\" id=\"are_you_currently_employed_lastno\" value=\"Last\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  date special_fields  required hidden has_prefix_icon\" data-settings=\"s-date\" id=\"_97155\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Employed since<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\" data-disable-past-dates=\"1\" data-dtp=\"dtp_K4Dpc\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"employed_since\" class=\"error_message form-control the_input_element  aling_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  date special_fields  required hidden has_prefix_icon\" data-settings=\"s-date\" id=\"_24758\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Last Day<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"last_day\" class=\"error_message form-control the_input_element  aling_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"other-elements is_panel hidden has_prefix_icon is_grid\" id=\"_82295\" style=\"\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default \"><div class=\"panel-heading\">Employer Details<\/div><div class=\"panel-body the-panel-body\"><div class=\"form_field all_fields  name preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_74550\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Company Name<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-users\"><\/span><\/span><input type=\"text\" name=\"company_name\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  autocomplete special_fields  has_prefix_icon required\" data-settings=\"s-autocomplete\" id=\"_78915\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Type of Industry<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-briefcase\"><\/span><\/span><input id=\"autocomplete\" value=\"\" name=\"type_of_industry\" type=\"text\" class=\"error_message svg_ready form-control  the_input_element  aling_left ui-autocomplete-input required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-text-color=\"#000000\" data-border-color=\"#CCCCCC\" data-background-color=\"#FFFFFF\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" autocomplete=\"off\"><\/div><div style=\"display:none;\" class=\"get_auto_complete_items\">Accommodation\nAccommodation and Food Services\nAdministrative and Support Services\nAdministrative and Support and Waste Management and Remediation Services\nAgriculture, Forestry, Fishing, and Hunting\nAir Transportation\nAmbulatory Health Care Services\nAmusement, Gambling, and Recreation Industries\nAnimal Production\nApparel Manufacturing\nArts, Entertainment, and Recreation\nBeverage and Tobacco Product Manufacturing\nBroadcasting (except Internet)\nBuilding Material and Garden Equipment and Supplies Dealers\nChemical Manufacturing\nClothing and Clothing Accessories Stores\nComputer and Electronic Product Manufacturing\nConstruction\nConstruction of Buildings\nCouriers and Messengers\nCredit Intermediation and Related Activities\nCrop Production\nData Processing, Hosting, and Related Services\nEducation and Health Services\nEducational Services\nElectrical Equipment, Appliance, and Component Manufacturing\nElectronics and Appliance Stores\nFabricated Metal Product Manufacturing\nFinance and Insurance\nFinancial Activities\nFishing, Hunting, and Trapping\nFood Manufacturing\nFood Services and Drinking Places\nFood and Beverage Stores\nForestry and Logging\nFunds, Trusts, and Other Financial Vehicles\nFurniture and Home Furnishings Stores\nFurniture and Related Product Manufacturing\nGasoline Stations\nGeneral Merchandise Stores\nGoods-Producing Industries\nHealth Care and Social Assistance\nHealth and Personal Care Stores\nHeavy and Civil Engineering Construction\nHospitals\nInformation\nInsurance Carriers and Related Activities\nInternet Publishing and Broadcasting\nLeather and Allied Product Manufacturing\nLeisure and Hospitality\nLessors of Nonfinancial Intangible Assets (except Copyrighted Works)\nMachinery Manufacturing\nManagement of Companies and Enterprises\nManufacturing\nMerchant Wholesalers, Durable Goods\nMerchant Wholesalers, Nondurable Goods\nMining (except Oil and Gas)\nMining, Quarrying, and Oil and Gas Extraction\nMiscellaneous Manufacturing\nMiscellaneous Store Retailers\nMonetary Authorities - Central Bank\nMotion Picture and Sound Recording Industries\nMotor Vehicle and Parts Dealers\nMuseums, Historical Sites, and Similar Institutions\nNatural Resources and Mining\nNonmetallic Mineral Product Manufacturing\nNonstore Retailers\nNursing and Residential Care Facilities\nOil and Gas Extraction\nOther Information Services\nOther Services (except Public Administration)\nPaper Manufacturing\nPerforming Arts, Spectator Sports, and Related Industries\nPersonal and Laundry Services\nPetroleum and Coal Products Manufacturing\nPipeline Transportation\nPlastics and Rubber Products Manufacturing\nPostal Service\nPrimary Metal Manufacturing\nPrinting and Related Support Activities\nPrivate Households\nProfessional and Business Services\nProfessional, Scientific, and Technical Services\nPublishing Industries (except Internet)\nRail Transportation\nReal Estate\nReal Estate and Rental and Leasing\nReligious, Grantmaking, Civic, Professional, and Similar Organizations\nRental and Leasing Services\nRepair and Maintenance\nRetail Trade\nScenic and Sightseeing Transportation\nSecurities, Commodity Contracts, and Other Financial Investments and Related Activities\nService-Providing Industries\nSocial Assistance\nSpecialty Trade Contractors\nSporting Goods, Hobby, Book, and Music Stores\nSupport Activities for Agriculture and Forestry\nSupport Activities for Mining\nSupport Activities for Transportation\nTelecommunications\nTextile Mills\nTextile Product Mills\nTrade, Transportation, and Utilities\nTransit and Ground Passenger Transportation\nTransportation Equipment Manufacturing\nTransportation and Warehousing\nTruck Transportation\nUtilities\nWarehousing and Storage\nWaste Management and Remediation Services\nWater Transportation\nWholesale Electronic Markets and Agents and Brokers\nWholesale Trade\nWood Product Manufacturing<\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_76378\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*{{are_you_currently_employed}} Occupation<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fas fa-cog\"><\/span><\/span><input type=\"text\" name=\"occupation\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_60286\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h5 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">Employer Reference<\/h5><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  name preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_98321\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Reference Name<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fas fa-user-tie\"><\/span><\/span><input type=\"text\" name=\"reference_name\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon\" data-settings=\"s-text\" id=\"_52783\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Reference Email<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-envelope\"><\/span><\/span><input type=\"text\" name=\"reference_email\" class=\"error_message required email form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields preset_fields required phone_number has_prefix_icon\" data-settings=\"s-text\" id=\"_69155\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-4\"><label class=\"nf_title \"><span class=\"the_label\">*Reference Tel<\/span><\/label><\/div><div class=\"input_container col-sm-8\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fas fa-phone\"><\/span><\/span><input type=\"text\" name=\"reference_tel\" class=\"error_message required form-control the_input_element  aling_left phone_number\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number format\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1584128325942\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.03125\" data-y=\"14\" style=\"top:14px;left:16.03125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields  hidden\" id=\"_76546\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h5 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">*Reason for Unemployment<\/h5><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  Query preset_fields required hidden has_prefix_icon\" data-settings=\"s-textarea\" id=\"_17961\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"input_container col-sm-12\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-comment\"><\/span><\/span><textarea name=\"reason_for_unemployment\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message required the_input_element textarea pre-format form-control  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_36042\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"panel-default\"><div class=\"panel-body\"><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-8\"><div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" id=\"_53012\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"nex-submit svg_ready the_input_element btn btn-default col-sm-12\" data-ga=\"\" style=\"background-color: rgb(229, 229, 229);\">Submit<\/button><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div>","visual_settings":"","google_analytics_conversion_code":"","colour_scheme":"","send_user_mail":"","user_email_field":"","on_form_submission":"message","is_form":"1","is_template":"0","hidden_fields":"","form_hidden_fields":"","custom_url":"","post_type":"POST","post_action":"ajax","bcc":"","bcc_user_mail":"","custom_css":".job_application_head {\n    margin-top: -46px;\n}","is_paypal":"no","total_views":"","time_viewed":"","email_on_payment_success":"payments,","conditional_logic":"[start_rule][operator]any##true[end_operator][conditions][new_condition][field]_54495**radio##are_you_currently_employed[end_field][field_condition]equal_to[end_field_condition][value]Current[end_value][end_new_condition][new_condition][field]_54495**radio##are_you_currently_employed[end_field][field_condition]equal_to[end_field_condition][value]Last[end_value][end_new_condition][end_conditions][actions][new_action][the_action]show[end_the_action][field_to_action]_82295**panel##panel[end_field_to_action][end_new_action][end_actions][end_rule][start_rule][operator]any##true[end_operator][conditions][new_condition][field]_54495**radio##are_you_currently_employed[end_field][field_condition]equal_to[end_field_condition][value]Current[end_value][end_new_condition][end_conditions][actions][new_action][the_action]show[end_the_action][field_to_action]_97155**date##employed_since[end_field_to_action][end_new_action][end_actions][end_rule][start_rule][operator]any##true[end_operator][conditions][new_condition][field]_54495**radio##are_you_currently_employed[end_field][field_condition]equal_to[end_field_condition][value]Last[end_value][end_new_condition][end_conditions][actions][new_action][the_action]show[end_the_action][field_to_action]_24758**date##last_day[end_field_to_action][end_new_action][new_action][the_action]show[end_the_action][field_to_action]_17961**textarea##reason_for_unemployment[end_field_to_action][end_new_action][new_action][the_action]show[end_the_action][field_to_action]_76546**heading##heading[end_field_to_action][end_new_action][end_actions][end_rule]","conditional_logic_array":"{\"0\":{\"operator\":\"any\",\"reverse_actions\":\"true\",\"conditions\":{\"0\":{\"field_Id\":\"_54495\",\"field_name\":\"are_you_currently_employed\",\"field_type\":\"radio\",\"condition\":\"equal_to\",\"condition_value\":\"Current\",\"selected_value\":\"_54495**radio##are_you_currently_employed\"},\"1\":{\"field_Id\":\"_54495\",\"field_name\":\"are_you_currently_employed\",\"field_type\":\"radio\",\"condition\":\"equal_to\",\"condition_value\":\"Last\",\"selected_value\":\"_54495**radio##are_you_currently_employed\"}},\"actions\":{\"0\":{\"target_field_Id\":\"_82295\",\"target_field_name\":\"panel\",\"target_field_type\":\"panel\",\"do_action\":\"show\",\"selected_value\":\"_82295**panel##panel\"}}},\"1\":{\"operator\":\"any\",\"reverse_actions\":\"true\",\"conditions\":{\"0\":{\"field_Id\":\"_54495\",\"field_name\":\"are_you_currently_employed\",\"field_type\":\"radio\",\"condition\":\"equal_to\",\"condition_value\":\"Current\",\"selected_value\":\"_54495**radio##are_you_currently_employed\"}},\"actions\":{\"0\":{\"target_field_Id\":\"_97155\",\"target_field_name\":\"employed_since\",\"target_field_type\":\"date\",\"do_action\":\"show\",\"selected_value\":\"_97155**date##employed_since\"}}},\"2\":{\"operator\":\"any\",\"reverse_actions\":\"true\",\"conditions\":{\"0\":{\"field_Id\":\"_54495\",\"field_name\":\"are_you_currently_employed\",\"field_type\":\"radio\",\"condition\":\"equal_to\",\"condition_value\":\"Last\",\"selected_value\":\"_54495**radio##are_you_currently_employed\"}},\"actions\":{\"0\":{\"target_field_Id\":\"_24758\",\"target_field_name\":\"last_day\",\"target_field_type\":\"date\",\"do_action\":\"show\",\"selected_value\":\"_24758**date##last_day\"},\"1\":{\"target_field_Id\":\"_17961\",\"target_field_name\":\"reason_for_unemployment\",\"target_field_type\":\"textarea\",\"do_action\":\"show\",\"selected_value\":\"_17961**textarea##reason_for_unemployment\"},\"2\":{\"target_field_Id\":\"_76546\",\"target_field_name\":\"heading\",\"target_field_type\":\"heading\",\"do_action\":\"show\",\"selected_value\":\"_76546**heading##heading\"}}}}","server_side_logic":"","form_status":"","currency_code":"USD","products":"","business":"","cmd":"_cart","return_url":"","cancel_url":"","lc":"US","environment":"sandbox","email_subscription":"","mc_field_map":"","mc_list_id":"","gr_field_map":"name[split][end]email[split][end]code[split][end]message[split][end]","gr_list_id":"","pdf_html":"","attach_pdf_to_email":"","form_to_post_map":"post_type[split]post[end]post_status[split]pending[end]comment_status[split]open[end]post_title[split][end]post_featured_image[split][end]post_content[split][end]","is_form_to_post":"","md_theme":"{\"0\":{\"theme_name\":\"default\"}}","form_theme":"bootstrap","jq_theme":"base","form_style":"","multistep_settings":"{\"0\":{\"multi_step_total\":\"0\",\"multi_step_stepping\":\"\",\"breadcrumb_list\":\"ntttttttttntttttttttntttttttttnttttttttt\",\"breadcrumb_type\":\"basix\",\"text_pos\":\"text-bottom\",\"crumb_align\":\"align_left\",\"data_theme\":\"light-blue\",\"show_front_end\":\"yes\",\"show_inside\":\"no\",\"scroll_to_top\":\"yes\",\"form_width_pixels\":\"950\",\"form_width_percentage\":\"100\",\"form_width_unit\":\"%\"}}","multistep_html":"\n\t\t\t\t\t\t\t\t\t<ol class=\"the_br  align_left basix cd-breadcrumb      md-color-light-blue hidden\" data-align-crumb=\"align_left\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"basix\" data-theme=\"light-blue\" data-show-front-end=\"yes\" data-show-inside=\"no\">\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/ol>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar the_br\" style=\"display:none;\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"basix\" data-theme=\"light-blue\" data-show-front-end=\"yes\" data-show-inside=\"no\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar_percentage md-color-light-blue\" style=\"width:5%;\">\n\t\t\t\t\t\t\t\t\t\t\t<span>0%<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t","paypal_client_Id":"","paypal_client_secret":"","payment_success_msg":"Payment Successful","payment_failed_msg":"Payment Unsuccessful","form_type":"","template_type":"","draft_Id":"0","kak":"","is_wrapped":"","upload_settings":"{\"0\":{\"upload_to_server\":\"true\"}}","attachment_settings":"{\"0\":{\"attach_to_admin_email\":\"true\"}}","option_settings":"{\"0\":{\"save_form_progress\":\"false\"}}","last_update":"2020-03-18 19:31:48"}