{"id":2901,"date":"2021-12-19T15:31:34","date_gmt":"2021-12-19T20:31:34","guid":{"rendered":"https:\/\/www.neads.ca\/asas\/?page_id=2901"},"modified":"2022-03-11T14:15:24","modified_gmt":"2022-03-11T19:15:24","slug":"arp-2022-2023-form-english","status":"publish","type":"page","link":"https:\/\/www.neads.ca\/asas\/arp-2022-2023-form-english\/","title":{"rendered":"NEADS Accessibility Resilience Program 2022 \u2013 2023 &#8211; Application Form"},"content":{"rendered":"<script type=\"text\/javascript\">var 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_28' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_28'  action='\/asas\/wp-json\/wp\/v2\/pages\/2901#gf_28' data-formid='28' novalidate><input id=partial_entry_id_28 class=\"partial_entry_id\" type=hidden name=\"partial_entry_id\" value=\"pending\" data-form_id=\"28\"\/> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n        <div id='gf_progressbar_wrapper_28' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_28_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_28' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_28_34\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_34\" ><p>The NEADS Emergency Relief Grant is intended to support expenses or needs that have not already been funded through other programs from federal or provincial sources.<\/p><\/li><li id=\"field_28_5\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_5\" ><h2 class=\"gsection_title\">Contact Information:<\/h2><\/li><li id=\"field_28_28\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_28\" ><label class='gfield_label gform-field-label' for='input_28_28'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_28_28' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_29\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_29\" ><label class='gfield_label gform-field-label' for='input_28_29'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_28_29' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_3\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_3\" ><label class='gfield_label gform-field-label' for='input_28_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_28_3' type='email' value='' class='small'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_28_70\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_70\" ><label class='gfield_label gform-field-label' for='input_28_70'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_70' id='input_28_70' type='tel' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_28_30\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_30\" ><label class='gfield_label gform-field-label' for='input_28_30'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_28_30' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_31\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_31\" ><label class='gfield_label gform-field-label' for='input_28_31'>Province\/Territory<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_28_31' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select><\/div><\/li><li id=\"field_28_6\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_6\" ><h2 class=\"gsection_title\">Permanent Disability Attestation<\/h2><\/li><li id=\"field_28_7\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_7\" ><label class='gfield_label gform-field-label' >Do you identify as a student with a permanent disability?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_7'>\n\t\t\t<li class='gchoice gchoice_28_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Yes'  id='choice_28_7_0'    \/>\n\t\t\t\t<label for='choice_28_7_0' id='label_28_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='No'  id='choice_28_7_1'    \/>\n\t\t\t\t<label for='choice_28_7_1' id='label_28_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_9\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_9\" ><h2 class=\"gsection_title\">Education Details:<\/h2><\/li><li id=\"field_28_10\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_10\" ><label class='gfield_label gform-field-label' for='input_28_10'>Post-Secondary Institution<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_28_10' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_11\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_11\" ><label class='gfield_label gform-field-label' for='input_28_11'>Student Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_28_11' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_12\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_12\" ><label class='gfield_label gform-field-label' for='input_28_12'>Program Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_28_12' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_13\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_13\" ><label class='gfield_label gform-field-label' for='input_28_13'>Name of Program<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_28_13' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_69\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_69\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Expected Graduation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div id='input_28_69' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_28_69_1_container'>\n                                            <label for='input_28_69_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                            <input type='number' maxlength='2' name='input_69[]' id='input_28_69_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_28_69_2_container'>\n                                            <label for='input_28_69_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                            <input type='number' maxlength='2' name='input_69[]' id='input_28_69_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_28_69_3_container'>\n                                            <label for='input_28_69_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                            <input type='number' maxlength='4' name='input_69[]' id='input_28_69_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_28_15\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_15\" ><label class='gfield_label gform-field-label' for='input_28_15'>Type of Degree<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_28_15' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_66\" ><label class='gfield_label gform-field-label' >Select the field of study that best reflect what you are currently studying<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_66'>\n\t\t\t<li class='gchoice gchoice_28_66_0'>\n\t\t\t\t<input name='input_66' type='radio' value='Economics\/Business\/Commerce'  id='choice_28_66_0'    \/>\n\t\t\t\t<label for='choice_28_66_0' id='label_28_66_0' class='gform-field-label gform-field-label--type-inline'>Economics\/Business\/Commerce<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_66_1'>\n\t\t\t\t<input name='input_66' type='radio' value='Social Sciences'  id='choice_28_66_1'    \/>\n\t\t\t\t<label for='choice_28_66_1' id='label_28_66_1' class='gform-field-label gform-field-label--type-inline'>Social Sciences<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_66_2'>\n\t\t\t\t<input name='input_66' type='radio' value='Life Sciences'  id='choice_28_66_2'    \/>\n\t\t\t\t<label for='choice_28_66_2' id='label_28_66_2' class='gform-field-label gform-field-label--type-inline'>Life Sciences<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_66_3'>\n\t\t\t\t<input name='input_66' type='radio' value='Science\/Technology\/Engineering\/Mathematics'  id='choice_28_66_3'    \/>\n\t\t\t\t<label for='choice_28_66_3' id='label_28_66_3' class='gform-field-label gform-field-label--type-inline'>Science\/Technology\/Engineering\/Mathematics<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_66_4'>\n\t\t\t\t<input name='input_66' type='radio' value='Humanities and Fine Arts'  id='choice_28_66_4'    \/>\n\t\t\t\t<label for='choice_28_66_4' id='label_28_66_4' class='gform-field-label gform-field-label--type-inline'>Humanities and Fine Arts<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_66_5'>\n\t\t\t\t<input name='input_66' type='radio' value='Law'  id='choice_28_66_5'    \/>\n\t\t\t\t<label for='choice_28_66_5' id='label_28_66_5' class='gform-field-label gform-field-label--type-inline'>Law<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_66_6'>\n\t\t\t\t<input name='input_66' type='radio' value='gf_other_choice'  id='choice_28_66_6'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_28_66_other' name='input_66_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_18\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Which unmet costs\/needs would this grant fulfill? (check all that apply):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_28_18'><li class='gchoice gchoice_28_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Assistive technology'  id='choice_28_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_18_1' id='label_28_18_1' class='gform-field-label gform-field-label--type-inline'>Assistive technology<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Ergonomic desk equipment'  id='choice_28_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_18_2' id='label_28_18_2' class='gform-field-label gform-field-label--type-inline'>Ergonomic desk equipment<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Cables'  id='choice_28_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_18_3' id='label_28_18_3' class='gform-field-label gform-field-label--type-inline'>Cables<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='Living Costs'  id='choice_28_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_18_4' id='label_28_18_4' class='gform-field-label gform-field-label--type-inline'>Living Costs<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_18_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.5' type='checkbox'  value='Educational training and software'  id='choice_28_18_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_18_5' id='label_28_18_5' class='gform-field-label gform-field-label--type-inline'>Educational training and software<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_18_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.6' type='checkbox'  value='Other costs (e.g tuition, mental health\/wellness costs)_.'  id='choice_28_18_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_18_6' id='label_28_18_6' class='gform-field-label gform-field-label--type-inline'>Other costs (e.g tuition, mental health\/wellness costs)_.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_43\" ><label class='gfield_label gform-field-label' >Which Grant Claim Amount are you requesting?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_43'>\n\t\t\t<li class='gchoice gchoice_28_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='$1000 maximum grant claim'  id='choice_28_43_0'    \/>\n\t\t\t\t<label for='choice_28_43_0' id='label_28_43_0' class='gform-field-label gform-field-label--type-inline'>$1000 maximum grant claim<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='$5000 maximum grant claim'  id='choice_28_43_1'    \/>\n\t\t\t\t<label for='choice_28_43_1' id='label_28_43_1' class='gform-field-label gform-field-label--type-inline'>$5000 maximum grant claim<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_21\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_21\" ><h2 class=\"gsection_title\">Questionnaire<\/h2><\/li><li id=\"field_28_22\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_22\" ><label class='gfield_label gform-field-label' for='input_28_22'>How has the COVID-19 pandemic impacted your ability to fully participate in your education?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_28_22' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_28_36\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_36\" ><hr\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_28_44' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_28\").val(\"2\");  jQuery(\"#gform_28\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_28\").val(\"2\");  jQuery(\"#gform_28\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_28_2' class='gform_page' data-js='page-field-id-44' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_28_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_28_45\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_45\" ><h1>Self-Declaration Form<\/h1>\n\n<p>We recognize that students with disabilities are diverse and often have more than one marginalized identity, which impacts their ability to fully access education. The collection of data will help NEADS to bridge data gaps and further understand the perspectives and experiences of students with disabilities with multiple marginalized identities (e.g. Indigenous, Visible Minority, LGBTQ2+), in order to move towards programming that is more inclusive and bring support to students that need it most. <\/p>\n\n<p>As part of the 2022-2023 Accessibility Resilience Program, this information will also help NEADS prioritize students with disabilities from multi-marginalized populations for funding. <\/p>\n<\/li><li id=\"field_28_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_46\" ><label class='gfield_label gform-field-label' >Are you Indigenous? If so, how do you identify?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_46'>\n\t\t\t<li class='gchoice gchoice_28_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='First Nations'  id='choice_28_46_0'    \/>\n\t\t\t\t<label for='choice_28_46_0' id='label_28_46_0' class='gform-field-label gform-field-label--type-inline'>First Nations<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_46_1'>\n\t\t\t\t<input name='input_46' type='radio' value='M\u00e9tis'  id='choice_28_46_1'    \/>\n\t\t\t\t<label for='choice_28_46_1' id='label_28_46_1' class='gform-field-label gform-field-label--type-inline'>M\u00e9tis<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_46_2'>\n\t\t\t\t<input name='input_46' type='radio' value='Inuit'  id='choice_28_46_2'    \/>\n\t\t\t\t<label for='choice_28_46_2' id='label_28_46_2' class='gform-field-label gform-field-label--type-inline'>Inuit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_46_3'>\n\t\t\t\t<input name='input_46' type='radio' value='Not a part of the indigenous community'  id='choice_28_46_3'    \/>\n\t\t\t\t<label for='choice_28_46_3' id='label_28_46_3' class='gform-field-label gform-field-label--type-inline'>Not a part of the indigenous community<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_46_4'>\n\t\t\t\t<input name='input_46' type='radio' value='Prefer not to answer'  id='choice_28_46_4'    \/>\n\t\t\t\t<label for='choice_28_46_4' id='label_28_46_4' class='gform-field-label gform-field-label--type-inline'>Prefer not to answer<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_46_5'>\n\t\t\t\t<input name='input_46' type='radio' value='gf_other_choice'  id='choice_28_46_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_28_46_other' name='input_46_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_47\" ><label class='gfield_label gform-field-label' >Do you identify as a member of a visible minority?<\/label><div class='gfield_description' id='gfield_description_28_47'>A member of a visible minority in Canada may be defined as someone (other than an Indigenous person) who is non-white in race, regardless of place of birth.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_47'>\n\t\t\t<li class='gchoice gchoice_28_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='Yes'  id='choice_28_47_0'    \/>\n\t\t\t\t<label for='choice_28_47_0' id='label_28_47_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='No'  id='choice_28_47_1'    \/>\n\t\t\t\t<label for='choice_28_47_1' id='label_28_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_47_2'>\n\t\t\t\t<input name='input_47' type='radio' value='Prefer not to answer'  id='choice_28_47_2'    \/>\n\t\t\t\t<label for='choice_28_47_2' id='label_28_47_2' class='gform-field-label gform-field-label--type-inline'>Prefer not to answer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_48\" ><label class='gfield_label gform-field-label' >Please select the relevant ethnicity group:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_48'>\n\t\t\t<li class='gchoice gchoice_28_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='Hispanic \/ Latino'  id='choice_28_48_0'    \/>\n\t\t\t\t<label for='choice_28_48_0' id='label_28_48_0' class='gform-field-label gform-field-label--type-inline'>Hispanic \/ Latino<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='Caribbean'  id='choice_28_48_1'    \/>\n\t\t\t\t<label for='choice_28_48_1' id='label_28_48_1' class='gform-field-label gform-field-label--type-inline'>Caribbean<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_48_2'>\n\t\t\t\t<input name='input_48' type='radio' value='Asian (South, East, West, North)'  id='choice_28_48_2'    \/>\n\t\t\t\t<label for='choice_28_48_2' id='label_28_48_2' class='gform-field-label gform-field-label--type-inline'>Asian (South, East, West, North)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_48_3'>\n\t\t\t\t<input name='input_48' type='radio' value='African (South, East, West, North)'  id='choice_28_48_3'    \/>\n\t\t\t\t<label for='choice_28_48_3' id='label_28_48_3' class='gform-field-label gform-field-label--type-inline'>African (South, East, West, North)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_48_4'>\n\t\t\t\t<input name='input_48' type='radio' value='Black Canadian'  id='choice_28_48_4'    \/>\n\t\t\t\t<label for='choice_28_48_4' id='label_28_48_4' class='gform-field-label gform-field-label--type-inline'>Black Canadian<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_48_5'>\n\t\t\t\t<input name='input_48' type='radio' value='Prefer not to say'  id='choice_28_48_5'    \/>\n\t\t\t\t<label for='choice_28_48_5' id='label_28_48_5' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_48_6'>\n\t\t\t\t<input name='input_48' type='radio' value='gf_other_choice'  id='choice_28_48_6'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_28_48_other' name='input_48_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_49\" ><label class='gfield_label gform-field-label' >Please select your primary language:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_49'>\n\t\t\t<li class='gchoice gchoice_28_49_0'>\n\t\t\t\t<input name='input_49' type='radio' value='English'  id='choice_28_49_0'    \/>\n\t\t\t\t<label for='choice_28_49_0' id='label_28_49_0' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_49_1'>\n\t\t\t\t<input name='input_49' type='radio' value='French'  id='choice_28_49_1'    \/>\n\t\t\t\t<label for='choice_28_49_1' id='label_28_49_1' class='gform-field-label gform-field-label--type-inline'>French<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_49_2'>\n\t\t\t\t<input name='input_49' type='radio' value='Mandarin Chinese'  id='choice_28_49_2'    \/>\n\t\t\t\t<label for='choice_28_49_2' id='label_28_49_2' class='gform-field-label gform-field-label--type-inline'>Mandarin Chinese<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_49_3'>\n\t\t\t\t<input name='input_49' type='radio' value='Japanese'  id='choice_28_49_3'    \/>\n\t\t\t\t<label for='choice_28_49_3' id='label_28_49_3' class='gform-field-label gform-field-label--type-inline'>Japanese<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_49_4'>\n\t\t\t\t<input name='input_49' type='radio' value='Korean'  id='choice_28_49_4'    \/>\n\t\t\t\t<label for='choice_28_49_4' id='label_28_49_4' class='gform-field-label gform-field-label--type-inline'>Korean<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_49_5'>\n\t\t\t\t<input name='input_49' type='radio' value='Punjabi'  id='choice_28_49_5'    \/>\n\t\t\t\t<label for='choice_28_49_5' id='label_28_49_5' class='gform-field-label gform-field-label--type-inline'>Punjabi<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_49_6'>\n\t\t\t\t<input name='input_49' type='radio' value='Prefer not to say'  id='choice_28_49_6'    \/>\n\t\t\t\t<label for='choice_28_49_6' id='label_28_49_6' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_49_7'>\n\t\t\t\t<input name='input_49' type='radio' value='gf_other_choice'  id='choice_28_49_7'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_28_49_other' name='input_49_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_50\" ><label class='gfield_label gform-field-label' >Do you identify as part of the LGBTQ2+ community?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_50'>\n\t\t\t<li class='gchoice gchoice_28_50_0'>\n\t\t\t\t<input name='input_50' type='radio' value='Yes'  id='choice_28_50_0'    \/>\n\t\t\t\t<label for='choice_28_50_0' id='label_28_50_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_50_1'>\n\t\t\t\t<input name='input_50' type='radio' value='No'  id='choice_28_50_1'    \/>\n\t\t\t\t<label for='choice_28_50_1' id='label_28_50_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_50_2'>\n\t\t\t\t<input name='input_50' type='radio' value='Prefer not to answer'  id='choice_28_50_2'    \/>\n\t\t\t\t<label for='choice_28_50_2' id='label_28_50_2' class='gform-field-label gform-field-label--type-inline'>Prefer not to answer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_52\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_52\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >How do you identify?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_28_52'><li class='gchoice gchoice_28_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Straight'  id='choice_28_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_1' id='label_28_52_1' class='gform-field-label gform-field-label--type-inline'>Straight<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.2' type='checkbox'  value='Gay'  id='choice_28_52_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_2' id='label_28_52_2' class='gform-field-label gform-field-label--type-inline'>Gay<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.3' type='checkbox'  value='Lesbian'  id='choice_28_52_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_3' id='label_28_52_3' class='gform-field-label gform-field-label--type-inline'>Lesbian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.4' type='checkbox'  value='Asexual'  id='choice_28_52_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_4' id='label_28_52_4' class='gform-field-label gform-field-label--type-inline'>Asexual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.5' type='checkbox'  value='Queer'  id='choice_28_52_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_5' id='label_28_52_5' class='gform-field-label gform-field-label--type-inline'>Queer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.6' type='checkbox'  value='Pansexual'  id='choice_28_52_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_6' id='label_28_52_6' class='gform-field-label gform-field-label--type-inline'>Pansexual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.7' type='checkbox'  value='Bisexual'  id='choice_28_52_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_7' id='label_28_52_7' class='gform-field-label gform-field-label--type-inline'>Bisexual<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.8' type='checkbox'  value='Questioning'  id='choice_28_52_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_8' id='label_28_52_8' class='gform-field-label gform-field-label--type-inline'>Questioning<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.9' type='checkbox'  value='Transgender'  id='choice_28_52_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_9' id='label_28_52_9' class='gform-field-label gform-field-label--type-inline'>Transgender<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.11' type='checkbox'  value='Non-binary'  id='choice_28_52_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_11' id='label_28_52_11' class='gform-field-label gform-field-label--type-inline'>Non-binary<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.12' type='checkbox'  value='Prefer not to say'  id='choice_28_52_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_12' id='label_28_52_12' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_52_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.13' type='checkbox'  value='Other'  id='choice_28_52_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_52_13' id='label_28_52_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_64\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_64\" ><label class='gfield_label gform-field-label' for='input_28_64'>Other<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_28_64' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_28_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_53\" ><label class='gfield_label gform-field-label' >Are you a Canadian citizen by:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_28_53'>\n\t\t\t<li class='gchoice gchoice_28_53_0'>\n\t\t\t\t<input name='input_53' type='radio' value='Birth'  id='choice_28_53_0'    \/>\n\t\t\t\t<label for='choice_28_53_0' id='label_28_53_0' class='gform-field-label gform-field-label--type-inline'>Birth<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_53_1'>\n\t\t\t\t<input name='input_53' type='radio' value='Naturalization (i.e. through immigration, first generation Canadian)'  id='choice_28_53_1'    \/>\n\t\t\t\t<label for='choice_28_53_1' id='label_28_53_1' class='gform-field-label gform-field-label--type-inline'>Naturalization (i.e. through immigration, first generation Canadian)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_28_53_2'>\n\t\t\t\t<input name='input_53' type='radio' value='Prefer not to answer'  id='choice_28_53_2'    \/>\n\t\t\t\t<label for='choice_28_53_2' id='label_28_53_2' class='gform-field-label gform-field-label--type-inline'>Prefer not to answer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_55\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_55\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please identify your disability (or disabilities)?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_28_55'><li class='gchoice gchoice_28_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='Attention Deficit\/Hyperactivity Disorder (ADHD)'  id='choice_28_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_1' id='label_28_55_1' class='gform-field-label gform-field-label--type-inline'>Attention Deficit\/Hyperactivity Disorder (ADHD)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='Learning Disabilities'  id='choice_28_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_2' id='label_28_55_2' class='gform-field-label gform-field-label--type-inline'>Learning Disabilities<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.3' type='checkbox'  value='Visually Impaired\/Blind'  id='choice_28_55_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_3' id='label_28_55_3' class='gform-field-label gform-field-label--type-inline'>Visually Impaired\/Blind<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.4' type='checkbox'  value='Deaf\/Hard of Hearing'  id='choice_28_55_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_4' id='label_28_55_4' class='gform-field-label gform-field-label--type-inline'>Deaf\/Hard of Hearing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.5' type='checkbox'  value='Chronic Medical Disabilities'  id='choice_28_55_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_5' id='label_28_55_5' class='gform-field-label gform-field-label--type-inline'>Chronic Medical Disabilities<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.6' type='checkbox'  value='Mobility Disabilities'  id='choice_28_55_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_6' id='label_28_55_6' class='gform-field-label gform-field-label--type-inline'>Mobility Disabilities<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.7' type='checkbox'  value='Head Trauma\/ Acquired Brain Injuries'  id='choice_28_55_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_7' id='label_28_55_7' class='gform-field-label gform-field-label--type-inline'>Head Trauma\/ Acquired Brain Injuries<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.8' type='checkbox'  value='Autism Spectrum Disorder'  id='choice_28_55_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_8' id='label_28_55_8' class='gform-field-label gform-field-label--type-inline'>Autism Spectrum Disorder<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.9' type='checkbox'  value='Mental Health\/Psychiatric Disabilities'  id='choice_28_55_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_9' id='label_28_55_9' class='gform-field-label gform-field-label--type-inline'>Mental Health\/Psychiatric Disabilities<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_55_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.11' type='checkbox'  value='Other'  id='choice_28_55_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_55_11' id='label_28_55_11' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_63\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_63\" ><label class='gfield_label gform-field-label' for='input_28_63'>Other<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_28_63' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_28_56' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_28\").val(\"1\");  jQuery(\"#gform_28\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_28\").val(\"1\");  jQuery(\"#gform_28\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_28_56' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_28\").val(\"3\");  jQuery(\"#gform_28\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_28\").val(\"3\");  jQuery(\"#gform_28\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_28_3' class='gform_page' data-js='page-field-id-56' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_28_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_28_58\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_58\" ><p>Before you submit, we want to know how you heard about us to help improve our awareness and outreach efforts.<\/p><\/li><li id=\"field_28_57\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_28_57\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >How did you hear about the Accessibility Resilience Program?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_28_57'><li class='gchoice gchoice_28_57_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.1' type='checkbox'  value='NEADS social media post'  id='choice_28_57_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_57_1' id='label_28_57_1' class='gform-field-label gform-field-label--type-inline'>NEADS social media post<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_57_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.2' type='checkbox'  value='Financial aid office'  id='choice_28_57_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_57_2' id='label_28_57_2' class='gform-field-label gform-field-label--type-inline'>Financial aid office<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_57_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.3' type='checkbox'  value='Another student'  id='choice_28_57_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_57_3' id='label_28_57_3' class='gform-field-label gform-field-label--type-inline'>Another student<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_57_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.4' type='checkbox'  value='On campus disabled students group'  id='choice_28_57_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_57_4' id='label_28_57_4' class='gform-field-label gform-field-label--type-inline'>On campus disabled students group<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_57_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.5' type='checkbox'  value='Disability services department at my school'  id='choice_28_57_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_57_5' id='label_28_57_5' class='gform-field-label gform-field-label--type-inline'>Disability services department at my school<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_57_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.6' type='checkbox'  value='Community organization'  id='choice_28_57_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_57_6' id='label_28_57_6' class='gform-field-label gform-field-label--type-inline'>Community organization<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_28_57_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.7' type='checkbox'  value='Webpage other than neads.ca'  id='choice_28_57_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_28_57_7' id='label_28_57_7' class='gform-field-label gform-field-label--type-inline'>Webpage other than neads.ca<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_28_62\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description 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