{"id":78072,"date":"2021-09-10T04:46:26","date_gmt":"2021-09-10T11:46:26","guid":{"rendered":"https:\/\/www.worldvision.org\/?page_id=78072"},"modified":"2021-11-23T08:47:10","modified_gmt":"2021-11-23T16:47:10","slug":"esc-application","status":"publish","type":"page","link":"https:\/\/www.worldvision.org\/our-work\/country-profiles\/united-states\/us-programs-membership\/esc-application","title":{"rendered":"U.S. Programs Membership Application &#8211; ESC"},"content":{"rendered":"<!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body><div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&rdquo;stretch_row_content_no_spaces&rdquo; css=&rdquo;.vc_custom_1587751371204{background-color: #f5f5f5 !important;}&rdquo; el_class=&rdquo;subnav&rdquo;][vc_column width=&rdquo;5\/6&Prime; offset=&rdquo;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-1 vc_col-xs-12&Prime;][vc_row_inner fnt_family_h5=&rdquo;Lato&rdquo;][vc_column_inner width=&rdquo;1\/5&Prime;][vc_column_text]<\/p>\n<h5 style=\"text-align: center;\"><a href=\"\/our-work\/country-profiles\/united-states\/\">United States<\/a><\/h5>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&rdquo;1\/5&Prime;][vc_column_text el_class=&rdquo;current-page&rdquo;]<\/p>\n<h5 style=\"text-align: center;\"><a href=\"\/our-work\/country-profiles\/united-states\/us-programs-membership\">Membership Application<\/a><\/h5>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&rdquo;1\/5&Prime;][vc_column_text]<\/p>\n<h5 style=\"text-align: center;\"><a href=\"\/our-work\/country-profiles\/united-states\/training-center\">Training Center<\/a><\/h5>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&rdquo;1\/5&Prime;][vc_column_text]<\/p>\n<h5 style=\"text-align: center;\"><a href=\"https:\/\/worldvisionvolunteer.volunteerhub.com\/\">Volunteer Opportunities<\/a><\/h5>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&rdquo;1\/5&Prime;][vc_column_text]<\/p>\n<h5 style=\"text-align: center;\"><a href=\"\/our-work\/country-profiles\/united-states\/us-programs-contact\">Contact World Vision<\/a><\/h5>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row_inner el_id=&rdquo;form&rdquo;][vc_column_inner el_class=&rdquo;gf-default-styling&rdquo; width=&rdquo;2\/3&Prime; offset=&rdquo;vc_col-sm-offset-1&Prime; el_id=&rdquo;gravity-form&rdquo;][vc_column_text]<\/p>\n<h1>U.S. Programs &ndash; Essential Supplies Center Membership Application Form<\/h1>\n<h3>Organizational Profile<\/h3>\n<p>[\/vc_column_text]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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          <select name=\"input_7.6\" id=\"input_82_7_6\" tabindex=\"1010\" aria-required=\"true\"><option value=\"\"><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antarctica\">Antarctica<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, Sint Eustatius and Saba<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Bouvet Island\">Bouvet Island<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cabo Verde\">Cabo Verde<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Christmas Island\">Christmas Island<\/option><option value=\"Cocos Islands\">Cocos Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Congo, Democratic Republic of the\">Congo, Democratic Republic of the<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cura&ccedil;ao\">Cura&ccedil;ao<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czechia\">Czechia<\/option><option value=\"C&ocirc;te d'Ivoire\">C&ocirc;te d'Ivoire<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Eswatini\">Eswatini<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Falkland Islands\">Falkland Islands<\/option><option value=\"Faroe Islands\">Faroe Islands<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"French Guiana\">French Guiana<\/option><option value=\"French Polynesia\">French Polynesia<\/option><option value=\"French Southern Territories\">French Southern Territories<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Greece\">Greece<\/option><option value=\"Greenland\">Greenland<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guernsey\">Guernsey<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Heard Island and McDonald Islands\">Heard Island and McDonald Islands<\/option><option value=\"Holy See\">Holy See<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Isle of Man\">Isle of Man<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jersey\">Jersey<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\">Korea, Democratic People's Republic of<\/option><option value=\"Korea, Republic of\">Korea, Republic of<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\">Lao People's Democratic Republic<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macao\">Macao<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"New Caledonia\">New Caledonia<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Niue\">Niue<\/option><option value=\"Norfolk Island\">Norfolk Island<\/option><option value=\"North Macedonia\">North Macedonia<\/option><option value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Palestine, State of\">Palestine, State of<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"R&eacute;union\">R&eacute;union<\/option><option value=\"Saint Barth&eacute;lemy\">Saint Barth&eacute;lemy<\/option><option value=\"Saint Helena, Ascension and Tristan da Cunha\">Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Martin\">Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Sint Maarten\">Sint Maarten<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\">South Georgia and the South Sandwich Islands<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Svalbard and Jan Mayen\">Svalbard and Jan Mayen<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syria Arab Republic\">Syria Arab Republic<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania, the United Republic of\">Tanzania, the United Republic of<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"T&uuml;rkiye\">T&uuml;rkiye<\/option><option value=\"US Minor Outlying Islands\">US Minor Outlying Islands<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States\" selected>United States<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Viet Nam\">Viet Nam<\/option><option value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option value=\"Wallis and Futuna\">Wallis and Futuna<\/option><option value=\"Western Sahara\">Western Sahara<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><option value=\"&Aring;land Islands\">&Aring;land Islands<\/option><\/select>\n                                        <label for=\"input_82_7_6\" id=\"input_82_7_6_label\" class=\"gform-field-label gform-field-label--type-sub \">Country<\/label>\n                                    <\/span>\n                    <div class=\"gf_clear gf_clear_complex\"><\/div>\n                <\/div><\/fieldset><div id=\"field_82_9\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_9\">Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_phone\"><input name=\"input_9\" id=\"input_82_9\" type=\"tel\" value=\"\" class=\"large\" tabindex=\"1011\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><fieldset id=\"field_82_8\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label gfield_label_before_complex\">Director<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row\" id=\"input_82_8\">\n                            \n                            <span id=\"input_82_8_3_container\" class=\"name_first gform-grid-col gform-grid-col--size-auto\">\n                                                    <input type=\"text\" name=\"input_8.3\" id=\"input_82_8_3\" value=\"\" tabindex=\"1013\" aria-required=\"true\">\n                                                    <label for=\"input_82_8_3\" class=\"gform-field-label gform-field-label--type-sub \">First<\/label>\n                                                <\/span>\n                            \n                            <span id=\"input_82_8_6_container\" class=\"name_last gform-grid-col gform-grid-col--size-auto\">\n                                                    <input type=\"text\" name=\"input_8.6\" id=\"input_82_8_6\" value=\"\" tabindex=\"1015\" aria-required=\"true\">\n                                                    <label for=\"input_82_8_6\" class=\"gform-field-label gform-field-label--type-sub \">Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_82_10\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_10\">Contact Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_email\">\n                            <input name=\"input_10\" id=\"input_82_10\" type=\"email\" value=\"\" class=\"large\" tabindex=\"1017\" aria-required=\"true\" aria-invalid=\"false\">\n                        <\/div><\/div><div id=\"field_82_62\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_62\">Website<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_62\" id=\"input_82_62\" type=\"text\" value=\"\" class=\"large\" tabindex=\"1018\" aria-invalid=\"false\"><\/div><\/div><fieldset id=\"field_82_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label\">Organization Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_radio\"><div class=\"gfield_radio\" id=\"input_82_12\">\n\t\t\t<div class=\"gchoice gchoice_82_12_0\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"Community Based Organization\" id=\"choice_82_12_0\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1019\">\n\t\t\t\t\t<label for=\"choice_82_12_0\" id=\"label_82_12_0\" class=\"gform-field-label gform-field-label--type-inline\">Community Based Organization<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_12_1\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"Church\" id=\"choice_82_12_1\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1020\">\n\t\t\t\t\t<label for=\"choice_82_12_1\" id=\"label_82_12_1\" class=\"gform-field-label gform-field-label--type-inline\">Church<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_12_2\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"Public \/ Government Agency\" id=\"choice_82_12_2\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1021\">\n\t\t\t\t\t<label for=\"choice_82_12_2\" id=\"label_82_12_2\" class=\"gform-field-label gform-field-label--type-inline\">Public \/ Government Agency<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_12_3\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"Faith Based Organization\" id=\"choice_82_12_3\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1022\">\n\t\t\t\t\t<label for=\"choice_82_12_3\" id=\"label_82_12_3\" class=\"gform-field-label gform-field-label--type-inline\">Faith Based Organization<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_12_4\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"School\" id=\"choice_82_12_4\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1023\">\n\t\t\t\t\t<label for=\"choice_82_12_4\" id=\"label_82_12_4\" class=\"gform-field-label gform-field-label--type-inline\">School<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_82_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label\">Church Size<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_radio\"><div class=\"gfield_radio\" id=\"input_82_13\">\n\t\t\t<div class=\"gchoice gchoice_82_13_0\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_13\" type=\"radio\" value=\"0 - 500\" id=\"choice_82_13_0\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1024\">\n\t\t\t\t\t<label for=\"choice_82_13_0\" id=\"label_82_13_0\" class=\"gform-field-label gform-field-label--type-inline\">0 - 500<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_13_1\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_13\" type=\"radio\" value=\"500 - 1000\" id=\"choice_82_13_1\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1025\">\n\t\t\t\t\t<label for=\"choice_82_13_1\" id=\"label_82_13_1\" class=\"gform-field-label gform-field-label--type-inline\">500 - 1000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_13_2\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_13\" type=\"radio\" value=\"1000 - 1500\" id=\"choice_82_13_2\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1026\">\n\t\t\t\t\t<label for=\"choice_82_13_2\" id=\"label_82_13_2\" class=\"gform-field-label gform-field-label--type-inline\">1000 - 1500<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_13_3\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_13\" type=\"radio\" value=\"1500 - 2000\" id=\"choice_82_13_3\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1027\">\n\t\t\t\t\t<label for=\"choice_82_13_3\" id=\"label_82_13_3\" class=\"gform-field-label gform-field-label--type-inline\">1500 - 2000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_13_4\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_13\" type=\"radio\" value=\"2000+\" id=\"choice_82_13_4\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1028\">\n\t\t\t\t\t<label for=\"choice_82_13_4\" id=\"label_82_13_4\" class=\"gform-field-label gform-field-label--type-inline\">2000+<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                         <input type=\"button\" id=\"gform_next_button_82_14\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Next\" tabindex=\"1029\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_82_2\" class=\"gform_page\" data-js=\"page-field-id-14\" style=\"display:none;\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_82_2\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><fieldset id=\"field_82_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label gfield_label_before_complex\">Programs (Choose all that apply)<\/legend><div class=\"ginput_container ginput_container_checkbox\"><div class=\"gfield_checkbox \" id=\"input_82_15\"><div class=\"gchoice gchoice_82_15_1\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.1\" type=\"checkbox\" value=\"Advocacy\" id=\"choice_82_15_1\" tabindex=\"1030\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_1\" id=\"label_82_15_1\" class=\"gform-field-label gform-field-label--type-inline\">Advocacy<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_2\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.2\" type=\"checkbox\" value=\"Disability Services\" id=\"choice_82_15_2\" tabindex=\"1031\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_2\" id=\"label_82_15_2\" class=\"gform-field-label gform-field-label--type-inline\">Disability Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_3\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.3\" type=\"checkbox\" value=\"Early Childhood Development\" id=\"choice_82_15_3\" tabindex=\"1032\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_3\" id=\"label_82_15_3\" class=\"gform-field-label gform-field-label--type-inline\">Early Childhood Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_4\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.4\" type=\"checkbox\" value=\"Economic Development\" id=\"choice_82_15_4\" tabindex=\"1033\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_4\" id=\"label_82_15_4\" class=\"gform-field-label gform-field-label--type-inline\">Economic Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_5\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.5\" type=\"checkbox\" value=\"Education \/ After School\" id=\"choice_82_15_5\" tabindex=\"1034\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_5\" id=\"label_82_15_5\" class=\"gform-field-label gform-field-label--type-inline\">Education \/ After School<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_6\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.6\" type=\"checkbox\" value=\"Food Pantry \/ Feeding Program\" id=\"choice_82_15_6\" tabindex=\"1035\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_6\" id=\"label_82_15_6\" class=\"gform-field-label gform-field-label--type-inline\">Food Pantry \/ Feeding Program<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_7\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.7\" type=\"checkbox\" value=\"Foster Care\" id=\"choice_82_15_7\" tabindex=\"1036\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_7\" id=\"label_82_15_7\" class=\"gform-field-label gform-field-label--type-inline\">Foster Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_8\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.8\" type=\"checkbox\" value=\"Health Services\" id=\"choice_82_15_8\" tabindex=\"1037\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_8\" id=\"label_82_15_8\" class=\"gform-field-label gform-field-label--type-inline\">Health Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_9\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.9\" type=\"checkbox\" value=\"Unhoused\" id=\"choice_82_15_9\" tabindex=\"1038\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_9\" id=\"label_82_15_9\" class=\"gform-field-label gform-field-label--type-inline\">Unhoused<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_11\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.11\" type=\"checkbox\" value=\"Housing \/ Rent\" id=\"choice_82_15_11\" tabindex=\"1039\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_11\" id=\"label_82_15_11\" class=\"gform-field-label gform-field-label--type-inline\">Housing \/ Rent<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_12\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.12\" type=\"checkbox\" value=\"Job Training \/ Workforce Skill Development\" id=\"choice_82_15_12\" tabindex=\"1040\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_12\" id=\"label_82_15_12\" class=\"gform-field-label gform-field-label--type-inline\">Job Training \/ Workforce Skill Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_13\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.13\" type=\"checkbox\" value=\"Immigrant-Refugee Services\" id=\"choice_82_15_13\" tabindex=\"1041\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_13\" id=\"label_82_15_13\" class=\"gform-field-label gform-field-label--type-inline\">Immigrant-Refugee Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_14\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.14\" type=\"checkbox\" value=\"Prenatal \/ Maternity Care\" id=\"choice_82_15_14\" tabindex=\"1042\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_14\" id=\"label_82_15_14\" class=\"gform-field-label gform-field-label--type-inline\">Prenatal \/ Maternity Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_15\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.15\" type=\"checkbox\" value=\"Recovery Services \/ Drug Rehabilitation\" id=\"choice_82_15_15\" tabindex=\"1043\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_15\" id=\"label_82_15_15\" class=\"gform-field-label gform-field-label--type-inline\">Recovery Services \/ Drug Rehabilitation<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_16\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.16\" type=\"checkbox\" value=\"Recreation\" id=\"choice_82_15_16\" tabindex=\"1044\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_16\" id=\"label_82_15_16\" class=\"gform-field-label gform-field-label--type-inline\">Recreation<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_17\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.17\" type=\"checkbox\" value=\"Re-Entry Programs\" id=\"choice_82_15_17\" tabindex=\"1045\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_17\" id=\"label_82_15_17\" class=\"gform-field-label gform-field-label--type-inline\">Re-Entry Programs<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_18\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.18\" type=\"checkbox\" value=\"Spiritual \/ Religious Programs\" id=\"choice_82_15_18\" tabindex=\"1046\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_18\" id=\"label_82_15_18\" class=\"gform-field-label gform-field-label--type-inline\">Spiritual \/ Religious Programs<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_19\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.19\" type=\"checkbox\" value=\"Special Need Children\" id=\"choice_82_15_19\" tabindex=\"1047\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_19\" id=\"label_82_15_19\" class=\"gform-field-label gform-field-label--type-inline\">Special Need Children<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_21\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.21\" type=\"checkbox\" value=\"Senior Care Services\" id=\"choice_82_15_21\" tabindex=\"1048\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_21\" id=\"label_82_15_21\" class=\"gform-field-label gform-field-label--type-inline\">Senior Care Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_22\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.22\" type=\"checkbox\" value=\"Violence \/ Crime Prevention\" id=\"choice_82_15_22\" tabindex=\"1049\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_22\" id=\"label_82_15_22\" class=\"gform-field-label gform-field-label--type-inline\">Violence \/ Crime Prevention<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_23\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.23\" type=\"checkbox\" value=\"Youth Development\" id=\"choice_82_15_23\" tabindex=\"1050\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_23\" id=\"label_82_15_23\" class=\"gform-field-label gform-field-label--type-inline\">Youth Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_24\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.24\" type=\"checkbox\" value=\"Youth Mentoring\" id=\"choice_82_15_24\" tabindex=\"1051\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_24\" id=\"label_82_15_24\" class=\"gform-field-label gform-field-label--type-inline\">Youth Mentoring<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gchoice gchoice_82_15_25\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_15.25\" type=\"checkbox\" value=\"Other\" id=\"choice_82_15_25\" tabindex=\"1052\">\n\t\t\t\t\t\t\t\t<label for=\"choice_82_15_25\" id=\"label_82_15_25\" class=\"gform-field-label gform-field-label--type-inline\">Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_82_16\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_16\">Other Program<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_16\" id=\"input_82_16\" type=\"text\" value=\"\" class=\"large\" tabindex=\"1053\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_82_17\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_17\">What is your primary program focus?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_17\" id=\"input_82_17\" type=\"text\" value=\"\" class=\"large\" tabindex=\"1054\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_82_19\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Previous\" tabindex=\"1055\"> <input type=\"button\" id=\"gform_next_button_82_19\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Next\" tabindex=\"1056\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_82_3\" class=\"gform_page\" data-js=\"page-field-id-19\" style=\"display:none;\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_82_3\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_82_57\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><strong>How many individuals are served by your organization yearly? (Consider all your events, programs, outreach, etc.)<\/strong><\/div><div id=\"field_82_24\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_24\">Children Served<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_24\" id=\"input_82_24\" type=\"text\" step=\"any\" min=\"0\" max=\"999999\" value=\"\" class=\"large\" tabindex=\"1057\" placeholder=\"Number of Children\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_24\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_24\">Please enter a number from <strong>0<\/strong> to <strong>999999<\/strong>.<\/div><\/div><\/div><div id=\"field_82_25\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_25\">Adults Served<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_25\" id=\"input_82_25\" type=\"text\" step=\"any\" min=\"0\" max=\"999999\" value=\"\" class=\"large\" tabindex=\"1058\" placeholder=\"Number of Adults\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_25\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_25\">Please enter a number from <strong>0<\/strong> to <strong>999999<\/strong>.<\/div><\/div><\/div><div id=\"field_82_26\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_26\">Total<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_26\" id=\"input_82_26\" type=\"text\" step=\"any\" value=\"\" class=\"large gform-text-input-reset\" tabindex=\"1059\" readonly placeholder=\"Total Number People Served\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_82_58\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><strong>Please estimate the percentage breakdown of your program beneficiaries by age:<\/strong><\/div><div id=\"field_82_27\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_27\">Beneficiaries Ages 0-5<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_27\" id=\"input_82_27\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1060\" placeholder=\"Ages 0 - 5\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_27\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_27\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_28\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_28\">Beneficiaries Ages 6-12<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_28\" id=\"input_82_28\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1061\" placeholder=\"Ages 6 - 12\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_28\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_28\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_31\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_31\">Beneficiaries Ages 13-18<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_31\" id=\"input_82_31\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1062\" placeholder=\"Ages 13 - 18\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_31\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_31\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_30\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_30\">Beneficiaries Ages 19-65<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_30\" id=\"input_82_30\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1063\" placeholder=\"Ages 19 - 65\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_30\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_30\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_29\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_29\">Beneficiaries Ages 66+<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_29\" id=\"input_82_29\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1064\" placeholder=\"66+\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_29\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_29\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_32\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_32\">Total<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_32\" id=\"input_82_32\" type=\"text\" step=\"any\" value=\"\" class=\"large gform-text-input-reset\" tabindex=\"1065\" readonly placeholder=\"Add number fields and validate that it equals 100\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_82_59\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><strong>Please estimate the percentage breakdown of your program beneficiaries by ethnicity:<\/strong><\/div><div id=\"field_82_33\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_33\">Black \/ African American Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_33\" id=\"input_82_33\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1066\" placeholder=\"Black \/ African American %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_33\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_33\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_34\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_34\">Asian Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_34\" id=\"input_82_34\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1067\" placeholder=\"Asian %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_34\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_34\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_35\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_35\">White Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_35\" id=\"input_82_35\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1068\" placeholder=\"White %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_35\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_35\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_36\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_36\">Hispanic \/ Latino Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_36\" id=\"input_82_36\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1069\" placeholder=\"Hispanic \/ Latino %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_36\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_36\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_37\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_37\">American Indian \/ Alaskan Native Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_37\" id=\"input_82_37\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1070\" placeholder=\"American Indian \/ Alaskan Native %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_37\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_37\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_40\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_40\">Native Hawaiian \/ Pacific Islander Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_40\" id=\"input_82_40\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1071\" placeholder=\"Native Hawaiian \/ Pacific Islander %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_40\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_40\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_39\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_39\">Two or more races Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_39\" id=\"input_82_39\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1072\" placeholder=\"Two or more races %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_39\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_39\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_38\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_38\">Total<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_38\" id=\"input_82_38\" type=\"text\" step=\"any\" value=\"\" class=\"large gform-text-input-reset\" tabindex=\"1073\" readonly placeholder=\"Add number fields and validate that it equals 100\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_82_60\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><strong>Please estimate the percentage breakdown of your program beneficiaries by gender:<\/strong><\/div><div id=\"field_82_41\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_41\">Female Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_41\" id=\"input_82_41\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1074\" placeholder=\"Female %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_41\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_41\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_42\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_42\">Male Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_42\" id=\"input_82_42\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1075\" placeholder=\"Male %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_42\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_42\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_43\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_43\">Total<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_43\" id=\"input_82_43\" type=\"text\" step=\"any\" value=\"\" class=\"large gform-text-input-reset\" tabindex=\"1076\" readonly placeholder=\"Add number fields and validate that it equals 100\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><div id=\"field_82_61\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><strong>Please estimate the percentage breakdown of your program beneficiaries by type:<\/strong><\/div><div id=\"field_82_44\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_44\">Immigrant \/ Migrant Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_44\" id=\"input_82_44\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1077\" placeholder=\"Immigrant \/ Migrant %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_44\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_44\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_45\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_45\">Native American Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_45\" id=\"input_82_45\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1078\" placeholder=\"Native American %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_45\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_45\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_50\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_50\">Inner City Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_50\" id=\"input_82_50\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1079\" placeholder=\"Urban %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_50\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_50\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_49\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_49\">Rural Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_49\" id=\"input_82_49\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1080\" placeholder=\"Rural %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_49\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_49\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_48\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_48\">Other Beneficiaries Types Percentage<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_48\" id=\"input_82_48\" type=\"text\" step=\"any\" min=\"0\" max=\"100\" value=\"\" class=\"large\" tabindex=\"1081\" placeholder=\"Other %\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_82_48\"><div class=\"gfield_description instruction \" id=\"gfield_instruction_82_48\">Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_82_46\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_46\">Total<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_46\" id=\"input_82_46\" type=\"text\" step=\"any\" value=\"\" class=\"large gform-text-input-reset\" tabindex=\"1082\" readonly placeholder=\"Add number fields and validate that it equals 100\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_82_51\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Previous\" tabindex=\"1083\"> <input type=\"button\" id=\"gform_next_button_82_51\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Next\" tabindex=\"1084\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_82_4\" class=\"gform_page\" data-js=\"page-field-id-51\" style=\"display:none;\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_82_4\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><div id=\"field_82_52\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_82_52\">Briefly state the mission of your organization:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_textarea\"><textarea name=\"input_52\" id=\"input_82_52\" class=\"textarea large\" tabindex=\"1085\" aria-required=\"true\" aria-invalid=\"false\" rows=\"10\" cols=\"50\"><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_82_53\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Previous\" tabindex=\"1086\"> <input type=\"button\" id=\"gform_next_button_82_53\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Next\" tabindex=\"1087\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_82_5\" class=\"gform_page\" data-js=\"page-field-id-53\" style=\"display:none;\">\n                    <div class=\"gform_page_fields\">\n                        <div id=\"gform_fields_82_5\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><fieldset id=\"field_82_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label\">World Vision&rsquo;s educational programming provides academic support and enrichment for students and their families.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"gfield_description\" id=\"gfield_description_82_54\">Would you be interested in World Vision&rsquo;s educational programming?<\/div><div class=\"ginput_container ginput_container_radio\"><div class=\"gfield_radio\" id=\"input_82_54\">\n\t\t\t<div class=\"gchoice gchoice_82_54_0\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_54\" type=\"radio\" value=\"Yes\" id=\"choice_82_54_0\" onchange=\"gformToggleRadioOther( this )\" aria-describedby=\"gfield_description_82_54\" tabindex=\"1088\">\n\t\t\t\t\t<label for=\"choice_82_54_0\" id=\"label_82_54_0\" class=\"gform-field-label gform-field-label--type-inline\">Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_82_54_1\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_54\" type=\"radio\" value=\"No\" id=\"choice_82_54_1\" onchange=\"gformToggleRadioOther( this )\" tabindex=\"1089\">\n\t\t\t\t\t<label for=\"choice_82_54_1\" id=\"label_82_54_1\" class=\"gform-field-label gform-field-label--type-inline\">No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_82_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"><legend class=\"gfield_label gform-field-label\">World Vision&rsquo;s Disaster Response programming provides support through partnership with churches to serve the most vulnerable families affected by emergencies.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"gfield_description\" id=\"gfield_description_82_63\">Would you be interested in partnering with World Vision&rsquo;s through our Disaster Response programming?<\/div><div class=\"ginput_container 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ESC\">&#8230;<\/a><\/p>\n","protected":false},"author":12,"featured_media":0,"parent":66706,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","footnotes":""},"class_list":["post-78072","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>U.S. Programs Membership Application - ESC | World Vision<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.worldvision.org\/our-work\/country-profiles\/united-states\/us-programs-membership\/esc-application\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta 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