{"id":1115,"date":"2021-05-02T11:53:35","date_gmt":"2021-05-02T11:53:35","guid":{"rendered":"https:\/\/www.kacch.org\/?page_id=1115"},"modified":"2021-05-02T11:53:47","modified_gmt":"2021-05-02T11:53:47","slug":"volunteer-application-form-for-individuals","status":"publish","type":"page","link":"https:\/\/www.kacch.org\/volunteer-application-form-for-individuals\/","title":{"rendered":"Volunteer Application Form for Individuals"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1114-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1114\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/mybrand-api\/wp\/v2\/pages\/1115#wpcf7-f1114-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1114\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1114-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"cu-common-form personal-fr\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12 1\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0634\u062e\u0635\u064a\u0629<\/span> Personal Information\n\t\t\t\t<\/h2>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 2\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0627\u0648\u0644<\/span> First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first_name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 3\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0627\u062e\u064a\u0631<\/span> Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last_name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 4\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062c\u0646\u0633<\/span> Gender<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"gender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 5\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0645\u064a\u0644\u0627\u062f<\/span> Date of Birth<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date_ofbirth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control walcf7-datepicker\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date_ofbirth\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062c\u0646\u0633\u064a\u0629<\/span> Nationality<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nationality\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nationality\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 7\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0644\u063a\u0629 \/ \u0627\u0644\u0644\u063a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u062b \u0628\u0647\u0627:<\/span> Language\/s Spoken<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"languages_spoken\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"languages_spoken\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 8\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0631\u0642\u0645 \u0627\u0644\u0628\u0637\u0627\u0642\u0629 \u0627\u0644\u0645\u062f\u0646\u064a\u0629<\/span> Civil ID number Or Passport<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"civil_idnumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"civil_idnumber\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 9\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0648\u0638\u064a\u0641\u0629:<\/span> Occupation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"occupation\" \/><\/span><br \/>\n<span class=\"note\"><span class=\"fr-br\"><span class=\"fr-br\">\u0641\u064a \u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u0642\u0627\u0639\u062f \u060c \u064a\u0631\u062c\u0649 \u062a\u062d\u062f\u064a\u062f \u0627\u0644\u0645\u0647\u0646\u0629 \u0627\u0644\u0633\u0627\u0628\u0642\u0629<\/span> If retired, please specify previous occupation<\/span><br \/>\n<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 10\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0627\u0644\u062c\u062a\u0645\u0627\u0639\u064a\u0629:<\/span> Marital Status<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"marital_status\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"marital_status\" value=\"Single\" \/><span class=\"wpcf7-list-item-label\">Single<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"marital_status\" value=\"Married\" \/><span class=\"wpcf7-list-item-label\">Married<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"marital_status\" value=\"Divorced\" \/><span class=\"wpcf7-list-item-label\">Divorced<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 11\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0644 \u0623\u0646\u062a \u062d\u0627\u0644\u064a\u0627:<\/span> Are you currently<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"are_youcurrently\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"are_youcurrently\" value=\"Employed\" \/><span class=\"wpcf7-list-item-label\">Employed<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"are_youcurrently\" value=\"Unemployed\" \/><span class=\"wpcf7-list-item-label\">Unemployed<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"are_youcurrently\" value=\"Retired\" \/><span class=\"wpcf7-list-item-label\">Retired<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0644 \u0627\u0646\u062a \u0645\u0642\u064a\u0645 \u0641\u064a \u0627\u0644\u0643\u0648\u064a\u062a\u061f<\/span> Are you a resident of Kuwait?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"are_youaresidentofkuwait\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"are_youaresidentofkuwait\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"are_youaresidentofkuwait\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"note col_red\"><span class=\"fr-br\">\u064a\u0631\u062c\u0649 \u0627\u0644\u0639\u0644\u0645 \u0628\u0623\u0646\u0647 \u064a\u062c\u0628 \u0623\u0646 \u062a\u0643\u0648\u0646 \u0645\u0642\u064a\u0645\u0627 \u0641\u064a \u0627\u0644\u0643\u0648\u064a\u062a \u0625\u0630\u0627 \u0643\u0646\u062a \u062a\u0631\u063a\u0628 \u0641\u064a \u0627\u0644\u0627\u0646\u0636\u0645\u0627\u0645 \u0625\u0644\u0649 \u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u0637\u0648\u0639 \u0644\u062f\u064a\u0646\u0627.<\/span>Please note that you have to be a resident of Kuwait if you wish to join our volunteer programme.<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 13\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0639\u0646\u0648\u0627\u0646<\/span> Address<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"address\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 14\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0631\u0642\u0645 \u0627\u0644\u0647\u0627\u062a\u0641:<\/span> Phone number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone_number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone_number\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 15\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a:<\/span> Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 16\">\n\t\t\t<div class=\"from-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0627\u062a\u0635\u0627\u0644 \u0641\u064a \u062d\u0627\u0644 \u0627\u0644\u0637\u0648\u0627\u0631\u0626<\/span> Emergency Contact Information\n\t\t\t\t<\/h2>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 17\">\n\t\t\t<div class=\"from-group\">\n\t\t\t\t<h5><span class=\"fr-br\">\u062c\u0647\u0629 \u0627\u0644\u0627\u062a\u0635\u0627\u0644 \u0661<\/span> Contact 1\n\t\t\t\t<\/h5>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 18\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0627\u0648\u0644<\/span> First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cfirst_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cfirst_name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 19\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0627\u062e\u064a\u0631:<\/span> Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"clast_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"clast_name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 20\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0639\u0644\u0627\u0642\u0629:<\/span> Relation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"crelation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"crelation\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 21\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0647\u0627\u062a\u0641 \u0627\u0644\u0646\u0642\u0627\u0644 :<\/span> Mobile Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cmobile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cmobile\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 22\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0627\u062a\u0641 \u0627\u0644\u0645\u0646\u0632\u0644 :<\/span> Home Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chome_number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"chome_number\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 23\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0627\u062a\u0641 \u0639\u0645\u0644: <\/span> Work Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cwork_phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cwork_phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 23\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a:<\/span> Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cemail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cemail\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 24\">\n\t\t\t<div class=\"from-group\">\n\t\t\t\t<h5><span class=\"fr-br\">\u062c\u0647\u0629 \u0627\u0644\u0627\u062a\u0635\u0627\u0644 2<\/span> Contact 2\n\t\t\t\t<\/h5>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 25\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0627\u0648\u0644<\/span> First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"c2first_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"c2first_name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 26\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0627\u062e\u064a\u0631<\/span> Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"c2last_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"c2last_name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 27\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0639\u0644\u0627\u0642\u0629:<\/span> Relation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"crelation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"crelation\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 28\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0647\u0627\u062a\u0641 \u0627\u0644\u0646\u0642\u0627\u0644 :<\/span> Mobile Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"c2mobile_phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"c2mobile_phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 29\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0627\u062a\u0641 \u0627\u0644\u0645\u0646\u0632\u0644 :<\/span> Home Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"c2home_number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"c2home_number\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 30\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0627\u062a\u0641 \u0639\u0645\u0644:<\/span> Work Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"c2work_phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"c2work_phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 31\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a:<\/span> Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"c2email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"c2email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 32\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062f\u0631\u0627\u0633\u064a\u0629<\/span> Education\n\t\t\t\t<\/h2>\n\t\t\t\t<p><label><span class=\"fr-br\">\u0623\u0639\u0644\u0649 \u0645\u0633\u062a\u0648\u0649 \u062a\u0639\u0644\u064a\u0645\u064a \u062a\u0645 \u062a\u0644\u0642\u064a\u0647 <\/span> Highest Level of Education Received<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Educationlevel\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"Educationlevel\"><option value=\"High school and equivalent\">High school and equivalent<\/option><option value=\"Bachelor\">Bachelor<\/option><option value=\"Master\u2019s\">Master\u2019s<\/option><option value=\"PHD\">PHD<\/option><option value=\"None\">None<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 33\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0633\u0645 \u0627\u0644\u0645\u0624\u0633\u0633\u0629 \u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629:<\/span> Name of Academic Institution<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"name_ofacademicinstitution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name_ofacademicinstitution\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"fr-br\">\u064a\u0631\u062c\u0649 \u0643\u062a\u0627\u0628\u0629 A \/ N \u0627\u0646 \u0644\u0645 \u062a\u062a\u0648\u0641\u0631 <\/span> Please write N\/A if it is not applicable\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 34\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062f\u0631\u062c\u0629 \u0623\u0648 \u0627\u0644\u062a\u062e\u0635\u0635: <\/span> Degree or Major<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"degree\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"degree\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"fr-br\">\u064a\u0631\u062c\u0649 \u0643\u062a\u0627\u0628\u0629 A \/ N \u0627\u0646 \u0644\u0645 \u062a\u062a\u0648\u0641\u0631<\/span>Please write N\/A if it is not applicable\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 32\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\"> \u062e\u0628\u0631\u0629 \u0627\u0644\u0639\u0645\u0644<\/span> Work Experience\n\t\t\t\t<\/h2>\n\t\t\t\t<p><span class=\"fr-br\">\u064a\u0631\u062c\u0649 \u062a\u062d\u0645\u064a\u0644 \u0633\u064a\u0631\u062a\u0643 \u0627\u0644\u0630\u0627\u062a\u064a\u0629 \u0623\u0648 \u0643\u062a\u0627\u0628\u0629 A \/ N \u0625\u0630\u0627 \u0644\u0645 \u062a\u062a\u0648\u0641\u0631<\/span> Please upload your resume or write N\/A if it is not applicable\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 32\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u062a\u062d\u0645\u064a\u0644 \u0627\u0644\u0633\u064a\u0631\u0629 \u0627\u0644\u0630\u0627\u062a\u064a\u0629: \u062e\u064a\u0627\u0631 \u062a\u062d\u0645\u064a\u0644 \u0627\u0644\u0645\u0633\u062a\u0646\u062f<\/span> 1.Resume if available: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resume\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.doc,.docx\" aria-invalid=\"false\" type=\"file\" name=\"resume\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 38\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u062e\u0628\u0631\u0627\u062a \u0627\u0644\u062a\u0637\u0648\u0639<\/span> Volunteering Experience\n\t\t\t\t<\/h2>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 39\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0644 \u0644\u062f\u064a\u0643 \u062e\u0628\u0631\u0629 \u0633\u0627\u0628\u0642\u0629 \u0641\u064a \u0627\u0644\u062a\u0637\u0648\u0639\u061f<\/span> Do you have prior volunteer experience?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"volunteer_experience\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"volunteer_experience\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"volunteer_experience\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"note\"><span class=\"fr-br\">\u0625\u0630\u0627 \u0643\u0627\u0646\u062a \u0627\u0625\u0644\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u060c \u064a\u0631\u062c\u0649 \u062a\u0639\u0628\u0626\u0629 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062a\u0627\u0644\u064a\u0629<\/span>If yes, please fill in the information provided below <\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 40\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">1 .\u0627\u0633\u0645 \u0627\u0644\u0645\u0646\u0638\u0645\u0629<\/span> 1.Name of Organization <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 41\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0645\u0646\u0635\u0628<\/span> Title or Position<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title_orposition_1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"title_orposition_1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 42\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0645\u0646:<\/span> From<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"from_1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control walcf7-datepicker\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"from_1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 43\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">2 .\u0627\u0633\u0645 \u0627\u0644\u0645\u0646\u0638\u0645\u0629<\/span> 2.Name of Organization <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 44\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0645\u0646\u0635\u0628<\/span> Title or Position<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title_orposition_2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"title_orposition_2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 45\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0645\u0646:<\/span> From<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"from_2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control walcf7-datepicker\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"from_2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 46\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u0623\u0633\u0626\u0644\u0629<\/span> Questions\n\t\t\t\t<\/h2>\n\t\t\t\t<p><span class=\"fr-br\"><span class=\"fr-br\">\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0639\u0644\u0649 \u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0627\u0644\u062a\u0627\u0644\u064a\u0629 <\/span>Please answer the following questions <\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 47\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">1 .\u0644\u0645\u0627\u0630\u0627 \u062a\u062a\u0642\u062f\u0645 \u0644\u0644\u062a\u0637\u0648\u0639 \u0645\u0639 \u0643\u0627\u062a\u0634 \u0648 \u0628\u064a\u062a \u0639\u0628\u062f\u0627\u0644\u0644\u0647\u061f<\/span> 1.Why are you applying to volunteering with KACCH &amp; BACCH?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"why_kachh\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"why_kachh\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-8 48\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">2 .\u0647\u0644 \u0644\u062f\u064a\u0643 \u0645\u0634\u0643\u0644\u0629 \u0641\u064a \u0627\u0644\u0639\u0645\u0644 \u0645\u0639 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u062d\u062a\u0649 \u0633\u0646 16 \u0633\u0646\u0629 )\u0630\u0643\u0631 \/ \u0623\u0646\u062b\u0649(\u061f<\/span> 2. Do you have a problem working with children up to 16 years (male\/female)?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"do_youhaveaproblem\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"do_youhaveaproblem\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"do_youhaveaproblem\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-4 49\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">3 .\u0647\u0644 \u062a\u062a\u0646\u0627\u0648\u0644 \u062d\u0627\u0644\u064a\u0627 \u0623\u064a \u062f\u0648\u0627\u0621\u061f<\/span> 3. Are you presently on any medication?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"are_youpresentlyonanymedication\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"are_youpresentlyonanymedication\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"are_youpresentlyonanymedication\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 50\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0625\u0630\u0627 \u0643\u0627\u0646\u062a \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u060c \u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0627\u0644\u0633\u0628\u0628<\/span> If yes, please indicate the reason<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"if_yespleaseindicatethereason\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"if_yespleaseindicatethereason\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 51\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">4 .\u0647\u0644 \u0644\u062f\u064a\u0643 \u0623\u064a \u062e\u0628\u0631\u0629 \u0634\u062e\u0635\u064a\u0629 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649\u061f<\/span> 4. Do you have any personal experience in a hospital?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"do_youhaveanypersonalexperienceinahospital\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"do_youhaveanypersonalexperienceinahospital\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"do_youhaveanypersonalexperienceinahospital\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 52\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0625\u0630\u0627 \u0643\u0627\u0646\u062a \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u060c \u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0627\u0644\u0645\u0632\u064a\u062f.<\/span> If yes, please explain more.<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"if_yespleaseexplainmore\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"if_yespleaseexplainmore\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 53\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">5 .\u0641\u064a \u0627\u0644\u0639\u0627\u0645\u064a\u0646 \u0627\u0644\u0645\u0627\u0636\u064a\u064a\u0646 \u060c \u0647\u0644 \u0641\u0642\u062f\u062a \u0634\u062e\u0635 \u0642\u0631\u064a\u0628 \u0645\u0646\u0643 \u060c \u0623\u0648 \u0643\u0627\u0646\u062a \u0644\u062f\u064a\u0643 \u0623\u064a \u062a\u062c\u0631\u0628\u0629 \u0634\u062e\u0635\u064a\u0629 \u0623\u062e\u0631\u0649<br \/>\n\u0645\u0624\u0644\u0645\u0629\u061f<\/span> 5. In the last 2 years, have you experienced the death of someone close to you, or had any other distressing personal experience?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"in_thelast2years\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"in_thelast2years\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 54\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">6 .\u0645\u0627 \u0647\u064a \u0627\u0647\u062a\u0645\u0627\u0645\u0627\u062a\u0643 \u0648\u0647\u0648\u0627\u064a\u0627\u062a\u0643 \u0648\u0645\u0647\u0627\u0631\u0627\u062a\u0643\u061f<\/span> 6. What are you interests, your hobbies, and skills?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"what_areyouinterestsyourhobbiesandskills\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"what_areyouinterestsyourhobbiesandskills\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 55\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u0627\u0623\u0644\u0648\u0642\u0627\u062a \u0627\u0644\u0645\u062a\u0627\u062d\u0629<\/span> Availability\n\t\t\t\t<\/h2>\n\t\t\t\t<p><span class=\"fr-br\"><span class=\"fr-br\"> \u064a\u0631\u062c\u0649 \u062a\u062d\u062f\u064a\u062f \u0648\u0642\u062a\/\u0623\u0648\u0642\u0627\u062a \u0627\u0644\u062a\u0637\u0648\u0639 \u0627\u0644\u0645\u0641\u0636\u0644\u0629 \u0644\u062f\u064a\u0643:<\/span>Kindly check your preferred volunteering option\/s:<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 56\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2 class=\"col_red text-cp\"><span class=\"fr-br\">\u063a\u0631\u0641 \u0627\u0644\u0623\u0644\u0639\u0627\u0628 \u0628\u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649:<\/span> Hospital Playrooms:\n\t\t\t\t<\/h2>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 57\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062a\u0648\u0642\u064a\u062a:<\/span> Playrooms<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"playrooms_hospital\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"playrooms_hospital[]\" value=\"Amiri Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Amiri Hospital Playroom<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"playrooms_hospital[]\" value=\"Farwaniya Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Farwaniya Hospital Playroom<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"playrooms_hospital[]\" value=\"Jahra Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Jahra Hospital Playroom<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"playrooms_hospital[]\" value=\"NBK Children&#039;s Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">NBK Children&#039;s Hospital Playroom<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"playrooms_hospital[]\" value=\"Razi Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Razi Hospital Playroom<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"playrooms_hospital[]\" value=\"Ibn Sina Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Ibn Sina Hospital Playroom<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"playrooms_hospital[]\" value=\"Jaber Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Jaber Hospital Playroom<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 59\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0623\u064a\u0627\u0645:<\/span> Timing<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"timing_hospital\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"timing_hospital[]\" value=\"9:00 am - 12:00 pm\" \/><span class=\"wpcf7-list-item-label\">9:00 am - 12:00 pm<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 60\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u063a\u0631\u0641 \u0627\u0644\u0644\u0639\u0628:<\/span> Days<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"days_hospital\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"days_hospital[]\" value=\"Sunday\" \/><span class=\"wpcf7-list-item-label\">Sunday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_hospital[]\" value=\"Monday\" \/><span class=\"wpcf7-list-item-label\">Monday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_hospital[]\" value=\"Tuesday\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_hospital[]\" value=\"Wednesday\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"days_hospital[]\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2 class=\"col_red text-cp\"><span class=\"fr-br\">\u0645\u0633\u062a\u0634\u0641\u0649 \u0628\u064a\u062a \u0639\u0628\u062f\u0627\u0644\u0644\u0647 \u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 <\/span> Bayt Abdullah Children\u2019s Hospital\n\t\t\t\t<\/h2>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 62\">\n\t\t\t<div class=\"row\">\n\t\t\t\t<div class=\"col-md-4\">\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<p><label class=\"col_red\"><span class=\"fr-br\">\u0623\u0646\u0634\u0637\u0629 \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u0646\u0647\u0627\u0631\u064a\u0629 \u0641\u064a \u0628\u064a\u062a \u0639\u0628\u062f\u0627\u0644\u0644\u0647 <\/span> BACCH Day-Care Activities<\/label><br \/>\n<label><span class=\"fr-br\">\u0627\u0644\u062a\u0648\u0642\u064a\u062a:<\/span> Timing<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"timing_bcch_day_care\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"timing_bcch_day_care[]\" value=\"9:00 am - 12:00 pm\" \/><span class=\"wpcf7-list-item-label\">9:00 am - 12:00 pm<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"timing_bcch_day_care[]\" value=\"12:00 pm \u2013 3:00 pm\" \/><span class=\"wpcf7-list-item-label\">12:00 pm \u2013 3:00 pm<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0623\u064a\u0627\u0645:<\/span> Days<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"days_bcch_day_care\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"days_bcch_day_care[]\" value=\"Sunday\" \/><span class=\"wpcf7-list-item-label\">Sunday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_day_care[]\" value=\"Monday\" \/><span class=\"wpcf7-list-item-label\">Monday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_day_care[]\" value=\"Tuesday\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_day_care[]\" value=\"Wednesday\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"days_bcch_day_care[]\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"col-md-4\">\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<p><label class=\"col_red\"><span class=\"fr-br\">\u0641\u0639\u0627\u0644\u064a\u0627\u062a \u0628\u064a\u062a \u0639\u0628\u062f\u0627\u0644\u0644\u0647<\/span> BACCH Events<\/label><br \/>\n<label><span class=\"fr-br\">:\u0627<\/span> Timing<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"timing_bcch_events\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"timing_bcch_events[]\" value=\"9:00 am - 12:00 pm\" \/><span class=\"wpcf7-list-item-label\">9:00 am - 12:00 pm<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"timing_bcch_events[]\" value=\"12:00 pm \u2013 3:00 pm\" \/><span class=\"wpcf7-list-item-label\">12:00 pm \u2013 3:00 pm<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"timing_bcch_events[]\" value=\"3:00 pm \u2013 5:00 pm\" \/><span class=\"wpcf7-list-item-label\">3:00 pm \u2013 5:00 pm<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0623\u0644\u064a\u0627\u0645<\/span> Days<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"days_bcch_events\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"days_bcch_events[]\" value=\"Sunday\" \/><span class=\"wpcf7-list-item-label\">Sunday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_events[]\" value=\"Monday\" \/><span class=\"wpcf7-list-item-label\">Monday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_events[]\" value=\"Tuesday\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_events[]\" value=\"Wednesday\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_events[]\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_events[]\" value=\"Friday\" \/><span class=\"wpcf7-list-item-label\">Friday<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"days_bcch_events[]\" value=\"Saturday\" \/><span class=\"wpcf7-list-item-label\">Saturday<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"col-md-4\">\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<p><label class=\"col_red\"><span class=\"fr-br\">\u0623\u064a\u0627\u0645 \u0627\u0644\u0631\u0627\u062d\u0629 \u0641\u064a \u0639\u0637\u0644\u0629 \u0646\u0647\u0627\u064a\u0629 \u0627\u0644\u0627\u0633\u0628\u0648\u0639 \u0641\u064a \u0628\u064a\u062a \u0639\u0628\u062f\u0627\u0644\u0644\u0647<\/span> BACCH Respite Weekends<\/label><br \/>\n<label><span class=\"fr-br\">\u0627\u0644\u062a\u0648\u0642\u064a\u062a<\/span> Timing<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"timing_bcch_respite\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"timing_bcch_respite[]\" value=\"9:00 am - 12:00 pm\" \/><span class=\"wpcf7-list-item-label\">9:00 am - 12:00 pm<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"timing_bcch_respite[]\" value=\"12:00 pm \u2013 3:00 pm\" \/><span class=\"wpcf7-list-item-label\">12:00 pm \u2013 3:00 pm<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"timing_bcch_respite[]\" value=\"3:00 pm \u2013 5:00 pm\" \/><span class=\"wpcf7-list-item-label\">3:00 pm \u2013 5:00 pm<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0623\u0644\u064a\u0627\u0645<\/span> Days<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"days_bcch_respite\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"days_bcch_respite[]\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"days_bcch_respite[]\" value=\"Friday\" \/><span class=\"wpcf7-list-item-label\">Friday<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"days_bcch_respite[]\" value=\"Saturday\" \/><span class=\"wpcf7-list-item-label\">Saturday<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u0627\u0644\u062a\u0648\u0635\u064a\u0627\u062a<\/span> Referees\n\t\t\t\t<\/h2>\n\t\t\t\t<p><span class=\"fr-br\">\u064a\u0631\u062c\u0649 \u062a\u0642\u062f\u064a\u0645 \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0639\u0646 \u0634\u062e\u0635\u064a\u0646 \u0642\u0645\u062a \u0628\u0627\u0644\u0637\u0644\u0628 \u0645\u0646\u0647\u0645\u0627 \u0627\u0633\u062a\u0643\u0645\u0627\u0644 \u0646\u0645\u0648\u0630\u062c \u0627\u0644\u062a\u0648\u0635\u064a\u0629 \u0627\u0644\u062a\u0627\u0644\u064a \u0623\u0648 \u062a\u062d\u0645\u064a\u0644<br \/>\n\u062e\u0637\u0627\u0628\u064a\u0646 \u0645\u0646 \u0627\u0644\u062a\u0648\u0635\u064a\u0629. <\/span> Please provide information on the two (2) professional referees you have asked to complete and submit the following Referee Recommendation form or upload your recommendation letter\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"fr-br\">\u0623\u0645\u062b\u0644\u0629 \u0639\u0644\u0649 \u0627\u0644\u0627\u0634\u062e\u0627\u0635 \u0627\u0644\u0630\u064a\u0646 \u0645\u0646 \u0627\u0644\u0645\u0645\u0643\u0646 \u0627\u0646 \u064a\u0633\u062a\u0643\u0645\u0644\u0648\u0627 \u0627\u0644\u0646\u0645\u0648\u0630\u062c : \u0635\u0627\u062d\u0628 \u0639\u0645\u0644 \u060c \u0632\u0645\u064a\u0644 \u0639\u0645\u0644 \u060c \u0623\u0633\u062a\u0627\u0630 \u060c<br \/>\n\u0645\u062f\u0631\u0633 \u060c \u062c\u0627\u0631 \u060c \u0635\u062f\u064a\u0642. \u0627\u0644\u062a\u0648\u0635\u064a\u0627\u062a \u0645\u0646 \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0627\u0633\u0631\u0629 \u063a\u064a\u0631 \u0645\u0642\u0628\u0648\u0644\u0629.<\/span> Examples of a referee for individual volunteer include: Employer, Coworker, Professor, Teacher, Neighbour and Friend.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0633\u0645 \u0627\u0644\u0634\u062e\u0635 #\u0627\u0644\u0627\u0648\u0644<\/span> Referee #1 <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0639\u0644\u0627\u0642\u0629:<\/span> Relationship<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_rafere\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"relationship_rafere\" value=\"Employer\" \/><span class=\"wpcf7-list-item-label\">Employer<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere\" value=\"Coworker\" \/><span class=\"wpcf7-list-item-label\">Coworker<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere\" value=\"Professor\" \/><span class=\"wpcf7-list-item-label\">Professor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere\" value=\"Teacher\" \/><span class=\"wpcf7-list-item-label\">Teacher<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere\" value=\"Neighbour\" \/><span class=\"wpcf7-list-item-label\">Neighbour<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"relationship_rafere\" value=\"Friend\" \/><span class=\"wpcf7-list-item-label\">Friend<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0627\u062a\u0641:<\/span> Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone_reffere\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone_reffere\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a<\/span> Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email_reffere\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email_reffere\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0633\u0645 \u0627\u0644\u0634\u062e\u0635 #\u0627\u0644\u062b\u0627\u0646\u064a:<\/span> Referee #2 <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0639\u0644\u0627\u0642\u0629:<\/span> Relationship<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_rafere2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"relationship_rafere2\" value=\"Employer\" \/><span class=\"wpcf7-list-item-label\">Employer<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere2\" value=\"Coworker\" \/><span class=\"wpcf7-list-item-label\">Coworker<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere2\" value=\"Professor\" \/><span class=\"wpcf7-list-item-label\">Professor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere2\" value=\"Teacher\" \/><span class=\"wpcf7-list-item-label\">Teacher<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"relationship_rafere2\" value=\"Neighbour\" \/><span class=\"wpcf7-list-item-label\">Neighbour<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"relationship_rafere2\" value=\"Friend\" \/><span class=\"wpcf7-list-item-label\">Friend<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0627\u062a\u0641:<\/span> Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone_reffere2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone_reffere2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a:<\/span> Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email_reffere2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email_reffere2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">1 .\u062e\u0637\u0627\u0628 \u062a\u0648\u0635\u064a\u0629 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0645\u062a\u0627 \u064b\u062d\u0627: \u062a\u062d\u0645\u064a\u0644 \u0627\u0644\u0645\u0633\u062a\u0646\u062f<\/span> 1. Recommendation Letter if available: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"recomandation_letter\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.doc,.docx\" aria-invalid=\"false\" type=\"file\" name=\"recomandation_letter\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">2 .\u062e\u0637\u0627\u0628 \u062a\u0648\u0635\u064a\u0629 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0645\u062a\u0627 \u064b\u062d\u0627: \u062a\u062d\u0645\u064a\u0644 \u0627\u0644\u0645\u0633\u062a\u0646\u062f<\/span> 2. Recommendation Letter if available: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"recomandation_letter2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.doc,.docx\" aria-invalid=\"false\" type=\"file\" name=\"recomandation_letter2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2><span class=\"fr-br\">\u0627\u0644\u062a\u062d\u0642\u0642 \u0645\u0646 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a<\/span> Background Check\n\t\t\t\t<\/h2>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0647\u0644 \u0633\u0628\u0642 \u0623\u0646 \u062a\u0645\u062a \u0625\u062f\u0627\u0646\u062a\u0643 \u0628\u0623\u064a\u0629 \u062c\u0631\u064a\u0645\u0629 \u0623\u0648 \u0643\u0627\u0646 \u0644\u062f\u064a\u0643 \u062a\u0627\u0631\u064a\u062e \u0641\u064a \u0647\u0630\u0627 \u0627\u0644\u0635\u062f\u062f \u0633\u0648\u0627\u0621 \u062f\u0627\u062e\u0644 \u0627\u0644\u0643\u0648\u064a\u062a \u0623\u0648 \u062e\u0627\u0631\u062c\u0647\u0627\u061f <\/span> Have you ever been convicted or had a history of any crime either inside or outside of Kuwait? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"crime_record\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"crime_record\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"crime_record\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><span class=\"fr-br\">\u064a\u0631\u062c\u0649 \u0645\u0644\u0627\u062d\u0638\u0629 \u0623\u0646 \u0627\u0644\u0631\u062f \u063a\u064a\u0631 \u0627\u0644\u0635\u062d\u064a\u062d \u0633\u064a\u0624\u062f\u064a \u0625\u0644\u0649 \u0627\u0644\u0641\u0635\u0644 \u0627\u0644\u062a\u0644\u0642\u0627\u0626\u064a \u0645\u0646 \u0627\u0644\u0628\u0631\u0646\u0627\u0645\u062c. <\/span> Please note, an incorrect response will lead to automatic dismissal from the program\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><span class=\"fr-br\">\u0623\u0642\u0631 \u0623\u0646 \u062c\u0645\u064a\u0639 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0648\u0627\u0631\u062f\u0629 \u0641\u064a \u0647\u0630\u0627 \u0627\u0644\u0646\u0645\u0648\u0630\u062c \u0635\u062d\u064a\u062d\u0629 \u0648\u0643\u0627\u0645\u0644\u0629. \u0623\u0641\u0647\u0645 \u0623\u0646 \u0623\u064a \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u062e\u0627\u0637\u0626\u0629 \u0623\u0648 \u0623\u064a<br \/>\n\u062d\u0630\u0641 \u0642\u062f \u064a\u062d\u0631\u0645\u0646\u064a \u0645\u0646 \u0627\u0644\u062a\u0637\u0648\u0639 \u0641\u064a \u0643\u0627\u062a\u0634 \u0648\u0628\u064a\u062a \u0639\u0628\u062f\u0627\u0644\u0644\u0647 \u0648\u0642\u062f \u064a\u0624\u062f\u064a \u0625\u0644\u0649 \u0625\u0642\u0635\u0627\u0626\u064a \u0625\u0630\u0627 \u062a\u0645 \u0627\u0643\u062a\u0634\u0627\u0641\u0647 \u0641\u064a \u0648\u0642\u062a <\/span> I certify that all the information provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for volunteering at KACCH and may result in my dismissal if discovered at a later date.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062a\u0648\u0642\u064a\u0639:<\/span> Signature<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"signature\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 63\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062a\u0627\u0631\u064a\u062e:<\/span> Date<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"confirm_date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control walcf7-datepicker\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"confirm_date\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 col-sm-12 text-center\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page_tpl_full_width.php","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"class_list":["post-1115","page","type-page","status-publish","hentry","entry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/pages\/1115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/comments?post=1115"}],"version-history":[{"count":2,"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/pages\/1115\/revisions"}],"predecessor-version":[{"id":1117,"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/pages\/1115\/revisions\/1117"}],"wp:attachment":[{"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/media?parent=1115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}