{"id":657,"date":"2021-04-29T18:35:38","date_gmt":"2021-04-29T18:35:38","guid":{"rendered":"https:\/\/www.kacch.org\/?page_id=657"},"modified":"2021-04-29T18:36:02","modified_gmt":"2021-04-29T18:36:02","slug":"volunteer-application-form-for-students","status":"publish","type":"page","link":"https:\/\/www.kacch.org\/volunteer-application-form-for-students\/","title":{"rendered":"Volunteer Application Form for Students"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f615-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"615\">\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\/657#wpcf7-f615-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=\"615\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f615-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\u0627\u0644\u0633\u0645 \u0627\u0627\u0644\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\u0627\u0644\u0633\u0645 \u0627\u0627\u0644\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\"><input type=\"radio\" name=\"gender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/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-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\u0627\u0644\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<\/label><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\">\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>\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\"><input type=\"radio\" name=\"marital_status\" value=\"Single\" \/><span class=\"wpcf7-list-item-label\">Single<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"marital_status\" value=\"Married\" \/><span class=\"wpcf7-list-item-label\">Married<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"marital_status\" value=\"Divorced\" \/><span class=\"wpcf7-list-item-label\">Divorced<\/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-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\"><input type=\"radio\" name=\"are_youcurrently\" value=\"Employed\" \/><span class=\"wpcf7-list-item-label\">Employed<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"are_youcurrently\" value=\"Unemployed\" \/><span class=\"wpcf7-list-item-label\">Unemployed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"are_youcurrently\" value=\"Retired\" \/><span class=\"wpcf7-list-item-label\">Retired<\/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-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\"><input type=\"radio\" name=\"are_youaresidentofkuwait\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"are_youaresidentofkuwait\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/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 \u064b\u0645\u0627 \u0641\u064a \u0627\u0644\u0643\u0648\u064a\u062a \u0625\u0630\u0627 \u0643\u0646\u062a \u062a\u0631\u063a\u0628 \u0641\u064a \u0627\u0627\u0644\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\u0627\u0644\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\u0627\u0644\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\u0627\u0644\u0633\u0645 \u0627\u0623\u0644\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\u0627\u0644\u0633\u0645 \u0627\u0627\u0644\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\u0627\u0644\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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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 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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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 24\">\n\t\t\t<div class=\"from-group\">\n\t\t\t\t<h5><span class=\"fr-br\">\u062c\u0647\u0629 \u0627\u0627\u0644\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\u0627\u0644\u0633\u0645 \u0627\u0623\u0644\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\u0627\u0644\u0633\u0645 \u0627\u0623\u0644\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\u0627\u0644\u0642\u0629:<\/span>Relation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"c2relation\"><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=\"c2relation\" \/><\/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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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>Academic Information\n\t\t\t\t<\/h2>\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\u0644\u0648\u0636\u0639 \u0627\u0623\u0644\u0643\u0627\u062f\u064a\u0645\u064a \u0627\u0644\u062d\u0627\u0644\u064a: \u0637\u0627\u0644\u0628 \u062b\u0627\u0646\u0648\u064a \/ \u0637\u0627\u0644\u0628 \u062c\u0627\u0645\u0639\u064a \/ \u0637\u0627\u0644\u0628 \u062f\u0631\u0627\u0633\u0627\u062a \u0639\u0644\u064a<\/span>Current Academic Status<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"current_academicstatus\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"current_academicstatus\" value=\"Secondary School Student\" \/><span class=\"wpcf7-list-item-label\">Secondary School Student<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"current_academicstatus\" value=\"College Student\" \/><span class=\"wpcf7-list-item-label\">College Student<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"current_academicstatus\" value=\"Post graduate Student\" \/><span class=\"wpcf7-list-item-label\">Post graduate Student<\/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-6 34\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u062d\u062f\u062f \u0627\u0644\u0645\u0631\u062d\u0644\u0629:<\/span>Specify Year<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"specify_year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"specify_year\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 35\">\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\u0623\u0644\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<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 36\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0625\u0630\u0627 \u0644\u0645 \u064a\u0643\u0646 \u0642\u0627\u0628\u0627\u0644\u064b \u0627\u0644\u062f\u0631\u062c\u0629 \u0623\u0648 \u0627\u0644\u062a\u062e\u0635\u0635 \u0644\u0637\u0627\u0644\u0628 \u0627\u0644\u0643\u0644\u064a\u0629 \/ \u0627\u0644\u062c\u0627\u0645\u0639\u0629: \u064a\u0631\u062c\u0649 \u0643\u062a\u0627\u0628\u0629 A \/ N \u0644\u0644\u062a\u0637\u0628\u064a\u0642<\/span>Degree or Major for college\/university students: Please write N\/A if it is not applicable <\/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<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 37\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0625\u0630\u0627 \u0643\u0646\u062a \u062a\u062a\u0637\u0648\u0639 \u0644\u0645\u062a\u0637\u0644\u0628\u0627\u062a \u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u0645\u062f\u0631\u0633\u0629 \/ \u0627\u0644\u0643\u0644\u064a\u0629 \u060c \u0641\u064a\u0631\u062c\u0649 \u062a\u062d\u062f\u064a\u062f \u0639\u062f\u062f \u0627\u0644\u0633\u0627\u0639\u0627\u062a \u0627\u0644\u0645\u0637\u0644\u0648\u0628\u0629. \u064a\u0631\u062c\u0649<br \/>\n\u0643\u062a\u0627\u0628\u0629 A \/ N \u0625\u0630\u0627 \u0644\u0645 \u064a\u0643\u0646 \u0647\u0630\u0627 \u0645\u0646 \u0627\u0644\u0645\u062a\u0637\u0644\u0628\u0627\u062a<\/span>If you are volunteering for a school \/ college programme requirement, please specify<br \/>\nthe number of hours required. Please write N\/A if it is not applicable<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hours_of_volunter\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hours_of_volunter\" \/><\/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 \u0646\u0639\u0645 \/ \u0627<\/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\"><input type=\"radio\" name=\"volunteer_experience\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"volunteer_experience\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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 wpcf7-validates-as-required form-control walcf7-datepicker\" aria-required=\"true\" 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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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 wpcf7-validates-as-required form-control walcf7-datepicker\" aria-required=\"true\" 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\">\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0625\u0644\u062c\u0627\u0628\u0629 \u0639\u0644\u0649 \u0627\u0623\u0644\u0633\u0626\u0644\u0629 \u0627\u0644\u062a\u0627\u0644\u064a\u0629 <\/span>Please answer the following questions\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\u0647\u0644\u0644\u0627\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\u0623\u0644\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\"><input type=\"radio\" name=\"are_youpresentlyonanymedication\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"are_youpresentlyonanymedication\" 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-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\u0625\u0644\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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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\"><input type=\"radio\" name=\"do_youhaveanypersonalexperienceinahospital\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"do_youhaveanypersonalexperienceinahospital\" 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-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\u0625\u0644\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 wpcf7-validates-as-required form-control\" aria-required=\"true\" 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\u0644\u062a\u0648\u0641\u0631<\/span>Availability\n\t\t\t\t<\/h2>\n\t\t\t\t<p><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:\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\"><span class=\"fr-br\">\u063a\u0631\u0641 \u0627\u0623\u0644\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>Timing<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"timing_hospital\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><input type=\"radio\" name=\"timing_hospital\" value=\"9:00 am - 12:00 pm\" \/><span class=\"wpcf7-list-item-label\">9:00 am - 12:00 pm<\/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-6 59\">\n\t\t\t<div class=\"form-group\">\n\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_hospital\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"days_hospital\" value=\"Sunday\" \/><span class=\"wpcf7-list-item-label\">Sunday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_hospital\" value=\"Monday\" \/><span class=\"wpcf7-list-item-label\">Monday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_hospital\" value=\"Tuesday\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_hospital\" value=\"Wednesday\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"days_hospital\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/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-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>Playrooms<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"playrooms_hospital\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"playrooms_hospital\" value=\"Amiri Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Amiri Hospital Playroom<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"playrooms_hospital\" value=\"Farwaniya Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Farwaniya Hospital Playroom<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"playrooms_hospital\" value=\"Jahra Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Jahra Hospital Playroom<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"playrooms_hospital\" value=\"NBK Children&#039;s Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">NBK Children&#039;s Hospital Playroom<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"playrooms_hospital\" value=\"Razi Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Razi Hospital Playroom<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"playrooms_hospital\" value=\"Ibn Sina Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Ibn Sina Hospital Playroom<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"playrooms_hospital\" value=\"Jaber Hospital Playroom\" \/><span class=\"wpcf7-list-item-label\">Jaber Hospital Playroom<\/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-12 61\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<h2 class=\"col_red\"><span class=\"fr-br\">\u0645\u0633\u062a\u0634\u0641\u0649 \u0628\u064a\u062a \u0639\u0628\u062f \u0647\u0644\u0644\u0627 \u0644\u0644\u0631\u0639\u0627\u064a\u0629 \u0623\u0644\u0637\u0641\u0627\u0644 <\/span>Bayt Abdullah Children\u2019s Hospice\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 63\">\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\u0647\u0644\u0644\u0627 <\/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-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" 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=\"radio\" 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\u0623\u0644\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-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"days_bcch_day_care\" value=\"Sunday\" \/><span class=\"wpcf7-list-item-label\">Sunday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_day_care\" value=\"Monday\" \/><span class=\"wpcf7-list-item-label\">Monday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_day_care\" value=\"Tuesday\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_day_care\" value=\"Wednesday\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"days_bcch_day_care\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/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 65\">\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\u0647<\/span>BACCH Events<\/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_events\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" 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=\"radio\" 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=\"radio\" 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-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"days_bcch_events\" value=\"Sunday\" \/><span class=\"wpcf7-list-item-label\">Sunday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_events\" value=\"Monday\" \/><span class=\"wpcf7-list-item-label\">Monday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_events\" value=\"Tuesday\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_events\" value=\"Wednesday\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_events\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_events\" value=\"Friday\" \/><span class=\"wpcf7-list-item-label\">Friday<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"days_bcch_events\" value=\"Saturday\" \/><span class=\"wpcf7-list-item-label\">Saturday<\/span><\/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 68\">\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\u0623\u0644\u0633\u0628\u0648\u0639 \u0641\u064a \u0628\u064a\u062a \u0639\u0628\u062f\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-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" 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=\"radio\" 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=\"radio\" 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-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"days_bcch_respite\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"days_bcch_respite\" value=\"Friday\" \/><span class=\"wpcf7-list-item-label\">Friday<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"days_bcch_respite\" value=\"Saturday\" \/><span class=\"wpcf7-list-item-label\">Saturday<\/span><\/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 71\">\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 \u0627\u0644\u0634\u062e\u0635 \u0627\u0644\u0630\u064a\u0646 \u0633\u064a\u0633\u062a\u0643\u0645\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 \u062e\u0637\u0627\u0628 \u0627\u0644\u062a\u0648\u0635\u064a\u0629 \u0627\u0644\u062e\u0627\u0635 \u0628\u0643.<\/span>Please provide information on the one (1) 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\u0623\u0644\u0634\u062e\u0627\u0635 \u0627\u0644\u0630\u064a\u0646 \u0645\u0646 \u0627\u0644\u0645\u0645\u0643\u0646 \u0622\u0646 \u064a\u0633\u062a\u0643\u0645\u0644\u0648\u0627 \u0627\u0644\u0646\u0645\u0648\u0630\u062c \u0644\u0637\u0627\u0644\u0628 \u0627\u0644\u0645\u062f\u0631\u0633\u0629 \/ \u0627\u0644\u062c\u0627\u0645\u0639\u0629: \u0627\u0644\u0645\u0639\u0644\u0645 \u060c<br \/>\n\u062f\u0643\u062a\u0648\u0631 \u0627\u0644\u062c\u0627\u0645\u0639\u0629 \u060c \u0627\u0644\u0645\u0633\u062a\u0634\u0627\u0631 \u060c\u0648 \u0627\u0644\u0645\u0631\u0634\u062f.<\/span> Examples of a referee for school\/university students include: teacher, professor, counselour, and mentor.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 72\">\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: <\/span>Referee #1 Name<\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 73\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u0639\u0627\u0644\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-12 74\">\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<\/div>\n\t\t<div class=\"col-md-12 75\">\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 76\">\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>\n\t\t\t\t<\/p>\n\t\t\t\t<p><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-12 77\">\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>\n\t\t\t\t<\/p>\n\t\t\t\t<p><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 78\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\u0627\u0644\u062a\u062d\u0642\u0642 \u0645\u0646 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a<\/span>Background Check<\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 79\">\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 \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 80\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><span class=\"fr-br\">\u064a\u0631\u062c\u0649 \u0645\u0627\u0644\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 81\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\"><\/span>Signature<\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-12 82\">\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 \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\u0647\u0644\u0644\u0627 \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 \u0627\u0644\u062d\u0642.<\/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 83\">\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 84\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label><span class=\"fr-br\">\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-657","page","type-page","status-publish","hentry","entry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/pages\/657","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=657"}],"version-history":[{"count":2,"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/pages\/657\/revisions"}],"predecessor-version":[{"id":659,"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/pages\/657\/revisions\/659"}],"wp:attachment":[{"href":"https:\/\/www.kacch.org\/mybrand-api\/wp\/v2\/media?parent=657"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}