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<html>
<head>
	<title>Jiob Ad Form</title>
	<style type="text/css">
		.BODY {font-size : 12px;font-family : Arial, helvetica, verdana;}
		.H {
	font-size : 10px;}

.H A {
	color : blue;
	text-decoration : none;}

.H A:hover {
	text-decoration : underline;}

.E {
	font-size : 10px;}

.E A {
	color : blue;
	text-decoration : none;}

.E A:hover {
	text-decoration : underline;}

.S {
	font-size : 10px;}

.S A {
	color : blue;
	text-decoration : none;}

.S A:hover {
	text-decoration : underline;}

.O {
	font-size : 10px;}

.O A {
	color : blue;
	text-decoration : none;}

.O A:hover {
	text-decoration : underline;}

.pagenums {
	font-size : 10px;
	padding : 2;
	}

.pagenums A {
	color : blue;
	text-decoration : none;}

.pagenums A:hover {
	color : blue;
	background : white;
	text-decoration : none;}
	</style>
<script src="/i4a/jslib/consent.js?ts=0.0843289154151176"></script> <!---Lucee-Ajax-Core---> <script type="text/javascript">
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<body

	leftmargin="0" marginheight="0" marginwidth="0" topmargin="0"

TEXT="000000"

	LINK="666666"


	ALINK="cccccc"


	VLINK="666666"

>


<TABLE BORDER="0" COLS="1" WIDTH="600">


<TR>
<td valign="top">
<a name="top">


			<CENTER>


	</CENTER>
		
		
	<div align="center">
	
	
	</div>
	<BR CLEAR="ALL">

	
<FONT FACE="Helvetica, Arial, Verdana, sans-serif" COLOR="000000">


<H3>Jiob Ad Form</H3></div>


</div>

	
<NOSCRIPT>
	<META HTTP-EQUIV="Refresh" CONTENT="0;URL=https://>clascholars.org/i4a/nojavascript.cfm">
</NOSCRIPT>

		
<div id="frm_wrapper" style="">

	
			<p class="form-instructions"><p><img height="187" src="https://clascholars.i4adev.com/images/image-20250726194435-1.png" style="float: left;" width="250" /></p>

<p></p>

<p><span style="color:#0a228e;"></span></p>

<p></p>

<p></p>

<p></p>

<p></p>

<p><span style="color:#0a228e;"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; text-align: justify; text-indent: 0px; text-transform: none; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">The College Language Association posts paid job advertisements on its website to help inform members and the larger public of any opportunities that are available in the field. Advertisements will also be posted on our social media pages to help bring visibility to these positions. CLA reserves the right to approve all copy.</span></span></p>
</p>
		

	<form action="index.cfm?id=14&popup=false" method="POST" id="iform" name="iform" enctype="multipart/form-data">
		
		<input type="hidden" id="num_questions" name="num_questions" value="7">
		<input type="hidden" name="form_id" value="14">
		<input type="hidden" name="report_id" value="">
		<input type="hidden" name="AllowedUploads" value="doc,docx,docm,dotx,dotm,eps,epub,htm,ics,lit,mobi,msg,pdf,potx,potm,ppam,ppsx,ppsm,pps,ppt,pptm,pptx,pub,txt,xls,zip,xlsx,xlsm,xltx,xltm,xlsb,xlam,vcf,sgf,gif,jpg,jpeg,jpe,png">
		
		
			<input type="hidden" name="formtitle" value="Jiob Ad Form">
		
	
<script>
	$(function () {
		// reset payment token in case user clicked Back button in browser
		$('#paymentToken').val('');
		
		//$('#business_radio').trigger('change');
		
		
	});
	
	function limitText(limitField, limitCount, limitNum) {
		if (limitField.value.length > limitNum) {
			limitField.value = limitField.value.substring(0, limitNum);
		} else {
			limitCount.value = limitNum - limitField.value.length;
		}
	}

	function enable(obj) {
		obj.disabled = false;
		obj.style.backgroundColor = "white";
		obj.style.color = "black";
	}

	var validForm = false;
	var sent = 0;
	
	// Thibault 2/11/06 added init function called at page load, plus validation that required fields are completed before submit.  should help with problems with the back button and credit cards,  issue 30102
	function init() {
		frm = document.iform;

		
	}

	window.onload = new Function("init()"); //set init function to run at page load

	function lcase(mystring)  {
		return mystring.toLowerCase()
	}

	function listfind(list,value,delimiters) {
		if(!delimiters){var delimiters=','}
		_TempListSplitArray = list.split(delimiters)
		FoundIdx = 0;
		for(i=0;i<_TempListSplitArray.length;i++) {
			if(_TempListSplitArray[i]==value){
				FoundIdx= i+1;
				break
			}
		}
		return FoundIdx;
	}

	function startValidate() {
		// this will kick off validation, but since we need to validate the captcha
		// we have to wait for that to finish first...
		var iForm = document.getElementById('iform');
		var fld_ss_form_testid = document.getElementById('fld_ss_form_testid');
		var mainV = validateFrm();
		fld_ss_form_testid.value = 1;
		if (mainV) {
			
				iForm.submit();
			
		}
	}

	function validateFrm() {
		if(!sent) sent = 0;  //make sure we have this!
		if (!validForm) validForm = false;
		arrReqMissing = new Array();
		
			
			var jsDesc = "Name";
			
				obj = document.iform.response_1;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Date";
			
				obj = document.iform.response_2;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Organization or business that you\'re purchasing an ad for.";
			
				obj = document.iform.response_3;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Email";
			
				obj = document.iform.response_4;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Contact Number";
			
				obj = document.iform.response_5;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Job Advertisement";
			
				obj = document.iform.response_6;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
				docfilename = document.iform.response_6.value.toLowerCase();
				list = "doc,docx,docm,dotx,dotm,eps,epub,htm,ics,lit,mobi,msg,pdf,potx,potm,ppam,ppsx,ppsm,pps,ppt,pptm,pptx,pub,txt,xls,zip,xlsx,xlsm,xltx,xltm,xlsb,xlam,vcf,sgf,gif,jpg,jpeg,jpe,png";
				if (docfilename != '') {
					x = docfilename.length;
					y = docfilename.lastIndexOf(".") + 1;
					ext = docfilename.substr(y, x);
					extfound = listfind(list, ext, ',');
					if (extfound == 0) {
						allowedUploadsList = 'doc,docx,docm,dotx,dotm,eps,epub,htm,ics,lit,mobi,msg,pdf,potx,potm,ppam,ppsx,ppsm,pps,ppt,pptm,pptx,pub,txt,xls,zip,xlsx,xlsm,xltx,xltm,xlsb,xlam,vcf,sgf,gif,jpg,jpeg,jpe,png';
						allowedUploadsList = allowedUploadsList.replace(/,/g, ', ');

						swal({
				  			title: 'File types',
				  			html: true,
				  			text: 'Sorry, you can only upload files of the following types: ' + allowedUploadsList,
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						return false;
					}
				// Leaving this disabled since I am going to relax security checks a bit, but leaving here
				// in case we need to add specific strings to exlusion for file uploads.
				//if ( docfilename.toLowerCase().indexOf("sp_") > -1 ) {
				//	alert("Sorry, you cannot upload files that contain the string 'sp_', please rename your file before uploading it.");
				//	return false;
				//	}
				}
			
		
			var jsDesc = "Please upload a copy of the logo you\'d like associated with the job. ";
			
				obj = document.iform.response_7;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
				docfilename = document.iform.response_7.value.toLowerCase();
				list = "doc,docx,docm,dotx,dotm,eps,epub,htm,ics,lit,mobi,msg,pdf,potx,potm,ppam,ppsx,ppsm,pps,ppt,pptm,pptx,pub,txt,xls,zip,xlsx,xlsm,xltx,xltm,xlsb,xlam,vcf,sgf,gif,jpg,jpeg,jpe,png";
				if (docfilename != '') {
					x = docfilename.length;
					y = docfilename.lastIndexOf(".") + 1;
					ext = docfilename.substr(y, x);
					extfound = listfind(list, ext, ',');
					if (extfound == 0) {
						allowedUploadsList = 'doc,docx,docm,dotx,dotm,eps,epub,htm,ics,lit,mobi,msg,pdf,potx,potm,ppam,ppsx,ppsm,pps,ppt,pptm,pptx,pub,txt,xls,zip,xlsx,xlsm,xltx,xltm,xlsb,xlam,vcf,sgf,gif,jpg,jpeg,jpe,png';
						allowedUploadsList = allowedUploadsList.replace(/,/g, ', ');

						swal({
				  			title: 'File types',
				  			html: true,
				  			text: 'Sorry, you can only upload files of the following types: ' + allowedUploadsList,
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						return false;
					}
				// Leaving this disabled since I am going to relax security checks a bit, but leaving here
				// in case we need to add specific strings to exlusion for file uploads.
				//if ( docfilename.toLowerCase().indexOf("sp_") > -1 ) {
				//	alert("Sorry, you cannot upload files that contain the string 'sp_', please rename your file before uploading it.");
				//	return false;
				//	}
				}
			
		
		if(arrReqMissing.length > 0) {
			//errStr = "We're sorry, but the following fields are required before you can submit this form. Please click OK, then correct these entries.<br>";
			errStr = "";
			for(i=0; i<arrReqMissing.length; i++) {
				errStr += arrReqMissing[i] + "<br>";
			}
			swal({
	  			title: 'Missing required fields',
	  			html: true,
	  			text: errStr,
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			return false;
		}

		for(i=0; i<document.iform.elements.length; i++) {
		 	if (document.iform.elements[i].type == 'textarea' || document.iform.elements[i].type == 'text') {
		 		if (document.iform.elements[i].value.length > 2147483647) {
		 			swal({
			  			title: 'Maximum allowable length',
			  			html: true,
			  			text: "One or more field responses exceeds the maximum allowable length of 2147483647 characters. Please adjust your responses and re-submit.",
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#337ab7'
			  		});
		 			return false;
		 		}
		 	}
		}

		if (sent == 1) {
	          swal({
	  			title: 'Processing..',
	  			html: true,
	  			text: "Your request is processing. Please do not click Submit more than once.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		  });
	          return false;
	    }
		
			bOK = true;
		
		if (bOK) {
			var btn = $('#submitBtn');
			btn.button('loading');
			btn.prop('disabled', true);
			sent = 1;
			validForm = true;
			return true;
		}
		else {
			return false;
		}
	}

	function IsNumeric(sText) {
	   var ValidChars = "0123456789.";
	   var IsNumber=true;
	   var Char;

	   for (i = 0; i < sText.length && IsNumber == true; i++) {
	      Char = sText.charAt(i);
	      if (ValidChars.indexOf(Char) == -1) {
	         IsNumber = false;
	      }
	   }
	   return IsNumber;
	}

	function setButtonVal(el, itemID, price) {
		// first set the price attribute on the element
		el.price = price;
		// now set the value of a hidden field for the associated radio button
		document.getElementById(itemID).price = price;
		document.getElementById(itemID).value = 1;
		// now call the calcTotalFix function to recaculate the total amount due
		calcTotalFix();
	}

	function getRadioButtonValForTotal(radioName){
		var rads = document.getElementsByName(radioName);
		var selectedPrice = 0;
		for(i=0; i < rads.length; i++) {
		  if(rads[i].checked == true){
		    selectedPrice = rads[i].getAttribute('price');
		  }
		}

		selectedPrice = parseFloat(selectedPrice);
		return selectedPrice;
	}

	function calcTotalFix() {
		var priceFields = $(".calculateTotal");
		// console.log('priceFields length: ' + priceFields.length);
		var updateTotal = 0; // initialize total before looping over array
		var processedRadioButtons = [];	/// reset array every time this function is called
		for (var i=0; i < priceFields.length; i++) {
			myFieldObj = priceFields[i];
			if (myFieldObj.value == '') { myFieldObj.value = 0; }
			fieldName = myFieldObj.name;
			value = myFieldObj.value;
			fieldID = myFieldObj.getAttribute('id');
			price = myFieldObj.getAttribute('price');

			// check to see if this is a radioVal by the item id
			if(fieldID != undefined){
				var nRadioVal = fieldID.indexOf("radioVal");
				if(nRadioVal > -1){
					fieldtype = 'radioval';
				} else {
					fieldtype = 'notradioval';
				}
			} else {
				fieldtype = 'nofieldid';
			}

			// if this is just an open price field, there is no notion of quantity times price, so the price to the value of the field
			if(fieldtype === 'radioval'){
				// radio price field - use "price" attribute since we have funky stuff in the "value" attribute that we can't parse easily
				arrNum = $.inArray(fieldName, processedRadioButtons);
				if(arrNum > -1) {
					// set price and calcualted value to zero for the rest of the checkboxes in this array because don't want to keep adding to price
					price = 0;
					calculatedValue = parseFloat(0);
				} else {
					price = getRadioButtonValForTotal(fieldName);
					calculatedValue = parseFloat(price);
					// add radio button field name to array of radio fields processed so we don't check again
					processedRadioButtons.push(fieldName);
				}
				// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
			} else {
				if (price === undefined || price === null) {
				// check to see if it's a radio price field first
					// open price field - use "value" attribute
					if (!IsNumeric(value)) {
						//alert("Open Prices must be numbers only, no formatting is allowed.");
						swal({
				  			title: 'Numbers only',
				  			html: true,
				  			text: "Open Prices must be numbers only, no formatting is allowed.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					calculatedValue = parseFloat(value);
					// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
				} else {
					if (!IsNumeric(value)) {
						//alert("Price fields only allow numbers.");
						swal({
				  			title: 'Price fields',
				  			html: true,
				  			text: "Price fields only allow numbers.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					myVal = parseFloat(value);
					// console.log('in parseint with 10 - fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / myVal: ' + myVal);
					calculatedValue = myVal * parseFloat(price);

				}
			}


			// console.log('Field id: ' + fieldID + ' / Fieldtype: ' + fieldtype + ' / Field name: ' + fieldName + ' / value: ' + value + ' / Price: ' + price + ' / Calculated Field Total: ' + calculatedValue);
			updateTotal = updateTotal + calculatedValue;
		}

		// update hidden total amount
		if (document.iform.hiddentotal) { document.iform.hiddentotal.value = updateTotal; }
		// console.log('The updateTotal is now: ' + updateTotal);
		
		
		// update total value with formatted amount
		if (typeof(formatCurrency) == "function") { document.iform.total.value = formatCurrency(updateTotal); }
		
		if ($('#ordertotal_work').length > 0) {
            $('#ordertotal_work').val(updateTotal.toFixed(2));
        }
        
        if ($('#pmt_method').length > 0) {
        	$('#pmt_method').val('');
        }
        $('.paymentProfileRadio').prop('checked', false);
        $('.card').removeClass('active');
        
		// need to update the cc_info tag fields...
		if (typeof(checkTotal) == "function") { checkTotal(); }
	}

	/* remove after confirming ok without it - 8/8/13 CJV */
	function calcTotal(myField){
		thisVal = myField.value;
		// alert(thisVal);
		if (thisVal == '') {
			thisVal = 0;
			myField.value = 0;
			}
			if (!IsNumeric(myField.value)) {
				//alert('Please enter only numbers or decimal points in a price field');
				swal({
		  			title: 'Price field',
		  			html: true,
		  			text: "Please enter only numbers or decimal points in a price field.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				myField.value = 0;
				thisVal = 0;
				}
				// get the current total
				var origTotal = document.iform.hiddentotal.value;
				// now backout the prior value from the total
				var priorTotal = origTotal - myField.priorval;
				if(priorTotal == ''){
					priorTotal = 0;
					}
				// add the open price to the total
				updateTotal = parseFloat(eval(priorTotal)) + parseFloat(eval(thisVal));
				// update hidden total amount
				document.iform.hiddentotal.value = updateTotal;
				
					
				// update total value with formatted amount
				document.iform.total.value = formatCurrency(updateTotal);
		checkTotal(); // need to update the cc_info tag fields...
	}
	/* */

	function setOpenPriceInput(thisField,thisPrice){
		if(thisPrice == ''){
			thisField.priorval = 0;
		} else {
			thisField.priorval = thisPrice;
		}
	}

	
		var div_bottom_moved = false;

		function addLoadEvent(func) {
 			var oldonload = window.onload;
  			if (typeof window.onload != 'function') {
    			window.onload = func;
  			}
  			else {
    			window.onload = function() {
      				if (oldonload) {
        				oldonload();
      				}
      				func();
    			}
  			}
 		}

		addLoadEvent(calcTotalFix);
	
</script>

	
<style>
.has-error {
	color: #f70404 !important;
}
.has-error input {
	border: 1px solid #f70404 !important;
}
</style>


<script>
	function checkInvalidCharacter(objName){
		var obj = document.iform[objName];
		var strFileName = obj.value.replace('C:\\fakepath\\','');
		iTemp = strFileName.indexOf(":");
		
		if (iTemp > -1) {
			swal({
	  			title: 'Invalid character',
	  			html: true,
	  			text: "Invalid character ':' found in file name. Please change the file name before attempting to upload this file.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			obj.value = '';
			return false;
		}
		else {
			iTemp = obj.value.indexOf(",");
			if (iTemp > -1) {
				swal({
		  			title: 'Invalid character',
		  			html: true,
		  			text: "Invalid character ',' found in file name. Please change the file name before attempting to upload this file.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				obj.value = '';
				return false;
			}
		}
	}
	function clearRadio(rd) {
		if (document.iform) {
			var v;
			var ln;
			var ev;
			submitted = 0;
			v = "document.iform." + rd + ".length";
			ln = eval(v);
			// This will ensure we uncheck if there is only 1 radio button..
			v = "document.iform." + rd + ".checked = false;";
			ev = eval(v);
			// Now loop through the list of radio buttons and uncheck them all
			for (i=0;i<ln;i++) {
				v = "document.iform." + rd + "[" + i + "].checked = false;";
				//console.log(v);
				ev = eval(v);
			}
			calcTotalFix();
		}
	}
</script>


<div class="form_layout_wrapper" style="max-width:940px;" >

	
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-124" class="layout form item outer row-1 item-124 row_num-20 row_pos-128 rowlength-1 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Name<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_1"
									name="response_1"
								
								
								 style="width:250px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-1 item-124"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_1_required"
							VALUE="The field Name is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_1" value="Name">
				<INPUT TYPE="hidden" NAME="response_1_question_id" VALUE="124">
				<INPUT TYPE="hidden" NAME="question_type_1" value="Text">
				<INPUT TYPE="hidden" NAME="label_1" value="Name">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-129" class="layout form item outer row-2 item-129 row_num-40 row_pos-128 rowlength-1 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Date<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_2"
									name="response_2"
								
								
								 style="width:250px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-2 item-129"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_2_required"
							VALUE="The field Date is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_2" value="Date">
				<INPUT TYPE="hidden" NAME="response_2_question_id" VALUE="129">
				<INPUT TYPE="hidden" NAME="question_type_2" value="Text">
				<INPUT TYPE="hidden" NAME="label_2" value="Date">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-125" class="layout form item outer row-3 item-125 row_num-60 row_pos-128 rowlength-1 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Organization or business that you're purchasing an ad for.<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_3"
									name="response_3"
								
								
								 style="width:250px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-3 item-125"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_3_required"
							VALUE="The field Organization or business that you're purchasing an ad for. is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_3" value="Organization or business that you're purchasing an ad for.">
				<INPUT TYPE="hidden" NAME="response_3_question_id" VALUE="125">
				<INPUT TYPE="hidden" NAME="question_type_3" value="Text">
				<INPUT TYPE="hidden" NAME="label_3" value="Organization">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-126" class="layout form item outer row-4 item-126 row_num-80 row_pos-128 rowlength-1 type-Email" style="clear:both;;position:relative;">

			<div class="inner">

				
							Email<span class="text-danger"> *</span>
					

								<script type="text/javascript" src="/i4a/ams/include/checkemail.js"></script>
							

							<input type="text"
								
									id="response_4"
									name="response_4"
								
								
								 style="width:250px;"
								
									
										onchange="VerifyEmailAddress('iform', this.name,'Email')" value=""
									
								
								class="form-control type-Email row-4 item-126"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_4_required"
							VALUE="The field Email is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_4" value="Email">
				<INPUT TYPE="hidden" NAME="response_4_question_id" VALUE="126">
				<INPUT TYPE="hidden" NAME="question_type_4" value="Email">
				<INPUT TYPE="hidden" NAME="label_4" value="Email">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-127" class="layout form item outer row-5 item-127 row_num-100 row_pos-128 rowlength-1 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Contact Number<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_5"
									name="response_5"
								
								
								 style="width:250px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-5 item-127"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_5_required"
							VALUE="The field Contact Number is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_5" value="Contact Number">
				<INPUT TYPE="hidden" NAME="response_5_question_id" VALUE="127">
				<INPUT TYPE="hidden" NAME="question_type_5" value="Text">
				<INPUT TYPE="hidden" NAME="label_5" value="Contact Number">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-128" class="layout form item outer row-6 item-128 row_num-120 row_pos-128 rowlength-1 type-File" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
							Job Advertisement<span class="text-danger"> *</span>
					

							<input type="file" accept="*" 
								
									id="response_6"
									name="response_6"
								
								
									onchange="checkInvalidCharacter('response_6');"
								

                                            value=""
									    
										
								class="type-File row-6 item-128"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_6_required"
							VALUE="The field Job Advertisement is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_6" value="Job Advertisement">
				<INPUT TYPE="hidden" NAME="response_6_question_id" VALUE="128">
				<INPUT TYPE="hidden" NAME="question_type_6" value="File">
				<INPUT TYPE="hidden" NAME="label_6" value="Job Ad">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-221" class="layout form item outer row-7 item-221 row_num-140 row_pos-128 rowlength-1 type-File" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
							Please upload a copy of the logo you'd like associated with the job.<span class="text-danger"> *</span>
					

							<input type="file" accept="*" 
								
									id="response_7"
									name="response_7"
								
								
									onchange="checkInvalidCharacter('response_7');"
								

                                            value=""
									    
										
								class="type-File row-7 item-221"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_7_required"
							VALUE="The field Please upload a copy of the logo you'd like associated with the job. is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_7" value="Please upload a copy of the logo you'd like associated with the job. ">
				<INPUT TYPE="hidden" NAME="response_7_question_id" VALUE="221">
				<INPUT TYPE="hidden" NAME="question_type_7" value="File">
				<INPUT TYPE="hidden" NAME="label_7" value="logo">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
	</div><!-- /The inner div, for the sake of IE -->

	
	<input type="hidden" id="hasOpenPriceField" name="hasOpenPriceField" value="0">

	
</div><!-- /form_layout_wrapper -->


		<div id="_ssdiv2" style="display:none">
			<input type="hidden" id="fld_uploadfields" name="UploadFields" value="6,7">
			<input type="hidden" id="fld_id_column" name="id_column" value="ID">
			<input type="hidden" id="fld_id_value" name="id_value" value="">
			<input type="hidden" id="fld_form_overrideid" name="form_overrideID" value="0">
			
			<input type="hidden" id="fld_ss_form_testid" name="ss_form_testid" value="0" />
			<div id="_ssdiv">
				<p style="background-color: blue"><input type="text" name="ss_address2" value="" /></p>
			</div>
		</div>
		
			<input type="hidden" name="form_isEdit" value="0">
		
	
		<div id="div_bottom" style="clear:both;">
			
			
				<input type="hidden" name="useCaptcha" value="0">
			
			
				<INPUT TYPE="hidden" NAME="send_mail_ind" VALUE="0">
				<INPUT TYPE="hidden" NAME="no_opt_out" VALUE="1">
			
	
			<div id="frm_submit_button">
				<br />
				<button class="btn btn-primary" type="button" data-loading-text="Please wait..." id="submitBtn"
					
						onclick="startValidate();"
					
				>Submit Form</button>
				<br /><br />
			</div>
	
			
			<div id="frm_verisign_seal_box">
				
				
			</div>
			
	
				<div id="frm_required_copy_bottom">
					<p>Fields marked with <span class="text-danger">*</span> are required.</p>
				</div>
			
	
				<div id="frm_ssl_copy_bottom"><p>Your form submission WILL be encrypted using SSL to ensure your privacy.</p></div>
			
	
		</div><!-- div_bottom -->
	
		
	</form>
</div>


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				<input type="text" class="form-control form-control-sm" name="username" id="loginWidgetUsername" placeholder="username" maxlength="50">
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</div>


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