{"id":14528,"date":"2025-03-14T17:33:16","date_gmt":"2025-03-14T21:33:16","guid":{"rendered":"https:\/\/www.monmouth.edu\/business-council\/?page_id=14528"},"modified":"2026-02-12T17:09:23","modified_gmt":"2026-02-12T22:09:23","slug":"member-profile-submission-form","status":"publish","type":"page","link":"https:\/\/www.monmouth.edu\/business-council\/member-profile-submission-form\/","title":{"rendered":"Member Profile Submission Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><p>New members, please provide your professional profile information below and submit this form to be added to the member directory.  Existing members seeking to make changes or updates to an existing profile should email requests directly to <a href=\"mailto:rriccia@monmouth.edu\">rriccia@monmouth.edu<\/a>.<\/p><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_140'  action='\/business-council\/wp-json\/wp\/v2\/pages\/14528' data-formid='140' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_140' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_140_55\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_140_55'>Facebook<\/label><div class='ginput_container'><input name='input_55' id='input_140_55' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_140_55'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_140_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Member Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_140_1'>\n\t\t\t<div class='gchoice gchoice_140_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Full Member'  id='choice_140_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_140_1_0' id='label_140_1_0' class='gform-field-label gform-field-label--type-inline'>Full Member<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_140_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Associate Member'  id='choice_140_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_140_1_1' id='label_140_1_1' class='gform-field-label gform-field-label--type-inline'>Associate Member<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_140_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_140_3'>\n                            \n                            <span id='input_140_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_140_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_140_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_140_3_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.4' id='input_140_3_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_140_3_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_140_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_140_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_140_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_140_3_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.8' id='input_140_3_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_140_3_8' class='gform-field-label gform-field-label--type-sub '>Suffix<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><div id=\"field_140_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_140_4'>Induction Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_140_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_140_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_140_5'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_140_5' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_140_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_140_6'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_140_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_140_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Select Which Address You&#039;ll Provide<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_140_54'>\n\t\t\t<div class='gchoice gchoice_140_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Personal Address'  id='choice_140_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_140_54_0' id='label_140_54_0' class='gform-field-label gform-field-label--type-inline'>Personal Address<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_140_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Business Address'  id='choice_140_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_140_54_1' id='label_140_54_1' class='gform-field-label gform-field-label--type-inline'>Business Address<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_140_53\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_140_53' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_140_53_1_container' >\n                                        <input type='text' name='input_53.1' id='input_140_53_1' value=''    aria-required='true'    \/>\n                                        <label for='input_140_53_1' id='input_140_53_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_140_53_3_container' >\n                                    <input type='text' name='input_53.3' id='input_140_53_3' value=''    aria-required='true'    \/>\n                                    <label for='input_140_53_3' id='input_140_53_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_140_53_4_container' >\n                                        <select name='input_53.4' id='input_140_53_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_140_53_4' id='input_140_53_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_140_53_5_container' >\n                                    <input type='text' name='input_53.5' id='input_140_53_5' value=''    aria-required='true'    \/>\n                                    <label for='input_140_53_5' id='input_140_53_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_53.6' id='input_140_53_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_140_50\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_140_50'>Professional Headshot<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20971520' \/><input name='input_50' id='input_140_50' type='file' class='large' aria-describedby=\"gfield_upload_rules_140_50 gfield_description_140_50\" onchange='javascript:gformValidateFileSize( this, 20971520 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_140_50'>Accepted file types: jpg, Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_140_50'><\/div> <\/div><div class='gfield_description' id='gfield_description_140_50'>Please attach a professional headshot that is at least 1,000 pixels wide and 1,000 pixels tall.<\/div><\/div><div id=\"field_140_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Education<\/h3><\/div><fieldset id=\"field_140_34\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Education<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">School<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Degree<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Class of<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell1 gform-grid-col' data-label='School'><input aria-invalid='false'   aria-label='School, Row 1' data-aria-label-template='School, Row {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell2 gform-grid-col' data-label='Degree'><input aria-invalid='false'   aria-label='Degree, Row 1' data-aria-label-template='Degree, Row {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell3 gform-grid-col' data-label='Class of'><input aria-invalid='false'   aria-label='Class of, Row 1' data-aria-label-template='Class of, Row {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_140_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Professional Experience<\/h3><\/div><fieldset id=\"field_140_31\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Current Roles<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Role\/Title<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Company<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_31_cell1 gform-grid-col' data-label='Role\/Title'><input aria-invalid='false'   aria-label='Role\/Title, Row 1' data-aria-label-template='Role\/Title, Row {0}' type='text' name='input_31[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_31_cell2 gform-grid-col' data-label='Company'><input aria-invalid='false'   aria-label='Company, Row 1' data-aria-label-template='Company, Row {0}' type='text' name='input_31[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_140_51\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Previous Roles<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Role\/Title<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Company<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_51_cell1 gform-grid-col' data-label='Role\/Title'><input aria-invalid='false'   aria-label='Role\/Title, Row 1' data-aria-label-template='Role\/Title, Row {0}' type='text' name='input_51[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_51_cell2 gform-grid-col' data-label='Company'><input aria-invalid='false'   aria-label='Company, Row 1' data-aria-label-template='Company, Row {0}' type='text' name='input_51[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_140_52\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Board Assignments<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Role\/Title<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Company<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_52_cell1 gform-grid-col' data-label='Role\/Title'><input aria-invalid='false'   aria-label='Role\/Title, Row 1' data-aria-label-template='Role\/Title, Row {0}' type='text' name='input_52[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_52_cell2 gform-grid-col' data-label='Company'><input aria-invalid='false'   aria-label='Company, Row 1' data-aria-label-template='Company, Row {0}' type='text' name='input_52[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_140_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Research<\/h3><\/div><fieldset id=\"field_140_33\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Research (Note Any Published Research You Have Authored)<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_33_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Research (Note Any Published Research You Have Authored), Row 1' data-aria-label-template='Research (Note Any Published Research You Have Authored), Row {0}' type='text' name='input_33[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_140_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Community Impact<\/h3><\/div><fieldset id=\"field_140_30\" class=\"gfield gfield--type-list gfield--input-type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Community Impact (Note Active Volunteer Work)<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_30_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Community Impact (Note Active Volunteer Work), Row 1' data-aria-label-template='Community Impact (Note Active Volunteer Work), Row {0}' type='text' name='input_30[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_140_45\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Certifications<\/h3><\/div><fieldset id=\"field_140_48\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Certifications<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Certifications, Row 1' data-aria-label-template='Certifications, Row {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_140_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Role on Business Council<\/h3><\/div><fieldset id=\"field_140_37\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col_vertical field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Roles on Business Council (Select All That Apply)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_140_37'><div class='gchoice gchoice_140_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='Business Council Officer, Chair'  id='choice_140_37_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_1' id='label_140_37_1' class='gform-field-label gform-field-label--type-inline'>Business Council Officer, Chair<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.2' type='checkbox'  value='Business Council Officer, Vice Chair'  id='choice_140_37_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_2' id='label_140_37_2' class='gform-field-label gform-field-label--type-inline'>Business Council Officer, Vice Chair<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.3' type='checkbox'  value='Business Council Officer, Treasurer'  id='choice_140_37_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_3' id='label_140_37_3' class='gform-field-label gform-field-label--type-inline'>Business Council Officer, Treasurer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.4' type='checkbox'  value='Communications, Marketing, &amp; Events Committee'  id='choice_140_37_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_4' id='label_140_37_4' class='gform-field-label gform-field-label--type-inline'>Communications, Marketing, &amp; Events Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.5' type='checkbox'  value='Chair, Communications, Marketing, &amp; Events Committee'  id='choice_140_37_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_5' id='label_140_37_5' class='gform-field-label gform-field-label--type-inline'>Chair, Communications, Marketing, &amp; Events Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.6' type='checkbox'  value='Executive-in-Residence'  id='choice_140_37_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_6' id='label_140_37_6' class='gform-field-label gform-field-label--type-inline'>Executive-in-Residence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.7' type='checkbox'  value='Faculty Support Committee'  id='choice_140_37_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_7' id='label_140_37_7' class='gform-field-label gform-field-label--type-inline'>Faculty Support Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.8' type='checkbox'  value='Chair, Faculty Support Committee'  id='choice_140_37_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_8' id='label_140_37_8' class='gform-field-label gform-field-label--type-inline'>Chair, Faculty Support Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.9' type='checkbox'  value='Finance &amp; Budget Committee'  id='choice_140_37_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_9' id='label_140_37_9' class='gform-field-label gform-field-label--type-inline'>Finance &amp; Budget Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.11' type='checkbox'  value='Chair, Finance &amp; Budget Committee'  id='choice_140_37_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_11' id='label_140_37_11' class='gform-field-label gform-field-label--type-inline'>Chair, Finance &amp; Budget Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.12' type='checkbox'  value='Leon Hess Business School Dean\u2019s Advisory Council'  id='choice_140_37_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_12' id='label_140_37_12' class='gform-field-label gform-field-label--type-inline'>Leon Hess Business School Dean\u2019s Advisory Council<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.13' type='checkbox'  value='Membership Committee'  id='choice_140_37_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_13' id='label_140_37_13' class='gform-field-label gform-field-label--type-inline'>Membership Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.14' type='checkbox'  value='Chair, Membership Committee'  id='choice_140_37_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_14' id='label_140_37_14' class='gform-field-label gform-field-label--type-inline'>Chair, Membership Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.15' type='checkbox'  value='Monmouth University Board of Trustees'  id='choice_140_37_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_15' id='label_140_37_15' class='gform-field-label gform-field-label--type-inline'>Monmouth University Board of Trustees<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.16' type='checkbox'  value='Chair, Monmouth University Board of Trustees'  id='choice_140_37_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_16' id='label_140_37_16' class='gform-field-label gform-field-label--type-inline'>Chair, Monmouth University Board of Trustees<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.17' type='checkbox'  value='Steering Committee'  id='choice_140_37_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_17' id='label_140_37_17' class='gform-field-label gform-field-label--type-inline'>Steering Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.18' type='checkbox'  value='Student Engagement Committee'  id='choice_140_37_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_18' id='label_140_37_18' class='gform-field-label gform-field-label--type-inline'>Student Engagement Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.19' type='checkbox'  value='Chair, Student Engagement Committee'  id='choice_140_37_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_19' id='label_140_37_19' class='gform-field-label gform-field-label--type-inline'>Chair, Student Engagement Committee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_37_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.21' type='checkbox'  value='Other'  id='choice_140_37_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_37_21' id='label_140_37_21' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_140_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Industry Experience<\/h3><\/div><fieldset id=\"field_140_39\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_2col_vertical field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Industry Experience (Select All That Apply)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_140_39'><div class='gchoice gchoice_140_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='Academic &amp; Educational Services'  id='choice_140_39_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_1' id='label_140_39_1' class='gform-field-label gform-field-label--type-inline'>Academic &amp; Educational Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='Accounting'  id='choice_140_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_2' id='label_140_39_2' class='gform-field-label gform-field-label--type-inline'>Accounting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.3' type='checkbox'  value='Advertising'  id='choice_140_39_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_3' id='label_140_39_3' class='gform-field-label gform-field-label--type-inline'>Advertising<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.4' type='checkbox'  value='Automotive'  id='choice_140_39_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_4' id='label_140_39_4' class='gform-field-label gform-field-label--type-inline'>Automotive<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.5' type='checkbox'  value='Biopharmaceuticals'  id='choice_140_39_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_5' id='label_140_39_5' class='gform-field-label gform-field-label--type-inline'>Biopharmaceuticals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.6' type='checkbox'  value='Biotechnology'  id='choice_140_39_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_6' id='label_140_39_6' class='gform-field-label gform-field-label--type-inline'>Biotechnology<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.7' type='checkbox'  value='Chemical'  id='choice_140_39_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_7' id='label_140_39_7' class='gform-field-label gform-field-label--type-inline'>Chemical<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.8' type='checkbox'  value='Consumer Products'  id='choice_140_39_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_8' id='label_140_39_8' class='gform-field-label gform-field-label--type-inline'>Consumer Products<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.9' type='checkbox'  value='Corporate Law'  id='choice_140_39_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_9' id='label_140_39_9' class='gform-field-label gform-field-label--type-inline'>Corporate Law<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.11' type='checkbox'  value='Energy'  id='choice_140_39_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_11' id='label_140_39_11' class='gform-field-label gform-field-label--type-inline'>Energy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.12' type='checkbox'  value='Executive Coaching'  id='choice_140_39_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_12' id='label_140_39_12' class='gform-field-label gform-field-label--type-inline'>Executive Coaching<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.13' type='checkbox'  value='Financial Services'  id='choice_140_39_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_13' id='label_140_39_13' class='gform-field-label gform-field-label--type-inline'>Financial Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.14' type='checkbox'  value='Fintech Services'  id='choice_140_39_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_14' id='label_140_39_14' class='gform-field-label gform-field-label--type-inline'>Fintech Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.15' type='checkbox'  value='Food &amp; Beverage'  id='choice_140_39_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_15' id='label_140_39_15' class='gform-field-label gform-field-label--type-inline'>Food &amp; Beverage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.16' type='checkbox'  value='Government Services'  id='choice_140_39_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_16' id='label_140_39_16' class='gform-field-label gform-field-label--type-inline'>Government Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.17' type='checkbox'  value='Healthcare'  id='choice_140_39_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_17' id='label_140_39_17' class='gform-field-label gform-field-label--type-inline'>Healthcare<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.18' type='checkbox'  value='Insurance'  id='choice_140_39_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_18' id='label_140_39_18' class='gform-field-label gform-field-label--type-inline'>Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.19' type='checkbox'  value='Management Consulting'  id='choice_140_39_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_19' id='label_140_39_19' class='gform-field-label gform-field-label--type-inline'>Management Consulting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.21' type='checkbox'  value='Manufacturing'  id='choice_140_39_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_21' id='label_140_39_21' class='gform-field-label gform-field-label--type-inline'>Manufacturing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.22' type='checkbox'  value='Marketing'  id='choice_140_39_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_22' id='label_140_39_22' class='gform-field-label gform-field-label--type-inline'>Marketing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.23' type='checkbox'  value='Media &amp; Entertainment'  id='choice_140_39_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_23' id='label_140_39_23' class='gform-field-label gform-field-label--type-inline'>Media &amp; Entertainment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.24' type='checkbox'  value='Military'  id='choice_140_39_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_24' id='label_140_39_24' class='gform-field-label gform-field-label--type-inline'>Military<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.25' type='checkbox'  value='Non-Profit'  id='choice_140_39_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_25' id='label_140_39_25' class='gform-field-label gform-field-label--type-inline'>Non-Profit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.26' type='checkbox'  value='Office Administrative Services'  id='choice_140_39_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_26' id='label_140_39_26' class='gform-field-label gform-field-label--type-inline'>Office Administrative Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.27' type='checkbox'  value='Pharmaceutical &amp; Life Sciences'  id='choice_140_39_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_27' id='label_140_39_27' class='gform-field-label gform-field-label--type-inline'>Pharmaceutical &amp; Life Sciences<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.28' type='checkbox'  value='Professional Services'  id='choice_140_39_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_28' id='label_140_39_28' class='gform-field-label gform-field-label--type-inline'>Professional Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.29' type='checkbox'  value='Real Estate'  id='choice_140_39_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_29' id='label_140_39_29' class='gform-field-label gform-field-label--type-inline'>Real Estate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.31' type='checkbox'  value='Retail'  id='choice_140_39_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_31' id='label_140_39_31' class='gform-field-label gform-field-label--type-inline'>Retail<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.32' type='checkbox'  value='Technology'  id='choice_140_39_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_32' id='label_140_39_32' class='gform-field-label gform-field-label--type-inline'>Technology<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.33' type='checkbox'  value='Transportation &amp; Shipping'  id='choice_140_39_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_33' id='label_140_39_33' class='gform-field-label gform-field-label--type-inline'>Transportation &amp; Shipping<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_39_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.34' type='checkbox'  value='Other'  id='choice_140_39_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_39_34' id='label_140_39_34' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_140_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_140_43'>Other Industry Experience<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_140_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_140_47\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Areas of Expertise<\/h3><\/div><fieldset id=\"field_140_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_2col_vertical field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Areas of Expertise (Select All That Apply)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_140_40'><div class='gchoice gchoice_140_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Accounting'  id='choice_140_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_1' id='label_140_40_1' class='gform-field-label gform-field-label--type-inline'>Accounting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Advertising'  id='choice_140_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_2' id='label_140_40_2' class='gform-field-label gform-field-label--type-inline'>Advertising<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Artifical Intellegence'  id='choice_140_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_3' id='label_140_40_3' class='gform-field-label gform-field-label--type-inline'>Artifical Intellegence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Business Development &amp; Sales'  id='choice_140_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_4' id='label_140_40_4' class='gform-field-label gform-field-label--type-inline'>Business Development &amp; Sales<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.5' type='checkbox'  value='Change Management'  id='choice_140_40_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_5' id='label_140_40_5' class='gform-field-label gform-field-label--type-inline'>Change Management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.6' type='checkbox'  value='Commercial Real Estate &amp; Development'  id='choice_140_40_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_6' id='label_140_40_6' class='gform-field-label gform-field-label--type-inline'>Commercial Real Estate &amp; Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.7' type='checkbox'  value='Corporate Finance'  id='choice_140_40_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_7' id='label_140_40_7' class='gform-field-label gform-field-label--type-inline'>Corporate Finance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.8' type='checkbox'  value='Customer Engagement'  id='choice_140_40_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_8' id='label_140_40_8' class='gform-field-label gform-field-label--type-inline'>Customer Engagement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_140_40_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.9' type='checkbox'  value='Data &amp; Analytics'  id='choice_140_40_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_140_40_9' id='label_140_40_9' class='gform-field-label gform-field-label--type-inline'>Data 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