{"id":19682,"date":"2020-09-17T15:02:08","date_gmt":"2020-09-17T19:02:08","guid":{"rendered":"https:\/\/extension.umaine.edu\/4h\/?page_id=19682"},"modified":"2020-09-17T15:02:08","modified_gmt":"2020-09-17T19:02:08","slug":"4-h-stem-ambassador-enrollment-non-discrimination-statement-standards-of-behavior-and-media-release-form","status":"publish","type":"page","link":"https:\/\/extension.umaine.edu\/4h\/stem-ambassadors\/4-h-stem-ambassador-enrollment-non-discrimination-statement-standards-of-behavior-and-media-release-form\/","title":{"rendered":"4-H STEM Ambassador Enrollment, Non-discrimination Statement, Standards of Behavior, and Media Release Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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class=\"gform_title\">4-H STEM Ambassadors Volunteer Annual Enrollment, Non-discrimination Statement, Standards of Behavior, and Media Release Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_37'  action='\/4h\/wp-json\/wp\/v2\/pages\/19682#gf_37' data-formid='37' novalidate>\n        <div id='gf_progressbar_wrapper_37' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_37_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_37' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_37_65\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_37_65'>Phone<\/label><div class='gfield_description' id='gfield_description_37_65'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_65' id='input_37_65' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_37_5\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label 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class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_37_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_5.6' id='input_37_5_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_37_37\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Preferred Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_37_37'>\n                            \n                            <span id='input_37_37_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_37_37_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_37.3' id='input_37_37_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/li><li id=\"field_37_9\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label 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'>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_9_2' id='input_37_9_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_37_6\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_37_6' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_37_6_1_container' >\n                                        <label for='input_37_6_1' id='input_37_6_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_6.1' id='input_37_6_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_37_6_2_container' >\n                                        <label for='input_37_6_2' id='input_37_6_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_6.2' id='input_37_6_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_37_6_3_container' >\n                                    <label for='input_37_6_3' id='input_37_6_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_6.3' id='input_37_6_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_37_6_4_container' >\n                                        <label for='input_37_6_4' id='input_37_6_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_6.4' id='input_37_6_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                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_37_6_5_container' >\n                                    <label for='input_37_6_5' id='input_37_6_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_6.5' id='input_37_6_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_6.6' id='input_37_6_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_37_24\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_37_24'>Campus<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_37_24' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='UMaine - Orono' >UMaine - Orono<\/option><option value='UMA - Augusta' >UMA - Augusta<\/option><option value='UMA - Bangor' >UMA - Bangor<\/option><option value='Farmington' >Farmington<\/option><option value='Fort Kent' >Fort Kent<\/option><option value='Machias' >Machias<\/option><option value='USM - Portland' >USM - Portland<\/option><option value='USM - Gorham' >USM - Gorham<\/option><option value='USM - Lewiston-Auburn' >USM - Lewiston-Auburn<\/option><\/select><\/div><\/li><li id=\"field_37_64\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_37_64'>Birth Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_37_64' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_37_7\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_37_7'>Primary Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_37_7' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_37_38\" class=\"gfield gfield--type-phone field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_37_38'>Work Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_38' id='input_37_38' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_37_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I would like to receive:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_37_40'><li class='gchoice gchoice_37_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Email Newsletters'  id='choice_37_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_40_1' id='label_37_40_1' class='gform-field-label gform-field-label--type-inline'>Email Newsletters<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='4-H Mailings'  id='choice_37_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_40_2' id='label_37_40_2' class='gform-field-label gform-field-label--type-inline'>4-H Mailings<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='None of the above'  id='choice_37_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_40_3' id='label_37_40_3' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_37_43' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_37_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_37_2' class='gform_page' data-js='page-field-id-43' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_37_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_37_44\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3><strong>Optional Demographic Data<\/strong><\/h3>\n\n<p><strong>Please provide us with this optional data so that we may report to our federal partners<\/strong>.<\/p><\/li><li id=\"field_37_39\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Gender Identity<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_37_39'>\n\t\t\t<li class='gchoice gchoice_37_39_0'>\n\t\t\t\t<input name='input_39' type='radio' value='Male'  id='choice_37_39_0'    \/>\n\t\t\t\t<label for='choice_37_39_0' id='label_37_39_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_39_1'>\n\t\t\t\t<input name='input_39' type='radio' value='Female'  id='choice_37_39_1'    \/>\n\t\t\t\t<label for='choice_37_39_1' id='label_37_39_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_39_2'>\n\t\t\t\t<input name='input_39' type='radio' value='Gender not listed'  id='choice_37_39_2'    \/>\n\t\t\t\t<label for='choice_37_39_2' id='label_37_39_2' class='gform-field-label gform-field-label--type-inline'>Gender not listed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_39_3'>\n\t\t\t\t<input name='input_39' type='radio' value='Prefer not to respond'  id='choice_37_39_3'    \/>\n\t\t\t\t<label for='choice_37_39_3' id='label_37_39_3' class='gform-field-label gform-field-label--type-inline'>Prefer not to respond<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_39_4'>\n\t\t\t\t<input name='input_39' type='radio' value='gf_other_choice'  id='choice_37_39_4'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_37_39_other' name='input_39_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_37_45\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Hispanic Ethnicity<\/label><div class='gfield_description' id='gfield_description_37_45'>(check one)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_37_45'>\n\t\t\t<li class='gchoice gchoice_37_45_0'>\n\t\t\t\t<input name='input_45' type='radio' value='Yes, Hispanic or Latino Ethnicity'  id='choice_37_45_0'    \/>\n\t\t\t\t<label for='choice_37_45_0' id='label_37_45_0' class='gform-field-label gform-field-label--type-inline'>Yes, Hispanic or Latino Ethnicity<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_45_1'>\n\t\t\t\t<input name='input_45' type='radio' value='No, not Hispanic or Latino Ethnicity'  id='choice_37_45_1'    \/>\n\t\t\t\t<label for='choice_37_45_1' id='label_37_45_1' class='gform-field-label gform-field-label--type-inline'>No, not Hispanic or Latino Ethnicity<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_45_2'>\n\t\t\t\t<input name='input_45' type='radio' value='Prefer not to state'  id='choice_37_45_2'    \/>\n\t\t\t\t<label for='choice_37_45_2' id='label_37_45_2' class='gform-field-label gform-field-label--type-inline'>Prefer not to state<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_37_46\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Racial Groups<\/label><div class='gfield_description' id='gfield_description_37_46'>(check all that apply)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_37_46'><li class='gchoice gchoice_37_46_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.1' type='checkbox'  value='White'  id='choice_37_46_1'   aria-describedby=\"gfield_description_37_46\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_37_46_1' id='label_37_46_1' class='gform-field-label gform-field-label--type-inline'>White<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_46_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.2' type='checkbox'  value='Black or African American'  id='choice_37_46_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_46_2' id='label_37_46_2' class='gform-field-label gform-field-label--type-inline'>Black or African American<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_46_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.3' type='checkbox'  value='American Indian or Alaskan Native'  id='choice_37_46_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_46_3' id='label_37_46_3' class='gform-field-label gform-field-label--type-inline'>American Indian or Alaskan Native<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_46_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.4' type='checkbox'  value='Native Hawaiian or Other Pacific Islander'  id='choice_37_46_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_46_4' id='label_37_46_4' class='gform-field-label gform-field-label--type-inline'>Native Hawaiian or Other Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_46_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.5' type='checkbox'  value='Asian'  id='choice_37_46_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_46_5' id='label_37_46_5' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_46_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.6' type='checkbox'  value='Prefer not to state'  id='choice_37_46_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_46_6' id='label_37_46_6' class='gform-field-label gform-field-label--type-inline'>Prefer not to state<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_37_47\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Residence<\/label><div class='gfield_description' id='gfield_description_37_47'>(check one)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_37_47'>\n\t\t\t<li class='gchoice gchoice_37_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='Farm'  id='choice_37_47_0'    \/>\n\t\t\t\t<label for='choice_37_47_0' id='label_37_47_0' class='gform-field-label gform-field-label--type-inline'>Farm<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='Rural non-farm or town less than 10,000'  id='choice_37_47_1'    \/>\n\t\t\t\t<label for='choice_37_47_1' id='label_37_47_1' class='gform-field-label gform-field-label--type-inline'>Rural non-farm or town less than 10,000<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_47_2'>\n\t\t\t\t<input name='input_47' type='radio' value='Town\/City 10,000 to 50,000'  id='choice_37_47_2'    \/>\n\t\t\t\t<label for='choice_37_47_2' id='label_37_47_2' class='gform-field-label gform-field-label--type-inline'>Town\/City 10,000 to 50,000<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_47_3'>\n\t\t\t\t<input name='input_47' type='radio' value='Suburb of city over 50,000'  id='choice_37_47_3'    \/>\n\t\t\t\t<label for='choice_37_47_3' id='label_37_47_3' class='gform-field-label gform-field-label--type-inline'>Suburb of city over 50,000<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_47_4'>\n\t\t\t\t<input name='input_47' type='radio' value='City over 50,000'  id='choice_37_47_4'    \/>\n\t\t\t\t<label for='choice_37_47_4' id='label_37_47_4' class='gform-field-label gform-field-label--type-inline'>City over 50,000<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_37_48\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3><strong>Military Family (optional)<\/strong><\/h3><\/li><li id=\"field_37_49\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Family Member<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_37_49'><li class='gchoice gchoice_37_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='Parent'  id='choice_37_49_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_49_1' id='label_37_49_1' class='gform-field-label gform-field-label--type-inline'>Parent<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_49_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='Sibling'  id='choice_37_49_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_49_2' id='label_37_49_2' class='gform-field-label gform-field-label--type-inline'>Sibling<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_49_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.3' type='checkbox'  value='Son\/Daughter'  id='choice_37_49_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_49_3' id='label_37_49_3' class='gform-field-label gform-field-label--type-inline'>Son\/Daughter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_49_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.4' type='checkbox'  value='Self or Spouse'  id='choice_37_49_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_49_4' id='label_37_49_4' class='gform-field-label gform-field-label--type-inline'>Self or Spouse<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_37_50\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Branch<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_37_50'><li class='gchoice gchoice_37_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='Air Force'  id='choice_37_50_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_50_1' id='label_37_50_1' class='gform-field-label gform-field-label--type-inline'>Air Force<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='Army'  id='choice_37_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_50_2' id='label_37_50_2' class='gform-field-label gform-field-label--type-inline'>Army<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_50_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.3' type='checkbox'  value='Coast Guard'  id='choice_37_50_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_50_3' id='label_37_50_3' class='gform-field-label gform-field-label--type-inline'>Coast Guard<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_50_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.4' type='checkbox'  value='DOD Civilian'  id='choice_37_50_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_50_4' id='label_37_50_4' class='gform-field-label gform-field-label--type-inline'>DOD Civilian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_50_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.5' type='checkbox'  value='Marines'  id='choice_37_50_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_50_5' id='label_37_50_5' class='gform-field-label gform-field-label--type-inline'>Marines<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_50_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.6' type='checkbox'  value='Navy'  id='choice_37_50_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_50_6' id='label_37_50_6' class='gform-field-label gform-field-label--type-inline'>Navy<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_37_51\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Branch Component<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_37_51'><li class='gchoice gchoice_37_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='Active Duty'  id='choice_37_51_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_51_1' id='label_37_51_1' class='gform-field-label gform-field-label--type-inline'>Active Duty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='National Guard'  id='choice_37_51_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_51_2' id='label_37_51_2' class='gform-field-label gform-field-label--type-inline'>National Guard<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_51_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.3' type='checkbox'  value='Reserves'  id='choice_37_51_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_51_3' id='label_37_51_3' class='gform-field-label gform-field-label--type-inline'>Reserves<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_37_51_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.4' type='checkbox'  value='Retired'  id='choice_37_51_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_37_51_4' id='label_37_51_4' class='gform-field-label gform-field-label--type-inline'>Retired<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_37_62' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_37_62' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_37_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_37_3' class='gform_page' data-js='page-field-id-62' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_37_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_37_52\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3><strong>Agreement to the following non-discrimination and standards of behavior statements are required of all active UMaine Cooperative Extension Volunteers. Please read them carefully before indicating yes or no. <\/strong><\/h3><\/li><li id=\"field_37_53\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2><strong>Non-discrimination statement (mandatory):<\/strong><\/h2>\n\n<p>I confirm that we do not discriminate on the grounds of race, color, religion, sex, sexual orientation, including transgender status and gender expression, national origin, citizenship status, age, disability, genetic information or veteran's status in employment, education, and all other programs and activities. To ensure participation in Extension programs, reasonable accommodations will be provided. I understand that I will work with the appropriate Extension staff member to provide accommodations.<\/p><\/li><li id=\"field_37_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Non-Discrimination Statement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_37_54'>\n\t\t\t<li class='gchoice gchoice_37_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='Yes, I agree to this statement'  id='choice_37_54_0'    \/>\n\t\t\t\t<label for='choice_37_54_0' id='label_37_54_0' class='gform-field-label gform-field-label--type-inline'>Yes, I agree to this statement<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_37_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='No, I don&#039;t agree to this statement'  id='choice_37_54_1'    \/>\n\t\t\t\t<label for='choice_37_54_1' id='label_37_54_1' class='gform-field-label gform-field-label--type-inline'>No, I don't agree to this statement<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_37_55\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_37_55'>Type your name here to sign electronically.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_37_55' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_37_56\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2><strong>Standards of behavior statement (mandatory) :<\/strong><\/h2>\n\n<p>As a trained UMaine Extension volunteer, while I am representing the University of Maine Cooperative Extension, I am required to: <\/p>\n\n<p>1. seek diverse audiences and provide equal access to all Extension programs including working with staff to provide accommodations.<\/p>\n\n<p>2. comply with state, federal and University equal opportunity and non-discrimination laws and guidelines; I will not discriminate on the grounds of race, color, religion, sex, sexual orientation, including transgender status or gender expression, national origin, citizenship status, age, disability, genetic information or veteran\u2019s status. <\/p>\n\n<p>3. not violate the sexual harassment policy of the University of Maine System.<\/p> \n\n<p>4. report all incidents of sexual misconduct and report all known or suspected child abuse\/neglect. (Note: a refresher training via video is available at <a href=\"http:\/\/extension.umaine.edu\/volunteer\/orientation\/required-training\/\" target=\"_blank\">http:\/\/extension.umaine.edu\/volunteer\/orientation\/required-training\/<\/a><\/p> \n\n<p>5. treat all program participants, volunteers, Extension staff, others and myself with courtesy and respect. <\/p>\n\n<p>6. work cooperatively with other volunteers, families and Extension staff\/colleagues. <\/p>\n\n<p>7. not share confidential information except as authorized or required by policy or law. <\/p>\n\n<p>8. not use alcohol, tobacco or illegal drugs at any UMaine Extension event. <\/p>\n\n<p>9. not commit an illegal or abusive act; immediately report potentially illegal acts to both Extension staff and the authorities. <\/p>\n\n<p>10. participate in required volunteer training programs and follow the stated policies and procedures. <\/p>\n\n<p>11. treat program areas, lodging areas and transportation vehicles with respect. <\/p>\n\n<p>12. handle any money, animals, machinery, equipment, or other UMaine Extension property that has been entrusted to me in a safe and responsible manner. <\/p>\n\n<p>13. report all unsafe conditions and accidents to Extension staff\/colleagues as soon as possible. <\/p>\n\n<p>14. notify my county Extension staff\/colleagues if I am unable to complete an assignment, uncomfortable with an assignment, or if I need to resign. <\/p>\n\n<p>15. not use my status as an Extension volunteer for personal or business financial gain. <\/p>\n\n<h3><strong>Requirements and Standards of Behavior Agreement <\/strong><\/h3>\n\n<p>I have read and understand the University of Maine Cooperative Extension Volunteer Requirements and Behavior Standards. I understand and agree that my actions and decisions affect me as well as others. Any action on my part that contradicts any portion of these standards may result in the loss of privileges as a volunteer or could be grounds for suspension and\/or termination of my status with the UMaine Extension Program as a volunteer. I will conduct myself in accordance with the intent of the Requirements and Standards of Behavior. 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<\/p>\n\n<p>I understand and agree that I am to receive no compensation of any kind, monetary or otherwise, on account of or arising from the production, publication, recording, rebroadcasting, or other use of such Material. <\/p>\n\n<p>UMS shall have complete ownership of the Material produced or published and shall have the exclusive right and license to make such use of that Material as it wishes, including, but not limited to the right of performance, display, reproduction and distribution in all media, and the right to create, perform, display and distribute derivative works of the Material. <\/p>\n\n<p>I agree to indemnify and hold UMS, the University, its employees and agents, harmless from and against any and all claims, damages, lawsuits, judgments, and expenses, including reasonable attorneys' fees, that UMS may become liable to pay or defend arising out of or caused by any matter or material furnished or spoken by me in connection with my appearance. <\/p>\n\n<p>I hereby 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