{"id":1587,"date":"2023-09-12T18:23:01","date_gmt":"2023-09-12T18:23:01","guid":{"rendered":"https:\/\/ct-prod-wp.taftcollege.edu\/forms\/?page_id=1587"},"modified":"2023-10-24T13:00:01","modified_gmt":"2023-10-24T20:00:01","slug":"academic-progress-dismissal-appeal-petition","status":"publish","type":"page","link":"https:\/\/ct-prod-wp.taftcollege.edu\/forms\/admissions\/academic-progress-dismissal-appeal-petition\/","title":{"rendered":"Academic\/Progress Dismissal Appeal Petition"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]<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                            <h2 class=\"gform_title\">Academic\/Progress Dismissal Petition<\/h2>\n                            <p class='gform_description'>You must submit the following in order to be reviewed:<br \/>\r\n1. Comprehensive Education Plan (must be created\/updated within past 6 months)<br \/>\r\n2. Supporting Documentation (must support the extenuating circumstances you detail in the statement portion of your submission)<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_73'  action='\/forms\/wp-json\/wp\/v2\/pages\/1587' data-formid='73' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdUtCUoAAAAAK8BHm9bjuYo2AyRrM5wkTXmVBww' data-tabindex='0'><input id=\"input_524247de6e62139280056728a39ebc58\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_524247de6e62139280056728a39ebc58\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_73' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_73_4\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Student Information<\/h3><\/div><fieldset id=\"field_73_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-two-thirds gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student Name &amp; ID<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 no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_73_1'>\n                            \n                            <span id='input_73_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_73_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_73_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_73_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_73_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_73_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_73_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_46'>Student ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_73_46'>Student ID<\/div><div class='ginput_container ginput_container_text'><input name='input_46' id='input_73_46' type='text' value='' class='large'  aria-describedby=\"gfield_description_73_46\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_73_27\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_27'>Phone Number<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_27' id='input_73_27' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_73_26\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_73_26_container'>\n                                <span id='input_73_26_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_73_26' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                    <input class='' type='email' name='input_26' id='input_73_26' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_73_26_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_73_26_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_26_2' id='input_73_26_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_73_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_28'>Last Semester GPA<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_28' id='input_73_28' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_73_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_29'>Cumulative GPA<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_29' id='input_73_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_73_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_30'>Total Units Attempted<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_30' id='input_73_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_73_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_31'>Total Units Completed<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_31' id='input_73_31' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_73_5\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Petition Information<\/h3><\/div><fieldset id=\"field_73_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I would like to petition for the following term:<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_73_6'>\n\t\t\t<div class='gchoice gchoice_73_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Fall'  id='choice_73_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_0' id='label_73_6_0' class='gform-field-label gform-field-label--type-inline'>Fall<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Spring'  id='choice_73_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_1' id='label_73_6_1' class='gform-field-label gform-field-label--type-inline'>Spring<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Summer'  id='choice_73_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_2' id='label_73_6_2' class='gform-field-label gform-field-label--type-inline'>Summer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_73_45\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_45'>I would like to petition for the following year:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_45' id='input_73_45' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_73_45\" \/><\/div><div class='gfield_description' id='gfield_description_73_45'>Example: 2025<\/div><\/div><fieldset id=\"field_73_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your current dismissal status?<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_73_34'>\n\t\t\t<div class='gchoice gchoice_73_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='I am on academic or progress dismissal at this time'  id='choice_73_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_34_0' id='label_73_34_0' class='gform-field-label gform-field-label--type-inline'>I am on academic or progress dismissal at this time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='I was reinstated based on an approved petition but would like to take more than seven units'  id='choice_73_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_34_1' id='label_73_34_1' class='gform-field-label gform-field-label--type-inline'>I was reinstated based on an approved petition but would like to take more than seven units<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of Request<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_73_15'>\n\t\t\t<div class='gchoice gchoice_73_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Academic Dismissal'  id='choice_73_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_0' id='label_73_15_0' class='gform-field-label gform-field-label--type-inline'>Academic Dismissal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Progress Dismissal'  id='choice_73_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_1' id='label_73_15_1' class='gform-field-label gform-field-label--type-inline'>Progress Dismissal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Both Academic and Progress Dismissal'  id='choice_73_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_2' id='label_73_15_2' class='gform-field-label gform-field-label--type-inline'>Both Academic and Progress Dismissal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >AND<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_73_32'>\n\t\t\t<div class='gchoice gchoice_73_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='I have sat out for at least one academic semester'  id='choice_73_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_32_0' id='label_73_32_0' class='gform-field-label gform-field-label--type-inline'>I have sat out for at least one academic semester<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='I would like to attend without a lapse of enrollment'  id='choice_73_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_32_1' id='label_73_32_1' class='gform-field-label gform-field-label--type-inline'>I would like to attend without a lapse of enrollment<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_73_35\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_35'>Identify your past academic challenges.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_73_35' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_73_37\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_37'>Identify the changes you have made to ensure your success.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_73_37' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_73_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did you experience extenuating circumstances that impacted your courses?<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_73_39'>\n\t\t\t<div class='gchoice gchoice_73_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Yes'  id='choice_73_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_39_0' id='label_73_39_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='No'  id='choice_73_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_39_1' id='label_73_39_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_73_40\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_40'>Provide a detailed description of the extenuating circumstances you experienced that impacted your coursework.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_73_40' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_73_36\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_36'>Required Documentation for Extenuating Circumstances<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='83886080' \/><input name='input_36' id='input_73_36' type='file' class='large' aria-describedby=\"gfield_upload_rules_73_36 gfield_description_73_36\" onchange='javascript:gformValidateFileSize( this, 83886080 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_73_36'>Max. file size: 80 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_73_36'><\/div> <\/div><div class='gfield_description' id='gfield_description_73_36'>You are required to submit documentation that supports the extenuating circumstances you experienced. (Example: medical documentation, police report, loss of job letter, etc.)\n\nUpload scanned documents as either PDF, DOC, DOCX, JPEG, GIT, or PNG.<\/div><\/div><div id=\"field_73_41\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_41'>Required Comprehensive Education Plan<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='83886080' \/><input name='input_41' id='input_73_41' type='file' class='large' aria-describedby=\"gfield_upload_rules_73_41 gfield_description_73_41\" onchange='javascript:gformValidateFileSize( this, 83886080 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_73_41'>Max. file size: 80 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_73_41'><\/div> <\/div><div class='gfield_description' id='gfield_description_73_41'>You are required to submit a comprehensive education plan that has been created\/updated within the last 6 months.\n\nUpload scanned documents as either PDF, DOC, DOCX, JPEG, GIT, or PNG.<\/div><\/div><div id=\"field_73_25\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Student Acknowledgement<\/h3><\/div><fieldset id=\"field_73_42\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Comprehensive Education Plan<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_42.1' id='input_73_42_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_73_42_1' >I have included a recent (within 6 month) comprehensive education plan.<\/label><input type='hidden' name='input_42.2' value='I have included a recent (within 6 month) comprehensive education plan.' class='gform_hidden' \/><input type='hidden' name='input_42.3' value='10' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_73_43\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email Acknowledgement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_43.1' id='input_73_43_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_73_43_1' >I understand that the outcome of my petition will be sent to the email I provided in my submission.<\/label><input type='hidden' name='input_43.2' value='I understand that the outcome of my petition will be sent to the email I provided in my submission.' class='gform_hidden' \/><input type='hidden' name='input_43.3' value='10' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_73_44\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Submission Information<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_44.1' id='input_73_44_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_73_44_1' >I declare that all information in this submission is true and correct.<\/label><input type='hidden' name='input_44.2' value='I declare that all information in this submission is true and correct.' class='gform_hidden' \/><input type='hidden' name='input_44.3' value='10' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_73_23\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_23'>Student Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><input type='hidden' value='' name='input_23' id='input_73_23_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_73_23_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_73_23' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/ct-prod-wp.taftcollege.edu\/forms\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_73_23_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_73_23_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_73_23_data' name='input_73_23_data' value=''><\/div><\/div><div id=\"field_73_24\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_73_24'>CAPTCHA<\/label><div id='input_73_24' class='ginput_container ginput_recaptcha' data-sitekey='6LdnShATAAAAAFLb7O2paFy9ZtLWttHkcZtCLSzc'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_73' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_73' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_73' id='gform_theme_73' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_73' id='gform_style_settings_73' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_73' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='73' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='RGsswa\/J6PONPr0CsARdh5NZAnQ7MGrL8MDBFQtPAEEWUDmMhRu5KlZ\/H3jOZVQCbehkRdOj\/QXe13q\/rLmbO1oZdDDjZ1rJ5CAqBygLCkEIn3o=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_73' value='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' 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