{"id":347,"date":"2014-09-27T15:42:39","date_gmt":"2014-09-27T15:42:39","guid":{"rendered":"http:\/\/mainemaritime.edu\/admissions\/?page_id=347"},"modified":"2021-11-04T14:08:34","modified_gmt":"2021-11-04T14:08:34","slug":"application-for-readmission","status":"publish","type":"page","link":"https:\/\/mainemaritime.edu\/admissions\/general-admissions\/applicant-information\/readmission\/application-for-readmission\/","title":{"rendered":"Application for Readmission"},"content":{"rendered":"<style>\r\n.ginput_container.ginput_container_radio {\r\n    margin-top: 0 !important;\r\n}\r\n<\/style>\n<h1>Application for Readmission<\/h1>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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action='\/admissions\/wp-json\/wp\/v2\/pages\/347#gf_4' data-formid='4' novalidate>\r\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_3\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_third 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_4_3'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_4_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_1\" class=\"gfield gfield--type-text gfield--input-type-text gf_middle_third gfield_contains_required 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gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_4_37'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\r\n                            <input name='input_37' id='input_4_37' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_37_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\r\n                            <span id='input_4_37_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\r\n                        <\/div>\r\n                        <input type='hidden' id='gforms_calendar_icon_input_4_37' class='gform_hidden' value='https:\/\/mainemaritime.edu\/admissions\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_4\" class=\"gfield gfield--type-address gfield--input-type-address 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 gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \r\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_4_4' >\r\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_4_1_container' >\r\n                                        <input type='text' name='input_4.1' id='input_4_4_1' value=''    aria-required='true'    \/>\r\n                                        <label for='input_4_4_1' id='input_4_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\r\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_4_3_container' >\r\n                                    <input type='text' name='input_4.3' id='input_4_4_3' value=''    aria-required='true'    \/>\r\n                                    <label for='input_4_4_3' id='input_4_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\r\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_4_4_container' >\r\n                                        <select name='input_4.4' id='input_4_4_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>\r\n                                        <label for='input_4_4_4' id='input_4_4_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\r\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_4_5_container' >\r\n                                    <input type='text' name='input_4.5' id='input_4_4_5' value=''    aria-required='true'    \/>\r\n                                    <label for='input_4_4_5' id='input_4_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\r\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_4_4_6' value='United States' \/>\r\n                    <div class='gf_clear gf_clear_complex'><\/div>\r\n                <\/div><\/li><li id=\"field_4_30\" class=\"gfield gfield--type-email gfield--input-type-email 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_4_30'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\r\n                            <input name='input_30' id='input_4_30' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\r\n                        <\/div><\/li><li id=\"field_4_31\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_4_31'>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_31' id='input_4_31' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col 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' >Reason for Disenrollment<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_4_6'>\r\n\t\t\t<li class='gchoice gchoice_4_6_0'>\r\n\t\t\t\t<input name='input_6' type='radio' value='Leave of Absence'  id='choice_4_6_0'    \/>\r\n\t\t\t\t<label for='choice_4_6_0' id='label_4_6_0' class='gform-field-label gform-field-label--type-inline'>Leave of Absence<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_6_1'>\r\n\t\t\t\t<input name='input_6' type='radio' value='Resignation'  id='choice_4_6_1'    \/>\r\n\t\t\t\t<label for='choice_4_6_1' id='label_4_6_1' class='gform-field-label gform-field-label--type-inline'>Resignation<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_6_2'>\r\n\t\t\t\t<input name='input_6' type='radio' value='Academic Disenrollment'  id='choice_4_6_2'    \/>\r\n\t\t\t\t<label for='choice_4_6_2' id='label_4_6_2' class='gform-field-label gform-field-label--type-inline'>Academic Disenrollment<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_6_3'>\r\n\t\t\t\t<input name='input_6' type='radio' value='Graduation'  id='choice_4_6_3'    \/>\r\n\t\t\t\t<label for='choice_4_6_3' id='label_4_6_3' class='gform-field-label gform-field-label--type-inline'>Graduation<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_6_4'>\r\n\t\t\t\t<input name='input_6' type='radio' value='Disciplinary Disenrollment'  id='choice_4_6_4'    \/>\r\n\t\t\t\t<label for='choice_4_6_4' id='label_4_6_4' class='gform-field-label gform-field-label--type-inline'>Disciplinary Disenrollment<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_6_5'>\r\n\t\t\t\t<input name='input_6' type='radio' value='gf_other_choice'  id='choice_4_6_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\r\n\t\t\t\t<input class='small' id='input_4_6_other' name='input_6_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\"); }'   \/>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown 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' >Date of Disenrollment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_4_7' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_4_7_1_container'><label for='input_4_7_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>MM<\/label><select name='input_7[]' id='input_4_7_1'   aria-required='true'  ><option value=''>MM<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_4_7_2_container'><label for='input_4_7_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>DD<\/label><select name='input_7[]' id='input_4_7_2'   aria-required='true'  ><option value=''>DD<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_4_7_3_container'><label for='input_4_7_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>YYYY<\/label><select name='input_7[]' id='input_4_7_3'   aria-required='true'  ><option value=''>YYYY<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/div><\/li><li id=\"field_4_35\" 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_4_35'>List the college\/institution where you have been enrolled in college courses:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_4_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_36\" 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\"  ><label class='gfield_label gform-field-label' >Has an official transcript been sent to Admisisons?<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_4_36'>\r\n\t\t\t<li class='gchoice gchoice_4_36_0'>\r\n\t\t\t\t<input name='input_36' type='radio' value='Yes'  id='choice_4_36_0'    \/>\r\n\t\t\t\t<label for='choice_4_36_0' id='label_4_36_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_36_1'>\r\n\t\t\t\t<input name='input_36' type='radio' value='No'  id='choice_4_36_1'    \/>\r\n\t\t\t\t<label for='choice_4_36_1' id='label_4_36_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_8\" 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\"  ><label class='gfield_label gform-field-label' >Have you ever been suspended, placed on probation, or been dismissed from any school for any   academic or disciplinary reasons or incurred other formal disciplinary action?<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_4_8'>\r\n\t\t\t<li class='gchoice gchoice_4_8_0'>\r\n\t\t\t\t<input name='input_8' type='radio' value='Yes'  id='choice_4_8_0'    \/>\r\n\t\t\t\t<label for='choice_4_8_0' id='label_4_8_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_8_1'>\r\n\t\t\t\t<input name='input_8' type='radio' value='No'  id='choice_4_8_1'    \/>\r\n\t\t\t\t<label for='choice_4_8_1' id='label_4_8_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_9\" 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\"  ><label class='gfield_label gform-field-label' >Have you ever been convicted of a crime or are you currently involved in a criminal proceeding?<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_4_9'>\r\n\t\t\t<li class='gchoice gchoice_4_9_0'>\r\n\t\t\t\t<input name='input_9' type='radio' value='Yes'  id='choice_4_9_0'    \/>\r\n\t\t\t\t<label for='choice_4_9_0' id='label_4_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_9_1'>\r\n\t\t\t\t<input name='input_9' type='radio' value='No'  id='choice_4_9_1'    \/>\r\n\t\t\t\t<label for='choice_4_9_1' id='label_4_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_10\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_4_10'>If you answered yes to either or both of the above questions, explain the circumstances in detail.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_4_10' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_11\" 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\"  ><label class='gfield_label gform-field-label' >Desired Return<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_4_11'>\r\n\t\t\t<li class='gchoice gchoice_4_11_0'>\r\n\t\t\t\t<input name='input_11' type='radio' value='Fall Semester'  id='choice_4_11_0'    \/>\r\n\t\t\t\t<label for='choice_4_11_0' id='label_4_11_0' class='gform-field-label gform-field-label--type-inline'>Fall Semester<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_11_1'>\r\n\t\t\t\t<input name='input_11' type='radio' value='Spring Semester'  id='choice_4_11_1'    \/>\r\n\t\t\t\t<label for='choice_4_11_1' id='label_4_11_1' class='gform-field-label gform-field-label--type-inline'>Spring Semester<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_11_2'>\r\n\t\t\t\t<input name='input_11' type='radio' value='Summer Sea Term'  id='choice_4_11_2'    \/>\r\n\t\t\t\t<label for='choice_4_11_2' id='label_4_11_2' class='gform-field-label gform-field-label--type-inline'>Summer Sea Term<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_11_3'>\r\n\t\t\t\t<input name='input_11' type='radio' value='Cadet Shipping'  id='choice_4_11_3'    \/>\r\n\t\t\t\t<label for='choice_4_11_3' id='label_4_11_3' class='gform-field-label gform-field-label--type-inline'>Cadet Shipping<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_11_4'>\r\n\t\t\t\t<input name='input_11' type='radio' value='Co-operative'  id='choice_4_11_4'    \/>\r\n\t\t\t\t<label for='choice_4_11_4' id='label_4_11_4' class='gform-field-label gform-field-label--type-inline'>Co-operative<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_11_5'>\r\n\t\t\t\t<input name='input_11' type='radio' value='BIW Associate Degree Program'  id='choice_4_11_5'    \/>\r\n\t\t\t\t<label for='choice_4_11_5' id='label_4_11_5' class='gform-field-label gform-field-label--type-inline'>BIW Associate Degree Program<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_39\" 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\"  ><label class='gfield_label gform-field-label' >Major at Disenrollment<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_4_39'>\r\n\t\t\t<li class='gchoice gchoice_4_39_0'>\r\n\t\t\t\t<input name='input_39' type='radio' value='Ship Design'  id='choice_4_39_0'    \/>\r\n\t\t\t\t<label for='choice_4_39_0' id='label_4_39_0' class='gform-field-label gform-field-label--type-inline'>Ship Design<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_39_1'>\r\n\t\t\t\t<input name='input_39' type='radio' value='Ship Production (electrician track)'  id='choice_4_39_1'    \/>\r\n\t\t\t\t<label for='choice_4_39_1' id='label_4_39_1' class='gform-field-label gform-field-label--type-inline'>Ship Production (electrician track)<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_39_2'>\r\n\t\t\t\t<input name='input_39' type='radio' value='Ship Production (non-electrician track)'  id='choice_4_39_2'    \/>\r\n\t\t\t\t<label for='choice_4_39_2' id='label_4_39_2' class='gform-field-label gform-field-label--type-inline'>Ship Production (non-electrician track)<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_14\" 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\"  ><label class='gfield_label gform-field-label' >Major at Disenrollment<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_4_14'>\r\n\t\t\t<li class='gchoice gchoice_4_14_0'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Engineering Operations'  id='choice_4_14_0'    \/>\r\n\t\t\t\t<label for='choice_4_14_0' id='label_4_14_0' class='gform-field-label gform-field-label--type-inline'>Marine Engineering Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_1'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Engineering Technology'  id='choice_4_14_1'    \/>\r\n\t\t\t\t<label for='choice_4_14_1' id='label_4_14_1' class='gform-field-label gform-field-label--type-inline'>Marine Engineering Technology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_2'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Power Engineering Technology'  id='choice_4_14_2'    \/>\r\n\t\t\t\t<label for='choice_4_14_2' id='label_4_14_2' class='gform-field-label gform-field-label--type-inline'>Power Engineering Technology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_3'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Power Engineering Operations'  id='choice_4_14_3'    \/>\r\n\t\t\t\t<label for='choice_4_14_3' id='label_4_14_3' class='gform-field-label gform-field-label--type-inline'>Power Engineering Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_4'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Systems Engineering - 4 year'  id='choice_4_14_4'    \/>\r\n\t\t\t\t<label for='choice_4_14_4' id='label_4_14_4' class='gform-field-label gform-field-label--type-inline'>Marine Systems Engineering - 4 year<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_5'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Systems Engineering - 5 year'  id='choice_4_14_5'    \/>\r\n\t\t\t\t<label for='choice_4_14_5' id='label_4_14_5' class='gform-field-label gform-field-label--type-inline'>Marine Systems Engineering - 5 year<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_6'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Transportation Operations'  id='choice_4_14_6'    \/>\r\n\t\t\t\t<label for='choice_4_14_6' id='label_4_14_6' class='gform-field-label gform-field-label--type-inline'>Marine Transportation Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_7'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Small Vessel Operations'  id='choice_4_14_7'    \/>\r\n\t\t\t\t<label for='choice_4_14_7' id='label_4_14_7' class='gform-field-label gform-field-label--type-inline'>Small Vessel Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_8'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Vessel Operations and Technology'  id='choice_4_14_8'    \/>\r\n\t\t\t\t<label for='choice_4_14_8' id='label_4_14_8' class='gform-field-label gform-field-label--type-inline'>Vessel Operations and Technology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_9'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Small Craft Design'  id='choice_4_14_9'    \/>\r\n\t\t\t\t<label for='choice_4_14_9' id='label_4_14_9' class='gform-field-label gform-field-label--type-inline'>Small Craft Design<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_10'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Small Craft Systems'  id='choice_4_14_10'    \/>\r\n\t\t\t\t<label for='choice_4_14_10' id='label_4_14_10' class='gform-field-label gform-field-label--type-inline'>Small Craft Systems<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_11'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Coastal and Marine Environmental Science'  id='choice_4_14_11'    \/>\r\n\t\t\t\t<label for='choice_4_14_11' id='label_4_14_11' class='gform-field-label gform-field-label--type-inline'>Coastal and Marine Environmental Science<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_12'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Coastal and Marine Environmental Science\/ Small Vessel Operations'  id='choice_4_14_12'    \/>\r\n\t\t\t\t<label for='choice_4_14_12' id='label_4_14_12' class='gform-field-label gform-field-label--type-inline'>Coastal and Marine Environmental Science\/ Small Vessel Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_13'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Biology'  id='choice_4_14_13'    \/>\r\n\t\t\t\t<label for='choice_4_14_13' id='label_4_14_13' class='gform-field-label gform-field-label--type-inline'>Marine Biology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_14'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Biology\/ Small Vessel Operations'  id='choice_4_14_14'    \/>\r\n\t\t\t\t<label for='choice_4_14_14' id='label_4_14_14' class='gform-field-label gform-field-label--type-inline'>Marine Biology\/ Small Vessel Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_15'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Science'  id='choice_4_14_15'    \/>\r\n\t\t\t\t<label for='choice_4_14_15' id='label_4_14_15' class='gform-field-label gform-field-label--type-inline'>Marine Science<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_16'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Marine Science\/ Small Vessel Operations'  id='choice_4_14_16'    \/>\r\n\t\t\t\t<label for='choice_4_14_16' id='label_4_14_16' class='gform-field-label gform-field-label--type-inline'>Marine Science\/ Small Vessel Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_17'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Oceanography'  id='choice_4_14_17'    \/>\r\n\t\t\t\t<label for='choice_4_14_17' id='label_4_14_17' class='gform-field-label gform-field-label--type-inline'>Oceanography<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_18'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Oceanography\/ Small Vessel Operations'  id='choice_4_14_18'    \/>\r\n\t\t\t\t<label for='choice_4_14_18' id='label_4_14_18' class='gform-field-label gform-field-label--type-inline'>Oceanography\/ Small Vessel Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_19'>\r\n\t\t\t\t<input name='input_14' type='radio' value='International Business &amp; Logistics'  id='choice_4_14_19'    \/>\r\n\t\t\t\t<label for='choice_4_14_19' id='label_4_14_19' class='gform-field-label gform-field-label--type-inline'>International Business & Logistics<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_14_20'>\r\n\t\t\t\t<input name='input_14' type='radio' value='Interdisciplinary Studies'  id='choice_4_14_20'    \/>\r\n\t\t\t\t<label for='choice_4_14_20' id='label_4_14_20' class='gform-field-label gform-field-label--type-inline'>Interdisciplinary Studies<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_13\" 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\"  ><label class='gfield_label gform-field-label' >Are you intending to pursue the same major upon readmission?<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_4_13'>\r\n\t\t\t<li class='gchoice gchoice_4_13_0'>\r\n\t\t\t\t<input name='input_13' type='radio' value='Yes'  id='choice_4_13_0'    \/>\r\n\t\t\t\t<label for='choice_4_13_0' id='label_4_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_13_1'>\r\n\t\t\t\t<input name='input_13' type='radio' value='No'  id='choice_4_13_1'    \/>\r\n\t\t\t\t<label for='choice_4_13_1' id='label_4_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_40\" 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\"  ><label class='gfield_label gform-field-label' >If NO, what major are you considering?<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_4_40'>\r\n\t\t\t<li class='gchoice gchoice_4_40_0'>\r\n\t\t\t\t<input name='input_40' type='radio' value='Ship Design'  id='choice_4_40_0'    \/>\r\n\t\t\t\t<label for='choice_4_40_0' id='label_4_40_0' class='gform-field-label gform-field-label--type-inline'>Ship Design<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_40_1'>\r\n\t\t\t\t<input name='input_40' type='radio' value='Ship Production (electrician track)'  id='choice_4_40_1'    \/>\r\n\t\t\t\t<label for='choice_4_40_1' id='label_4_40_1' class='gform-field-label gform-field-label--type-inline'>Ship Production (electrician track)<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_40_2'>\r\n\t\t\t\t<input name='input_40' type='radio' value='Ship Production (non-electrician track)'  id='choice_4_40_2'    \/>\r\n\t\t\t\t<label for='choice_4_40_2' id='label_4_40_2' class='gform-field-label gform-field-label--type-inline'>Ship Production (non-electrician track)<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col 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' >If NO, what major are you considering?<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_4_12'>\r\n\t\t\t<li class='gchoice gchoice_4_12_0'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Marine Engineering Operations'  id='choice_4_12_0'    \/>\r\n\t\t\t\t<label for='choice_4_12_0' id='label_4_12_0' class='gform-field-label gform-field-label--type-inline'>Marine Engineering Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_1'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Marine Engineering Technology'  id='choice_4_12_1'    \/>\r\n\t\t\t\t<label for='choice_4_12_1' id='label_4_12_1' class='gform-field-label gform-field-label--type-inline'>Marine Engineering Technology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_2'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Power Engineering Technology'  id='choice_4_12_2'    \/>\r\n\t\t\t\t<label for='choice_4_12_2' id='label_4_12_2' class='gform-field-label gform-field-label--type-inline'>Power Engineering Technology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_3'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Power Engineering Operations'  id='choice_4_12_3'    \/>\r\n\t\t\t\t<label for='choice_4_12_3' id='label_4_12_3' class='gform-field-label gform-field-label--type-inline'>Power Engineering Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_4'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Marine Systems Engineering - 4 year'  id='choice_4_12_4'    \/>\r\n\t\t\t\t<label for='choice_4_12_4' id='label_4_12_4' class='gform-field-label gform-field-label--type-inline'>Marine Systems Engineering - 4 year<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_5'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Marine Systems Engineering - 5 year'  id='choice_4_12_5'    \/>\r\n\t\t\t\t<label for='choice_4_12_5' id='label_4_12_5' class='gform-field-label gform-field-label--type-inline'>Marine Systems Engineering - 5 year<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_6'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Marine Transportation Operations'  id='choice_4_12_6'    \/>\r\n\t\t\t\t<label for='choice_4_12_6' id='label_4_12_6' class='gform-field-label gform-field-label--type-inline'>Marine Transportation Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_7'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Small Vessel Operations'  id='choice_4_12_7'    \/>\r\n\t\t\t\t<label for='choice_4_12_7' id='label_4_12_7' class='gform-field-label gform-field-label--type-inline'>Small Vessel Operations<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_8'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Vessel Operations and Technology'  id='choice_4_12_8'    \/>\r\n\t\t\t\t<label for='choice_4_12_8' id='label_4_12_8' class='gform-field-label gform-field-label--type-inline'>Vessel Operations and Technology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_9'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Small Craft Design'  id='choice_4_12_9'    \/>\r\n\t\t\t\t<label for='choice_4_12_9' id='label_4_12_9' class='gform-field-label gform-field-label--type-inline'>Small Craft Design<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_10'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Small Craft Systems'  id='choice_4_12_10'    \/>\r\n\t\t\t\t<label for='choice_4_12_10' id='label_4_12_10' class='gform-field-label gform-field-label--type-inline'>Small Craft Systems<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_11'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Marine Biology'  id='choice_4_12_11'    \/>\r\n\t\t\t\t<label for='choice_4_12_11' id='label_4_12_11' class='gform-field-label gform-field-label--type-inline'>Marine Biology<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_12'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Marine Science'  id='choice_4_12_12'    \/>\r\n\t\t\t\t<label for='choice_4_12_12' id='label_4_12_12' class='gform-field-label gform-field-label--type-inline'>Marine Science<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_13'>\r\n\t\t\t\t<input name='input_12' type='radio' value='International Business &amp; Logistics'  id='choice_4_12_13'    \/>\r\n\t\t\t\t<label for='choice_4_12_13' id='label_4_12_13' class='gform-field-label gform-field-label--type-inline'>International Business & Logistics<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_12_14'>\r\n\t\t\t\t<input name='input_12' type='radio' value='Interdisciplinary Studies'  id='choice_4_12_14'    \/>\r\n\t\t\t\t<label for='choice_4_12_14' id='label_4_12_14' class='gform-field-label gform-field-label--type-inline'>Interdisciplinary Studies<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>&nbsp;<\/p><strong>Letters of Recommendation<\/strong><p> Letters of recommendation should be written by MMA Faculty and\/or Administrator(s). (minimum of two required)<\/li><li id=\"field_4_32\" 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_4_32'>Names of faculty\/staff submitting letters of recommendation (from MMA) #1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_4_32' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_34\" 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_4_34'>Names of faculty\/staff submitting letters of recommendation (from MMA) #2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_4_34' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Employer Reference<\/strong><p>Please provide the name, address, and phone number of your current or most recent employer. <\/p> <\/li><li id=\"field_4_16\" 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_4_16'>Employer Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_4_16' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_17\" class=\"gfield gfield--type-address gfield--input-type-address 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 gfield_label_before_complex' >Employer Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \r\n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_4_17' >\r\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_17_1_container' >\r\n                                        <input type='text' name='input_17.1' id='input_4_17_1' value=''    aria-required='true'    \/>\r\n                                        <label for='input_4_17_1' id='input_4_17_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\r\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_17_3_container' >\r\n                                    <input type='text' name='input_17.3' id='input_4_17_3' value=''    aria-required='true'    \/>\r\n                                    <label for='input_4_17_3' id='input_4_17_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\r\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_17_4_container' >\r\n                                        <input type='text' name='input_17.4' id='input_4_17_4' value=''      aria-required='true'    \/>\r\n                                        <label for='input_4_17_4' id='input_4_17_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\r\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_17_5_container' >\r\n                                    <input type='text' name='input_17.5' id='input_4_17_5' value=''    aria-required='true'    \/>\r\n                                    <label for='input_4_17_5' id='input_4_17_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\r\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_4_17_6_container' >\r\n                                        <select name='input_17.6' id='input_4_17_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\r\n                                        <label for='input_4_17_6' id='input_4_17_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\r\n                                    <\/span>\r\n                    <div class='gf_clear gf_clear_complex'><\/div>\r\n                <\/div><\/li><li id=\"field_4_18\" class=\"gfield gfield--type-email gfield--input-type-email 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_4_18'>Employer Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\r\n                            <input name='input_18' id='input_4_18' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\r\n                        <\/div><\/li><li id=\"field_4_19\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_4_19'>Employer 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_19' id='input_4_19' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br> <\/br><strong>Financial Standing<\/strong><p>Your financial standing must be clarified before your application for readmission can be considered.<\/p><\/li><li id=\"field_4_20\" 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\"  ><label class='gfield_label gform-field-label' >Have you contacted the MMA Finance Office 207-326-2243?<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_4_20'>\r\n\t\t\t<li class='gchoice gchoice_4_20_0'>\r\n\t\t\t\t<input name='input_20' type='radio' value='Yes'  id='choice_4_20_0'    \/>\r\n\t\t\t\t<label for='choice_4_20_0' id='label_4_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_20_1'>\r\n\t\t\t\t<input name='input_20' type='radio' value='No'  id='choice_4_20_1'    \/>\r\n\t\t\t\t<label for='choice_4_20_1' id='label_4_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_21\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Medical History<\/strong><p>All students must submit an updated physical examination as a criterion for readmission. Depending on how long you have been out of school, you may be required to have additional immunizations. Should you have additional questions regarding your immunizations, contact Tammy Tyler, Director of Health Services at 207-326-2295. You must satisfy all physical and immunization requirements prior to registration. <\/p> <\/li><li id=\"field_4_22\" 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\"  ><label class='gfield_label gform-field-label' >Have you had a physical examination within the last year?<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_4_22'>\r\n\t\t\t<li class='gchoice gchoice_4_22_0'>\r\n\t\t\t\t<input name='input_22' type='radio' value='Yes'  id='choice_4_22_0'    \/>\r\n\t\t\t\t<label for='choice_4_22_0' id='label_4_22_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_22_1'>\r\n\t\t\t\t<input name='input_22' type='radio' value='No'  id='choice_4_22_1'    \/>\r\n\t\t\t\t<label for='choice_4_22_1' id='label_4_22_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_23\" 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\"  ><label class='gfield_label gform-field-label' >Is there any significant changes to your overall health since leaving MMA?<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_4_23'>\r\n\t\t\t<li class='gchoice gchoice_4_23_0'>\r\n\t\t\t\t<input name='input_23' type='radio' value='Yes'  id='choice_4_23_0'    \/>\r\n\t\t\t\t<label for='choice_4_23_0' id='label_4_23_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li>\r\n\t\t\t<li class='gchoice gchoice_4_23_1'>\r\n\t\t\t\t<input name='input_23' type='radio' value='No'  id='choice_4_23_1'    \/>\r\n\t\t\t\t<label for='choice_4_23_1' id='label_4_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_4_24'>If YES, please explain in detail:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_4_24' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_25\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Application Deadlines<\/strong><p>The application for readmission must be completed by the following dates for consideration:<\/p>\n<ul><li>May 1 for fall semester<\/li><li>October 15 for spring semester \/ summer term<\/li><\/ul><\/li><li id=\"field_4_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' >covid question<\/label><div class='gfield_description' id='gfield_description_4_38'><span style=\"font-weight:700;font-size:1.3em;\">I have read and understood the <a href=\"https:\/\/mainemaritime.edu\/spring-2022\/\">COVID vaccine requirements<\/a>.<\/span><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_38'>\r\n\t\t\t<li class='gchoice gchoice_4_38_0'>\r\n\t\t\t\t<input name='input_38' type='radio' value='Yes'  id='choice_4_38_0'    \/>\r\n\t\t\t\t<label for='choice_4_38_0' id='label_4_38_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\r\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_26\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' 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