{"id":3859,"date":"2021-10-05T09:45:36","date_gmt":"2021-10-05T13:45:36","guid":{"rendered":"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/?page_id=3859"},"modified":"2022-12-06T10:19:11","modified_gmt":"2022-12-06T15:19:11","slug":"program-registration","status":"publish","type":"page","link":"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/program-registration\/","title":{"rendered":"Program Registration"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-bottom:36px;--awb-margin-bottom-medium:36px;--awb-margin-bottom-small:36px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column fusion-animated\" style=\"--awb-bg-size:cover;--awb-width-large:66.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:75%;--awb-order-medium:0;--awb-spacing-right-medium:2.56%;--awb-spacing-left-medium:2.56%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInDown\" data-animationDuration=\"1.3\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-no-medium-visibility fusion-no-large-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-margin-bottom:30px;--awb-margin-bottom-small:30px;--awb-font-size:40px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:40;line-height:1;\">Program Registration<\/h1><\/div><div class=\"fusion-title title fusion-title-2 fusion-no-small-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-margin-bottom:30px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:60;line-height:1;\">Program Registration<\/h1><\/div><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-font-size:20px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:&quot;DM Sans&quot;;font-style:normal;font-weight:700;margin:0;font-size:1em;--fontSize:20;--minFontSize:20;line-height:1.35;\">Why participate in the Best Law Firms for Diversity, Equity and Inclusion program?<\/h2><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-content-alignment:left;--awb-font-size:17px;\"><p>By participating, you can learn how to maximize employee engagement and determine whether you are one of the Best Law Firms for Diversity, Equity and Inclusion!<\/p>\n<\/div><div class=\"fusion-text fusion-text-2\" style=\"--awb-content-alignment:left;--awb-font-size:17px;--awb-text-transform:none;\"><ul>\n<li><strong>Heightened Company Pride<\/strong>: If your company appears on the list, it could improve employee morale and retention.<\/li>\n<li><strong>Public Relations and Marketing Advantage<\/strong>: Organizations can use the distinction to enhance recruiting efforts, increase the value of general marketing and improve reputations.<\/li>\n<li><a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/reports\/insights-report-package\/\"><strong>The Optional BCG Insights Report Package<\/strong><\/a>: BCG shares its comprehensive assessment of your firm\u2019s performance in an efficient, results-oriented reporting platform. We identify the strengths and weaknesses of your workplace, according to what employees have to say. <a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/reports\/insights-report-package\/\">The purchased report package<\/a> is used to identify opportunities to improve engagement.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-section-separator section-separator big-half-circle fusion-section-separator-1\" style=\"--awb-spacer-height:150px;--awb-svg-margin-left:1.92%;--awb-svg-margin-right:1.92%;--awb-svg-margin-left-medium:1.92%;--awb-svg-margin-right-medium:1.92%;--awb-svg-margin-left-small:1.92%;--awb-svg-margin-right-small:1.92%;--awb-divider-height:150px;--awb-spacer-padding-top:inherit;--awb-sep-padding:0;--awb-svg-padding:0;\"><div class=\"fusion-section-separator-svg\"><svg class=\"fusion-big-half-circle-candy\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" version=\"1.1\" width=\"100%\" height=\"100\" viewBox=\"0 0 100 100\" preserveAspectRatio=\"none\" fill=\"rgba(241,246,255,1)\"><path d=\"M0 100 C40 0 60 0 100 100 Z\"><\/path><\/svg><\/div><div class=\"fusion-section-separator-spacer\"><div class=\"fusion-section-separator-spacer-height\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-bottom:0px;--awb-margin-bottom:95px;--awb-margin-bottom-small:70px;--awb-background-image:linear-gradient(180deg, #f1f6ff 54%,#ffffff 100%);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.6666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:32;line-height:1.35;\">Program Registration<\/h2><\/div><div class=\"fusion-text fusion-text-3\"><p>Before completing the registration form on this page, Best Companies Group needs you to agree and commit to the following statements. The form will not submit until all fields are filled out completely and accurately.<\/p>\n<\/div><div class=\"fusion-text fusion-text-4\" style=\"--awb-content-alignment:center;\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_2_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_ajax_submit  frm_pro_form \" id=\"form_programregistration\" >\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Program Registration<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"programregistration\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"61b03b99fe\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/best-law-firms-in-diversity-equity-inclusion\/wp-json\/wp\/v2\/pages\/3859\" \/><div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n    <div  id=\"field_a4pzo_label\" class=\"frm_primary_label\">Executive Authorization Consent\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_a4pzo_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_6-0\">\t\t\t<label  for=\"field_a4pzo-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[6][]\" id=\"field_a4pzo-0\" value=\"I have authorization from the executive(s) to enter this organization into the program.\"  data-reqmsg=\"You must agree to this before registering.\" data-invmsg=\"Executive Authorization Consent is invalid\"   aria-required=\"true\"  \/> I have authorization from the executive(s) to enter this organization into the program.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n    <div  id=\"field_p09v6_label\" class=\"frm_primary_label\">Eligibility Requirements Met\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_p09v6_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_7-0\">\t\t\t<label  for=\"field_p09v6-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[7][]\" id=\"field_p09v6-0\" value=\"The organization I am registering meets the &lt;a href=&quot;https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/eligibility\/&quot; target=&quot;_blank&quot;&gt;Eligibility criteria&lt;\/a&gt;.\"  data-reqmsg=\"You must agree to this before registering.\" data-invmsg=\"Eligibility Requirements Met is invalid\"   aria-required=\"true\"  \/> The organization I am registering meets the <a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/eligibility\/\" target=\"_blank\">Eligibility criteria<\/a>.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n    <div  id=\"field_zjkkm_label\" class=\"frm_primary_label\">Survey Completion Agreement\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_zjkkm_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_8-0\">\t\t\t<label  for=\"field_zjkkm-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[8][]\" id=\"field_zjkkm-0\" value=\"The organization must complete BCG&#039;s two part survey process including the &lt;a href=&quot;https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/process\/employer-questionnaire\/&quot; target=&quot;_blank&quot;&gt;Employer Benefits &amp; Policies Questionnaire (EQ)&lt;\/a&gt; and the  &lt;a href=&quot;https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/process\/employee-survey\/&quot; target=&quot;_blank&quot;&gt;Employee Engagement &amp; Satisfaction Survey (EESS)&lt;\/a&gt; according to the &lt;a href=&quot;https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/timeline\/&quot; target=&quot;_blank&quot;&gt;Timeline&lt;\/a&gt;.\"  data-reqmsg=\"You must agree to this before registering.\" data-invmsg=\"Survey Completion Agreement is invalid\"   aria-required=\"true\"  \/> The organization must complete BCG's two part survey process including the <a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/process\/employer-questionnaire\/\" target=\"_blank\">Employer Benefits &amp; Policies Questionnaire (EQ)<\/a> and the  <a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/process\/employee-survey\/\" target=\"_blank\">Employee Engagement &amp; Satisfaction Survey (EESS)<\/a> according to the <a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/timeline\/\" target=\"_blank\">Timeline<\/a>.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n    <div  id=\"field_lwvjj_label\" class=\"frm_primary_label\">Minimum Response Agreement\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_lwvjj_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_9-0\">\t\t\t<label  for=\"field_lwvjj-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[9][]\" id=\"field_lwvjj-0\" value=\"The organization must receive a minimum number of responses on the EESS to ensure our data is credible. If not enough responses are received, our ability to be considered for the list or to receive a statistically valid &lt;a href=&quot;https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/reports\/insights-report-package\/&quot; target=&quot;_blank&quot;&gt;BCG Insights Report package&lt;\/a&gt; may be impacted.\"  data-reqmsg=\"You must agree to this before registering.\" data-invmsg=\"Minimum Response Agreement is invalid\"   aria-required=\"true\"  \/> The organization must receive a minimum number of responses on the EESS to ensure our data is credible. If not enough responses are received, our ability to be considered for the list or to receive a statistically valid <a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/reports\/insights-report-package\/\" target=\"_blank\">BCG Insights Report package<\/a> may be impacted.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n    <div  id=\"field_hl3sd_label\" class=\"frm_primary_label\">Fees Agreement\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_hl3sd_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_10-0\">\t\t\t<label  for=\"field_hl3sd-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[10][]\" id=\"field_hl3sd-0\" value=\"We understand that we are responsible for paying for any additional services ordered (customization, translation fees, BCG Insights Report package, additional reporting, etc.).\"  data-reqmsg=\"You must agree to this before registering.\" data-invmsg=\"Fees Agreement is invalid\"   aria-required=\"true\"  \/> We understand that we are responsible for paying for any additional services ordered (customization, translation fees, BCG Insights Report package, additional reporting, etc.).<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_hl3sd\">If we withdraw after TBD, we will incur an additional $250 withdrawal fee to remove our organization from the process.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_required_field frm_none_container vertical_radio\">\r\n    <div  id=\"field_4cdkc_label\" class=\"frm_primary_label\">Final Authorization and Executive Consent\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_4cdkc_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_11-0\">\t\t\t<label  for=\"field_4cdkc-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[11][]\" id=\"field_4cdkc-0\" value=\"By entering my name below, I agree and commit to all of the above statements and confirm that I am authorized by the executive(s) of this organization.\"  data-reqmsg=\"You must agree to this before registering.\" data-invmsg=\"Final Authorization and Executive Consent is invalid\"   aria-required=\"true\"  \/> By entering my name below, I agree and commit to all of the above statements and confirm that I am authorized by the executive(s) of this organization.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Your Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_your_first_name\" id=\"field_your_first_name_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_your_first_name\" name=\"item_meta[13]\" value=\"\"  data-sectionid=\"12\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_your_last_name\" id=\"field_your_last_name_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_your_last_name\" name=\"item_meta[14]\" value=\"\"  data-sectionid=\"12\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_your_title\" id=\"field_your_title_label\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_your_title\" name=\"item_meta[15]\" value=\"\"  data-sectionid=\"12\"  data-reqmsg=\"Title cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_your_email\" id=\"field_your_email_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_your_email\" name=\"item_meta[16]\" value=\"\"  data-sectionid=\"12\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_your_phone\" id=\"field_your_phone_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_your_phone\" name=\"item_meta[17]\" value=\"\"  data-sectionid=\"12\"  data-frmmask=\"(000) 000-0000\" placeholder=\"No home phones please\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_your_extension\" id=\"field_your_extension_label\" class=\"frm_primary_label\">Extension\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_your_extension\" name=\"item_meta[18]\" value=\"\" data-sectionid=\"12\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Organization Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_organization_name\" id=\"field_organization_name_label\" class=\"frm_primary_label\">Organization Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_organization_name\" name=\"item_meta[21]\" value=\"\"  data-sectionid=\"20\"  placeholder=\"Name of your organization\" data-reqmsg=\"Organization Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_legal_name\" id=\"field_legal_name_label\" class=\"frm_primary_label\">Legal Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_legal_name\" name=\"item_meta[22]\" value=\"\"  data-sectionid=\"20\"  placeholder=\"Name of your organization\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\r\n    <label for=\"field_fein\" id=\"field_fein_label\" class=\"frm_primary_label\">FEIN\/Business Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_fein\" name=\"item_meta[23]\" value=\"\"  data-sectionid=\"20\"  data-frmmask=\"00-0000000\" placeholder=\"00-0000000\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d-\\d\\d\\d\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container horizontal_radio frm_other_container\">\r\n    <label for=\"field_hkgl2\" id=\"field_hkgl2_label\" class=\"frm_primary_label\">What services do you provide?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-0\">\t\t\t<label  for=\"field_hkgl2-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-0\" value=\"Civil Rights Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   aria-required=\"true\"  \/> Civil Rights Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-1\">\t\t\t<label  for=\"field_hkgl2-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-1\" value=\"Corporate Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Corporate Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-2\">\t\t\t<label  for=\"field_hkgl2-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-2\" value=\"Criminal Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Criminal Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-3\">\t\t\t<label  for=\"field_hkgl2-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-3\" value=\"Education Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Education Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-4\">\t\t\t<label  for=\"field_hkgl2-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-4\" value=\"Employment and Labor Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Employment and Labor Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-5\">\t\t\t<label  for=\"field_hkgl2-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-5\" value=\"Environmental Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Environmental Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-6\">\t\t\t<label  for=\"field_hkgl2-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-6\" value=\"Health Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Health Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-7\">\t\t\t<label  for=\"field_hkgl2-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-7\" value=\"Immigration Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Immigration Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-8\">\t\t\t<label  for=\"field_hkgl2-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-8\" value=\"Intellectual Property Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Intellectual Property Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-9\">\t\t\t<label  for=\"field_hkgl2-9\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-9\" value=\"International Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> International Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-10\">\t\t\t<label  for=\"field_hkgl2-10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-10\" value=\"Real Estate Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Real Estate Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-11\">\t\t\t<label  for=\"field_hkgl2-11\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-11\" value=\"Sports and Entertainment Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Sports and Entertainment Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-12\">\t\t\t<label  for=\"field_hkgl2-12\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_hkgl2-12\" value=\"Tax Law\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Tax Law<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-20-other_5\">\t\t\t<label  for=\"field_hkgl2-other_5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[24][other_5]\" id=\"field_hkgl2-other_5\" value=\"Other\"  data-sectionid=\"20\"  data-reqmsg=\"What services do you provide? cannot be blank.\" data-invmsg=\"What services do you provide? is invalid\"   \/> Other<\/label><label for=\"field_hkgl2-other_5-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_hkgl2-other_5-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][24][other_5]\" value=\"\" \/><\/div>\n\r\n    <div class=\"frm_description\" id=\"frm_desc_field_hkgl2\">Please check all that apply.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_138_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_57fso\" id=\"field_57fso_label\" class=\"frm_primary_label\">Organization Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_57fso\" name=\"item_meta[138]\" value=\"\"  data-sectionid=\"20\"  placeholder=\"No home addresses please\" data-reqmsg=\"Organization Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field form-field  frm_none_container frm12 frm_first\">\r\n    <label for=\"field_hxgjw\" id=\"field_hxgjw_label\" class=\"frm_primary_label\">Organization Address Line 2\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_hxgjw\" name=\"item_meta[139]\" value=\"\"  data-sectionid=\"20\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_145_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n    <label for=\"field_oj7o5\" id=\"field_oj7o5_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_oj7o5\" name=\"item_meta[145]\" value=\"\"  data-sectionid=\"20\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_141_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_f2bso\" id=\"field_f2bso_label\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[141]\" id=\"field_f2bso\"  data-sectionid=\"20\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"AK\">AK<\/option><option  value=\"AL\">AL<\/option><option  value=\"AR\">AR<\/option><option  value=\"AZ\">AZ<\/option><option  value=\"CA\">CA<\/option><option  value=\"CO\">CO<\/option><option  value=\"CT\">CT<\/option><option  value=\"DC\">DC<\/option><option  value=\"DE\">DE<\/option><option  value=\"FL\">FL<\/option><option  value=\"GA\">GA<\/option><option  value=\"HI\">HI<\/option><option  value=\"IA\">IA<\/option><option  value=\"ID\">ID<\/option><option  value=\"IL\">IL<\/option><option  value=\"IN\">IN<\/option><option  value=\"KS\">KS<\/option><option  value=\"KY\">KY<\/option><option  value=\"LA\">LA<\/option><option  value=\"MA\">MA<\/option><option  value=\"MD\">MD<\/option><option  value=\"ME\">ME<\/option><option  value=\"MI\">MI<\/option><option  value=\"MN\">MN<\/option><option  value=\"MO\">MO<\/option><option  value=\"MS\">MS<\/option><option  value=\"MT\">MT<\/option><option  value=\"NC\">NC<\/option><option  value=\"ND\">ND<\/option><option  value=\"NE\">NE<\/option><option  value=\"NH\">NH<\/option><option  value=\"NJ\">NJ<\/option><option  value=\"NM\">NM<\/option><option  value=\"NV\">NV<\/option><option  value=\"NY\">NY<\/option><option  value=\"OH\">OH<\/option><option  value=\"OK\">OK<\/option><option  value=\"OR\">OR<\/option><option  value=\"PA\">PA<\/option><option  value=\"RI\">RI<\/option><option  value=\"SC\">SC<\/option><option  value=\"SD\">SD<\/option><option  value=\"TN\">TN<\/option><option  value=\"TX\">TX<\/option><option  value=\"UT\">UT<\/option><option  value=\"VA\">VA<\/option><option  value=\"VT\">VT<\/option><option  value=\"WA\">WA<\/option><option  value=\"WI\">WI<\/option><option  value=\"WV\">WV<\/option><option  value=\"WY\">WY<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_142_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_fbqmh\" id=\"field_fbqmh_label\" class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_fbqmh\" name=\"item_meta[142]\" value=\"\" data-sectionid=\"20\"  data-reqmsg=\"Zip cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_7lgob_label\" class=\"frm_primary_label\">Is this a corporate address?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_7lgob_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_27-20-0\">\t\t\t<label  for=\"field_7lgob-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[27]\" id=\"field_7lgob-0\" value=\"Yes\"\n\t\t   data-sectionid=\"20\"  data-reqmsg=\"Is this a corporate address? cannot be blank.\" data-invmsg=\"Is this a corporate address? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_27-20-1\">\t\t\t<label  for=\"field_7lgob-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[27]\" id=\"field_7lgob-1\" value=\"No\"\n\t\t   data-sectionid=\"20\"  data-reqmsg=\"Is this a corporate address? cannot be blank.\" data-invmsg=\"Is this a corporate address? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_28_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<p>If no, please enter the corporate address below.<\/p>\n<\/div>\n<div id=\"frm_field_143_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_usmou\" id=\"field_usmou_label\" class=\"frm_primary_label\">Corporate Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_usmou\" name=\"item_meta[143]\" value=\"\"  data-sectionid=\"20\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_144_container\" class=\"frm_form_field form-field  frm_none_container frm12 frm_first\">\r\n    <label for=\"field_xouyn\" id=\"field_xouyn_label\" class=\"frm_primary_label\">Corporate Address Line 2\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_xouyn\" name=\"item_meta[144]\" value=\"\"  data-sectionid=\"20\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_140_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_f3gdj\" id=\"field_f3gdj_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_f3gdj\" name=\"item_meta[140]\" value=\"\"  data-sectionid=\"20\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_146_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_wsx6e\" id=\"field_wsx6e_label\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[146]\" id=\"field_wsx6e\"  data-sectionid=\"20\"  data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"AK\">AK<\/option><option  value=\"AL\">AL<\/option><option  value=\"AR\">AR<\/option><option  value=\"AZ\">AZ<\/option><option  value=\"CA\">CA<\/option><option  value=\"CO\">CO<\/option><option  value=\"CT\">CT<\/option><option  value=\"DC\">DC<\/option><option  value=\"DE\">DE<\/option><option  value=\"FL\">FL<\/option><option  value=\"GA\">GA<\/option><option  value=\"HI\">HI<\/option><option  value=\"IA\">IA<\/option><option  value=\"ID\">ID<\/option><option  value=\"IL\">IL<\/option><option  value=\"IN\">IN<\/option><option  value=\"KS\">KS<\/option><option  value=\"KY\">KY<\/option><option  value=\"LA\">LA<\/option><option  value=\"MA\">MA<\/option><option  value=\"MD\">MD<\/option><option  value=\"ME\">ME<\/option><option  value=\"MI\">MI<\/option><option  value=\"MN\">MN<\/option><option  value=\"MO\">MO<\/option><option  value=\"MS\">MS<\/option><option  value=\"MT\">MT<\/option><option  value=\"NC\">NC<\/option><option  value=\"ND\">ND<\/option><option  value=\"NE\">NE<\/option><option  value=\"NH\">NH<\/option><option  value=\"NJ\">NJ<\/option><option  value=\"NM\">NM<\/option><option  value=\"NV\">NV<\/option><option  value=\"NY\">NY<\/option><option  value=\"OH\">OH<\/option><option  value=\"OK\">OK<\/option><option  value=\"OR\">OR<\/option><option  value=\"PA\">PA<\/option><option  value=\"RI\">RI<\/option><option  value=\"SC\">SC<\/option><option  value=\"SD\">SD<\/option><option  value=\"TN\">TN<\/option><option  value=\"TX\">TX<\/option><option  value=\"UT\">UT<\/option><option  value=\"VA\">VA<\/option><option  value=\"VT\">VT<\/option><option  value=\"WA\">WA<\/option><option  value=\"WI\">WI<\/option><option  value=\"WV\">WV<\/option><option  value=\"WY\">WY<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_147_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_v2nh2\" id=\"field_v2nh2_label\" class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_v2nh2\" name=\"item_meta[147]\" value=\"\" data-sectionid=\"20\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_7pbg7\" id=\"field_7pbg7_label\" class=\"frm_primary_label\">Website\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_7pbg7\" name=\"item_meta[30]\" value=\"\"  data-sectionid=\"20\"  placeholder=\"www.example.com\" data-reqmsg=\"Website cannot be blank.\" aria-required=\"true\" data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_9zemf\" id=\"field_9zemf_label\" class=\"frm_primary_label\">Twitter Handle\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9zemf\" name=\"item_meta[31]\" value=\"\"  data-sectionid=\"20\"  placeholder=\"@yourhandle\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<p>Please indicate if your company has more than one location. Please give us no more than two locations, any more than two and, due to space constraints, we will need to list your location as \u201cmultiple cities.\u201d This information will be used in  promotional items including news releases to the media, the awards event, special publication, etc.<\/p>\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_e8qog\" id=\"field_e8qog_label\" class=\"frm_primary_label\">Number of Locations\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[33]\" id=\"field_e8qog\"  data-sectionid=\"20\"  data-reqmsg=\"Number of Locations cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number of Locations is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"One City\">One City<\/option><option  value=\"Two Cities\">Two Cities<\/option><option  value=\"More Than Two Cities\">More Than Two Cities<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_urshp\" id=\"field_urshp_label\" class=\"frm_primary_label\">Primary City Location\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_urshp\" name=\"item_meta[34]\" value=\"\"  data-sectionid=\"20\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_brnc5\" id=\"field_brnc5_label\" class=\"frm_primary_label\">Second City Location\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_brnc5\" name=\"item_meta[35]\" value=\"\"  data-sectionid=\"20\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Contact Information<\/h3>\r\n<div id=\"frm_desc_field_l1a00\" class=\"frm_description frm_section_spacing\"><h6 style=\"margin:0;\">Tell us about your people!<\/h6><\/div>\r\n\r\n<div id=\"frm_field_38_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3 style=\"border:none;\">Primary Contact<\/h3>\n<p>The Primary Contact will be the main contact for questions throughout the entire process and the recipient of all communications (via emails, phone, website and letters), employee surveys for distribution, feedback reports, etc.<\/p>\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_ezsgt\" id=\"field_ezsgt_label\" class=\"frm_primary_label\">Primary Contact Salutation\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[39]\" id=\"field_ezsgt\"  data-sectionid=\"37\"  data-frmval=\"Please Select\" data-reqmsg=\"Primary Contact Salutation cannot be blank.\" aria-required=\"true\" data-invmsg=\"Primary Contact Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please Select\" selected='selected'>Please Select<\/option><option  value=\"M.\">M.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Ms.\">Ms.<\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Miss\">Miss<\/option><option  value=\"Dr.\">Dr.<\/option><option  value=\"Prefer not to Answer\">Prefer not to Answer<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_3rzdm\" id=\"field_3rzdm_label\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_3rzdm\" name=\"item_meta[40]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"Title cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_yegpx\" id=\"field_yegpx_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_yegpx\" name=\"item_meta[41]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_42_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_gm9fr\" id=\"field_gm9fr_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gm9fr\" name=\"item_meta[42]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_2vjfn\" id=\"field_2vjfn_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_2vjfn\" name=\"item_meta[43]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_s50wz\" id=\"field_s50wz_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_s50wz\" name=\"item_meta[44]\" value=\"\"  data-sectionid=\"37\"  data-frmmask=\"(000) 000-0000\" placeholder=\"No home phones please\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_u0kmg\" id=\"field_u0kmg_label\" class=\"frm_primary_label\">Extension\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_u0kmg\" name=\"item_meta[45]\" value=\"\" data-sectionid=\"37\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_148_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_e87ij\" id=\"field_e87ij_label\" class=\"frm_primary_label\">Primary Contact Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_e87ij\" name=\"item_meta[148]\" value=\"\"  data-sectionid=\"37\"  placeholder=\"No home addresses please\" data-reqmsg=\"Primary Contact Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_149_container\" class=\"frm_form_field form-field  frm_none_container frm12 frm_first\">\r\n    <label for=\"field_pfmmw\" id=\"field_pfmmw_label\" class=\"frm_primary_label\">Primary Contact Address Line 2\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_pfmmw\" name=\"item_meta[149]\" value=\"\"  data-sectionid=\"37\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_150_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n    <label for=\"field_6au1a\" id=\"field_6au1a_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6au1a\" name=\"item_meta[150]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_151_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_d61l7\" id=\"field_d61l7_label\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[151]\" id=\"field_d61l7\"  data-sectionid=\"37\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"AK\">AK<\/option><option  value=\"AL\">AL<\/option><option  value=\"AR\">AR<\/option><option  value=\"AZ\">AZ<\/option><option  value=\"CA\">CA<\/option><option  value=\"CO\">CO<\/option><option  value=\"CT\">CT<\/option><option  value=\"DC\">DC<\/option><option  value=\"DE\">DE<\/option><option  value=\"FL\">FL<\/option><option  value=\"GA\">GA<\/option><option  value=\"HI\">HI<\/option><option  value=\"IA\">IA<\/option><option  value=\"ID\">ID<\/option><option  value=\"IL\">IL<\/option><option  value=\"IN\">IN<\/option><option  value=\"KS\">KS<\/option><option  value=\"KY\">KY<\/option><option  value=\"LA\">LA<\/option><option  value=\"MA\">MA<\/option><option  value=\"MD\">MD<\/option><option  value=\"ME\">ME<\/option><option  value=\"MI\">MI<\/option><option  value=\"MN\">MN<\/option><option  value=\"MO\">MO<\/option><option  value=\"MS\">MS<\/option><option  value=\"MT\">MT<\/option><option  value=\"NC\">NC<\/option><option  value=\"ND\">ND<\/option><option  value=\"NE\">NE<\/option><option  value=\"NH\">NH<\/option><option  value=\"NJ\">NJ<\/option><option  value=\"NM\">NM<\/option><option  value=\"NV\">NV<\/option><option  value=\"NY\">NY<\/option><option  value=\"OH\">OH<\/option><option  value=\"OK\">OK<\/option><option  value=\"OR\">OR<\/option><option  value=\"PA\">PA<\/option><option  value=\"RI\">RI<\/option><option  value=\"SC\">SC<\/option><option  value=\"SD\">SD<\/option><option  value=\"TN\">TN<\/option><option  value=\"TX\">TX<\/option><option  value=\"UT\">UT<\/option><option  value=\"VA\">VA<\/option><option  value=\"VT\">VT<\/option><option  value=\"WA\">WA<\/option><option  value=\"WI\">WI<\/option><option  value=\"WV\">WV<\/option><option  value=\"WY\">WY<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_152_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_8ezgb\" id=\"field_8ezgb_label\" class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_8ezgb\" name=\"item_meta[152]\" value=\"\" data-sectionid=\"37\"  data-reqmsg=\"Zip cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_ft4dn_label\" class=\"frm_primary_label\">Is this contact an employee of the company?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ft4dn_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_48-37-0\">\t\t\t<label  for=\"field_ft4dn-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[48]\" id=\"field_ft4dn-0\" value=\"Yes\"\n\t\t   data-sectionid=\"37\"  data-reqmsg=\"Is this contact an employee of the company? cannot be blank.\" data-invmsg=\"Is this contact an employee of the company? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_48-37-1\">\t\t\t<label  for=\"field_ft4dn-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[48]\" id=\"field_ft4dn-1\" value=\"No\"\n\t\t   data-sectionid=\"37\"  data-reqmsg=\"Is this contact an employee of the company? cannot be blank.\" data-invmsg=\"Is this contact an employee of the company? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3>Secondary Contact<\/h3>\n<p>The Secondary Contact will be the contact for questions if the Primary Contact is unavailable.<\/p>\n<\/div>\n<div id=\"frm_field_50_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_qlh0i\" id=\"field_qlh0i_label\" class=\"frm_primary_label\">Secondary Contact Salutation\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[50]\" id=\"field_qlh0i\"  data-sectionid=\"37\"  data-frmval=\"Please Select\" data-reqmsg=\"Secondary Contact Salutation cannot be blank.\" aria-required=\"true\" data-invmsg=\"Secondary Contact Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please Select\" selected='selected'>Please Select<\/option><option  value=\"M.\">M.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Ms.\">Ms.<\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Miss\">Miss<\/option><option  value=\"Dr.\">Dr.<\/option><option  value=\"Prefer not to Answer\">Prefer not to Answer<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_6fnqt\" id=\"field_6fnqt_label\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6fnqt\" name=\"item_meta[51]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"Title cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_ksmm1\" id=\"field_ksmm1_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ksmm1\" name=\"item_meta[52]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_ypnfo\" id=\"field_ypnfo_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ypnfo\" name=\"item_meta[53]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_54_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_72p6q\" id=\"field_72p6q_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_72p6q\" name=\"item_meta[54]\" value=\"\"  data-sectionid=\"37\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_55_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_9xy0n\" id=\"field_9xy0n_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_9xy0n\" name=\"item_meta[55]\" value=\"\"  data-sectionid=\"37\"  data-frmmask=\"(000) 000-0000\" placeholder=\"No home phones please\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_lji7x\" id=\"field_lji7x_label\" class=\"frm_primary_label\">Extension\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_lji7x\" name=\"item_meta[56]\" value=\"\" data-sectionid=\"37\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_58_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">CEO, President, Manager, Etc.<\/h3>\r\n<div id=\"frm_desc_field_lzbb9\" class=\"frm_description frm_section_spacing\">This should be the highest-ranking position of the nominated workplace.<\/div>\r\n\r\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_vcfph\" id=\"field_vcfph_label\" class=\"frm_primary_label\">Salutation\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[59]\" id=\"field_vcfph\"  data-sectionid=\"58\"  data-frmval=\"Please Select\" data-reqmsg=\"Salutation cannot be blank.\" aria-required=\"true\" data-invmsg=\"Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please Select\" selected='selected'>Please Select<\/option><option  value=\"M.\">M.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Ms.\">Ms.<\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Miss\">Miss<\/option><option  value=\"Dr.\">Dr.<\/option><option  value=\"Prefer not to Answer\">Prefer not to Answer<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_y5ut0\" id=\"field_y5ut0_label\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_y5ut0\" name=\"item_meta[60]\" value=\"\"  data-sectionid=\"58\"  data-reqmsg=\"Title cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_y2lo6\" id=\"field_y2lo6_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_y2lo6\" name=\"item_meta[61]\" value=\"\"  data-sectionid=\"58\"  placeholder=\"First Name\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_1fatm\" id=\"field_1fatm_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1fatm\" name=\"item_meta[62]\" value=\"\"  data-sectionid=\"58\"  placeholder=\"Last Name\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_tap3b\" id=\"field_tap3b_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_tap3b\" name=\"item_meta[63]\" value=\"\"  data-sectionid=\"58\"  data-frmmask=\"(000) 000-0000\" placeholder=\"No home phones please\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_harvn\" id=\"field_harvn_label\" class=\"frm_primary_label\">Phone Extension\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_harvn\" name=\"item_meta[64]\" value=\"\"  data-sectionid=\"58\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_db31c\" id=\"field_db31c_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_db31c\" name=\"item_meta[65]\" value=\"\"  data-sectionid=\"58\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_153_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_pacue\" id=\"field_pacue_label\" class=\"frm_primary_label\">Highest Ranking Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_pacue\" name=\"item_meta[153]\" value=\"\"  data-sectionid=\"58\"  placeholder=\"No home addresses please\" data-reqmsg=\"Highest Ranking Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_154_container\" class=\"frm_form_field form-field  frm_none_container frm12 frm_first\">\r\n    <label for=\"field_2jw8s\" id=\"field_2jw8s_label\" class=\"frm_primary_label\">Highest Ranking Address Line 2\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_2jw8s\" name=\"item_meta[154]\" value=\"\"  data-sectionid=\"58\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_155_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n    <label for=\"field_jvnvu\" id=\"field_jvnvu_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_jvnvu\" name=\"item_meta[155]\" value=\"\"  data-sectionid=\"58\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_156_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_hzwyq\" id=\"field_hzwyq_label\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[156]\" id=\"field_hzwyq\"  data-sectionid=\"58\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"AK\">AK<\/option><option  value=\"AL\">AL<\/option><option  value=\"AR\">AR<\/option><option  value=\"AZ\">AZ<\/option><option  value=\"CA\">CA<\/option><option  value=\"CO\">CO<\/option><option  value=\"CT\">CT<\/option><option  value=\"DC\">DC<\/option><option  value=\"DE\">DE<\/option><option  value=\"FL\">FL<\/option><option  value=\"GA\">GA<\/option><option  value=\"HI\">HI<\/option><option  value=\"IA\">IA<\/option><option  value=\"ID\">ID<\/option><option  value=\"IL\">IL<\/option><option  value=\"IN\">IN<\/option><option  value=\"KS\">KS<\/option><option  value=\"KY\">KY<\/option><option  value=\"LA\">LA<\/option><option  value=\"MA\">MA<\/option><option  value=\"MD\">MD<\/option><option  value=\"ME\">ME<\/option><option  value=\"MI\">MI<\/option><option  value=\"MN\">MN<\/option><option  value=\"MO\">MO<\/option><option  value=\"MS\">MS<\/option><option  value=\"MT\">MT<\/option><option  value=\"NC\">NC<\/option><option  value=\"ND\">ND<\/option><option  value=\"NE\">NE<\/option><option  value=\"NH\">NH<\/option><option  value=\"NJ\">NJ<\/option><option  value=\"NM\">NM<\/option><option  value=\"NV\">NV<\/option><option  value=\"NY\">NY<\/option><option  value=\"OH\">OH<\/option><option  value=\"OK\">OK<\/option><option  value=\"OR\">OR<\/option><option  value=\"PA\">PA<\/option><option  value=\"RI\">RI<\/option><option  value=\"SC\">SC<\/option><option  value=\"SD\">SD<\/option><option  value=\"TN\">TN<\/option><option  value=\"TX\">TX<\/option><option  value=\"UT\">UT<\/option><option  value=\"VA\">VA<\/option><option  value=\"VT\">VT<\/option><option  value=\"WA\">WA<\/option><option  value=\"WI\">WI<\/option><option  value=\"WV\">WV<\/option><option  value=\"WY\">WY<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_157_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_j5kag\" id=\"field_j5kag_label\" class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_j5kag\" name=\"item_meta[157]\" value=\"\" data-sectionid=\"58\"  data-reqmsg=\"Zip cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">IT Contact<\/h3>\r\n<div id=\"frm_desc_field_abl81\" class=\"frm_description frm_section_spacing\">The IT Contact will be the contact for any technical systems questions regarding online surveys - for all employer questionnaires and online surveys for employees - regarding filtering, spam content, white-listing, etc.<\/div>\r\n\r\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_wr5mp\" id=\"field_wr5mp_label\" class=\"frm_primary_label\">IT Contact Salutation\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[70]\" id=\"field_wr5mp\"  data-sectionid=\"69\"  data-frmval=\"Please Select\" data-reqmsg=\"IT Contact Salutation cannot be blank.\" aria-required=\"true\" data-invmsg=\"IT Contact Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please Select\" selected='selected'>Please Select<\/option><option  value=\"M.\">M.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Ms.\">Ms.<\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Miss\">Miss<\/option><option  value=\"Dr.\">Dr.<\/option><option  value=\"Prefer not to Answer\">Prefer not to Answer<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_dzuof\" id=\"field_dzuof_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dzuof\" name=\"item_meta[71]\" value=\"\"  data-sectionid=\"69\"  placeholder=\"First Name\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_72_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_hmyoo\" id=\"field_hmyoo_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_hmyoo\" name=\"item_meta[72]\" value=\"\"  data-sectionid=\"69\"  placeholder=\"Last Name\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_73_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_hsnl5\" id=\"field_hsnl5_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_hsnl5\" name=\"item_meta[73]\" value=\"\"  data-sectionid=\"69\"  data-frmmask=\"(000) 000-0000\" placeholder=\"No home phones please\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_74_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_d6rvh\" id=\"field_d6rvh_label\" class=\"frm_primary_label\">Phone Extension\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_d6rvh\" name=\"item_meta[74]\" value=\"\"  data-sectionid=\"69\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_cm8jt\" id=\"field_cm8jt_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_cm8jt\" name=\"item_meta[75]\" value=\"\"  data-sectionid=\"69\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_77_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Marketing\/PR Contact<\/h3>\r\n<div id=\"frm_desc_field_vz3w\" class=\"frm_description frm_section_spacing\">Contact will handle any marketing and\/or public relations questions for your organization.<\/div>\r\n\r\n<div id=\"frm_field_78_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_e7gtk\" id=\"field_e7gtk_label\" class=\"frm_primary_label\">Marketing Contact Salutation\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[78]\" id=\"field_e7gtk\"  data-sectionid=\"77\"  data-frmval=\"Please Select\" data-reqmsg=\"Marketing Contact Salutation cannot be blank.\" aria-required=\"true\" data-invmsg=\"Marketing Contact Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please Select\" selected='selected'>Please Select<\/option><option  value=\"M.\">M.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Ms.\">Ms.<\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Miss\">Miss<\/option><option  value=\"Dr.\">Dr.<\/option><option  value=\"Prefer not to Answer\">Prefer not to Answer<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_79_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_8ghyt\" id=\"field_8ghyt_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8ghyt\" name=\"item_meta[79]\" value=\"\"  data-sectionid=\"77\"  placeholder=\"First Name\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_80_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_4zwvt\" id=\"field_4zwvt_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_4zwvt\" name=\"item_meta[80]\" value=\"\"  data-sectionid=\"77\"  placeholder=\"Last Name\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_81_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_4wig4\" id=\"field_4wig4_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_4wig4\" name=\"item_meta[81]\" value=\"\"  data-sectionid=\"77\"  data-frmmask=\"(000) 000-0000\" placeholder=\"No home phones please\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_82_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_ktxua\" id=\"field_ktxua_label\" class=\"frm_primary_label\">Phone Extension\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ktxua\" name=\"item_meta[82]\" value=\"\"  data-sectionid=\"77\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_83_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_2gvxj\" id=\"field_2gvxj_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_2gvxj\" name=\"item_meta[83]\" value=\"\"  data-sectionid=\"77\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_85_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Human Resources Contact<\/h3>\r\n<div id=\"frm_desc_field_tx4m5\" class=\"frm_description frm_section_spacing\">Contact will handle any human resources related questions for your organization.<\/div>\r\n\r\n<div id=\"frm_field_86_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_acjc4\" id=\"field_acjc4_label\" class=\"frm_primary_label\">HR Contact Salutation\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[86]\" id=\"field_acjc4\"  data-sectionid=\"85\"  data-frmval=\"Please Select\" data-reqmsg=\"HR Contact Salutation cannot be blank.\" aria-required=\"true\" data-invmsg=\"HR Contact Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please Select\" selected='selected'>Please Select<\/option><option  value=\"M.\">M.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Ms.\">Ms.<\/option><option  value=\"Miss\">Miss<\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Dr.\">Dr.<\/option><option  value=\"Prefer not to Answer\">Prefer not to Answer<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_87_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_40u8x\" id=\"field_40u8x_label\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_40u8x\" name=\"item_meta[87]\" value=\"\"  data-sectionid=\"85\"  data-reqmsg=\"Title cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_88_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_lcwl4\" id=\"field_lcwl4_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_lcwl4\" name=\"item_meta[88]\" value=\"\"  data-sectionid=\"85\"  placeholder=\"First Name\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_89_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_z4mmy\" id=\"field_z4mmy_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_z4mmy\" name=\"item_meta[89]\" value=\"\"  data-sectionid=\"85\"  placeholder=\"Last Name\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_90_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_i7m5k\" id=\"field_i7m5k_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_i7m5k\" name=\"item_meta[90]\" value=\"\"  data-sectionid=\"85\"  data-frmmask=\"(000) 000-0000\" placeholder=\"No home phones please\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_91_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_st78u\" id=\"field_st78u_label\" class=\"frm_primary_label\">Phone Extension\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_st78u\" name=\"item_meta[91]\" value=\"\"  data-sectionid=\"85\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_92_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_q1ijk\" id=\"field_q1ijk_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_q1ijk\" name=\"item_meta[92]\" value=\"\"  data-sectionid=\"85\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_94_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\r\n<h3 class=\"frm_pos_top\">Program Registration<\/h3>\r\n<div id=\"frm_desc_field_vcya4\" class=\"frm_description frm_section_spacing\"><p><strong>Number of Employees:<\/strong> Tell us how many employees you have working in the US.<\/p>\r\n<p> If you employ more than 250 people, we will survey a random sample of your employees. Please enter the total number of employees (<a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/eligibility\/\" target=\"_blank\">See Eligibility<\/a>) working at this organization. Please do not include temporary, seasonal or per diem employees, PRN, 1099 employees\/independent contractors, volunteers, interns, outside consultants or staffing employees placed by other organizations. (<a href=\"https:\/\/bestcompaniesgroup.com\/best-law-firms-in-diversity-equity-inclusion\/eligibility\/\" target=\"_blank\">See Eligibility<\/a>) <\/p><\/div>\r\n\r\n<div id=\"frm_field_95_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_yhk9l\" id=\"field_yhk9l_label\" class=\"frm_primary_label\">Full-time US Employees\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_yhk9l\" name=\"item_meta[95]\" value=\"\" data-sectionid=\"94\"  placeholder=\"Full-time US Employees\" data-reqmsg=\"Full-time US Employees cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_96_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_l10zo\" id=\"field_l10zo_label\" class=\"frm_primary_label\">Part-time US Employees\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_l10zo\" name=\"item_meta[96]\" value=\"\" data-sectionid=\"94\"  placeholder=\"Part-time US Employees\" data-reqmsg=\"Part-time US Employees cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12\">\r\n    <label for=\"field_5sxcv\" id=\"field_5sxcv_label\" class=\"frm_primary_label\">Total US Employees\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_5sxcv\" name=\"item_meta[97]\" value=\"\" readonly=\"readonly\"  data-sectionid=\"94\"  placeholder=\"0\" data-reqmsg=\"You must have at least 15 employees to register.\" aria-required=\"true\" data-invmsg=\"You must have at least 15 employees to register.\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_5sxcv\" min=\"15\" max=\"9999999\" step=\"any\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_5sxcv\">You must have a total of at least 15 employees to continue.<\/div>\r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Survey Selection<\/h3>\r\n\r\n\r\n<div id=\"frm_field_101_container\" class=\"frm_form_field  frm_html_container form-field\">Please see the chart below to determine the survey selection.<\/div>\n<div id=\"frm_field_102_container\" class=\"frm_form_field  frm_first frm_html_container form-field\">\n<table style=\"border-collapse: collapse; width: 100.284%; height: 144px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 36px;\">\n<td style=\"width: 30.2482%; text-align: center; height: 36px;\"><strong>Number of Eligible US Attorneys<\/strong><\/td>\n<td style=\"width: 29.9646%; text-align: center; height: 36px;\"><strong>Number of Eligible US Attorneys Surveyed<\/strong><\/td>\n<td style=\"width: 18.9007%; text-align: center; height: 36px;\"><strong>Online Fee<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 18px;\">\n<td style=\"width: 30.2482%; text-align: center; height: 18px;\">15 \u2013 24*<\/td>\n<td style=\"width: 29.9646%; height: 18px; text-align: center;\">All<\/td>\n<td style=\"width: 18.9007%; height: 18px; text-align: center;\">FREE<\/td>\n<\/tr>\n<tr style=\"height: 18px;\">\n<td style=\"width: 30.2482%; text-align: center; height: 18px;\">25 \u2013 99<\/td>\n<td style=\"width: 29.9646%; height: 18px; text-align: center;\">All<\/td>\n<td style=\"width: 18.9007%; height: 18px; text-align: center;\">FREE<\/td>\n<\/tr>\n<tr style=\"height: 18px;\">\n<td style=\"width: 30.2482%; height: 18px; text-align: center;\">100 \u2013 199<\/td>\n<td style=\"width: 29.9646%; height: 18px; text-align: center;\">All<\/td>\n<td style=\"width: 18.9007%; height: 18px; text-align: center;\">FREE<\/td>\n<\/tr>\n<tr style=\"height: 18px;\">\n<td style=\"width: 30.2482%; height: 18px; text-align: center;\">200 \u2013 499<\/td>\n<td style=\"width: 29.9646%; height: 18px; text-align: center;\">Up to 250**<\/td>\n<td style=\"width: 18.9007%; height: 18px; text-align: center;\">FREE<\/td>\n<\/tr>\n<tr style=\"height: 18px;\">\n<td style=\"width: 30.2482%; height: 18px; text-align: center;\">500 \u2013 2499<\/td>\n<td style=\"width: 29.9646%; height: 18px; text-align: center;\">350**<\/td>\n<td style=\"width: 18.9007%; height: 18px; text-align: center;\">FREE<\/td>\n<\/tr>\n<tr style=\"height: 18px;\">\n<td style=\"width: 30.2482%; height: 18px; text-align: center;\">2500 +<\/td>\n<td style=\"width: 29.9646%; height: 18px; text-align: center;\">400**<\/td>\n<td style=\"width: 18.9007%; height: 18px; text-align: center;\">FREE<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>*To ensure the credibility of the information, companies with 15-24 employees must have an 80% (or better) response rate on the employee survey to be considered for the list. **Employees are randomly selected. Best Companies Group offers the option to survey more employees than the random sample calculated in the above chart, and\/or include additional employees in the survey process who work in locations outside of the program area.\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_103_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_ipisf_label\" class=\"frm_primary_label\">Number of eligible employees as indicated above.\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_data_container\" aria-labelledby=\"field_ipisf_label\" role=\"group\"><select name=\"item_meta[103]\" id=\"field_ipisf\"  data-sectionid=\"100\"  data-placeholder=\"Please select\"  placeholder=\"Please select\" data-reqmsg=\"Number of eligible employees as indicated above. cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number of eligible employees as indicated above. is invalid\" aria-invalid=\"false\"  >\n<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Please select<\/option><option  value=\"Category 15 - 24\" data-frmprice=\"0\">Category 15 - 24<\/option><option  value=\"Category 25 - 99\" data-frmprice=\"0\">Category 25 - 99<\/option><option  value=\"Category 100 - 199\" data-frmprice=\"0\">Category 100 - 199<\/option><option  value=\"Category 200 - 499\" data-frmprice=\"0\">Category 200 - 499<\/option><option  value=\"Category 500 - 2499\" data-frmprice=\"0\">Category 500 - 2499<\/option><option  value=\"Category 2500 +\" data-frmprice=\"0\">Category 2500 +<\/option><\/select>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_104_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_5acme_label\" class=\"frm_primary_label\">Survey Additional Employees? For employee populations over 250 we survey a random selection or, would you like to survey additional employees?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_5acme_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_104-100-0\">\t\t\t<label  for=\"field_5acme-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[104][]\" id=\"field_5acme-0\" value=\"Yes, I&#039;m interested\"  data-sectionid=\"100\"  data-invmsg=\"Survey Additional Employees? For employee populations over 250 we survey a random selection or, would you like to survey additional employees? is invalid\"   \/> Yes, I'm interested<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_5acme\"> The cost to survey additional employees is $1.50 per additional employee surveyed<\/div>\r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Additional Information<\/h3>\r\n<div id=\"frm_desc_field_mpv7k\" class=\"frm_description frm_section_spacing\">Tell us about your survey needs. <\/div>\r\n\r\n<div id=\"frm_field_112_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_qkyb8\" id=\"field_qkyb8_label\" class=\"frm_primary_label\">Does your organization need alternate language surveys?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[112]\" id=\"field_qkyb8\"  data-sectionid=\"110\"  data-frmval=\"No\" data-reqmsg=\"Does your organization need alternate language surveys? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Does your organization need alternate language surveys? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"No\" selected='selected'>No<\/option><option  value=\"Yes\">Yes<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_qkyb8\">We offer employee surveys in a variety of languages. Additional languages are available at $199 per survey translation. If you need alternate language surveys, please select the languages below, and we will contact you to confirm your selections. Selecting \"YES\" above will add $199 to your cart, per language.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_113_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_y4rkm_label\" class=\"frm_primary_label\">Alternate Language Translation\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_y4rkm_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-0\"><label for=\"field_y4rkm-0\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-0\" value=\"Spanish \u2013 Latin American - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> Spanish \u2013 Latin American - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-1\"><label for=\"field_y4rkm-1\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-1\" value=\"Spanish \u2013 European - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> Spanish \u2013 European - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-2\"><label for=\"field_y4rkm-2\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-2\" value=\"Portuguese - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> Portuguese - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-3\"><label for=\"field_y4rkm-3\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-3\" value=\"French \u2013 Canadian - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> French \u2013 Canadian - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-4\"><label for=\"field_y4rkm-4\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-4\" value=\"French \u2013 Creole - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> French \u2013 Creole - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-5\"><label for=\"field_y4rkm-5\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-5\" value=\"French \u2013 Parisian - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> French \u2013 Parisian - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-6\"><label for=\"field_y4rkm-6\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-6\" value=\"Chinese - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> Chinese - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-7\"><label for=\"field_y4rkm-7\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-7\" value=\"Japanese - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> Japanese - 199.00 USD<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_113-110-8\"><label for=\"field_y4rkm-8\">\t<input type=\"checkbox\" name=\"item_meta[113][]\" id=\"field_y4rkm-8\" value=\"Other Language - 199.00 USD\" data-frmprice=\"199\"  data-sectionid=\"110\"  data-invmsg=\"Alternate Language Translation is invalid\" aria-invalid=\"false\"   \/> Other Language - 199.00 USD<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_6j1\" id=\"field_6j1_label\" class=\"frm_primary_label\">Additional Alternate Language (Other)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6j1\" name=\"item_meta[114]\" value=\"\"  data-sectionid=\"110\"  data-reqmsg=\"Additional Alternate Language (Other) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_6azz0\" id=\"field_6azz0_label\" class=\"frm_primary_label\">Are you interested in customizing your employee survey? \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[115]\" id=\"field_6azz0\"  data-sectionid=\"110\"  data-frmval=\"Please select\" data-invmsg=\"Are you interested in customizing your employee survey?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please select\" selected='selected'>Please select<\/option><option  value=\"Yes, I&#039;m interested in receiving more information.\">Yes, I&#039;m interested in receiving more information.<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_6azz0\">As part of the survey design process your organization has the option to customize the employee survey to include changing job roles\/department selections, adding a location question, surveying all or additional employees and adding additional questions. If selected, you will be contacted by a survey specialist to learn more about these options.<\/div>\r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Additional Questions<\/h3>\r\n\r\n\r\n<div id=\"frm_field_132_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container horizontal_radio\">\r\n    <div  id=\"field_9buqg_label\" class=\"frm_primary_label\">Did this organization participate last year?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_9buqg_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_132-117-0\">\t\t\t<label  for=\"field_9buqg-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[132]\" id=\"field_9buqg-0\" value=\"Yes\"\n\t\t   data-sectionid=\"117\"  data-reqmsg=\"Did this organization participate last year? cannot be blank.\" data-invmsg=\"Did this organization participate last year? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_132-117-1\">\t\t\t<label  for=\"field_9buqg-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[132]\" id=\"field_9buqg-1\" value=\"No\"\n\t\t   data-sectionid=\"117\"  data-reqmsg=\"Did this organization participate last year? cannot be blank.\" data-invmsg=\"Did this organization participate last year? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_133_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_4w9g9\" id=\"field_4w9g9_label\" class=\"frm_primary_label\">What name did this organization participate under last year, if different than listed on this form?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_4w9g9\" name=\"item_meta[133]\" value=\"\"  data-sectionid=\"117\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_120_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_other_container\">\r\n    <label for=\"field_k0l9h\" id=\"field_k0l9h_label\" class=\"frm_primary_label\">How did you hear about the program?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[120]\" id=\"field_k0l9h\"  data-sectionid=\"117\"  data-frmval=\"Please Select\" data-reqmsg=\"How did you hear about the program? cannot be blank.\" aria-required=\"true\" data-invmsg=\"How did you hear about the program? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Please Select\" selected='selected'>Please Select<\/option><option  value=\"National Bar Association - Editorial\">National Bar Association - Editorial<\/option><option  value=\"National Bar Association - Print ad\">National Bar Association - Print ad<\/option><option  value=\"National Bar Association - Online ad\">National Bar Association - Online ad<\/option><option  value=\"National Bar Association - Email\">National Bar Association - Email<\/option><option  value=\"National Bar Association - Website\">National Bar Association - Website<\/option><option  value=\"Best Companies Group - Email\">Best Companies Group - Email<\/option><option  value=\"BestCompaniesGroup.com - Website\">BestCompaniesGroup.com - Website<\/option><option  value=\"Best Companies Group - Letter\">Best Companies Group - Letter<\/option><option  value=\"Best Companies Group - Phone call\">Best Companies Group - Phone call<\/option><option  value=\"Internet Search\/Google\">Internet Search\/Google<\/option><option  value=\"Other\" class=\"frm_other_trigger\">Other<\/option>\t<\/select>\n\t<label for=\"field_k0l9h-otext\" class=\"frm_screen_reader frm_hidden\">How did you hear about the program?<\/label><input type=\"text\" id=\"field_k0l9h-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][120]\" value=\"\" \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_135_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Special Offer<\/h3>\r\n<div id=\"frm_desc_field_owdvh\" class=\"frm_description frm_section_spacing\"><p style=\"font-size:120%\">Purchase your BCG Insights Report package Now and Save.* The package includes access to your organization\u2019s data on our interactive online Reportal. The Reportal contains multiple levels of reporting with drill downs, heat maps, charts and graphs.  View percentage of positive and negative responses to each of the 77 questions asked of employees as well comments, and employee and employer benchmarking.  Similar reports can cost thousands of dollars if initiated independently. Discount ends after TBD.<\/p><\/div>\r\n\r\n<div id=\"frm_field_134_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<div class=\"table-2\">\n<table width=\"100%\">\n<thead style=\"background-color:\">\n<tr>\n<th align=\"left\">Number of Eligible US\u00a0 Attorneys<\/th>\n<th align=\"left\">Number of Eligible US Attorneys Surveyed<\/th>\n<th align=\"left\">Pre-survey Pricing (discount)*<\/th>\n<th align=\"left\">Regular Pricing<\/th>\n<th align=\"left\">Savings<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"20%\">15 \u2013 24**<\/td>\n<td style=\"text-align: center;\" width=\"20%\">All<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$699<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$799<\/td>\n<td style=\"text-align: center;\" width=\"20%\">Save $100<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"20%\">25 \u2013 99<\/td>\n<td style=\"text-align: center;\" width=\"20%\">All<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$750<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$850<\/td>\n<td style=\"text-align: center;\" width=\"20%\">Save $100<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"20%\">100 \u2013 199<\/td>\n<td style=\"text-align: center;\" width=\"20%\">All<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$850<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$950<\/td>\n<td style=\"text-align: center;\" width=\"20%\">Save $100<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"20%\">200 \u2013 499<\/td>\n<td style=\"text-align: center;\" width=\"20%\">Up to 250<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$899<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$999<\/td>\n<td style=\"text-align: center;\" width=\"20%\">Save $100<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"20%\">500 \u2013 2499<\/td>\n<td style=\"text-align: center;\" width=\"20%\">350<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$999<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$1099<\/td>\n<td style=\"text-align: center;\" width=\"20%\">Save $100<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"20%\">2500 +<\/td>\n<td style=\"text-align: center;\" width=\"20%\">400<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$1099<\/td>\n<td style=\"text-align: center;\" width=\"20%\">$1199<\/td>\n<td style=\"text-align: center;\" width=\"20%\">Save $100<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><em>*Fees are non-refundable.<\/em> After TBD the reports go back to regular pricing. **To ensure the credibility of the information, companies with 15-24 employees must have an 80% (or better) response rate on the employee survey to be considered for the list.<\/p>\n<\/div>\n<div id=\"frm_field_137_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_315mz_label\" class=\"frm_primary_label\">Number of eligible employees as indicated above.\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_data_container\" aria-labelledby=\"field_315mz_label\" role=\"group\"><select name=\"item_meta[137]\" id=\"field_315mz\"  data-sectionid=\"135\"  data-placeholder=\"Please select\"  placeholder=\"Please select\" data-reqmsg=\"Number of eligible employees as indicated above. cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number of eligible employees as indicated above. is invalid\" aria-invalid=\"false\"  >\n<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Please select<\/option><option  value=\"Category 15 \u2013 24 - $699 USD\" data-frmprice=\"699\">Category 15 \u2013 24 - $699 USD<\/option><option  value=\"Category 25 \u2013 99 - $750 USD\" data-frmprice=\"750\">Category 25 \u2013 99 - $750 USD<\/option><option  value=\"Category 100 \u2013 199 - $850 USD\" data-frmprice=\"850\">Category 100 \u2013 199 - $850 USD<\/option><option  value=\"Category 200 \u2013 499 - $899 USD\" data-frmprice=\"899\">Category 200 \u2013 499 - $899 USD<\/option><option  value=\"Category 500 \u2013 2499 - $999 USD\" data-frmprice=\"999\">Category 500 \u2013 2499 - $999 USD<\/option><option  value=\"Category 2500 + - $1099 USD\" data-frmprice=\"1099\">Category 2500 + - $1099 USD<\/option><option  value=\"No, thank you\" data-frmprice=\"0\">No, thank you<\/option><\/select>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"item_meta[173]\" id=\"field_hlfil\" value=\"(717) 909-1570\"  data-frmval=\"(717) 909-1570\"   \/>\n<input type=\"hidden\" name=\"item_meta[172]\" id=\"field_lrafa\" value=\"support@bestcompaniesgroup.com\"  data-frmval=\"support@bestcompaniesgroup.com\"   \/>\n<input type=\"hidden\" name=\"frm_page_order_2\" id=\"frm_page_order_2\" value=\"219\" \/><input type=\"hidden\" name=\"item_meta[122]\" id=\"field_5k0sf\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[123]\" id=\"field_e6r4i\" value=\"\"  data-sectionid=\"122\"  data-frmtotal     \/>\n<input type=\"hidden\" name=\"item_meta[124]\" id=\"field_kgmgf\" value=\"Pay Online Now\"  data-sectionid=\"122\"  data-frmval=\"Pay Online Now\"   \/>\n<input type=\"hidden\" name=\"item_meta[125]\" id=\"field_yltfr\" value=\"\"  data-sectionid=\"122\"     \/>\n<input type=\"hidden\" name=\"item_meta[126]\" id=\"field_ehi1f\" value=\"\"  data-sectionid=\"122\"     \/>\n<input type=\"hidden\" name=\"item_meta[163]\" id=\"field_e3qgy\" value=\"\"  data-sectionid=\"122\"     \/>\n<input type=\"hidden\" name=\"item_meta[128]\" id=\"field_rhvza\" value=\"\"  data-sectionid=\"122\"     \/>\n<input type=\"hidden\" name=\"item_meta[130]\" id=\"field_19pmi\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[129]\" id=\"field_qfpr\" value=\"authnet_aim\"     \/>\n<input type=\"hidden\" name=\"item_meta[131]\" id=\"field_4jsi2\" value=\"\"     \/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_222_container\">\n\t\t\t<label for=\"field_g7y2e\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_g7y2e\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[222]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"hO4KrKVXRsFiSUuo4ZoierUNfX88Efo9lx\/7oNCpBq3NHiTXfbJomp5nkIGmtQfs\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Register<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":16,"featured_media":2541,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-3859","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - 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