{"id":176,"date":"2019-06-28T15:25:21","date_gmt":"2019-06-28T21:25:21","guid":{"rendered":"https:\/\/dobbscoatingsystems.com\/?page_id=176"},"modified":"2023-08-22T15:23:01","modified_gmt":"2023-08-22T21:23:01","slug":"employment-application","status":"publish","type":"page","link":"https:\/\/dobbscoatingsystems.com\/?page_id=176","title":{"rendered":"Employment Application"},"content":{"rendered":"\n<p class=\"has-medium-font-size\">DRUG SCREEN, PHYSICAL &amp; RESPIRATOR FIT TEST ARE REQUIRED.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Dobbs Coating Systems, Inc. is an equal opportunity employer.<\/p>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' style='display:none'><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_4' id='gform_4'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F176#gf_4' data-formid='4' novalidate>\n        <div id='gf_progressbar_wrapper_4' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>11<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_9' style='width:9%;'><span>9%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_4_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_169\" class=\"gfield gfield--type-html gfield--input-type-html gf_invisible gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_169\" ><div align=\"right\"><b><font size=\"7\" color=\"grey\">Dobbs Coating Systems, Inc.<\/b><\/font><\/div>\n<div align=\"right\"><b><font size=\"3\" color=\"black\">1888 Mineral Wells Hwy, Weatherford, TX 76088<\/b><\/font><\/div>\n<div align=\"right\"><b><font size=\"3\" color=\"black\">Phone: 817-341-17777<\/b><\/font><\/div>\n<div align=\"right\"><b><font size=\"3\" color=\"black\">Fax: 817-341-1797<\/b><\/font><\/div><\/li><li id=\"field_4_170\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_170\" ><div style=\"background-color:#000000; text-align:left; vertical-align: middle; padding:20px 47px;\"><b><center><font size=\"5\" color=\"white\">Applicant Information<\/b><\/center><\/font><\/div><\/li><li id=\"field_4_1\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_1'>\n                            \n                            <span id='input_4_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_4_1_3' value='' tabindex='50'  aria-required='true'     \/>\n                                                    <label for='input_4_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_4_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.4' id='input_4_1_4' value='' tabindex='51'  aria-required='false'     \/>\n                                                    <label for='input_4_1_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_4_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_4_1_6' value='' tabindex='52'  aria-required='true'     \/>\n                                                    <label for='input_4_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_41\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_41\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_41'>Today&#039;s Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_41' id='input_4_41' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='54'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_41_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_41_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_41' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_4\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_4_4_1' value='' tabindex='55'   aria-required='true'    \/>\n                                        <label for='input_4_4_1' id='input_4_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_4_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_4_4_2' value='' tabindex='56'    aria-required='false'   \/>\n                                        <label for='input_4_4_2' id='input_4_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address 2 (Optional)<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_4_4_3' value='' tabindex='57'   aria-required='true'    \/>\n                                    <label for='input_4_4_3' id='input_4_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_4_4_container' >\n                                        <select name='input_4.4' id='input_4_4_4' tabindex='58'    aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_4_4' id='input_4_4_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_4_4_5' value='' tabindex='60'   aria-required='true'    \/>\n                                    <label for='input_4_4_5' id='input_4_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_4_4_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_44\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_44\" ><label class='gfield_label gform-field-label' for='input_4_44'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_44' id='input_4_44' type='tel' value='' class='medium' tabindex='61'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_6\" class=\"gfield gfield--type-email gfield--input-type-email gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_6\" ><label class='gfield_label gform-field-label' for='input_4_6'>Email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_4_6' type='email' value='' class='medium' tabindex='62'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_10\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_10\" ><label class='gfield_label gform-field-label' for='input_4_10'>Date Available:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_10' id='input_4_10' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='63'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_10_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_10_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_10' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_11\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_11\" ><label class='gfield_label gform-field-label' for='input_4_11'>Position Applied for:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_4_11' type='text' value='' class='medium'   tabindex='64'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_232\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_232\" ><label class='gfield_label gform-field-label' for='input_4_232'>Desired Wage:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_232' id='input_4_232' type='text' step='any'   value='' class='medium' tabindex='65'    aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_4_166\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_166\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_48\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_48\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are you currently employed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_48'><li class='gchoice gchoice_4_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='Yes'  id='choice_4_48_1' tabindex='66'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_48_1' id='label_4_48_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_48_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.2' type='checkbox'  value='No'  id='choice_4_48_2' tabindex='67'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_48_2' id='label_4_48_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_49\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_49\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If so may we contact your current employer?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_49'><li class='gchoice gchoice_4_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='Yes'  id='choice_4_49_1' tabindex='68'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_49_1' id='label_4_49_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_49_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='No'  id='choice_4_49_2' tabindex='69'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_49_2' id='label_4_49_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_50\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_50\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are you over the age of 18?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_50'><li class='gchoice gchoice_4_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='Yes'  id='choice_4_50_1' tabindex='70'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_1' id='label_4_50_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='No'  id='choice_4_50_2' tabindex='71'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_2' id='label_4_50_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_51\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_51\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are you authorized to work in the U.S.?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_51'><li class='gchoice gchoice_4_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='Yes'  id='choice_4_51_1' tabindex='72'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_51_1' id='label_4_51_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='No'  id='choice_4_51_2' tabindex='73'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_51_2' id='label_4_51_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_52\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_52\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, are you willing to take a physical<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_52'><li class='gchoice gchoice_4_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Yes'  id='choice_4_52_1' tabindex='74'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_52_1' id='label_4_52_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_52_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.2' type='checkbox'  value='No'  id='choice_4_52_2' tabindex='75'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_52_2' id='label_4_52_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_53\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_53\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, are you willing to take a drug test?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_53'><li class='gchoice gchoice_4_53_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.1' type='checkbox'  value='Yes'  id='choice_4_53_1' tabindex='76'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_1' id='label_4_53_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_53_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.2' type='checkbox'  value='No'  id='choice_4_53_2' tabindex='77'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_2' id='label_4_53_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_54\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_54\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, can you work on the weekends?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_54'><li class='gchoice gchoice_4_54_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.1' type='checkbox'  value='Yes'  id='choice_4_54_1' tabindex='78'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_54_1' id='label_4_54_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_54_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.2' type='checkbox'  value='No'  id='choice_4_54_2' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_54_2' id='label_4_54_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_55\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_55\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, Can you work overtime?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_55'><li class='gchoice gchoice_4_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='Yes'  id='choice_4_55_1' tabindex='80'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_55_1' id='label_4_55_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='No'  id='choice_4_55_2' tabindex='81'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_55_2' id='label_4_55_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_56\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, do you have reliable transportation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_56'><li class='gchoice gchoice_4_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='Yes'  id='choice_4_56_1' tabindex='82'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_56_1' id='label_4_56_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='No'  id='choice_4_56_2' tabindex='83'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_56_2' id='label_4_56_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_57\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_57\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, are you willing to travel?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_57'><li class='gchoice gchoice_4_57_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.1' type='checkbox'  value='Yes'  id='choice_4_57_1' tabindex='84'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_57_1' id='label_4_57_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_57_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.2' type='checkbox'  value='No'  id='choice_4_57_2' tabindex='85'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_57_2' id='label_4_57_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_58\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_58\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, can you work off of ladder?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_58'><li class='gchoice gchoice_4_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='Yes'  id='choice_4_58_1' tabindex='86'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_58_1' id='label_4_58_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_58_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.2' type='checkbox'  value='No'  id='choice_4_58_2' tabindex='87'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_58_2' id='label_4_58_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_59\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_59\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired can you work over 50\u2019 up on scaffold?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_59'><li class='gchoice gchoice_4_59_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.1' type='checkbox'  value='Yes'  id='choice_4_59_1' tabindex='88'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_59_1' id='label_4_59_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_59_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.2' type='checkbox'  value='No'  id='choice_4_59_2' tabindex='89'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_59_2' id='label_4_59_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_60\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_60\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >If hired, can you pass a background check<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_60'><li class='gchoice gchoice_4_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='Yes'  id='choice_4_60_1' tabindex='90'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_60_1' id='label_4_60_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_60_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.2' type='checkbox'  value='No'  id='choice_4_60_2' tabindex='91'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_60_2' id='label_4_60_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_65\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_65\" ><label class='gfield_label gform-field-label' for='input_4_65'>If no, explain?<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_4_65' type='text' value='' class='medium'   tabindex='92'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_61\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_61\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you have friends, relatives or acquaintances working for this Company?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_61'><li class='gchoice gchoice_4_61_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.1' type='checkbox'  value='Yes'  id='choice_4_61_1' tabindex='93'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_61_1' id='label_4_61_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_61_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.2' type='checkbox'  value='No'  id='choice_4_61_2' tabindex='94'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_61_2' id='label_4_61_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_66\" class=\"gfield gfield--type-name gfield--input-type-name gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_66\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name:<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_66'>\n                            \n                            <span id='input_4_66_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_66.3' id='input_4_66_3' value='' tabindex='96'  aria-required='false'     \/>\n                                                    <label for='input_4_66_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_66_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_66.6' id='input_4_66_6' value='' tabindex='98'  aria-required='false'     \/>\n                                                    <label for='input_4_66_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_62\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Have you ever worked for this company?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_62'><li class='gchoice gchoice_4_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Yes'  id='choice_4_62_1' tabindex='100'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_62_1' id='label_4_62_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='No'  id='choice_4_62_2' tabindex='101'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_62_2' id='label_4_62_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_67\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_67\" ><label class='gfield_label gform-field-label' for='input_4_67'>If yes, when?<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_4_67' type='text' value='' class='medium'   tabindex='102'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_63\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_63\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Have you ever been convicted of a felony?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_63'><li class='gchoice gchoice_4_63_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.1' type='checkbox'  value='Yes'  id='choice_4_63_1' tabindex='103'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_63_1' id='label_4_63_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_63_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.2' type='checkbox'  value='No'  id='choice_4_63_2' tabindex='104'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_63_2' id='label_4_63_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_68\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_68\" ><label class='gfield_label gform-field-label' for='input_4_68'>If yes, explain?<\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_4_68' type='text' value='' class='medium'   tabindex='105'   aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_4_183' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='106' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page' data-js='page-field-id-183' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_171\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_171\" ><div style=\"background-color:#000000; text-align:left; vertical-align: middle; padding:20px 47px;\"><b><center><font size=\"5\" color=\"white\">Education<\/b><\/center><\/font><\/div><\/li><li id=\"field_4_69\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_69\" ><label class='gfield_label gform-field-label' for='input_4_69'>High School:<\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_4_69' type='text' value='' class='small'   tabindex='107'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_70\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_70\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_70' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_70_1_container' >\n                                        <input type='text' name='input_70.1' id='input_4_70_1' value='' tabindex='108'   aria-required='false'    \/>\n                                        <label for='input_4_70_1' id='input_4_70_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_70_3_container' >\n                                    <input type='text' name='input_70.3' id='input_4_70_3' value='' tabindex='109'   aria-required='false'    \/>\n                                    <label for='input_4_70_3' id='input_4_70_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_70_4_container' >\n                                        <select name='input_70.4' id='input_4_70_4' tabindex='110'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_70_4' id='input_4_70_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_70_5_container' >\n                                    <input type='text' name='input_70.5' id='input_4_70_5' value='' tabindex='112'   aria-required='false'    \/>\n                                    <label for='input_4_70_5' id='input_4_70_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_70.6' id='input_4_70_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_77\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_77\" ><label class='gfield_label gform-field-label' for='input_4_77'>From:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_77' id='input_4_77' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='113'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_77_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_77_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_77' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_74\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_74\" ><label class='gfield_label gform-field-label' for='input_4_74'>To:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_74' id='input_4_74' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='114'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_74_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_74_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_74' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_85\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_85\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Did you graduate?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_85'><li class='gchoice gchoice_4_85_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_85.1' type='checkbox'  value='Yes'  id='choice_4_85_1' tabindex='115'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_85_1' id='label_4_85_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_85_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_85.2' type='checkbox'  value='No'  id='choice_4_85_2' tabindex='116'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_85_2' id='label_4_85_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_167\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_167\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_75\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_75\" ><label class='gfield_label gform-field-label' for='input_4_75'>College:<\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_4_75' type='text' value='' class='small'   tabindex='117'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_76\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_76\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_76' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_76_1_container' >\n                                        <input type='text' name='input_76.1' id='input_4_76_1' value='' tabindex='118'   aria-required='false'    \/>\n                                        <label for='input_4_76_1' id='input_4_76_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_76_3_container' >\n                                    <input type='text' name='input_76.3' id='input_4_76_3' value='' tabindex='119'   aria-required='false'    \/>\n                                    <label for='input_4_76_3' id='input_4_76_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_76_4_container' >\n                                        <select name='input_76.4' id='input_4_76_4' tabindex='120'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_76_4' id='input_4_76_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_76_5_container' >\n                                    <input type='text' name='input_76.5' id='input_4_76_5' value='' tabindex='122'   aria-required='false'    \/>\n                                    <label for='input_4_76_5' id='input_4_76_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_76.6' id='input_4_76_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_81\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_81\" ><label class='gfield_label gform-field-label' for='input_4_81'>From:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_81' id='input_4_81' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='123'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_81_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_81_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_81' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_78\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_78\" ><label class='gfield_label gform-field-label' for='input_4_78'>To:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_78' id='input_4_78' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='124'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_78_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_78_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_78' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_86\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_86\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Did you graduate?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_86'><li class='gchoice gchoice_4_86_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.1' type='checkbox'  value='Yes'  id='choice_4_86_1' tabindex='125'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_86_1' id='label_4_86_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_86_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.2' type='checkbox'  value='No'  id='choice_4_86_2' tabindex='126'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_86_2' id='label_4_86_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_84\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_84\" ><label class='gfield_label gform-field-label' for='input_4_84'>Degree:<\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_4_84' type='text' value='' class='medium'   tabindex='127'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_168\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_168\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_79\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_79\" ><label class='gfield_label gform-field-label' for='input_4_79'>Other:<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_4_79' type='text' value='' class='small'   tabindex='128'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_80\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_80\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_80' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_80_1_container' >\n                                        <input type='text' name='input_80.1' id='input_4_80_1' value='' tabindex='129'   aria-required='false'    \/>\n                                        <label for='input_4_80_1' id='input_4_80_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_80_3_container' >\n                                    <input type='text' name='input_80.3' id='input_4_80_3' value='' tabindex='130'   aria-required='false'    \/>\n                                    <label for='input_4_80_3' id='input_4_80_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_80_4_container' >\n                                        <select name='input_80.4' id='input_4_80_4' tabindex='131'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_80_4' id='input_4_80_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_80_5_container' >\n                                    <input type='text' name='input_80.5' id='input_4_80_5' value='' tabindex='133'   aria-required='false'    \/>\n                                    <label for='input_4_80_5' id='input_4_80_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_80.6' id='input_4_80_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_73\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_73\" ><label class='gfield_label gform-field-label' for='input_4_73'>From:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_73' id='input_4_73' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='134'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_73_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_73_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_73' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_82\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_82\" ><label class='gfield_label gform-field-label' for='input_4_82'>To:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_82' id='input_4_82' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='135'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_82_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_82_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_82' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_87\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_87\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Did you graduate?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_87'><li class='gchoice gchoice_4_87_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_87.1' type='checkbox'  value='Yes'  id='choice_4_87_1' tabindex='136'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_87_1' id='label_4_87_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_87_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_87.2' type='checkbox'  value='No'  id='choice_4_87_2' tabindex='137'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_87_2' id='label_4_87_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_88\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_88\" ><label class='gfield_label gform-field-label' for='input_4_88'>Degree:<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_4_88' type='text' value='' class='medium'   tabindex='138'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_83\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_83\" ><label class='gfield_label gform-field-label' for='input_4_83'>Special Skills:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_83' id='input_4_83' class='textarea medium' tabindex='139'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_253\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_253\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Are you Bilingual?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_253'><li class='gchoice gchoice_4_253_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_253.1' type='checkbox'  value='Yes'  id='choice_4_253_1' tabindex='140'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_253_1' id='label_4_253_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_253_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_253.2' type='checkbox'  value='No'  id='choice_4_253_2' tabindex='141'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_253_2' id='label_4_253_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_254\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_254\" ><label class='gfield_label gform-field-label' for='input_4_254'>What language?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_254' id='input_4_254' type='text' value='' class='large'   tabindex='142'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_174' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='143' \/> <input type='button' id='gform_next_button_4_174' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='144' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_3' class='gform_page' data-js='page-field-id-174' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_172\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_172\" ><div style=\"background-color:#000000; text-align:left; vertical-align: middle; padding:20px 47px;\"><b><center><font size=\"5\" color=\"white\">References<\/b><\/center><\/font><\/div><\/li><li id=\"field_4_173\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_173\" ><font size=\"5\" color=\"black\">Please list three professional references.<\/font><\/li><li id=\"field_4_98\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_98\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_98'>\n                            \n                            <span id='input_4_98_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.3' id='input_4_98_3' value='' tabindex='146'  aria-required='true'     \/>\n                                                    <label for='input_4_98_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_98_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.6' id='input_4_98_6' value='' tabindex='148'  aria-required='true'     \/>\n                                                    <label for='input_4_98_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_99\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_99\" ><label class='gfield_label gform-field-label' for='input_4_99'>Relationship:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_4_99' type='text' value='' class='small'   tabindex='150'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_163\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_163\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_102\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_102\" ><label class='gfield_label gform-field-label' for='input_4_102'>Company:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_4_102' type='text' value='' class='small'   tabindex='151'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_104\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_104\" ><label class='gfield_label gform-field-label' for='input_4_104'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_104' id='input_4_104' type='tel' value='' class='medium' tabindex='152'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_96\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_96\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_96' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_96_1_container' >\n                                        <input type='text' name='input_96.1' id='input_4_96_1' value='' tabindex='153'   aria-required='false'    \/>\n                                        <label for='input_4_96_1' id='input_4_96_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_96_3_container' >\n                                    <input type='text' name='input_96.3' id='input_4_96_3' value='' tabindex='154'   aria-required='false'    \/>\n                                    <label for='input_4_96_3' id='input_4_96_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_96_4_container' >\n                                        <select name='input_96.4' id='input_4_96_4' tabindex='155'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_96_4' id='input_4_96_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_96_5_container' >\n                                    <input type='text' name='input_96.5' id='input_4_96_5' value='' tabindex='157'   aria-required='false'    \/>\n                                    <label for='input_4_96_5' id='input_4_96_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_96.6' id='input_4_96_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_97\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_97\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_97'>\n                            \n                            <span id='input_4_97_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_97.3' id='input_4_97_3' value='' tabindex='159'  aria-required='true'     \/>\n                                                    <label for='input_4_97_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_97_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_97.6' id='input_4_97_6' value='' tabindex='161'  aria-required='true'     \/>\n                                                    <label for='input_4_97_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_100\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_100\" ><label class='gfield_label gform-field-label' for='input_4_100'>Relationship:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_100' id='input_4_100' type='text' value='' class='small'   tabindex='163'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_164\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_164\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_94\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_94\" ><label class='gfield_label gform-field-label' for='input_4_94'>Company:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_4_94' type='text' value='' class='small'   tabindex='164'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_95\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_95\" ><label class='gfield_label gform-field-label' for='input_4_95'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_95' id='input_4_95' type='tel' value='' class='medium' tabindex='165'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_107\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_107\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_107' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_107_1_container' >\n                                        <input type='text' name='input_107.1' id='input_4_107_1' value='' tabindex='166'   aria-required='false'    \/>\n                                        <label for='input_4_107_1' id='input_4_107_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_107_3_container' >\n                                    <input type='text' name='input_107.3' id='input_4_107_3' value='' tabindex='167'   aria-required='false'    \/>\n                                    <label for='input_4_107_3' id='input_4_107_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_107_4_container' >\n                                        <select name='input_107.4' id='input_4_107_4' tabindex='168'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_107_4' id='input_4_107_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_107_5_container' >\n                                    <input type='text' name='input_107.5' id='input_4_107_5' value='' tabindex='170'   aria-required='false'    \/>\n                                    <label for='input_4_107_5' id='input_4_107_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_107.6' id='input_4_107_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_92\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_92\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_92'>\n                            \n                            <span id='input_4_92_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_92.3' id='input_4_92_3' value='' tabindex='172'  aria-required='true'     \/>\n                                                    <label for='input_4_92_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_92_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_92.6' id='input_4_92_6' value='' tabindex='174'  aria-required='true'     \/>\n                                                    <label for='input_4_92_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_93\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_93\" ><label class='gfield_label gform-field-label' for='input_4_93'>Relationship:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_4_93' type='text' value='' class='small'   tabindex='176'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_165\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_165\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_103\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_103\" ><label class='gfield_label gform-field-label' for='input_4_103'>Company:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_4_103' type='text' value='' class='small'   tabindex='177'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_105\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_105\" ><label class='gfield_label gform-field-label' for='input_4_105'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_105' id='input_4_105' type='tel' value='' class='medium' tabindex='178'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_106\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_106\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_106' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_106_1_container' >\n                                        <input type='text' name='input_106.1' id='input_4_106_1' value='' tabindex='179'   aria-required='false'    \/>\n                                        <label for='input_4_106_1' id='input_4_106_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_106_3_container' >\n                                    <input type='text' name='input_106.3' id='input_4_106_3' value='' tabindex='180'   aria-required='false'    \/>\n                                    <label for='input_4_106_3' id='input_4_106_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_106_4_container' >\n                                        <select name='input_106.4' id='input_4_106_4' tabindex='181'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_106_4' id='input_4_106_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_106_5_container' >\n                                    <input type='text' name='input_106.5' id='input_4_106_5' value='' tabindex='183'   aria-required='false'    \/>\n                                    <label for='input_4_106_5' id='input_4_106_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_106.6' id='input_4_106_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_184' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='184' \/> <input type='button' id='gform_next_button_4_184' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='185' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_4' class='gform_page' data-js='page-field-id-184' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_175\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_175\" ><div style=\"background-color:#000000; text-align:left; vertical-align: middle; padding:20px 47px;\"><b><center><font size=\"5\" color=\"white\">Previous Employment<\/b><\/center><\/font><\/div><\/li><li id=\"field_4_176\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_176\" ><font size=\"5\" color=\"white\">Current Employer<\/font><\/li><li id=\"field_4_160\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_160\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_110\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_110\" ><label class='gfield_label gform-field-label' for='input_4_110'>Company:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_4_110' type='text' value='' class='small'   tabindex='186'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_111\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_111\" ><label class='gfield_label gform-field-label' for='input_4_111'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_111' id='input_4_111' type='tel' value='' class='medium' tabindex='187'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_112\" class=\"gfield gfield--type-address gfield--input-type-address gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_112\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_112' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_112_1_container' >\n                                        <input type='text' name='input_112.1' id='input_4_112_1' value='' tabindex='188'   aria-required='true'    \/>\n                                        <label for='input_4_112_1' id='input_4_112_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_112_3_container' >\n                                    <input type='text' name='input_112.3' id='input_4_112_3' value='' tabindex='189'   aria-required='true'    \/>\n                                    <label for='input_4_112_3' id='input_4_112_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_112_4_container' >\n                                        <select name='input_112.4' id='input_4_112_4' tabindex='190'    aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_112_4' id='input_4_112_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_112_5_container' >\n                                    <input type='text' name='input_112.5' id='input_4_112_5' value='' tabindex='192'   aria-required='true'    \/>\n                                    <label for='input_4_112_5' id='input_4_112_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_112.6' id='input_4_112_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_125\" class=\"gfield gfield--type-name gfield--input-type-name gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_125\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Supervisor:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_125'>\n                            \n                            <span id='input_4_125_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_125.3' id='input_4_125_3' value='' tabindex='194'  aria-required='true'     \/>\n                                                    <label for='input_4_125_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_125_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_125.6' id='input_4_125_6' value='' tabindex='196'  aria-required='true'     \/>\n                                                    <label for='input_4_125_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_115\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_115\" ><label class='gfield_label gform-field-label' for='input_4_115'>Job Title:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_4_115' type='text' value='' class='small'   tabindex='198'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_233\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_233\" ><label class='gfield_label gform-field-label' for='input_4_233'>Starting Salary:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_233' id='input_4_233' type='text' step='any'   value='' class='medium' tabindex='199'    aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_4_234\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_234\" ><label class='gfield_label gform-field-label' for='input_4_234'>Ending Salary:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_234' id='input_4_234' type='text' step='any'   value='' class='medium' tabindex='200'    aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_4_129\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_129\" ><label class='gfield_label gform-field-label' for='input_4_129'>From:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_129' id='input_4_129' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='201'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_129_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_129_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_129' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_119\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_119\" ><label class='gfield_label gform-field-label' for='input_4_119'>To:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_119' id='input_4_119' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='202'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_119_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_119_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_119' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_131\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_131\" ><label class='gfield_label gform-field-label' for='input_4_131'>Reason for Leaving:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_4_131' type='text' value='' class='medium'   tabindex='203'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_121\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_121\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >May we contact your previous supervisor for a reference?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_121'><li class='gchoice gchoice_4_121_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.1' type='checkbox'  value='yes'  id='choice_4_121_1' tabindex='204'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_121_1' id='label_4_121_1' class='gform-field-label gform-field-label--type-inline'>yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_121_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.2' type='checkbox'  value='No'  id='choice_4_121_2' tabindex='205'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_121_2' id='label_4_121_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_162\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_162\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_122\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_122\" ><label class='gfield_label gform-field-label' for='input_4_122'>Company:<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_4_122' type='text' value='' class='small'   tabindex='206'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_123\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_123\" ><label class='gfield_label gform-field-label' for='input_4_123'>Phone:<\/label><div class='ginput_container ginput_container_phone'><input name='input_123' id='input_4_123' type='tel' value='' class='medium' tabindex='207'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_124\" class=\"gfield gfield--type-address gfield--input-type-address gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_124\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_124' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_124_1_container' >\n                                        <input type='text' name='input_124.1' id='input_4_124_1' value='' tabindex='208'   aria-required='false'    \/>\n                                        <label for='input_4_124_1' id='input_4_124_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_124_3_container' >\n                                    <input type='text' name='input_124.3' id='input_4_124_3' value='' tabindex='209'   aria-required='false'    \/>\n                                    <label for='input_4_124_3' id='input_4_124_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_124_4_container' >\n                                        <select name='input_124.4' id='input_4_124_4' tabindex='210'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_124_4' id='input_4_124_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_124_5_container' >\n                                    <input type='text' name='input_124.5' id='input_4_124_5' value='' tabindex='212'   aria-required='false'    \/>\n                                    <label for='input_4_124_5' id='input_4_124_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_124.6' id='input_4_124_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_114\" class=\"gfield gfield--type-name gfield--input-type-name gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_114\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Supervisor:<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_114'>\n                            \n                            <span id='input_4_114_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_114.3' id='input_4_114_3' value='' tabindex='214'  aria-required='false'     \/>\n                                                    <label for='input_4_114_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_114_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_114.6' id='input_4_114_6' value='' tabindex='216'  aria-required='false'     \/>\n                                                    <label for='input_4_114_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_137\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_137\" ><label class='gfield_label gform-field-label' for='input_4_137'>Job Title:<\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_4_137' type='text' value='' class='small'   tabindex='218'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_235\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_235\" ><label class='gfield_label gform-field-label' for='input_4_235'>Starting Salary:<\/label><div class='ginput_container ginput_container_number'><input name='input_235' id='input_4_235' type='text' step='any'   value='' class='medium' tabindex='219'     aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_4_236\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_236\" ><label class='gfield_label gform-field-label' for='input_4_236'>Ending Salary:<\/label><div class='ginput_container ginput_container_number'><input name='input_236' id='input_4_236' type='text' step='any'   value='' class='medium' tabindex='220'     aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_4_140\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_140\" ><label class='gfield_label gform-field-label' for='input_4_140'>From:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_140' id='input_4_140' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='221'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_140_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_140_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_140' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_141\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_141\" ><label class='gfield_label gform-field-label' for='input_4_141'>To:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_141' id='input_4_141' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='222'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_141_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_141_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_141' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_142\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_142\" ><label class='gfield_label gform-field-label' for='input_4_142'>Reason for Leaving:<\/label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_4_142' type='text' value='' class='medium'   tabindex='223'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_143\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_143\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >May we contact your previous supervisor for a reference?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_143'><li class='gchoice gchoice_4_143_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.1' type='checkbox'  value='yes'  id='choice_4_143_1' tabindex='224'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_143_1' id='label_4_143_1' class='gform-field-label gform-field-label--type-inline'>yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_143_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.2' type='checkbox'  value='No'  id='choice_4_143_2' tabindex='225'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_143_2' id='label_4_143_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_161\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_161\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_133\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_133\" ><label class='gfield_label gform-field-label' for='input_4_133'>Company:<\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_4_133' type='text' value='' class='small'   tabindex='226'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_134\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_134\" ><label class='gfield_label gform-field-label' for='input_4_134'>Phone:<\/label><div class='ginput_container ginput_container_phone'><input name='input_134' id='input_4_134' type='tel' value='' class='medium' tabindex='227'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_135\" class=\"gfield gfield--type-address gfield--input-type-address gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_135\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_135' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_135_1_container' >\n                                        <input type='text' name='input_135.1' id='input_4_135_1' value='' tabindex='228'   aria-required='false'    \/>\n                                        <label for='input_4_135_1' id='input_4_135_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_135_3_container' >\n                                    <input type='text' name='input_135.3' id='input_4_135_3' value='' tabindex='229'   aria-required='false'    \/>\n                                    <label for='input_4_135_3' id='input_4_135_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_135_4_container' >\n                                        <select name='input_135.4' id='input_4_135_4' tabindex='230'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_135_4' id='input_4_135_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_135_5_container' >\n                                    <input type='text' name='input_135.5' id='input_4_135_5' value='' tabindex='232'   aria-required='false'    \/>\n                                    <label for='input_4_135_5' id='input_4_135_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_135.6' id='input_4_135_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_136\" class=\"gfield gfield--type-name gfield--input-type-name gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_136\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Supervisor:<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_136'>\n                            \n                            <span id='input_4_136_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_136.3' id='input_4_136_3' value='' tabindex='234'  aria-required='false'     \/>\n                                                    <label for='input_4_136_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_136_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_136.6' id='input_4_136_6' value='' tabindex='236'  aria-required='false'     \/>\n                                                    <label for='input_4_136_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_126\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_126\" ><label class='gfield_label gform-field-label' for='input_4_126'>Job Title:<\/label><div class='ginput_container ginput_container_text'><input name='input_126' id='input_4_126' type='text' value='' class='small'   tabindex='238'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_237\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_237\" ><label class='gfield_label gform-field-label' for='input_4_237'>Starting Salary:<\/label><div class='ginput_container ginput_container_number'><input name='input_237' id='input_4_237' type='text' step='any'   value='' class='medium' tabindex='239'     aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_4_238\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_238\" ><label class='gfield_label gform-field-label' for='input_4_238'>Ending Salary:<\/label><div class='ginput_container ginput_container_number'><input name='input_238' id='input_4_238' type='text' step='any'   value='' class='medium' tabindex='240'     aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_4_118\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_118\" ><label class='gfield_label gform-field-label' for='input_4_118'>From:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_118' id='input_4_118' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='241'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_118_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_118_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_118' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_130\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_130\" ><label class='gfield_label gform-field-label' for='input_4_130'>To:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_130' id='input_4_130' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='242'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_130_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_130_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_130' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_120\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_120\" ><label class='gfield_label gform-field-label' for='input_4_120'>Reason for Leaving:<\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_4_120' type='text' value='' class='medium'   tabindex='243'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_132\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_132\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >May we contact your previous supervisor for a reference?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_132'><li class='gchoice gchoice_4_132_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_132.1' type='checkbox'  value='yes'  id='choice_4_132_1' tabindex='244'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_132_1' id='label_4_132_1' class='gform-field-label gform-field-label--type-inline'>yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_132_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_132.2' type='checkbox'  value='No'  id='choice_4_132_2' tabindex='245'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_132_2' id='label_4_132_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_180' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='246' \/> <input type='button' id='gform_next_button_4_180' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='247' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_5' class='gform_page' data-js='page-field-id-180' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_177\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_177\" ><div style=\"background-color:#000000; text-align:left; vertical-align: middle; padding:20px 47px;\"><b><center><font size=\"5\" color=\"white\">Military Service<\/b><\/center><\/font><\/div><\/li><li id=\"field_4_146\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_146\" ><label class='gfield_label gform-field-label' for='input_4_146'>Branch:<\/label><div class='ginput_container ginput_container_text'><input name='input_146' id='input_4_146' type='text' value='' class='medium'   tabindex='248'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_147\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_147\" ><label class='gfield_label gform-field-label' for='input_4_147'>From:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_147' id='input_4_147' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='249'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_147_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_147_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_147' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_148\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_148\" ><label class='gfield_label gform-field-label' for='input_4_148'>To:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_148' id='input_4_148' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='250'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_148_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_148_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_148' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_149\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_149\" ><label class='gfield_label gform-field-label' for='input_4_149'>Rank at Discharge:<\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_4_149' type='text' value='' class='medium'   tabindex='251'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_150\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_150\" ><label class='gfield_label gform-field-label' for='input_4_150'>Type of Discharge:<\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_4_150' type='text' value='' class='medium'   tabindex='252'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_151\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_151\" ><label class='gfield_label gform-field-label' for='input_4_151'>If other than honorable, explain:<\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_4_151' type='text' value='' class='medium'   tabindex='253'   aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_187' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='254' \/> <input type='button' id='gform_next_button_4_187' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='255' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_6' class='gform_page' data-js='page-field-id-187' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_188\" class=\"gfield gfield--type-html gfield--input-type-html gf_invisible gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_188\" ><br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br>\n<br>\n<\/br><\/li><li id=\"field_4_181\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_181\" ><div style=\"background-color:#000000; text-align:left; vertical-align: middle; padding:20px 47px;\"><b><center><font size=\"5\" color=\"white\">Disclaimer and Signature<\/b><\/center><\/font><\/div><\/li><li id=\"field_4_182\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_182\" ><font size=\"5\" color=\"black\">I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the\nanswers given by me are true &#038; correct to the best of my knowledge and ability. I understand that any omission (including any\nmisstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I\nam employed by this company, terms for my immediate expulsion from the company.<\/font><\/li><li id=\"field_4_189\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_189\" ><label class='gfield_label gform-field-label' for='input_4_189'>Initial:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_189_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_4_189_valid' id='input_4_189_valid' \/><canvas id='input_4_189' width='300' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_190\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_190\" ><font size=\"5\" color=\"black\">I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior\nnotice, and by either me or the company.<\/font><\/li><li id=\"field_4_191\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_191\" ><label class='gfield_label gform-field-label' for='input_4_191'>Initial:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_191_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_4_191_valid' id='input_4_191_valid' \/><canvas id='input_4_191' width='300' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_192\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_192\" ><font size=\"5\" color=\"black\">I permit the company to examine my references, record of employment, education record, and any other information I have provided. I\nauthorize the references I have listed to disclose any information related to my work record and my professional experiences with them,\nwithout giving me prior notice of such disclosure. In addition, I release the company, my former employers &#038; all other persons,\ncorporations, partnerships &#038; associations from any &#038; all claims, demands or liabilities arising out of or in any way related to such\nexamination or revelation.\n<br>\n<\/br>\n<br>\n<\/br>\n<b>I understand that I am on a 90 Probationary period.<\/b><\/font><\/li><li id=\"field_4_193\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_193\" ><label class='gfield_label gform-field-label' for='input_4_193'>Initial:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_193_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_4_193_valid' id='input_4_193_valid' \/><canvas id='input_4_193' width='300' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_195\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_195\" ><label class='gfield_label gform-field-label' for='input_4_195'>Applicant Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_195_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_4_195_valid' id='input_4_195_valid' \/><canvas id='input_4_195' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_194\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_194\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_194'>Date:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_194' id='input_4_194' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='256'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_194_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_194_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_194' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_196' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='257' \/> <input type='button' id='gform_next_button_4_196' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='258' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_7' class='gform_page' data-js='page-field-id-196' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_197\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_197\" ><font size=\"5\" color=\"black\">Dobbs Coating Systems has a policy prohibiting possessing, distributing, using, consuming, or being under the influence of alcohol or illegal and unauthorized drugs and other harmful substances in order to provide a safe and healthy work environment for the company&#8217;s employees, visitors, customers and other personnel.\n<br>\n<\/br>\n<br>\n<\/br>\nI understand that I may be dropped from consideration for employment with Dobbs Coating Systems if the results of my urine drug screen indicate that I tested positive for the presence of illegal drugs.\n<br>\n<\/br>\n<br>\n<\/br>\nI have read and understand Dobbs Coating Systems pre-employment drug screen requirements. I accept Dobbs Coating Systems conditions for consideration of employment and consent to the requirement of a urine drug screen as an indicator of my ability to perform work safely.\n<br>\n<\/br>\n<br>\n<\/br>\nI agree in submitting to this medical test that I have authorized the agency of Dobbs Coatings System\u2019s choosing to take blood, urine, breath, and any other samples for testing to determine the presence of controlled substances (drugs) and\/or alcohol in my system. I further authorize this agency to give the results of this test to Dobbs Coating Systems.\n<br>\n<\/br>\n<br>\n<\/br>\nI agree to hold Dobbs Coating Systems, its agents, directors, officers and employees harmless from any and all liability in connection with the testing for drugs and the use of the results as it pertains to my consideration for employment.\n<br>\n<\/br>\n<br>\n<\/br>\nFinally, I am aware and agree to Dobbs Coating Systems policy in regards to their right to do random drug testing throughout my employment at their discretion.\n<\/font><\/li><li id=\"field_4_231\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_231\" ><label class='gfield_label gform-field-label' for='input_4_231'>Printed Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_231' id='input_4_231' type='text' value='' class='medium'   tabindex='259'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_199\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_199\" ><label class='gfield_label gform-field-label' for='input_4_199'>Applicant&#039;s Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_199_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_4_199_valid' id='input_4_199_valid' \/><canvas id='input_4_199' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_200\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_200\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_200'>Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_200' id='input_4_200' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='260'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_200_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_200_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_200' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_228' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='261' \/> <input type='button' id='gform_next_button_4_228' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='262' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_8' class='gform_page' data-js='page-field-id-228' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_201\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_201\" ><font size=\"5\" color=\"black\">PRE-EMPLOYMENT PHYSICAL\/DRUG TEST AND BACKGROUND CHECK ACKNOWLEDGEMENT\n<br>\n<\/br>\n<br>\n<\/br>\nI understand that in order to be employed by Dobbs Coating Systems, Inc. I will have to pass a Pre-Employment: Background Check, Physical\/Drug Test, Respirator fit test and Base Line Blood Lead;<\/font><\/li><li id=\"field_4_202\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_202\" ><label class='gfield_label gform-field-label' for='input_4_202'>Applicant Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_202_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_4_202_valid' id='input_4_202_valid' \/><canvas id='input_4_202' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_203\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_203\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_203'>Date:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_203' id='input_4_203' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='263'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_203_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_203_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_203' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_229' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='264' \/> <input type='button' id='gform_next_button_4_229' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='265' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_9' class='gform_page' data-js='page-field-id-229' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_204\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_204\" ><font size=\"5\" color=\"black\">PRE-EMPLOYMENT BACKGROUND CHECK CONCENT FOR DOBBS COATING SYSTEMS, INC.\n<br>\n<\/br>\n<br>\n<\/br>\nI authorize Dobbs Coating Systems, Inc. and\/or its agents to conduct a background investigation. I further authorize Dobbs Coating Systems, Inc. and\/or its agent to request or receive any information including criminal, motor vehicle reports, past employment and\/or references from any persons, or previous employers. \n<br>\n<\/br>\n<br>\n<\/br>\nThis information is CONFIDENTIAL and will not be released to anyone other than Dobbs Coating Systems, Inc. and\/or its agents, General Contractors and City officials as required by contractual agreement to provide security clearance.<\/font><\/li><li id=\"field_4_205\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_205\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Applicant Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_205'>\n                            \n                            <span id='input_4_205_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_205.3' id='input_4_205_3' value='' tabindex='267'  aria-required='true'     \/>\n                                                    <label for='input_4_205_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_4_205_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_205.4' id='input_4_205_4' value='' tabindex='268'  aria-required='false'     \/>\n                                                    <label for='input_4_205_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_4_205_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_205.6' id='input_4_205_6' value='' tabindex='269'  aria-required='true'     \/>\n                                                    <label for='input_4_205_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_206\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_206\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Alias Names Used:<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_4_206'>\n                            \n                            <span id='input_4_206_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_206.3' id='input_4_206_3' value='' tabindex='272'  aria-required='false'   placeholder='Alias'  \/>\n                                                    <label for='input_4_206_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/li><li id=\"field_4_207\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_207\" ><label class='gfield_label gform-field-label' for='input_4_207'>Date of Birth:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_207' id='input_4_207' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='276'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_207_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_207_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_207' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_208\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_208\" ><label class='gfield_label gform-field-label' for='input_4_208'>SSN:<\/label><div class='ginput_container ginput_container_text'><input name='input_208' id='input_4_208' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_208\" tabindex='277'   aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_4_208'>If left blank we will reach out to you.<\/div><\/li><li id=\"field_4_209\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half class field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_209\" ><label class='gfield_label gform-field-label' for='input_4_209'>Driver\u2019s License #:<\/label><div class='ginput_container ginput_container_text'><input name='input_209' id='input_4_209' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_209\" tabindex='278'   aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_4_209'>If left blank we will reach out to you.<\/div><\/li><li id=\"field_4_210\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_210\" ><label class='gfield_label gform-field-label' for='input_4_210'>State Issued:<\/label><div class='ginput_container ginput_container_text'><input name='input_210' id='input_4_210' type='text' value='' class='medium'   tabindex='279'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_211\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_211\" ><label class='gfield_label gform-field-label' for='input_4_211'>Home Phone #:<\/label><div class='ginput_container ginput_container_phone'><input name='input_211' id='input_4_211' type='tel' value='' class='medium' tabindex='280'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_212\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half class gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_212\" ><label class='gfield_label gform-field-label' for='input_4_212'>Cell Phone #:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_212' id='input_4_212' type='tel' value='' class='medium' tabindex='281'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_213\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_213\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Current Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_213' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_213_1_container' >\n                                        <input type='text' name='input_213.1' id='input_4_213_1' value='' tabindex='282'   aria-required='true'    \/>\n                                        <label for='input_4_213_1' id='input_4_213_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_213_3_container' >\n                                    <input type='text' name='input_213.3' id='input_4_213_3' value='' tabindex='283'   aria-required='true'    \/>\n                                    <label for='input_4_213_3' id='input_4_213_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_213_4_container' >\n                                        <select name='input_213.4' id='input_4_213_4' tabindex='284'    aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_213_4' id='input_4_213_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_213_5_container' >\n                                    <input type='text' name='input_213.5' id='input_4_213_5' value='' tabindex='286'   aria-required='true'    \/>\n                                    <label for='input_4_213_5' id='input_4_213_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_213.6' id='input_4_213_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_214\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_214\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Previous Address:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_214' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_214_1_container' >\n                                        <input type='text' name='input_214.1' id='input_4_214_1' value='' tabindex='287'   aria-required='false'    \/>\n                                        <label for='input_4_214_1' id='input_4_214_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_214_3_container' >\n                                    <input type='text' name='input_214.3' id='input_4_214_3' value='' tabindex='288'   aria-required='false'    \/>\n                                    <label for='input_4_214_3' id='input_4_214_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_214_4_container' >\n                                        <select name='input_214.4' id='input_4_214_4' tabindex='289'    aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_214_4' id='input_4_214_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_214_5_container' >\n                                    <input type='text' name='input_214.5' id='input_4_214_5' value='' tabindex='291'   aria-required='false'    \/>\n                                    <label for='input_4_214_5' id='input_4_214_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_214.6' id='input_4_214_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_230' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='292' \/> <input type='button' id='gform_next_button_4_230' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='293' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_10' class='gform_page' data-js='page-field-id-230' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_215\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_215\" ><font size=\"5\" color=\"black\">I understand the purpose of this background check it to gain authorization to access projects, which require \u2018Security\u2019 clearance. I understand Dobbs Coating Systems, Inc. will keep this authorization on file for the duration of my employment with them and obtain background information at any time.\n<br>\n<\/br>\n<br>\n<\/br>\nThe above information on this form is true. I understand that if gained authorization at projects, the background check will become a part of my personnel file and that any misstatement of fact on this form may be caused for immediate dismissal.\n<\/font><\/li><li id=\"field_4_216\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_216\" ><label class='gfield_label gform-field-label' for='input_4_216'>Applicant Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_216_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_4_216_valid' id='input_4_216_valid' \/><canvas id='input_4_216' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_217\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_217\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_217'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_217' id='input_4_217' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='294'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_217_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_217_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_217' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_218\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_218\" ><font size=\"5\" color=\"black\">According to the Fair Credit Report Act, upon receiving a written request, Dobbs Coating Systems, Inc. 1888 mineral Wells Hwy, Weatherford, Texas 76088, will provide information regarding the nature and scope of the report, should it include information about your character, general reputation, personal characteristics or mode of living and a summary of your rights.\n<br>\n<\/br>\n<br>\n<\/br>\nPHYSICAL &#038; DRUG SCREEN CONCENT FOR DOBBS COATING SYSTEMS, INC.\n<br>\n<\/br>\n<br>\n<\/br>\nI authorize Dobbs Coating Systems, Inc. and\/or the facility of its choosing in order to help to determine my physical ability to perform the scope of work associated with the position I am applying for to perform a pre-employment physical, drug screening , baseline blood lead , respirator fit  and if necessary a pulmonary function test.\n<br>\n<\/br>\n<br>\n<\/br>\nThis information is CONFIDENTIAL, and will not be released to anyone other than Dobbs Coating Systems, Inc.<\/font><\/li><li id=\"field_4_219\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_219\" ><label class='gfield_label gform-field-label' for='input_4_219'>Applicant Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_219_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_4_219_valid' id='input_4_219_valid' \/><canvas id='input_4_219' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_220\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_220\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_220'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_220' id='input_4_220' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='295'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_220_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_220_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_220' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_227' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='296' \/> <input type='button' id='gform_next_button_4_227' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='297' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_11' class='gform_page' data-js='page-field-id-227' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_221\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_221\" ><font size=\"5\" color=\"black\">Pre-Employment Physical\/Drug Test and Background Check Deduction\n<br>\n<\/br>\n<br>\n<\/br>\nDobbs Coating Systems, Inc.  will pay for your Pre-Employment: Physical\/Drug Test, Base Line Blood Lead, Respirator fit \/PFT if necessary  and Background Check; however, if hired, if you resign from the company within 90 days from your date of hire, you will be responsible for the reimbursement which will automatically be deducted from your final paycheck. \n<br>\n<\/br>\n<br>\n<\/br>\nThe current cost is $500.00\n<br>\n<\/br>\n<br>\n<\/br>\nI have read the above statement and fully understand that I am solely responsible for the total cost as stated above should I resign from this company within 90 days from my date of hire.\n<br>\n<\/br>\n<br>\n<\/br>\nI authorize Dobbs Coating Systems, Inc. to deduct the full amount of the current cost of the Pre-Employment: Physical\/Drug Test, Respirator fit \/PFT if necessary and Background Check from my final paycheck.<\/font><\/li><li id=\"field_4_222\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_222\" ><label class='gfield_label gform-field-label' for='input_4_222'>Applicant Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_222_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_4_222_valid' id='input_4_222_valid' \/><canvas id='input_4_222' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_223\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_223\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_223'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_223' id='input_4_223' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='298'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_223_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_223_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_223' class='gform_hidden' value='https:\/\/dobbscoatingsystems.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_224\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_224\" ><font size=\"5\" color=\"black\">PAYROLL DIRECT DEPOSIT INFORMATION****EFFECTIVE January 1, 2010\n<br>\n<\/br>\n<br>\n<\/br>\nDobbs Coating Systems, Inc. only issues Payroll via Direct Deposit.   All employees must enroll in direct deposit and must obtain a means of direct deposit either through a bank account or through debit card options such as Ace Check Cashing.\nYou will need to have a Direct Deposit form filled out and turned in before you will be able to receive a Payroll check.   Payroll is set up to be in your bank on Friday mornings. Payroll Vouchers are mailed out weekly so that you will know how much was deposited and can verify your hours for your records\n<br>\n<\/br>\n<br>\n<\/br>\nI understand that Dobbs Coating Systems does not issues payroll checks and the only way that I will be paid is thru Direct Deposit either thru a bank account or a pre-loaded card.\n<\/font><\/li><li id=\"field_4_225\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_225\" ><label class='gfield_label gform-field-label' for='input_4_225'>Applicant Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_4_225_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_4_225_valid' id='input_4_225_valid' \/><canvas id='input_4_225' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_4_226\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_4_226\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_226'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_226' id='input_4_226' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon 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