{"id":14557,"date":"2018-12-13T08:19:52","date_gmt":"2018-12-13T13:19:52","guid":{"rendered":"https:\/\/www.bates.edu\/career\/?page_id=14557"},"modified":"2025-12-18T14:22:01","modified_gmt":"2025-12-18T19:22:01","slug":"minigrant","status":"publish","type":"page","link":"https:\/\/www.bates.edu\/purposeful-work\/minigrant\/","title":{"rendered":"Purposeful Work Mini-Grant Funding Request Form"},"content":{"rendered":"\n<p><b>Overview<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The Bates Center for Purposeful Work offers limited financial support (an annual budget of approximately $10,000) to students for professional attire, graduate school test prep &amp; application fees, and interview and conference transportation costs, insofar as they relate to Purposeful Work. These funds do not have to be repaid.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\"><strong>Mini-Grant awards are available up to $300.00 for most purposes, or up to $150.00 for professional attire, and students are limited to one award per semester<\/strong>. Requesting and\/or receiving support will not affect a student\u2019s annual financial aid award, but may affect future Mini-Grant decisions.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">While the budget is limited, we make every effort to fund each eligible request. The program supports, on average, 30-40 grants per year.<\/span><\/p>\n\n\n\n<p><b>Expenses Not Covered by the Purposeful Work Mini-Grant Fund:<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Tuition for any course that could be considered for Bates credit<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Study abroad costs<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Personal bills such as utility, credit card, cable, cell phone, etc.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Parking tickets, library fines, etc.<\/span><\/li>\n\n\n\n<li>Food Expenses<\/li>\n\n\n\n<li>Overnight Accommodations<\/li>\n\n\n\n<li><span style=\"font-weight: 400;\"><strong>Purposeful Work Internship Funding: <\/strong>If you have an internship and would like to apply for funding, please see the <a href=\"https:\/\/www.bates.edu\/purposeful-work\/purposeful-work-internships\/\">Purposeful Work Internship<\/a>&nbsp;web page.<\/span><\/li>\n\n\n\n<li><strong>Purposeful Work Job Shadow Program transportation:<\/strong> College Key transportation grants are available for eligible students, please contact jobshadow@bates.edu with any questions.<\/li>\n\n\n\n<li><strong>Requests that are academic and\/or research in nature: <\/strong>We encourage students to apply to the <a href=\"https:\/\/www.bates.edu\/academics\/student-research\/academic-year\/bates-student-research-fund\/\">Bates Student Research Fund<\/a>.<\/li>\n\n\n\n<li><strong>STEM students seeking travel grants for academic conferences and professional meetings: <\/strong>We encourage students to apply for <a href=\"https:\/\/www.bates.edu\/academics\/student-research\/academic-year\/stem-travel-grants\/\">STEM Travel Grants<\/a>.<\/li>\n\n\n\n<li><strong>Emergency requests: <\/strong>Pease visit the <a href=\"https:\/\/www.bates.edu\/student-affairs\/student-support-and-advising\/student-emergency-funding\/\">Student Emergency Fund<\/a> web page.<\/li>\n<\/ul>\n\n\n\n<p><b>If you are unsure whether your need fits within the Mini-Grant Program&#8217;s purview, please do not hesitate to complete this short application form for our consideration. Your answers to our application questions will remain confidential.<\/b><\/p>\n\n\n\n<p><b>Process<\/b><\/p>\n\n\n\n<p><strong>Purposeful Work Mini-Grant Funding Rubric <\/strong><span style=\"font-weight: 400;\">(used by the Mini-Grant committee to assist in making funding decisions)<\/span><\/p>\n\n\n\n<p><strong>1. Quality of Application <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Answered Questions Completely<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Spelling, Grammar, and Complete Sentences<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong>2. Quality of Experience <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">How would the grant contribute to the exploration of purposeful work? <\/span><\/li>\n<\/ul>\n\n\n\n<p><strong>3. Financial Need&nbsp;<\/strong>(as determined by financial aid status)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">High: 4<\/span><\/li>\n\n\n\n<li>Medium: 3<\/li>\n\n\n\n<li>Low: 2<\/li>\n\n\n\n<li>No Need: 0<\/li>\n<\/ul>\n\n\n\n<p><strong>4. Statement of Need <\/strong>(as described in the application)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Extenuating Circumstances: 4 <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Compelling Circumstances: 2<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">No Demonstrated Need: 0 <\/span><\/li>\n<\/ul>\n\n\n\n<p><strong>5. Academic Year Employment <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">On-campus\/Local Employment During Academic Year: 1 <\/span><\/li>\n<\/ul>\n\n\n\n<p><strong>6. Prior Purposeful Work Mini-Grant Funding<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Prior grants will reduce rubric scores via a sliding scale (depending on the size of prior grants). The cumulative effect of prior grants (or even a single large grant) within a given year can make a student ineligible for further grants within that same year. Each student and circumstance is unique.&nbsp;<\/span><\/li>\n<\/ul>\n\n\n\n<p><b>Notification<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Requests are considered every week during the academic year. Students will be contacted by a member of the Center for Purposeful Work staff via campus email.<\/span><\/p>\n\n\n\n<p><b>Accessing Funds<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Processing the Mini-Grant award decision and payment takes time. If awarded a Mini-Grant, our default process is to deposit funds into your bank account for you to pay for the expense with your own credit or debit card. In the event that your bank account is not set up for direct deposit with Bates, a paper check will be mailed to your student mailbox via Post &amp; Print. <\/span><b>If you do not have a bank account set up for direct deposit with Bates, and\/or do not have a credit or debit card to pay for your expense, and\/or cannot pay for the expense up-front while waiting for time-sensitive funds to arrive, please let us know in the \u201cPlan Ahead\u201d box at the bottom of the application form so that we can make alternative arrangements.<\/b><\/p>\n\n\n\n<p><b>Reflection<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Mini-Grant recipients will be required to reflect on their experience supported by the grant. Reflection will take the form of a virtual or in-person meeting with a Purposeful Work advisor, either during drop-in hours or by scheduling an appointment via Handshake.<\/span><\/p>\n\n\n\n<p><strong>Application Form<\/strong><\/p>\n\n\n\n<p><\/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_52' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_52'  action='\/purposeful-work\/wp-json\/wp\/v2\/pages\/14557' data-formid='52' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_52' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_52_22\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_22'>Instagram<\/label><div class='ginput_container'><input name='input_22' id='input_52_22' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_52_22'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_52_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_1'>First &amp; Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_52_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_13\" 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\"  ><label class='gfield_label gform-field-label' for='input_52_13'>Bates College ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_52_13' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_3\" 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\"  ><label class='gfield_label gform-field-label' for='input_52_3'>Class Year (e.g. &quot;2028&quot;)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_52_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_4\" 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\"  ><label class='gfield_label gform-field-label' for='input_52_4'>Bates email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_52_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_18\" 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\"  ><label class='gfield_label gform-field-label' for='input_52_18'>Full mailing address (Street, City, State, Zip)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_52_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_17\" 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\"  ><label class='gfield_label gform-field-label' for='input_52_17'>Telephone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_52_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_16\" 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\"  ><label class='gfield_label gform-field-label' for='input_52_16'>Location where bulk of the experience will take place<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_52_16' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_15\" 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\"  ><label class='gfield_label gform-field-label' for='input_52_15'>Are you a U.S. Citizen or U.S. Lawful Permanent Resident? (For tax information only)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_52_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you currently receive financial aid from Bates College?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_52_6'>\n\t\t\t<li class='gchoice gchoice_52_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Yes'  id='choice_52_6_0'    \/>\n\t\t\t\t<label for='choice_52_6_0' id='label_52_6_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_52_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='No'  id='choice_52_6_1'    \/>\n\t\t\t\t<label for='choice_52_6_1' id='label_52_6_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_52_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you hold on-campus or local employment during the academic year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_52_14'>\n\t\t\t<li class='gchoice gchoice_52_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Yes'  id='choice_52_14_0'    \/>\n\t\t\t\t<label for='choice_52_14_0' id='label_52_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_52_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='No'  id='choice_52_14_1'    \/>\n\t\t\t\t<label for='choice_52_14_1' id='label_52_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_52_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Have you received Mini Grant funds from this office in the current academic year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_52_8'>\n\t\t\t<li class='gchoice gchoice_52_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Yes'  id='choice_52_8_0'    \/>\n\t\t\t\t<label for='choice_52_8_0' id='label_52_8_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_52_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='No'  id='choice_52_8_1'    \/>\n\t\t\t\t<label for='choice_52_8_1' id='label_52_8_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_52_9\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_9'>Please provide a brief description of your request and how it will contribute to your exploration of Purposeful Work. Be as specific as possible.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_52_9' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_52_10\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_10'>What is the full amount requested? If the request has multiple components, please list separately (e.g., &quot;One flight at $240; cab to airport at $25. Total request: $265&quot;).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_52_10' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_52_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_11'>Plan Ahead: this is a multi-step administrative process that may take up to 10 days to complete. If there is a pressing timeline for this financial assistance, please share here, but there is no guarantee that funds will arrive in time for last-minute and time-sensitive requests. Please refer to the &quot;Accessing Funds&quot; section above for more information about award distributions.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_52_11' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_52_20\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_20'>Would you have the ability to pay for these expenses and then get reimbursed by PW if we didn&#039;t have time to pay you up front?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_52_20' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_52_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_21'>Will you still be able to complete\/pursue your purchase\/experience if your total financial need exceeds our maximum grant of $300.00 for general requests or $150.00 for professional attire?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_52_21' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_52_12\" 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\"  ><h2 class=\"gsection_title\">Submitting this form constitutes my signature confirming that the information provided is accurate and complete.<\/h2><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_52' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Completed'  \/><div class=\"gf-turnstile-container\"> <div id=\"cf-turnstile-gf-52\" class=\"cf-turnstile\" data-callback=\"turnstileGravityCallback\" data-sitekey=\"0x4AAAAAAA8aXxXEh-C43bsI\" data-theme=\"light\" data-language=\"auto\" data-size=\"normal\" data-retry=\"auto\" data-retry-interval=\"1000\" data-refresh-expired=\"auto\" data-refresh-timeout=\"auto\" data-action=\"gravity-form-52\" data-callback=\"turnstileGravityCallback\" data-appearance=\"always\"><\/div> <style>.gform_button { pointer-events: none; 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