{"id":160,"date":"2025-11-25T23:15:02","date_gmt":"2025-11-25T23:15:02","guid":{"rendered":"https:\/\/yeswecarekindness.org\/?page_id=160"},"modified":"2025-11-25T23:17:32","modified_gmt":"2025-11-25T23:17:32","slug":"application-form","status":"publish","type":"page","link":"https:\/\/yeswecarekindness.org\/?page_id=160","title":{"rendered":"Application Form"},"content":{"rendered":"\n        <div class=\"hf-form-tempate\">\n            <form enctype=\"multipart\/form-data\" method=\"post\" class=\"hashform-form hf-form-default-style\" id=\"hf-form-id-73zydr\" novalidate>\n                \n<div class=\"hf-form-preview\" id=\"hf-container-1\">\n            <h3 class=\"hf-form-title\">\n            YesWeCare Application Form        <\/h3>\n            <div class=\"hf-container\">\n        <input type=\"hidden\" name=\"hashform_action\" value=\"create\" \/>\n        <input type=\"hidden\" name=\"form_id\" value=\"1\" \/>\n        <input type=\"hidden\" name=\"form_key\" value=\"73zydr\" \/>\n        <input type=\"hidden\" class=\"hashform-form-conditions\" value=\"[]\" \/>\n        <input type=\"hidden\" id=\"hashform_submit_entry_1\" name=\"hashform_submit_entry_1\" value=\"043b7e78c4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F160\" \/>        <div id=\"hf-field-container-11\" class=\"hashform-field-type-paragraph hf-text-alignment-left hf-field-alignment-left hf-grid-12 hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                        <div class=\"hf-field-content\">\n                        <div class=\"hf-paragraph-field\" id=\"hf-field-11\">\n            Please complete this form to apply or nominate someone for the YesWeCare Award.        <\/div>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-4\" class=\"hf-form-field-required hashform-field-type-name hf-label-position-top hf-label-alignment-left hf-grid-12 hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label hf-hidden\">\n                    Name                                            <span class=\"hf-field-required\" aria-hidden=\"true\">\n                            *                        <\/span>\n                                    <\/label>\n                        <div class=\"hf-field-content\">\n                \n        <div class=\"hf-grouped-field\" id=\"hf-grouped-field-4\" data-name-layout=\"first_last\">\n            \n                <div id=\"hf-subfield-container-first-4\" class=\"hf-subfield-element hf-subfield-element-first\" data-sub-field-name=\"first\">\n                    <input type=\"text\" id=\"hf-field-eoswbp-first\" value=\"\" name=\"item_meta[4][first]\" placeholder=\"First Name\">\n                                    <\/div>\n                \n                <div id=\"hf-subfield-container-last-4\" class=\"hf-subfield-element hf-subfield-element-last\" data-sub-field-name=\"last\">\n                    <input type=\"text\" id=\"hf-field-eoswbp-last\" value=\"\" name=\"item_meta[4][last]\" placeholder=\"Last Name\">\n                                    <\/div>\n                        <\/div>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-5\" class=\"hashform-field-type-text hf-label-position-top hf-label-alignment-left hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label \">\n                    Organization (if applicable):                                     <\/label>\n                        <div class=\"hf-field-content\">\n                        <input type=\"text\" id=\"hf-field-txiy2d\" value=\"\" name=\"item_meta[5]\" maxlength=\"\" \/>\n                            <div class=\"hf-field-desc\">\n                        Organization                    <\/div>\n                            <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-6\" class=\"hf-form-field-required hashform-field-type-email hf-label-position-top hf-label-alignment-left hf-grid-6 hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label \">\n                    Email                                            <span class=\"hf-field-required\" aria-hidden=\"true\">\n                            *                        <\/span>\n                                    <\/label>\n                        <div class=\"hf-field-content\">\n                        <input type=\"email\" id=\"hf-field-o8pihi\" value=\"\" name=\"item_meta[6]\" \/>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-7\" class=\"hf-form-field-required hashform-field-type-phone hf-label-position-top hf-label-alignment-left hf-grid-6 hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label \">\n                    Phone                                            <span class=\"hf-field-required\" aria-hidden=\"true\">\n                            *                        <\/span>\n                                    <\/label>\n                        <div class=\"hf-field-content\">\n                        <input type=\"text\" id=\"hf-field-prh5zi\" value=\"\" name=\"item_meta[7]\" maxlength=\"\" \/>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-33\" class=\"hf-form-field-required hashform-field-type-address hf-label-position-top hf-label-alignment-left hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label \">\n                    Address                                            <span class=\"hf-field-required\" aria-hidden=\"true\">\n                            *                        <\/span>\n                                    <\/label>\n                        <div class=\"hf-field-content\">\n                        <div class=\"hf-grouped-field\" id=\"hf-grouped-field-33\">\n                                <div id=\"hf-subfield-container-line1-33\" class=\"hf-subfield-element hf-subfield-element-line1 hf-grid-6  \" data-sub-field-name=\"line1\">\n                                                    <input type=\"text\" id=\"hf-field-aify5s-line1\" value=\"\" name=\"item_meta[33][line1]\" placeholder=\"\">\n                                                    <div class=\"hf-field-desc\" id=\"hf-subfield-desc-line1-33\">\n                            Line 1                        <\/div>\n                    <\/div>\n                                        <div id=\"hf-subfield-container-line2-33\" class=\"hf-subfield-element hf-subfield-element-line2 hf-grid-6  \" data-sub-field-name=\"line2\">\n                                                    <input type=\"text\" id=\"hf-field-aify5s-line2\" value=\"\" name=\"item_meta[33][line2]\" placeholder=\"\">\n                                                    <div class=\"hf-field-desc\" id=\"hf-subfield-desc-line2-33\">\n                            Line 2                        <\/div>\n                    <\/div>\n                                        <div id=\"hf-subfield-container-city-33\" class=\"hf-subfield-element hf-subfield-element-city hf-grid-6  \" data-sub-field-name=\"city\">\n                                                    <input type=\"text\" id=\"hf-field-aify5s-city\" value=\"\" name=\"item_meta[33][city]\" placeholder=\"\">\n                                                    <div class=\"hf-field-desc\" id=\"hf-subfield-desc-city-33\">\n                            City                        <\/div>\n                    <\/div>\n                                        <div id=\"hf-subfield-container-state-33\" class=\"hf-subfield-element hf-subfield-element-state hf-grid-6  \" data-sub-field-name=\"state\">\n                                                    <input type=\"text\" id=\"hf-field-aify5s-state\" value=\"\" name=\"item_meta[33][state]\" placeholder=\"\">\n                                                    <div class=\"hf-field-desc\" id=\"hf-subfield-desc-state-33\">\n                            State\/Province                        <\/div>\n                    <\/div>\n                                        <div id=\"hf-subfield-container-postal-33\" class=\"hf-subfield-element hf-subfield-element-postal hf-grid-6  \" data-sub-field-name=\"postal\">\n                                                    <input type=\"number\" id=\"hf-field-aify5s-postal\" value=\"\" name=\"item_meta[33][postal]\" placeholder=\"\">\n                                                    <div class=\"hf-field-desc\" id=\"hf-subfield-desc-postal-33\">\n                            Zip\/Postal                        <\/div>\n                    <\/div>\n                            <\/div>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-17\" class=\"hashform-field-type-paragraph hf-text-alignment-left hf-field-alignment-left hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                        <div class=\"hf-field-content\">\n                        <div class=\"hf-paragraph-field\" id=\"hf-field-17\">\n            Please share your story or the story of the person you are nominating. Describe the act(s) of kindness, compassion, generosity, or contribution that made a positive impact. Include specific examples of how this effort helped make the world a little kinder.        <\/div>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-12\" class=\"hf-form-field-required hashform-field-type-upload hf-label-position-top hf-label-alignment-left hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label hf-hidden\">\n                    Upload                                            <span class=\"hf-field-required\" aria-hidden=\"true\">\n                            *                        <\/span>\n                                    <\/label>\n                        <div class=\"hf-field-content\">\n                            <div class=\"hf-file-uploader-wrapper\">\n                <div class=\"hf-file-uploader\" id=\"hf-file-uploader-53389\" data-upload-label=\"Upload File\" data-extensions=\"jpg,jpeg,gif,png,mov,doc,docx,pdf\" data-extensions-error-message=\"Invalid Extension. Valid extensions (jpg,jpeg,gif,png,mov,doc,docx,pdf).\" data-multiple-uploads=\"true\" data-multiple-uploads-limit=\"5\" data-multiple-uploads-error-message=\"Maximum file upload limit exceeded\" data-max-upload-size=\"10485760\" data-field-uploader-id=\"hf-field-huo9g5\">\n                    <div class=\"qq-uploader qq-fake-uploader\">\n                        <div class=\"qq-upload-button\" style=\"position: relative; overflow: hidden; direction: ltr;\">\n                            Upload File                        <\/div>\n                    <\/div>\n                <\/div>\n\n                <div class=\"hf-file-preview\"><\/div>\n\n                <input type=\"hidden\" class=\"hf-uploaded-files\" id=\"hf-field-huo9g5\" value=\"\" name=\"item_meta[12]\">\n                <input type=\"hidden\" class=\"hf-multiple-upload-limit\" value=\"0\">\n            <\/div>\n                                <div class=\"hf-field-desc\">\n                        [Attach additional pages, photos, or videos if applicable.]                    <\/div>\n                            <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-19\" class=\"hashform-field-type-heading hf-text-alignment-left hf-field-alignment-left hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                        <div class=\"hf-field-content\">\n                        <h1 class=\"hf-heading-field\" id=\"hf-field-19\">\n            Declaration        <\/h1>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-20\" class=\"hashform-field-type-paragraph hf-text-alignment-left hf-field-alignment-left hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                        <div class=\"hf-field-content\">\n                        <div class=\"hf-paragraph-field\" id=\"hf-field-20\">\n            I affirm that the information provided in this application is true and accurate to the best of my knowledge.        <\/div>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-14\" class=\"hf-form-field-required hashform-field-type-text hf-label-position-top hf-label-alignment-left hf-grid-6 hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label \">\n                    Signature - Please type your full name.                                            <span class=\"hf-field-required\" aria-hidden=\"true\">\n                            *                        <\/span>\n                                    <\/label>\n                        <div class=\"hf-field-content\">\n                        <input type=\"text\" id=\"hf-field-9w692x\" value=\"\" name=\"item_meta[14]\" placeholder=\"Full Name\" maxlength=\"\" \/>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-15\" class=\"hf-form-field-required hashform-field-type-date hf-label-position-top hf-label-alignment-left hf-grid-6 hf-form-field\">\n            \n        <div class=\"hf-field-container\" style=\"\">\n                            <label class=\"hf-field-label \">\n                    Date                                            <span class=\"hf-field-required\" aria-hidden=\"true\">\n                            *                        <\/span>\n                                    <\/label>\n                        <div class=\"hf-field-content\">\n                        <input type=\"text\" data-format=\"MM dd, yy\" id=\"hf-field-60iqdy\" value=\"\" name=\"item_meta[15]\" autocomplete=\"off\" \/>\n                    <\/div>\n        <\/div>\n                <\/div>\n                <div id=\"hf-field-container-28\" class=\"hashform-field-type-captcha hf-recaptcha-v3 hf-hidden hf-label-position-top 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