{"id":14779,"date":"2019-12-10T16:03:44","date_gmt":"2019-12-10T16:03:44","guid":{"rendered":"https:\/\/bhssc.org\/?page_id=14779"},"modified":"2022-12-20T19:26:53","modified_gmt":"2022-12-20T19:26:53","slug":"application-for-employment-dsp","status":"publish","type":"page","link":"https:\/\/bhssc.org\/application-for-employment-dsp\/","title":{"rendered":"DSP Application for Employment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14779\" class=\"elementor elementor-14779\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-bcc24d4 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"bcc24d4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-83c7d28\" data-id=\"83c7d28\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-f3135a8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f3135a8\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-1d65454\" data-id=\"1d65454\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0486d07 elementor-widget elementor-widget-heading\" data-id=\"0486d07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DSP APPLICATION FOR EMPLOYMENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-9506549 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9506549\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8e07df8\" data-id=\"8e07df8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e4a197f eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"e4a197f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form eael-contact-form-align-default\">\n\t\t        <script>\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<\/script>\n\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' ><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/wp-json\/wp\/v2\/pages\/14779#gf_6' data-formid='6' novalidate>\n        <div id='gf_progressbar_wrapper_6' 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'>4<\/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_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_6_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_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_78\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Black Hills Special Services Cooperative<\/h2><div class='gsection_description' id='gfield_description_6_78'>PO Box 218 Sturgis, SD 57785 | 737 University Avenue Hot Springs, SD 57747 | 730 E. Watertown, Rapid City, SD 57701<\/div><\/li><li id=\"field_6_77\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER<\/h2><div class='gsection_description' id='gfield_description_6_77'>\"Special accommodations for application, training, or job information in alternative formats available upon request\"<\/div><\/li><li id=\"field_6_96\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Job Location<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_96'><li class='gchoice gchoice_6_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='DD Division Northern Hills - Sturgis, SD'  id='choice_6_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_96_1' id='label_6_96_1' class='gform-field-label gform-field-label--type-inline'>DD Division Northern Hills - Sturgis, SD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_96_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.2' type='checkbox'  value='DD Division Southern Hills - Hot Springs, SD'  id='choice_6_96_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_96_2' id='label_6_96_2' class='gform-field-label gform-field-label--type-inline'>DD Division Southern Hills - Hot Springs, SD<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >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_6_3'>\n                            \n                            <span id='input_6_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_6_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_6_3_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.4' id='input_6_3_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_3_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_6_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_6_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_6_4\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Mailing 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_6_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_6_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_6_4_1' id='input_6_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_6_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_6_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_6_4_2' id='input_6_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_6_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_6_4_3' id='input_6_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_6_4_4_container' >\n                                        <select name='input_4.4' id='input_6_4_4'     aria-required='true'    ><option value='' ><\/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' selected='selected'>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_6_4_4' id='input_6_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_6_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_6_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_6_4_5' id='input_6_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_6_4_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_6_6\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>Telephone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_6_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_94\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_94'>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_94' id='input_6_94' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_9\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_9'>If hired can you furnish proof that you are eligible to work in the United States? If no, please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_6_9' class='medium gfield_select'  aria-describedby=\"gfield_description_6_9\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_6_9'>(If unsure of the documents needed to prove eligibility to work in the US, we will be happy to explain the legal requirements.)<\/div><\/li><li id=\"field_6_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Males born after December 31, 1959 are required to register with the Selective Services. Are you registered with the Selective Services?<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_6_10'><li class='gchoice gchoice_6_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Yes'  id='choice_6_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_1' id='label_6_10_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_6_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='No'  id='choice_6_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_2' id='label_6_10_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_6_80\" class=\"gfield gfield--type-radio gfield--type-choice 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 wish to claim veteran&#039;s preference? If yes, DD-214 (separation papers) must be attached. If you are a disabled veteran, attach current VA disability certification with DD-21 (separation papers)<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_6_80'>\n\t\t\t<li class='gchoice gchoice_6_80_0'>\n\t\t\t\t<input name='input_80' type='radio' value='Yes'  id='choice_6_80_0'    \/>\n\t\t\t\t<label for='choice_6_80_0' id='label_6_80_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_6_80_1'>\n\t\t\t\t<input name='input_80' type='radio' value='No'  id='choice_6_80_1'    \/>\n\t\t\t\t<label for='choice_6_80_1' id='label_6_80_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_82\" class=\"gfield gfield--type-radio gfield--type-choice 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' >State law requires residency in South Dakota to be eligible to receive veteran&#039;s preference. Are you currently a resident of the state of South Dakota?<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_6_82'>\n\t\t\t<li class='gchoice gchoice_6_82_0'>\n\t\t\t\t<input name='input_82' type='radio' value='Yes'  id='choice_6_82_0'    \/>\n\t\t\t\t<label for='choice_6_82_0' id='label_6_82_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_6_82_1'>\n\t\t\t\t<input name='input_82' type='radio' value='No'  id='choice_6_82_1'    \/>\n\t\t\t\t<label for='choice_6_82_1' id='label_6_82_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Will you accept:<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_6_11'><li class='gchoice gchoice_6_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Full-time Employment'  id='choice_6_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_11_1' id='label_6_11_1' class='gform-field-label gform-field-label--type-inline'>Full-time Employment<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='Part-time Employment'  id='choice_6_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_11_2' id='label_6_11_2' class='gform-field-label gform-field-label--type-inline'>Part-time Employment<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_12\" class=\"gfield gfield--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_6_12'>Have you worked for BHSSC in the past? If yes, please give dates of employment, positions held, and state your name while employed, if different than present 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_12' id='input_6_12' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_14\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Many positions within the Black Hills Special Services Cooperative require lifting of up to 50 pounds, are you able to fulfill this duty if your position requires?<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_6_14'><li class='gchoice gchoice_6_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Yes'  id='choice_6_14_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_1' id='label_6_14_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_6_14_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.2' type='checkbox'  value='No'  id='choice_6_14_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_14_2' id='label_6_14_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_6_15\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >References: List references. Please do not list any relatives. Providing this information means that you give the organization permission to contact the references listed.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_15_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_15_col_2' class='gfield_list_col_even' \/><col id='gfield_list_15_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_15_col_4' class='gfield_list_col_even' \/><col id='gfield_list_15_col_5' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name<\/th><th scope=\"col\">Complete Address<\/th><th scope=\"col\">Daytime phone number and best time to contact<\/th><th scope=\"col\">Fax No.<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_15_cell1' data-label='Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_15_cell2' data-label='Complete Address'><input aria-invalid='false' aria-required=\"true\"  aria-label='Complete Address, Row 1' data-aria-label-template='Complete Address, Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_15_cell3' data-label='Daytime phone number and best time to contact'><input aria-invalid='false' aria-required=\"true\"  aria-label='Daytime phone number and best time to contact, Row 1' data-aria-label-template='Daytime phone number and best time to contact, Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_15_cell4' data-label='Fax No.'><input aria-invalid='false' aria-required=\"true\"  aria-label='Fax No., Row 1' data-aria-label-template='Fax No., Row {0}' type='text' name='input_15[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_17\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_17_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_17_col_2' class='gfield_list_col_even' \/><col id='gfield_list_17_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_17_col_4' class='gfield_list_col_even' \/><col id='gfield_list_17_col_5' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name<\/th><th scope=\"col\">Complete Address<\/th><th scope=\"col\">Daytime phone number and best time to contact<\/th><th scope=\"col\">FAX No.<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_17_cell1' data-label='Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell2' data-label='Complete Address'><input aria-invalid='false' aria-required=\"true\"  aria-label='Complete Address, Row 1' data-aria-label-template='Complete Address, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell3' data-label='Daytime phone number and best time to contact'><input aria-invalid='false' aria-required=\"true\"  aria-label='Daytime phone number and best time to contact, Row 1' data-aria-label-template='Daytime phone number and best time to contact, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell4' data-label='FAX No.'><input aria-invalid='false' aria-required=\"true\"  aria-label='FAX No., Row 1' data-aria-label-template='FAX No., Row {0}' type='text' name='input_17[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_18\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_18_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_18_col_2' class='gfield_list_col_even' \/><col id='gfield_list_18_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_18_col_4' class='gfield_list_col_even' \/><col id='gfield_list_18_col_5' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name<\/th><th scope=\"col\">Complete Address<\/th><th scope=\"col\">Daytime phone number and best time to contact<\/th><th scope=\"col\">FAX No.<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_18_cell1' data-label='Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_18[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_18_cell2' data-label='Complete Address'><input aria-invalid='false' aria-required=\"true\"  aria-label='Complete Address, Row 1' data-aria-label-template='Complete Address, Row {0}' type='text' name='input_18[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_18_cell3' data-label='Daytime phone number and best time to contact'><input aria-invalid='false' aria-required=\"true\"  aria-label='Daytime phone number and best time to contact, Row 1' data-aria-label-template='Daytime phone number and best time to contact, Row {0}' type='text' name='input_18[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_18_cell4' data-label='FAX No.'><input aria-invalid='false' aria-required=\"true\"  aria-label='FAX No., Row 1' data-aria-label-template='FAX No., Row {0}' type='text' name='input_18[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_19\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_19_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_19_col_2' class='gfield_list_col_even' \/><col id='gfield_list_19_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_19_col_4' class='gfield_list_col_even' \/><col id='gfield_list_19_col_5' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name<\/th><th scope=\"col\">Complete Address<\/th><th scope=\"col\">Daytime phone number and best time to contact<\/th><th scope=\"col\">FAX No.<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_19_cell1' data-label='Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_19_cell2' data-label='Complete Address'><input aria-invalid='false' aria-required=\"true\"  aria-label='Complete Address, Row 1' data-aria-label-template='Complete Address, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_19_cell3' data-label='Daytime phone number and best time to contact'><input aria-invalid='false' aria-required=\"true\"  aria-label='Daytime phone number and best time to contact, Row 1' data-aria-label-template='Daytime phone number and best time to contact, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_19_cell4' data-label='FAX No.'><input aria-invalid='false' aria-required=\"true\"  aria-label='FAX No., Row 1' data-aria-label-template='FAX No., Row {0}' type='text' name='input_19[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_32\" class=\"gfield gfield--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_6_32'>Have you ever been convicted of a felony, or released from prison in the past 10 years? Note: A yes answer does not automatically disqualify you from employment since the nature of the offense, date and type of job for which you are applying will be considered. If yes, please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_6_32' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_6_24' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_2' class='gform_page' data-js='page-field-id-24' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_76\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Educational History<\/h2><\/li><li id=\"field_6_27\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_27_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_27_col_2' class='gfield_list_col_even' \/><col id='gfield_list_27_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_27_col_4' class='gfield_list_col_even' \/><col id='gfield_list_27_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_27_col_6' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">High School<\/th><th scope=\"col\">Address<\/th><th scope=\"col\">Course of Study<\/th><th scope=\"col\">Did you graduate?<\/th><th scope=\"col\">Degree or Diploma<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_27_cell1' data-label='High School'><input aria-invalid='false' aria-required=\"true\"  aria-label='High School, Row 1' data-aria-label-template='High School, Row {0}' type='text' name='input_27[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_27_cell2' data-label='Address'><input aria-invalid='false' aria-required=\"true\"  aria-label='Address, Row 1' data-aria-label-template='Address, Row {0}' type='text' name='input_27[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_27_cell3' data-label='Course of Study'><input aria-invalid='false' aria-required=\"true\"  aria-label='Course of Study, Row 1' data-aria-label-template='Course of Study, Row {0}' type='text' name='input_27[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_27_cell4' data-label='Did you graduate?'><input aria-invalid='false' aria-required=\"true\"  aria-label='Did you graduate?, Row 1' data-aria-label-template='Did you graduate?, Row {0}' type='text' name='input_27[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_27_cell5' data-label='Degree or Diploma'><input aria-invalid='false' aria-required=\"true\"  aria-label='Degree or Diploma, Row 1' data-aria-label-template='Degree or Diploma, Row {0}' type='text' name='input_27[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_28\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_28_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_28_col_2' class='gfield_list_col_even' \/><col id='gfield_list_28_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_28_col_4' class='gfield_list_col_even' \/><col id='gfield_list_28_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_28_col_6' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Post High School<\/th><th scope=\"col\">Address<\/th><th scope=\"col\">Course of Study<\/th><th scope=\"col\">Did you graduate?<\/th><th scope=\"col\">Degree or Diploma<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_28_cell1' data-label='Post High School'><input aria-invalid='false'   aria-label='Post High School, Row 1' data-aria-label-template='Post High School, Row {0}' type='text' name='input_28[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_28_cell2' data-label='Address'><input aria-invalid='false'   aria-label='Address, Row 1' data-aria-label-template='Address, Row {0}' type='text' name='input_28[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_28_cell3' data-label='Course of Study'><input aria-invalid='false'   aria-label='Course of Study, Row 1' data-aria-label-template='Course of Study, Row {0}' type='text' name='input_28[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_28_cell4' data-label='Did you graduate?'><input aria-invalid='false'   aria-label='Did you graduate?, Row 1' data-aria-label-template='Did you graduate?, Row {0}' type='text' name='input_28[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_28_cell5' data-label='Degree or Diploma'><input aria-invalid='false'   aria-label='Degree or Diploma, Row 1' data-aria-label-template='Degree or Diploma, Row {0}' type='text' name='input_28[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_29\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_29_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_29_col_2' class='gfield_list_col_even' \/><col id='gfield_list_29_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_29_col_4' class='gfield_list_col_even' \/><col id='gfield_list_29_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_29_col_6' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Other<\/th><th scope=\"col\">Address<\/th><th scope=\"col\">Course of Study<\/th><th scope=\"col\">Did you graduate?<\/th><th scope=\"col\">Degree or Diploma<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_29_cell1' data-label='Other'><input aria-invalid='false'   aria-label='Other, Row 1' data-aria-label-template='Other, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell2' data-label='Address'><input aria-invalid='false'   aria-label='Address, Row 1' data-aria-label-template='Address, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell3' data-label='Course of Study'><input aria-invalid='false'   aria-label='Course of Study, Row 1' data-aria-label-template='Course of Study, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell4' data-label='Did you graduate?'><input aria-invalid='false'   aria-label='Did you graduate?, Row 1' data-aria-label-template='Did you graduate?, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell5' data-label='Degree or Diploma'><input aria-invalid='false'   aria-label='Degree or Diploma, Row 1' data-aria-label-template='Degree or Diploma, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_38' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_6_38' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_3' class='gform_page' data-js='page-field-id-38' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_34\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Employment History<\/h2><\/li><li id=\"field_6_37\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_37_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_37_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">A. Employer<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_37_cell1' data-label='A. Employer'><input aria-invalid='false' aria-required=\"true\"  aria-label='A. Employer, Row 1' data-aria-label-template='A. Employer, Row {0}' type='text' name='input_37[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_36\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_36_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_36_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Dates of Employment<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_36_cell1' data-label='Dates of Employment'><input aria-invalid='false' aria-required=\"true\"  aria-label='Dates of Employment, Row 1' data-aria-label-template='Dates of Employment, Row {0}' type='text' name='input_36[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_39\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_39_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_39_col_2' class='gfield_list_col_even' \/><col id='gfield_list_39_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Employers Address<\/th><th scope=\"col\">Phone<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_39_cell1' data-label='Employers Address'><input aria-invalid='false' aria-required=\"true\"  aria-label='Employers Address, Row 1' data-aria-label-template='Employers Address, Row {0}' type='text' name='input_39[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_39_cell2' data-label='Phone'><input aria-invalid='false' aria-required=\"true\"  aria-label='Phone, Row 1' data-aria-label-template='Phone, Row {0}' type='text' name='input_39[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_40\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_40_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_40_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Supervisor&#039;s Name and Title:<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_40_cell1' data-label='Supervisor&#039;s Name and Title:'><input aria-invalid='false' aria-required=\"true\"  aria-label='Supervisor&#039;s Name and Title:, Row 1' data-aria-label-template='Supervisor&#039;s Name and Title:, Row {0}' type='text' name='input_40[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_43\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_43_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_43_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Reason for leaving:<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_43_cell1' data-label='Reason for leaving:'><input aria-invalid='false' aria-required=\"true\"  aria-label='Reason for leaving:, Row 1' data-aria-label-template='Reason for leaving:, Row {0}' type='text' name='input_43[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_45\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_6_46\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_46_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_46_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">B. Employer<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_46_cell1' data-label='B. Employer'><input aria-invalid='false' aria-required=\"true\"  aria-label='B. Employer, Row 1' data-aria-label-template='B. Employer, Row {0}' type='text' name='input_46[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_47\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_47_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_47_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Dates of Employment<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_47_cell1' data-label='Dates of Employment'><input aria-invalid='false' aria-required=\"true\"  aria-label='Dates of Employment, Row 1' data-aria-label-template='Dates of Employment, Row {0}' type='text' name='input_47[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_48\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_48_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_48_col_2' class='gfield_list_col_even' \/><col id='gfield_list_48_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Employers Address<\/th><th scope=\"col\">Phone<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_48_cell1' data-label='Employers Address'><input aria-invalid='false' aria-required=\"true\"  aria-label='Employers Address, Row 1' data-aria-label-template='Employers Address, Row {0}' type='text' name='input_48[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_48_cell2' data-label='Phone'><input aria-invalid='false' aria-required=\"true\"  aria-label='Phone, Row 1' data-aria-label-template='Phone, Row {0}' type='text' name='input_48[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_49\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_49_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_49_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Supervisor&#039;s Name and Title:<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_49_cell1' data-label='Supervisor&#039;s Name and Title:'><input aria-invalid='false' aria-required=\"true\"  aria-label='Supervisor&#039;s Name and Title:, Row 1' data-aria-label-template='Supervisor&#039;s Name and Title:, Row {0}' type='text' name='input_49[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_53\" class=\"gfield gfield--type-list 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 screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_53_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_53_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Reason for leaving:<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_53_cell1' data-label='Reason for leaving:'><input aria-invalid='false' aria-required=\"true\"  aria-label='Reason for leaving:, Row 1' data-aria-label-template='Reason for leaving:, Row {0}' type='text' name='input_53[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_55\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_6_57\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_57_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_57_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">C. Employer<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_57_cell1' data-label='C. Employer'><input aria-invalid='false'   aria-label='C. Employer, Row 1' data-aria-label-template='C. Employer, Row {0}' type='text' name='input_57[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_58\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_58_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_58_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Dates of Employment<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_58_cell1' data-label='Dates of Employment'><input aria-invalid='false'   aria-label='Dates of Employment, Row 1' data-aria-label-template='Dates of Employment, Row {0}' type='text' name='input_58[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_59\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_59_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_59_col_2' class='gfield_list_col_even' \/><col id='gfield_list_59_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Employers Address<\/th><th scope=\"col\">Phone<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_59_cell1' data-label='Employers Address'><input aria-invalid='false'   aria-label='Employers Address, Row 1' data-aria-label-template='Employers Address, Row {0}' type='text' name='input_59[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_59_cell2' data-label='Phone'><input aria-invalid='false'   aria-label='Phone, Row 1' data-aria-label-template='Phone, Row {0}' type='text' name='input_59[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_60\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_60_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_60_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Supervisor&#039;s Name and Title:<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_60_cell1' data-label='Supervisor&#039;s Name and Title:'><input aria-invalid='false'   aria-label='Supervisor&#039;s Name and Title:, Row 1' data-aria-label-template='Supervisor&#039;s Name and Title:, Row {0}' type='text' name='input_60[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_64\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_64_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_64_col_2' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Reason for leaving:<\/th><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_64_cell1' data-label='Reason for leaving:'><input aria-invalid='false'   aria-label='Reason for leaving:, Row 1' data-aria-label-template='Reason for leaving:, Row {0}' type='text' name='input_64[]' value=''   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_79' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_6_79' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_4' class='gform_page' data-js='page-field-id-79' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_75\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Please answer the question below<\/h2><\/li><li id=\"field_6_83\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Please Read and Sign Below<\/h2><div class='gsection_description' id='gfield_description_6_83'>I give my consent to any pre-employment physical examination required by this company after any conditional offer of employment has been made.\n\nIf employed, I understand that my employment is for no definite period of time, and if terminated the employer is liable only for wages earned as of the date of termination.\n\nI hereby certify that the information given by me is true and complete to the best of my knowledge and belief. I further authorize investigation of all statements I have made. Misrepresentations, falsification, or omission of facts called for in this application or in the interview process are cause for cancellation of this application or termination of employment. Unsigned applications will not be considered.<\/div><\/li><li id=\"field_6_84\" class=\"gfield gfield--type-signature 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_6_84'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_84' id='input_6_84_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_6_84_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><canvas id='input_6_84' width='500' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/bhssc.org\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_6_84_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_6_84_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_6_84_data' name='input_6_84_data' value=''><\/div><\/li><li id=\"field_6_85\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_85'>Date (dd\/mm\/yyyy)<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_85' id='input_6_85' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_6_85_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_85_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_85' class='gform_hidden' value='https:\/\/bhssc.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_86\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Authorization for reference requests (sign below).<\/h2><div class='gsection_description' id='gfield_description_6_86'>I have applied with Black Hills Special Services Cooperative for employment and I desire that they be fully advised of my record with former employers. I, therefore, respectfully request that you furnish the requested information concerning my employment with your organization, and hereby release you from any and all liability of damages for providing the information requested.<\/div><\/li><li id=\"field_6_87\" class=\"gfield gfield--type-signature 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_6_87'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_87' id='input_6_87_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_6_87_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><canvas id='input_6_87' width='500' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/bhssc.org\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_6_87_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_6_87_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_6_87_data' name='input_6_87_data' value=''><\/div><\/li><li id=\"field_6_88\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_88'>Date (dd\/mm\/yyyy)<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_88' id='input_6_88' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_6_88_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_88_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_88' class='gform_hidden' value='https:\/\/bhssc.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_89\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Black Hills Special Services Cooperative, in accordance with state and federal laws, does not discriminate on the basis of age, race, color, ancestry, national origin, creed, religion, sex, marital status, disability, or any other protected class.<\/h2><\/li><li id=\"field_6_90\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Black Hills Special Services Cooperative recognizes that South Dakota is an employment at-will state and maintains the employment at-will status for all employees.<\/h2><\/li><li id=\"field_6_91\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Please contact the BHSSC department advertising this position to determine if you must also  complete the following form as part of your application:<\/h2><\/li><li id=\"field_6_92\" class=\"gfield gfield--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\"  ><a href=\"https:\/\/bhssc.org\/wp-content\/uploads\/2019\/12\/SD_Permission_Screen.pdf\" target=\"_blank\">SOUTH DAKOTA PERMISSION TO SCREEN FOR REPORTS OF ABUSE OR NEGLECT<\/a><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_6' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_6' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_6' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_6' id='gform_theme_6' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_6' id='gform_style_settings_6' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='SawW7u0t9ZW5Q21kzGkJWZPVbFr9Gft1OD5RU\/0slqIgw6iRBCV9uwmKGrsYGAyBOrR8NIyGu3\/1Bu3c1xfXauP2HeRcIp0J1ZdAQMzXeFQbe9Q=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsIjhkMmIwOGVjZGQ3NjAwYjFjODNiMzNmZDE3MmEyNGI5Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/bhssc.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_6').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/bhssc.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_6').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_6').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [6]);window['gf_submitting_6'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_6').text());}else{jQuery('#gform_6').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"6\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_6\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_6\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_6\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 6, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\t\t\t<\/div>\n\n            <script type=\"text\/javascript\">\n                var gf_global = {\"gf_currency_config\":{\"name\":\"U.S. Dollar\",\"symbol_left\":\"$\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"USD\"},\"base_url\":\"https:\\\/\\\/bhssc.org\\\/wp-content\\\/plugins\\\/gravityforms\",\"number_formats\":[],\"spinnerUrl\":\"https:\\\/\\\/bhssc.org\\\/wp-content\\\/plugins\\\/gravityforms\\\/images\\\/spinner.svg\",\"version_hash\":\"2b34604607ee2ca63cb07d36892fe667\",\"strings\":{\"newRowAdded\":\"New row added.\",\"rowRemoved\":\"Row removed\",\"formSaved\":\"The form has been saved.  The content contains the link to return and complete the form.\"}};\t\t\t\tvar gf_vars = {\"active\":\"Active\",\"inactive\":\"Inactive\",\"save\":\"Save\",\"update\":\"Update\",\"previousLabel\":\"Previous\",\"selectFormat\":\"Select a format\",\"column\":\"Column\",\"editToViewAll\":\"5 of %d items shown. Edit field to view all\",\"selectAll\":\"Select All\",\"enterValue\":\"Enter a value\",\"formTitle\":\"Untitled Form\",\"formDescription\":\"We would love to hear from you! Please fill out this form and we will get in touch with you shortly.\",\"formConfirmationMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"buttonText\":\"Submit\",\"buttonDescription\":\"The submit button for this form\",\"loading\":\"Loading...\",\"thisFieldIf\":\"this field if\",\"thisSectionIf\":\"this section if\",\"thisPage\":\"this page if\",\"thisFormButton\":\"this form button if\",\"show\":\"Show\",\"hide\":\"Hide\",\"enable\":\"Enable\",\"disable\":\"Disable\",\"enabled\":\"Enabled\",\"disabled\":\"Disabled\",\"configure\":\"Configure\",\"conditional_logic_text\":\"Conditional Logic\",\"conditional_logic_desc\":\"Conditional logic allows you to change what the user sees depending on the fields they select.\",\"conditional_logic_a11y\":\"Adding conditional logic to the form submit button could cause usability problems for some users and negatively impact the accessibility of your form. Learn more about button conditional logic in our <a href=\\\"https:\\\/\\\/docs.gravityforms.com\\\/field-accessibility-warning\\\/\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">documentation<span class=\\\"screen-reader-text\\\">(opens in a new tab)<\\\/span>&nbsp;<span class=\\\"gform-icon gform-icon--external-link\\\" aria-hidden=\\\"true\\\"><\\\/span><\\\/a>.\",\"page\":\"Page\",\"next_button\":\"Next Button\",\"button\":\"Submit Button\",\"all\":\"All\",\"any\":\"Any\",\"ofTheFollowingMatch\":\"of the following match:\",\"is\":\"is\",\"isNot\":\"is not\",\"greaterThan\":\"greater than\",\"lessThan\":\"less than\",\"contains\":\"contains\",\"startsWith\":\"starts with\",\"endsWith\":\"ends with\",\"emptyChoice\":\"Empty (no choices selected)\",\"alertLegacyMode\":\"This form has legacy markup enabled and doesn\\u2019t support field resizing within the editor. Please disable legacy markup in the form settings to enable live resizing.\",\"thisConfirmation\":\"Use this confirmation if\",\"thisNotification\":\"Send this notification if\",\"confirmationSave\":\"Save\",\"confirmationSaving\":\"Saving...\",\"confirmationAreYouSure\":\"Are you sure you wish to cancel these changes?\",\"confirmationIssueSaving\":\"There was an issue saving this confirmation.\",\"confirmationConfirmDelete\":\"Are you sure you wish to delete this confirmation?\",\"confirmationIssueDeleting\":\"There was an issue deleting this confirmation.\",\"confirmationConfirmDiscard\":\"There are unsaved changes to the current confirmation. Would you like to discard these changes?\",\"confirmationDefaultName\":\"Untitled Confirmation\",\"confirmationDefaultMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"confirmationInvalidPageSelection\":\"Please select a page.\",\"confirmationInvalidRedirect\":\"Please enter a URL.\",\"confirmationInvalidName\":\"Please enter a confirmation name.\",\"confirmationDeleteField\":\"Deleting this field will also delete all entry data associated with it. 'Cancel' to abort. 'OK' to delete.\",\"confirmationDeleteDisplayField\":\"You're about to delete this field. 'Cancel' to stop. 'OK' to delete\",\"confirmationDeleteDisplayFieldTitle\":\"Warning\",\"conditionalLogicDependency\":\"This form contains {type} conditional logic dependent upon this field. Deleting this field will deactivate those conditional logic rules and also delete all entry data associated with the field. 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoice\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to delete this choice? 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoiceEdit\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to modify this choice? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicDependencyAdminOnly\":\"This form contains {type} conditional logic dependent upon this field. Are you sure you want to mark this field as Administrative? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicRichTextEditorWarning\":\"This form contains conditional logic dependent upon this field. This will no longer work if the Rich Text Editor is enabled.  Are you sure you want to enable the Rich Text Editor?  'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicTypeButton\":\"button\",\"conditionalLogicTypeConfirmation\":\"confirmation\",\"conditionalLogicTypeNotification\":\"notification\",\"conditionalLogicTypeNoficationRouting\":\"notification routing\",\"conditionalLogicTypeField\":\"field\",\"conditionalLogicTypeFeed\":\"feed\",\"conditionalLogicWarningTitle\":\"Conditional Logic Warning\",\"mergeTagsText\":\"Insert Merge Tags\",\"baseUrl\":\"https:\\\/\\\/bhssc.org\\\/wp-content\\\/plugins\\\/gravityforms\",\"gf_currency_config\":{\"name\":\"U.S. Dollar\",\"symbol_left\":\"$\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"USD\"},\"otherChoiceValue\":\"Other\",\"isFormTrash\":false,\"currentlyAddingField\":false,\"visibilityOptions\":[{\"label\":\"Visible\",\"value\":\"visible\",\"description\":\"Default option. The field is visible when viewing the form.\"},{\"label\":\"Hidden\",\"value\":\"hidden\",\"description\":\"The field is hidden when viewing the form. Useful when you require the functionality of this field but do not want the user to be able to see this field.\"},{\"label\":\"Administrative\",\"value\":\"administrative\",\"description\":\"The field is only visible when administering submitted entries. The field is not visible or functional when viewing the form.\"}],\"addFieldFilter\":\"Add a condition\",\"removeFieldFilter\":\"Remove a condition\",\"filterAndAny\":\"{0} of the following match:\",\"customChoices\":\"Custom Choices\",\"predefinedChoices\":\"Predefined Choices\",\"fieldLabelAriaLabel\":\"{field_label} - {field_type}, jump to this field&#039;s settings\",\"fieldCanBeAddedTitle\":\"Field Limit\",\"fieldCanBeAddedCaptcha\":\"A form can only contain one CAPTCHA field.\",\"fieldCanBeAddedShipping\":\"A form can only contain one Shipping field.\",\"fieldCanBeAddedPostContent\":\"A form can only contain one Post Body field.\",\"fieldCanBeAddedPostTitle\":\"A form can only contain one Post Title field.\",\"fieldCanBeAddedPostExcerpt\":\"A form can only contain one Post Excerpt field.\",\"fieldCanBeAddedCreditCard\":\"A form can only contain one Credit Card field.\",\"fieldCanBeAddedProductTitle\":\"Missing Product field\",\"fieldCanBeAddedProduct\":\"You must add a Product field to the form first.\",\"legacyMarkupTitle\":\"Unsupported Markup\",\"fieldCanBeAddedMultipleChoice\":\"You cannot add a Multiple Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"fieldCanBeAddedImageChoice\":\"You cannot add an Image Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"FieldAjaxonErrorTitle\":\"Error\",\"StartAddFieldAjaxonError\":\"Ajax error while adding field. Please refresh the page and try again.\",\"StartChangeInputTypeAjaxonError\":\"Ajax error while changing input type. Please refresh the page and try again.\",\"MissingNameCustomChoicesTitle\":\"Missing Name\",\"MissingNameCustomChoices\":\"Please give this custom choice a name.\",\"DuplicateNameCustomChoicesTitle\":\"Duplicate Name\",\"DuplicateNameCustomChoices\":\"This custom choice name is already in use. Please enter another name.\",\"DuplicateTitleMessageTitle\":\"Duplicate Title\",\"DuplicateTitleMessage\":\"The form title you have entered is already taken. Please enter a unique form title.\",\"ValidateFormMissingFormTitleTitle\":\"Missing Form Title\",\"ValidateFormMissingFormTitle\":\"Please enter a Title for this form. When adding the form to a page or post, you will have the option to hide the title.\",\"ValidateFormEmptyPageTitle\":\"Empty Page\",\"ValidateFormEmptyPage\":\"This form currently has one or more pages without any fields. Blank pages are a result of Page Breaks that are positioned as the first or last field in the form or right after each other. Please adjust the Page Breaks.\",\"ValidateFormMissingProductLabelTitle\":\"Missing Product Label\",\"ValidateFormMissingProductLabel\":\"This form has a Product field with a blank label. Please enter a label for every Product field.\",\"ValidateFormMissingProductFieldTitle\":\"Missing Product field\",\"ValidateFormMissingProductField\":\"This form has an Option field without a Product field. You must add a Product field to your form.\",\"FormulaIsValidTitle\":\"Success\",\"FormulaIsValid\":\"The formula appears to be valid.\",\"FormulaIsInvalid\":\"There appears to be a problem with the formula.\",\"DeleteFormTitle\":\"Confirm\",\"DeleteForm\":\"You are about to move this form to the trash. &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"DeleteCustomChoice\":\"Delete this custom choice list? &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"FieldAdded\":\"&nbsp;field added to form\",\"nameFieldDefaultPrefixes\":[{\"text\":\"Dr.\",\"value\":\"Dr.\"},{\"text\":\"Miss\",\"value\":\"Miss\"},{\"text\":\"Mr.\",\"value\":\"Mr.\"},{\"text\":\"Mrs.\",\"value\":\"Mrs.\"},{\"text\":\"Ms.\",\"value\":\"Ms.\"},{\"text\":\"Mx.\",\"value\":\"Mx.\"},{\"text\":\"Prof.\",\"value\":\"Prof.\"},{\"text\":\"Rev.\",\"value\":\"Rev.\"}]};\t\t\t<\/script>\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d436e77\" data-id=\"d436e77\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-347c000 elementor-widget elementor-widget-heading\" data-id=\"347c000\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Search BHSSC Website<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92a732e elementor-search-form--skin-classic elementor-search-form--button-type-icon elementor-search-form--icon-search elementor-widget elementor-widget-search-form\" data-id=\"92a732e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;skin&quot;:&quot;classic&quot;}\" data-widget_type=\"search-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<search role=\"search\">\n\t\t\t<form class=\"elementor-search-form\" action=\"https:\/\/bhssc.org\" method=\"get\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-search-form__container\">\n\t\t\t\t\t<label class=\"elementor-screen-only\" for=\"elementor-search-form-92a732e\">Search<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<input id=\"elementor-search-form-92a732e\" placeholder=\"Search...\" class=\"elementor-search-form__input\" type=\"search\" name=\"s\" value=\"\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-search-form__submit\" type=\"submit\" aria-label=\"Search\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-search\"><\/i>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t<\/search>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>DSP APPLICATION FOR EMPLOYMENT Step 1 of 4 25% Black Hills Special Services Cooperative PO Box 218 Sturgis, SD 57785 | 737 University Avenue Hot Springs, SD 57747 | 730 E. Watertown, Rapid City, SD 57701 EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER &#8220;Special accommodations for application, training, or job information in alternative formats available upon request&#8221; Position [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-14779","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>DSP Application for Employment - Black Hills Special Services Cooperative<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bhssc.org\/application-for-employment-dsp\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DSP Application for Employment - Black Hills Special Services Cooperative\" \/>\n<meta property=\"og:description\" content=\"DSP APPLICATION FOR EMPLOYMENT Step 1 of 4 25% Black Hills Special Services Cooperative PO Box 218 Sturgis, SD 57785 | 737 University Avenue Hot Springs, SD 57747 | 730 E. Watertown, Rapid City, SD 57701 EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER &#8220;Special accommodations for application, training, or job information in alternative formats available upon request&#8221; Position [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/bhssc.org\/application-for-employment-dsp\/\" \/>\n<meta property=\"og:site_name\" content=\"Black Hills Special Services Cooperative\" \/>\n<meta property=\"article:modified_time\" content=\"2022-12-20T19:26:53+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/bhssc.org\/application-for-employment-dsp\/\",\"url\":\"https:\/\/bhssc.org\/application-for-employment-dsp\/\",\"name\":\"DSP Application for Employment - Black Hills Special Services Cooperative\",\"isPartOf\":{\"@id\":\"https:\/\/bhssc.org\/#website\"},\"datePublished\":\"2019-12-10T16:03:44+00:00\",\"dateModified\":\"2022-12-20T19:26:53+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/bhssc.org\/application-for-employment-dsp\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/bhssc.org\/application-for-employment-dsp\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/bhssc.org\/application-for-employment-dsp\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/bhssc.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"DSP Application for Employment\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/bhssc.org\/#website\",\"url\":\"https:\/\/bhssc.org\/\",\"name\":\"Black Hills Special Services Cooperative\",\"description\":\"Better Learning, Better Lives\",\"publisher\":{\"@id\":\"https:\/\/bhssc.org\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/bhssc.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/bhssc.org\/#organization\",\"name\":\"Black HIlls Special Services Cooperative\",\"url\":\"https:\/\/bhssc.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/bhssc.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/bhssc.org\/wp-content\/uploads\/2020\/09\/betterlives_0bf9f98fb56a30166c2ba50f1dc4b85f.png\",\"contentUrl\":\"https:\/\/bhssc.org\/wp-content\/uploads\/2020\/09\/betterlives_0bf9f98fb56a30166c2ba50f1dc4b85f.png\",\"width\":600,\"height\":163,\"caption\":\"Black HIlls Special Services Cooperative\"},\"image\":{\"@id\":\"https:\/\/bhssc.org\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.youtube.com\/channel\/UC_c2eOt06-nBv-_VebV9ynQ\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"DSP Application for Employment - Black Hills Special Services Cooperative","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/bhssc.org\/application-for-employment-dsp\/","og_locale":"en_US","og_type":"article","og_title":"DSP Application for Employment - Black Hills Special Services Cooperative","og_description":"DSP APPLICATION FOR EMPLOYMENT Step 1 of 4 25% Black Hills Special Services Cooperative PO Box 218 Sturgis, SD 57785 | 737 University Avenue Hot Springs, SD 57747 | 730 E. Watertown, Rapid City, SD 57701 EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER &#8220;Special accommodations for application, training, or job information in alternative formats available upon request&#8221; Position [&hellip;]","og_url":"https:\/\/bhssc.org\/application-for-employment-dsp\/","og_site_name":"Black Hills Special Services Cooperative","article_modified_time":"2022-12-20T19:26:53+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/bhssc.org\/application-for-employment-dsp\/","url":"https:\/\/bhssc.org\/application-for-employment-dsp\/","name":"DSP Application for Employment - Black Hills Special Services Cooperative","isPartOf":{"@id":"https:\/\/bhssc.org\/#website"},"datePublished":"2019-12-10T16:03:44+00:00","dateModified":"2022-12-20T19:26:53+00:00","breadcrumb":{"@id":"https:\/\/bhssc.org\/application-for-employment-dsp\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/bhssc.org\/application-for-employment-dsp\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/bhssc.org\/application-for-employment-dsp\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/bhssc.org\/"},{"@type":"ListItem","position":2,"name":"DSP Application for Employment"}]},{"@type":"WebSite","@id":"https:\/\/bhssc.org\/#website","url":"https:\/\/bhssc.org\/","name":"Black Hills Special Services Cooperative","description":"Better Learning, Better Lives","publisher":{"@id":"https:\/\/bhssc.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/bhssc.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/bhssc.org\/#organization","name":"Black HIlls Special Services Cooperative","url":"https:\/\/bhssc.org\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/bhssc.org\/#\/schema\/logo\/image\/","url":"https:\/\/bhssc.org\/wp-content\/uploads\/2020\/09\/betterlives_0bf9f98fb56a30166c2ba50f1dc4b85f.png","contentUrl":"https:\/\/bhssc.org\/wp-content\/uploads\/2020\/09\/betterlives_0bf9f98fb56a30166c2ba50f1dc4b85f.png","width":600,"height":163,"caption":"Black HIlls Special Services Cooperative"},"image":{"@id":"https:\/\/bhssc.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.youtube.com\/channel\/UC_c2eOt06-nBv-_VebV9ynQ"]}]}},"_links":{"self":[{"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/pages\/14779","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/comments?post=14779"}],"version-history":[{"count":4,"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/pages\/14779\/revisions"}],"predecessor-version":[{"id":16305,"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/pages\/14779\/revisions\/16305"}],"wp:attachment":[{"href":"https:\/\/bhssc.org\/wp-json\/wp\/v2\/media?parent=14779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}