{"id":77233,"date":"2018-04-19T15:31:10","date_gmt":"2018-04-19T20:31:10","guid":{"rendered":"http:\/\/news.olemiss.edu\/?p=77233"},"modified":"2018-04-19T15:31:10","modified_gmt":"2018-04-19T20:31:10","slug":"columns-society-hometown-form","status":"publish","type":"post","link":"https:\/\/web20.olemiss.edu\/news\/wordpress\/columns-society-hometown-form\/","title":{"rendered":"Columns Society Hometown Form"},"content":{"rendered":"<div id=\"vfb-form-25\" class=\"visual-form-builder-container\"><form id=\"columns-society-25\" class=\"visual-form-builder vfb-form-25  \" method=\"post\" enctype=\"multipart\/form-data\" action=\"\">\n\t\t<input type=\"hidden\" name=\"form_id\" value=\"25\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 columns-society    \" id=\"item-vfb-499\"><div class=\"vfb-legend\"><h3>Columns Society<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-521\"><label for=\"vfb-521\" class=\"vfb-desc\">First Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-521\" id=\"vfb-521\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-519\"><label for=\"vfb-519\" class=\"vfb-desc\">Middle Name <\/label><input type=\"text\" name=\"vfb-519\" id=\"vfb-519\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-520\"><label for=\"vfb-520\" class=\"vfb-desc\">Last Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-520\" id=\"vfb-520\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-checkbox    \" id=\"item-vfb-506\"><label class=\"vfb-desc\">Gender  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-506[]\" id=\"vfb-506-0\" value=\"Male\" class=\"vfb-checkbox  required \" checked='checked' \/><label for=\"vfb-506-0\" class=\"vfb-choice\">Male<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-506[]\" id=\"vfb-506-1\" value=\"Female\" class=\"vfb-checkbox  required \" \/><label for=\"vfb-506-1\" class=\"vfb-choice\">Female<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-507\"><label for=\"vfb-507\" class=\"vfb-desc\">Hometown  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-507\" id=\"vfb-507\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-508\"><label for=\"vfb-508\" class=\"vfb-desc\">County  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-508\" id=\"vfb-508\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-509\"><label for=\"vfb-509\" class=\"vfb-desc\">State  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-509\" id=\"vfb-509\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-510\"><label for=\"vfb-510\" class=\"vfb-desc\">Zip Code  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-510\" id=\"vfb-510\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-email   vfb-left-half  \" id=\"item-vfb-503\"><label for=\"vfb-503\" class=\"vfb-desc\">Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"email\" name=\"vfb-503\" id=\"vfb-503\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><label>*Your e-mail address will only be used to contact you should we have questions about your form<\/label><\/span><\/li>\n<li class=\"vfb-item vfb-item-phone   vfb-right-half  \" id=\"item-vfb-504\"><label for=\"vfb-504\" class=\"vfb-desc\">Phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"tel\" name=\"vfb-504\" id=\"vfb-504\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><label>*Your phone number will only be used to contact you should we have questions about your form<\/label><\/span><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-511\"><label for=\"vfb-511\" class=\"vfb-desc\">Major  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-511\" id=\"vfb-511\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-512\"><label for=\"vfb-512\" class=\"vfb-desc\">Classification  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-512\" id=\"vfb-512\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>i.e. \"junior,\" \"senior\"<\/label><\/span><\/li>\n<li class=\"vfb-item vfb-item-checkbox    \" id=\"item-vfb-513\"><label class=\"vfb-desc\">Are you a member of the following organizations? Check all that apply <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-513[]\" id=\"vfb-513-0\" value=\"Croft Institute\" class=\"vfb-checkbox  \" \/><label for=\"vfb-513-0\" class=\"vfb-choice\">Croft Institute<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-513[]\" id=\"vfb-513-1\" value=\"Honors College\" class=\"vfb-checkbox  \" \/><label for=\"vfb-513-1\" class=\"vfb-choice\">Honors College<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-513[]\" id=\"vfb-513-2\" value=\"Lott Leadership Institute\" class=\"vfb-checkbox  \" \/><label for=\"vfb-513-2\" class=\"vfb-choice\">Lott Leadership Institute<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li>\n<li class=\"vfb-item vfb-item-text    \" id=\"item-vfb-505\"><label for=\"vfb-505\" class=\"vfb-desc\">Please list your expected graduation date  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-505\" id=\"vfb-505\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li>\n<li class=\"vfb-item vfb-item-textarea    \" id=\"item-vfb-514\"><label for=\"vfb-514\" class=\"vfb-desc\">Please tell us your plans following graduation <\/label><div><textarea name=\"vfb-514\" id=\"vfb-514\" class=\"vfb-textarea  vfb-medium    {maxWords:[250]} vfb-textarea-word-count\"><\/textarea><label class='vfb-word-count'>Maximum words allowed: <strong>250<\/strong>. Total words: <strong class='vfb-word-count-total'>0<\/strong><\/label><\/div><\/li>\n<li class=\"vfb-item vfb-item-textarea    \" id=\"item-vfb-515\"><label for=\"vfb-515\" class=\"vfb-desc\">Please list your top five academic, service and\/or leadership achievements during your time at the University of Mississippi <\/label><div><textarea name=\"vfb-515\" id=\"vfb-515\" class=\"vfb-textarea  vfb-medium    {maxWords:[300]} vfb-textarea-word-count\"><\/textarea><label class='vfb-word-count'>Maximum words allowed: <strong>300<\/strong>. Total words: <strong class='vfb-word-count-total'>0<\/strong><\/label><\/div><\/li>\n<li class=\"vfb-item vfb-item-textarea    \" id=\"item-vfb-516\"><label for=\"vfb-516\" class=\"vfb-desc\">Please list the full names of your parents <\/label><div><span class='vfb-span'><label>*Please indicate if divorced or deceased and list city\/state for each or both<\/label><\/span><textarea name=\"vfb-516\" id=\"vfb-516\" class=\"vfb-textarea  vfb-medium   \"><\/textarea> <\/div><\/li>\n<li class=\"vfb-item vfb-item-textarea    \" id=\"item-vfb-517\"><label for=\"vfb-517\" class=\"vfb-desc\">Please list your spouse's name <\/label><div><span class='vfb-span'><label>*If applicable, include wife's maiden name<\/label><\/span><textarea name=\"vfb-517\" id=\"vfb-517\" class=\"vfb-textarea  vfb-medium   \"><\/textarea> <\/div><\/li>\n<li class=\"vfb-item vfb-item-textarea    \" id=\"item-vfb-518\"><label for=\"vfb-518\" class=\"vfb-desc\">Please list the name of your hometown newspaper  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><textarea name=\"vfb-518\" id=\"vfb-518\" class=\"vfb-textarea  vfb-medium  required  \"><\/textarea><\/div><\/li>\n<\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification  \" id=\"item-vfb-500\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\" ><label for=\"item-vfb-501\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-501\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-501\" id=\"item-vfb-501\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - <strong>please leave it blank<\/strong><\/label><div><input name=\"vfb-spam\" \/><\/div><\/li><li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-502\">\n\t\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-502\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t\t<\/li><\/ul>\n\t\t &nbsp;\n\t\t <\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/news\/wordpress\/wp-json\/wp\/v2\/posts\/77233\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":54,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[178],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.0 - 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