{"id":28,"date":"2021-08-14T08:40:55","date_gmt":"2021-08-14T08:40:55","guid":{"rendered":"https:\/\/southerngerontologicalsociety.org\/sgs\/media-award-2\/"},"modified":"2022-10-19T08:22:23","modified_gmt":"2022-10-19T08:22:23","slug":"encore-recognition-award","status":"publish","type":"page","link":"https:\/\/southerngerontologicalsociety.org\/sgs\/encore-recognition-award\/","title":{"rendered":"Encore Recognition Travel Grant"},"content":{"rendered":"\n<div id=\"quform-d7770d\" class=\"quform quform-11 quform-support-page-caching\"><form id=\"quform-form-d7770d\" class=\"quform-form quform-form-11\" action=\"\/sgs\/wp-json\/wp\/v2\/pages\/28#quform-d7770d\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:11,&quot;uniqueId&quot;:&quot;d7770d&quot;,&quot;theme&quot;:&quot;&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:[],&quot;dependents&quot;:[],&quot;elementIds&quot;:[],&quot;dependentElementIds&quot;:[],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-11\"><input type=\"hidden\" name=\"quform_form_id\" value=\"11\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"d7770d\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/southerngerontologicalsociety.org\/sgs\/wp-json\/wp\/v2\/pages\/28\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_loaded\" value=\"1775904354|fd98ab4654fcab7f80a53f5d42221eef\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"vlFq0ehIUqrMEXW5GjWfPXwIZDZTtatcvKXgdERB\" \/><div class=\"quform-form-title-description\"><h4 class=\"quform-form-title\">SGS Encore Recognition Travel Grant<\/h4><\/div><div class=\"quform-elements quform-elements-11 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-11_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-group quform-element-11_3 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h5 class=\"quform-group-title\">Applicant's Info<\/h5><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-text quform-element-11_4 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_4\"><label class=\"quform-label-text\" for=\"quform_11_4_d7770d\">Full Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-11_4\"><div class=\"quform-input quform-input-text quform-input-11_4 quform-cf\"><input type=\"text\" id=\"quform_11_4_d7770d\" name=\"quform_11_4\" class=\"quform-field quform-field-text quform-field-11_4\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-11_7 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_7\"><label class=\"quform-label-text\" for=\"quform_11_7_d7770d\">Street Address<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-11_7\"><div class=\"quform-input quform-input-text quform-input-11_7 quform-cf\"><input type=\"text\" id=\"quform_11_7_d7770d\" name=\"quform_11_7\" class=\"quform-field quform-field-text quform-field-11_7\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-11_8 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_8\"><label class=\"quform-label-text\" for=\"quform_11_8_d7770d\">City<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-11_8\"><div class=\"quform-input quform-input-text quform-input-11_8 quform-cf\"><input type=\"text\" id=\"quform_11_8_d7770d\" name=\"quform_11_8\" class=\"quform-field quform-field-text quform-field-11_8\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-11_9 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_9\"><label class=\"quform-label-text\" for=\"quform_11_9_d7770d\">State<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-11_9\"><div class=\"quform-input quform-input-text quform-input-11_9 quform-cf\"><input type=\"text\" id=\"quform_11_9_d7770d\" name=\"quform_11_9\" class=\"quform-field quform-field-text quform-field-11_9\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-11_10 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_10\"><label class=\"quform-label-text\" for=\"quform_11_10_d7770d\">Zip<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-11_10\"><div class=\"quform-input quform-input-text quform-input-11_10 quform-cf\"><input type=\"text\" id=\"quform_11_10_d7770d\" name=\"quform_11_10\" class=\"quform-field quform-field-text quform-field-11_10\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-11_23 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_23\"><label class=\"quform-label-text\" for=\"quform_11_23_d7770d\">Email Address<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-11_23\"><div class=\"quform-input quform-input-email quform-input-11_23 quform-cf\"><input type=\"email\" id=\"quform_11_23_d7770d\" name=\"quform_11_23\" class=\"quform-field quform-field-email quform-field-11_23\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-11_11 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h5 class=\"quform-group-title\">Questions<\/h5><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-textarea quform-element-11_39 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_39\"><label class=\"quform-label-text\" for=\"quform_11_39_d7770d\">Question 1<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-11_39\"><p class=\"quform-description quform-description-above\">How would attending the SGS annual conference be of value to you? Please indicate all of your reasons. (i.e. give a presentation, connect with students, to volunteer, to gain access to my committee). (500 Words Maximum)<\/p><div class=\"quform-input quform-input-textarea quform-input-11_39 quform-cf\"><textarea id=\"quform_11_39_d7770d\" name=\"quform_11_39\" class=\"quform-field quform-field-textarea quform-field-11_39\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-11_40 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_40\"><label class=\"quform-label-text\" for=\"quform_11_40_d7770d\">Question 2<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-11_40\"><p class=\"quform-description quform-description-above\">How do you feel the organization and the conference attendees would benefit from your participation in the conference? (500 Words Maximum)<\/p><div class=\"quform-input quform-input-textarea quform-input-11_40 quform-cf\"><textarea id=\"quform_11_40_d7770d\" name=\"quform_11_40\" class=\"quform-field quform-field-textarea quform-field-11_40\"><\/textarea><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-11_320657 quform-sr-only quform-cf\" style=\"clip: rect(1px, 1px, 1px, 1px); clip-path: inset(50%); position: absolute !important; height: 1px; width: 1px; overflow: hidden;\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_320657\"><label class=\"quform-label-text\" for=\"quform_11_320657_d7770d\">Phone Number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-11_320657\"><textarea id=\"quform_11_320657_d7770d\" name=\"quform_11_320657\" class=\"quform-field quform-field-textarea quform-field-11_320657\" tabindex=\"-1\" autocomplete=\"new-password\"><\/textarea><\/div><\/div><\/div><div class=\"quform-element quform-element-recaptcha quform-element-11_22 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-11_22\"><label class=\"quform-label-text\">Are you human?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-recaptcha quform-inner-11_22\"><div class=\"quform-input quform-input-recaptcha quform-input-11_22 quform-cf\"><div class=\"quform-recaptcha\" data-config=\"{&quot;sitekey&quot;:&quot;6LfOEg0TAAAAANt7SD0Co7mId-NfHpQs9DkkXLq_&quot;,&quot;_version&quot;:&quot;v2&quot;,&quot;size&quot;:&quot;normal&quot;,&quot;type&quot;:&quot;image&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;badge&quot;:&quot;bottomright&quot;}\"><\/div><noscript><div><div style=\"width: 302px; 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