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    {"id":17221,"date":"2020-08-10T18:18:52","date_gmt":"2020-08-10T22:18:52","guid":{"rendered":"https:\/\/www.carilec.org\/channels\/"},"modified":"2025-01-15T16:42:51","modified_gmt":"2025-01-15T20:42:51","slug":"become-a-speaker","status":"publish","type":"page","link":"https:\/\/carilec.org\/become-a-speaker\/","title":{"rendered":"Become A Speaker"},"content":{"rendered":"<p>[vc_row el_class=&#8221;form-top-heading&#8221;][vc_column]\n    \t<h1 class=\"section-title form-title-page\"><span data-animation=\"fadeInRight\" data-animation-delay=\"500\" class=\"title-inner\"><span class=\"title\"> Become A Speaker <\/span><small><\/small>\n\t        \t\t<\/span>\n\t    <\/h1>\n    <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_123' style='display:none'><div id='gf_123' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_123' id='gform_123'  action='\/api\/wp\/v2\/pages\/17221#gf_123' data-formid='123' novalidate><input type=\"hidden\" name=\"gpuid_existing_value_237\" id=\"gpuid_existing_value_237\" value=\"f746d863f145f6c035ddbf1008bf996c\" \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_123' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_123_237\" class=\"gfield gfield--type-uid gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><label class='gfield_label gform-field-label' for='input_123_237'>Application ID<\/label><div class='ginput_container ginput_container_hidden'><input name='input_237' id='input_123_237' type='hidden' value=''  \/><\/div><\/div><div id=\"field_123_295\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_295'>Please select the number of speakers for this application<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_295' id='input_123_295' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select how many<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><\/select><\/div><\/div><div id=\"field_123_296\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Speaker 1 Details<\/h3><\/div><fieldset id=\"field_123_193\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_123_193'>\n                            \n                            <span id='input_123_193_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_193.3' id='input_123_193_3' value=''   aria-required='false'   placeholder='First Name'  \/>\n                                                    <label for='input_123_193_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_123_193_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_193.6' id='input_123_193_6' value=''   aria-required='false'   placeholder='Last Name'  \/>\n                                                    <label for='input_123_193_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_123_4\" class=\"gfield gfield--type-text gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_4'>Job Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_123_4' type='text' value='' class='large'    placeholder='Job Title' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_29\" class=\"gfield gfield--type-text gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_29'>Organisation:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_123_29' type='text' value='' class='large'    placeholder='Organisation' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_205\" class=\"gfield gfield--type-email gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_205'>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_205' id='input_123_205' type='email' value='' class='large'   placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_123_25\" class=\"gfield gfield--type-text gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_25'>Contact Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_123_25' type='text' value='' class='large'    placeholder='Contact Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_275\" class=\"gfield gfield--type-website gfield--width-full gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_275'>LinkedIn Profile<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_275' id='input_123_275' type='url' value='' class='large'    placeholder='LinkedIn Profile'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_123_298\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Speaker 2 Details<\/h3><\/div><fieldset id=\"field_123_300\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_123_300'>\n                            \n                            <span id='input_123_300_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_300.3' id='input_123_300_3' value=''   aria-required='true'   placeholder='First Name'  \/>\n                                                    <label for='input_123_300_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_123_300_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_300.6' id='input_123_300_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_123_300_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_123_301\" class=\"gfield gfield--type-text gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_301'>Job Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_301' id='input_123_301' type='text' value='' class='large'    placeholder='Job Title' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_302\" class=\"gfield gfield--type-text gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_302'>Organisation:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_302' id='input_123_302' type='text' value='' class='large'    placeholder='Organisation' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_303\" class=\"gfield gfield--type-email gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_303'>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_303' id='input_123_303' type='email' value='' class='large'   placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_123_304\" class=\"gfield gfield--type-text gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_304'>Contact Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_304' id='input_123_304' type='text' value='' class='large'    placeholder='Contact Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_305\" class=\"gfield gfield--type-website gfield--width-full gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_305'>LinkedIn Profile<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_305' id='input_123_305' type='url' value='' class='large'    placeholder='LinkedIn Profile'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_123_299\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Speaker 3 Details<\/h3><\/div><fieldset id=\"field_123_307\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_123_307'>\n                            \n                            <span id='input_123_307_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_307.3' id='input_123_307_3' value=''   aria-required='true'   placeholder='First Name'  \/>\n                                                    <label for='input_123_307_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_123_307_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_307.6' id='input_123_307_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_123_307_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_123_308\" class=\"gfield gfield--type-text gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_308'>Job Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_308' id='input_123_308' type='text' value='' class='large'    placeholder='Job Title' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_309\" class=\"gfield gfield--type-text gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_309'>Organisation:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_309' id='input_123_309' type='text' value='' class='large'    placeholder='Organisation' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_310\" class=\"gfield gfield--type-email gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_310'>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_310' id='input_123_310' type='email' value='' class='large'   placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_123_311\" class=\"gfield gfield--type-text gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_311'>Contact Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_311' id='input_123_311' type='text' value='' class='large'    placeholder='Contact Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_312\" class=\"gfield gfield--type-website gfield--width-full gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_312'>LinkedIn Profile<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_312' id='input_123_312' type='url' value='' class='large'    placeholder='LinkedIn Profile'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_123_297\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Event Details<\/h3><\/div><div id=\"field_123_277\" class=\"gfield gfield--type-select gfield--width-full gf_left_half gfield--width-half 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_123_277'>Select Event at which you would like to speak?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_277' id='input_123_277' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Human Resources, Corporate Communications &amp; Customer Service Conference' >Human Resources, Corporate Communications &amp; Customer Service Conference<\/option><option value='Lineworkers Rodeo, Symposium and Field Safety Training' >Lineworkers Rodeo, Symposium and Field Safety Training<\/option><option value='Disaster Management Roundtable' >Disaster Management Roundtable<\/option><option value='CEO\u2019s, CFO\u2019s &amp; Finance Conference' >CEO\u2019s, CFO\u2019s &amp; Finance Conference<\/option><option value='Engineering &amp; Procurement Conference &amp; Exhibition' >Engineering &amp; Procurement Conference &amp; Exhibition<\/option><option value='CAREC Conference &amp; Exhibition' >CAREC Conference &amp; Exhibition<\/option><option value='Occupational Health and Safety Symposium' >Occupational Health and Safety Symposium<\/option><option value='Utility Automation and Innovation Symposium' >Utility Automation and Innovation Symposium<\/option><\/select><\/div><\/div><div id=\"field_123_291\" class=\"gfield gfield--type-text gfield--width-full gf_right_half gfield--width-half 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_123_291'>Proposed Topic of Presentation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_291' id='input_123_291' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_292\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_292'>In 100 words or less, provide a brief description of the presentation.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_292' id='input_123_292' class='textarea large'  aria-describedby=\"gfield_description_123_292\" maxlength='694'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_123_292'>In 100 words or less, provide a brief description of the presentation \n<\/div><\/div><fieldset id=\"field_123_282\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Technical or Equipment Needs (Select all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_123_282'><div class='gchoice gchoice_123_282_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_282.1' type='checkbox'  value='Projector'  id='choice_123_282_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_282_1' id='label_123_282_1' class='gform-field-label gform-field-label--type-inline'>Projector<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_282_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_282.2' type='checkbox'  value='Laptop Connection'  id='choice_123_282_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_282_2' id='label_123_282_2' class='gform-field-label gform-field-label--type-inline'>Laptop Connection<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_282_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_282.3' type='checkbox'  value='Lapel Mike'  id='choice_123_282_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_282_3' id='label_123_282_3' class='gform-field-label gform-field-label--type-inline'>Lapel Mike<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_282_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_282.4' type='checkbox'  value='Handheld Mike'  id='choice_123_282_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_282_4' id='label_123_282_4' class='gform-field-label gform-field-label--type-inline'>Handheld Mike<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_282_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_282.5' type='checkbox'  value='Other (Specify)'  id='choice_123_282_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_282_5' id='label_123_282_5' class='gform-field-label gform-field-label--type-inline'>Other (Specify)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_123_293\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_293'>Other (Please specify)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_293' id='input_123_293' type='text' value='' class='large'    placeholder='Other (Please specify)' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_280\" class=\"gfield gfield--type-select gfield--width-full gf_right_half gfield--width-half 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_123_280'>Preferred Delivery Method?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_280' id='input_123_280' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Presentation' >Presentation<\/option><option value='Workshop\/Interactive Session' >Workshop\/Interactive Session<\/option><option value='Panel Discussion' >Panel Discussion<\/option><option value='Case Study Presentation' >Case Study Presentation<\/option><option value='Fireside Chat' >Fireside Chat<\/option><option value='Other (Please specify):' >Other (Please specify):<\/option><\/select><\/div><\/div><div id=\"field_123_281\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_281'>Other Delivery Method (Please specify)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_281' id='input_123_281' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_284\" class=\"gfield gfield--type-select gfield--width-full gf_left_half gfield--width-half 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_123_284'>Presentation Format<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_284' id='input_123_284' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='PowerPoint\/Slide Deck' >PowerPoint\/Slide Deck<\/option><option value='Video Clips' >Video Clips<\/option><option value='Interactive Session (e.g., Q&amp;A, polling)' >Interactive Session (e.g., Q&amp;A, polling)<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_123_283\" class=\"gfield gfield--type-text gfield--width-full gf_right_half gfield--width-half 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_123_283'>Other Presentation Format (Please Specify)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_283' id='input_123_283' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_294\" class=\"gfield gfield--type-select gfield--width-full gf_left_half gfield--width-half 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_123_294'>Select the preferred duration for your presentation.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_294' id='input_123_294' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='20 minutes (inclusive of 5 min Q&amp;A session)' >20 minutes (inclusive of 5 min Q&amp;A session)<\/option><option value='30 minutes (inclusive of 5 \u2013 10 min Q&amp;A session' >30 minutes (inclusive of 5 \u2013 10 min Q&amp;A session<\/option><option value='45 minutes (inclusive of 5 \u2013 10 min Q&amp;A session)' >45 minutes (inclusive of 5 \u2013 10 min Q&amp;A session)<\/option><option value='60 minutes (inclusive of 5 \u2013 10 min Q&amp;A session)' >60 minutes (inclusive of 5 \u2013 10 min Q&amp;A session)<\/option><option value='90 minutes (ideal for workshop sessions)' >90 minutes (ideal for workshop sessions)<\/option><option value='120 minutes (ideal for workshop sessions)' >120 minutes (ideal for workshop sessions)<\/option><\/select><\/div><\/div><div id=\"field_123_286\" class=\"gfield gfield--type-textarea gfield--width-full gf_left_half gfield--width-half 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_123_286'>Please provide a short biography.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_286' id='input_123_286' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_123_287\" class=\"gfield gfield--type-fileupload gfield--width-full gf_right_half gfield--width-half 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_123_287'>Please upload a high-resolution headshot<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='8388608' \/><input name='input_287' id='input_123_287' type='file' class='large' aria-describedby=\"gfield_upload_rules_123_287\" onchange='javascript:gformValidateFileSize( this, 8388608 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_123_287'>Max. file size: 8 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_123_287'><\/div> <\/div><\/div><div id=\"field_123_313\" class=\"gfield gfield--type-select gfield--width-full gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_313'>Are you a member of CARILEC?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_313' id='input_123_313' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Are you a member of CARILEC?<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_123_288\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Where did you learn about this event? Select all that apply.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_123_288'><div class='gchoice gchoice_123_288_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.1' type='checkbox'  value='Past Speaker'  id='choice_123_288_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_1' id='label_123_288_1' class='gform-field-label gform-field-label--type-inline'>Past Speaker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.2' type='checkbox'  value='CARILEC Member'  id='choice_123_288_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_2' id='label_123_288_2' class='gform-field-label gform-field-label--type-inline'>CARILEC Member<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.3' type='checkbox'  value='Internet Search\/Google'  id='choice_123_288_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_3' id='label_123_288_3' class='gform-field-label gform-field-label--type-inline'>Internet Search\/Google<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.4' type='checkbox'  value='Social Media (Facebook, LinkedIn, Instagram, X)'  id='choice_123_288_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_4' id='label_123_288_4' class='gform-field-label gform-field-label--type-inline'>Social Media (Facebook, LinkedIn, Instagram, X)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.5' type='checkbox'  value='CARILEC Website'  id='choice_123_288_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_5' id='label_123_288_5' class='gform-field-label gform-field-label--type-inline'>CARILEC Website<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.6' type='checkbox'  value='CARILEC Email'  id='choice_123_288_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_6' id='label_123_288_6' class='gform-field-label gform-field-label--type-inline'>CARILEC Email<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.7' type='checkbox'  value='Industry Event\/Conference'  id='choice_123_288_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_7' id='label_123_288_7' class='gform-field-label gform-field-label--type-inline'>Industry Event\/Conference<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.8' type='checkbox'  value='Referral from Friend\/Colleague'  id='choice_123_288_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_8' id='label_123_288_8' class='gform-field-label gform-field-label--type-inline'>Referral from Friend\/Colleague<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.9' type='checkbox'  value='Advertisement (Online, Radio, Print, etc.)'  id='choice_123_288_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_9' id='label_123_288_9' class='gform-field-label gform-field-label--type-inline'>Advertisement (Online, Radio, Print, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.11' type='checkbox'  value='Press Release or News Article'  id='choice_123_288_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_11' id='label_123_288_11' class='gform-field-label gform-field-label--type-inline'>Press Release or News Article<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.12' type='checkbox'  value='Partnership with Other Organizations'  id='choice_123_288_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_12' id='label_123_288_12' class='gform-field-label gform-field-label--type-inline'>Partnership with Other Organizations<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_123_288_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_288.13' type='checkbox'  value='Other (Please specify)'  id='choice_123_288_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_123_288_13' id='label_123_288_13' class='gform-field-label gform-field-label--type-inline'>Other (Please specify)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_123_289\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_123_289'>Other (Please specify)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_289' id='input_123_289' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_123_290\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p class=\"memjustify\">By submitting this form, you agree that if selected as a speaker, the information and image provided may be used by CARILEC for promotional purposes related to the event, including but not limited to event marketing materials, social media, and the official website.<\/p><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_123' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Apply'  \/> <input type='hidden' name='gform_ajax' value='form_id=123&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=79dcb16204baa4f1068fd23fa76058f5' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_123' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_123' id='gform_theme_123' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_123' id='gform_style_settings_123' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_123' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='123' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_123' 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