{"id":849,"date":"2018-06-08T13:39:49","date_gmt":"2018-06-08T17:39:49","guid":{"rendered":"http:\/\/new.storeyhomes.ca\/?page_id=849"},"modified":"2018-07-04T16:41:34","modified_gmt":"2018-07-04T20:41:34","slug":"application-form","status":"publish","type":"page","link":"https:\/\/storeyhomes.ca\/?page_id=849","title":{"rendered":"Application Form"},"content":{"rendered":"<p>[et_pb_section admin_label=&#8221;section&#8221;][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_post_title admin_label=&#8221;Page Title&#8221; global_module=&#8221;153&#8243; saved_tabs=&#8221;all&#8221; title=&#8221;on&#8221; meta=&#8221;off&#8221; author=&#8221;on&#8221; date=&#8221;on&#8221; categories=&#8221;on&#8221; comments=&#8221;on&#8221; featured_image=&#8221;off&#8221; featured_placement=&#8221;below&#8221; parallax_effect=&#8221;on&#8221; parallax_method=&#8221;on&#8221; text_orientation=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_background=&#8221;off&#8221; text_bg_color=&#8221;rgba(255,255,255,0.9)&#8221; module_bg_color=&#8221;rgba(255,255,255,0)&#8221; title_font=&#8221;Georgia||||&#8221; title_font_size=&#8221;46px&#8221; title_text_color=&#8221;#f68a33&#8243; title_all_caps=&#8221;off&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;row&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; make_equal=&#8221;off&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; column_padding_mobile=&#8221;on&#8221; global_module=&#8221;883&#8243;][et_pb_column type=&#8221;1_3&#8243;][et_pb_text global_parent=&#8221;883&#8243; admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p>Please complete this form to initiate the interview process.<\/p>\n<p>Having trouble completing the online form? Download the application form using the button below. Completed applications can be sent to <a href=\"mailto:employment@storeyhomes.ca\">employment@storeyhomes.ca.<\/a><\/p>\n<p>[\/et_pb_text][et_pb_button global_parent=&#8221;883&#8243; admin_label=&#8221;Button&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;Download PDF Version&#8221; button_alignment=&#8221;left&#8221; background_layout=&#8221;light&#8221; custom_button=&#8221;off&#8221; button_letter_spacing=&#8221;0&#8243; button_use_icon=&#8221;default&#8221; button_icon_placement=&#8221;right&#8221; button_on_hover=&#8221;on&#8221; button_letter_spacing_hover=&#8221;0&#8243; button_url=&#8221;\/wp-content\/uploads\/2018\/07\/storeyhomes-applicationform.pdf&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_button][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243;][et_pb_code global_parent=&#8221;883&#8243; admin_label=&#8221;Code&#8221; module_id=&#8221;application-form&#8221;]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f846-o1\" lang=\"en-CA\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F849#wpcf7-f846-o1\" method=\"post\" class=\"wpcf7-form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"846\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.0.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_CA\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f846-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p><label> First Name<br \/>\n    <span class=\"wpcf7-form-control-wrap first-name\"><input type=\"text\" name=\"first-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Last Name<br \/>\n    <span class=\"wpcf7-form-control-wrap last-name\"><input type=\"text\" name=\"last-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Email Address<br \/>\n    <span class=\"wpcf7-form-control-wrap applicant-email\"><input type=\"email\" name=\"applicant-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Position Applied For<br \/>\n<span class=\"wpcf7-form-control-wrap position\"><input type=\"text\" name=\"position\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> What Shifts\/Days\/Times Are You Available To Work?<br \/>\n    <span class=\"wpcf7-form-control-wrap shifts\"><input type=\"text\" name=\"shifts\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Address<br \/>\n    <span class=\"wpcf7-form-control-wrap address\"><input type=\"text\" name=\"address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> City<br \/>\n<span class=\"wpcf7-form-control-wrap city\"><input type=\"text\" name=\"city\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Postal Code<br \/>\n<span class=\"wpcf7-form-control-wrap postalcode\"><input type=\"text\" name=\"postalcode\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Home Phone<br \/>\n<span class=\"wpcf7-form-control-wrap home-phone\"><input type=\"text\" name=\"home-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Cell Phone<br \/>\n<span class=\"wpcf7-form-control-wrap cell-phone\"><input type=\"text\" name=\"cell-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> How Did You Hear About This Position?<br \/>\n<span class=\"wpcf7-form-control-wrap how-did-you-hear\"><input type=\"text\" name=\"how-did-you-hear\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Do You Have A Valid Ontario Drivers License? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap drivers-license\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"drivers-license\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"drivers-license\" value=\"No\" \/><\/label><\/span><\/span><\/span> <\/p>\n<p><label> Do You Have Vehicle Insurance?<br \/>\n<span class=\"wpcf7-form-control-wrap vehicle-insurance\"><input type=\"text\" name=\"vehicle-insurance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Type of License<br \/>\n<span class=\"wpcf7-form-control-wrap license-type\"><input type=\"text\" name=\"license-type\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> What Amount Of Vehicle Insurance Liability Do You Carry?<br \/>\n<span class=\"wpcf7-form-control-wrap liability-insurance\"><input type=\"text\" name=\"liability-insurance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Do You Have A Car Available For Work?<br \/>\n<span class=\"wpcf7-form-control-wrap car-available\"><input type=\"text\" name=\"car-available\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Have You Had Any Accidents Or Moving Violations in the Past Three Years? (Explain)<br \/>\n<span class=\"wpcf7-form-control-wrap accidents-violations\"><textarea name=\"accidents-violations\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Are You Able To Provide Us With A Police Background Check, Including A Vulnerable Sector Check?<br \/>\n<span class=\"wpcf7-form-control-wrap background-check\"><input type=\"text\" name=\"background-check\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Have You Had CAS Involvement In Your Life? If So, In What Capacity?<br \/>\n<span class=\"wpcf7-form-control-wrap cas-involvement\"><textarea name=\"cas-involvement\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<hr>\n<h1>Work Experience<\/h1>\n<p><label> Name Of Employer<br \/>\n<span class=\"wpcf7-form-control-wrap employer-name-1\"><input type=\"text\" name=\"employer-name-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Position<br \/>\n<span class=\"wpcf7-form-control-wrap position-1\"><input type=\"text\" name=\"position-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> From<br \/>\n<span class=\"wpcf7-form-control-wrap from-1\"><input type=\"text\" name=\"from-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> To<br \/>\n<span class=\"wpcf7-form-control-wrap To-1\"><input type=\"text\" name=\"To-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Duties\/Skills Required<br \/>\n<span class=\"wpcf7-form-control-wrap duties-1\"><input type=\"text\" name=\"duties-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Reason For Leaving<br \/>\n<span class=\"wpcf7-form-control-wrap reason-leaving-1\"><input type=\"text\" name=\"reason-leaving-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<p><label> Name Of Employer<br \/>\n<span class=\"wpcf7-form-control-wrap employer-name-2\"><input type=\"text\" name=\"employer-name-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Position<br \/>\n<span class=\"wpcf7-form-control-wrap position-2\"><input type=\"text\" name=\"position-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> From<br \/>\n<span class=\"wpcf7-form-control-wrap from-2\"><input type=\"text\" name=\"from-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> To<br \/>\n<span class=\"wpcf7-form-control-wrap To-2\"><input type=\"text\" name=\"To-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Duties\/Skills Required<br \/>\n<span class=\"wpcf7-form-control-wrap duties-2\"><input type=\"text\" name=\"duties-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Reason For Leaving<br \/>\n<span class=\"wpcf7-form-control-wrap reason-leaving-2\"><input type=\"text\" name=\"reason-leaving-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<p><label> Name Of Employer<br \/>\n<span class=\"wpcf7-form-control-wrap employer-name-3\"><input type=\"text\" name=\"employer-name-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Position<br \/>\n<span class=\"wpcf7-form-control-wrap position-3\"><input type=\"text\" name=\"position-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> From<br \/>\n<span class=\"wpcf7-form-control-wrap from-3\"><input type=\"text\" name=\"from-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> To<br \/>\n<span class=\"wpcf7-form-control-wrap To-3\"><input type=\"text\" name=\"To-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Duties\/Skills Required<br \/>\n<span class=\"wpcf7-form-control-wrap duties-3\"><input type=\"text\" name=\"duties-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Reason For Leaving<br \/>\n<span class=\"wpcf7-form-control-wrap reason-leaving-3\"><input type=\"text\" name=\"reason-leaving-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<h2>Education<\/h2>\n<p><label> School<br \/>\n<span class=\"wpcf7-form-control-wrap school-1\"><input type=\"text\" name=\"school-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Years Attended<br \/>\n<span class=\"wpcf7-form-control-wrap school-years-1\"><input type=\"text\" name=\"school-years-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Diploma\/Degree<br \/>\n<span class=\"wpcf7-form-control-wrap degree-1\"><input type=\"text\" name=\"degree-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Major<br \/>\n<span class=\"wpcf7-form-control-wrap major-1\"><input type=\"text\" name=\"major-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<p><label> School<br \/>\n<span class=\"wpcf7-form-control-wrap school-2\"><input type=\"text\" name=\"school-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Years Attended<br \/>\n<span class=\"wpcf7-form-control-wrap school-years-2\"><input type=\"text\" name=\"school-years-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Diploma\/Degree<br \/>\n<span class=\"wpcf7-form-control-wrap degree-2\"><input type=\"text\" name=\"degree-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Major<br \/>\n<span class=\"wpcf7-form-control-wrap major-2\"><input type=\"text\" name=\"major-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<p><label> Other Training: Certificates Or Licenses<br \/>\n<span class=\"wpcf7-form-control-wrap other-training-cert\"><input type=\"text\" name=\"other-training-cert\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Specialized Skills<br \/>\n<span class=\"wpcf7-form-control-wrap other-training-specialized\"><input type=\"text\" name=\"other-training-specialized\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<h2>References<\/h2>\n<p><label> Name<br \/>\n<span class=\"wpcf7-form-control-wrap reference-name-1\"><input type=\"text\" name=\"reference-name-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Relationship<br \/>\n<span class=\"wpcf7-form-control-wrap reference-relationship-1\"><input type=\"text\" name=\"reference-relationship-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Length Known<br \/>\n<span class=\"wpcf7-form-control-wrap reference-length-1\"><input type=\"text\" name=\"reference-length-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap reference-phone-1\"><input type=\"text\" name=\"reference-phone-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap reference-email-1\"><input type=\"text\" name=\"reference-email-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Type Of Reference? (Personal Or Business)<br \/>\n<span class=\"wpcf7-form-control-wrap reference-type-1\"><input type=\"text\" name=\"reference-type-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<p><label> Name<br \/>\n<span class=\"wpcf7-form-control-wrap reference-name-2\"><input type=\"text\" name=\"reference-name-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Relationship<br \/>\n<span class=\"wpcf7-form-control-wrap reference-relationship-2\"><input type=\"text\" name=\"reference-relationship-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Length Known<br \/>\n<span class=\"wpcf7-form-control-wrap reference-length-2\"><input type=\"text\" name=\"reference-length-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap reference-phone-2\"><input type=\"text\" name=\"reference-phone-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap reference-email-2\"><input type=\"text\" name=\"reference-email-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Type Of Reference? (Personal Or Business)<br \/>\n<span class=\"wpcf7-form-control-wrap reference-type-2\"><input type=\"text\" name=\"reference-type-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<hr>\n<p><label> Name<br \/>\n<span class=\"wpcf7-form-control-wrap reference-name-3\"><input type=\"text\" name=\"reference-name-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Relationship<br \/>\n<span class=\"wpcf7-form-control-wrap reference-relationship-3\"><input type=\"text\" name=\"reference-relationship-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Length Known<br \/>\n<span class=\"wpcf7-form-control-wrap reference-length-3\"><input type=\"text\" name=\"reference-length-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap reference-phone-3\"><input type=\"text\" name=\"reference-phone-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap reference-email-3\"><input type=\"text\" name=\"reference-email-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Type Of Reference? 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