{"id":37920,"date":"2025-07-02T16:05:37","date_gmt":"2025-07-02T20:05:37","guid":{"rendered":"https:\/\/www.bu.edu\/hic\/?page_id=37920"},"modified":"2026-06-15T23:20:41","modified_gmt":"2026-06-16T03:20:41","slug":"hariri-institute-jff-nomination-form","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/hic\/programs\/junior-faculty-fellows-program\/hariri-institute-jff-nomination-form\/","title":{"rendered":"Hariri Institute Junior Faculty Fellow Nomination Form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'>We ask that you keep your nominations confidential, and do not inform candidates of their nomination.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/hic\/wp-json\/wp\/v2\/pages\/37920' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_4_39\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_39\"><h2 class=\"gsection_title\">Department Chair Submitting the Nomination<\/h2><\/li><li id=\"field_4_28\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_28\"><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 no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_28'>\n                            \n                            <span id='input_4_28_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_28.3' id='input_4_28_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_28_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_28_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_28.6' id='input_4_28_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_28_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_29\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_29\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >BU Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_4_29_container'>\n                                <span id='input_4_29_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_29' id='input_4_29' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_4_29' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_4_29_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_29_2' id='input_4_29_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_4_29_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_4_34\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_34\"><label class='gfield_label gform-field-label' for='input_4_34' >Professional 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_34' id='input_4_34' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_34\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_4_34'>Please include your full title. For example \"Assistant Professor of Electrical & Computer Engineering, AIR Affiliate, etc.\"\n<\/div><\/li><li id=\"field_4_57\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_57\"><label class='gfield_label gform-field-label' for='input_4_57' >Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_4_57' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_40\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_40\"><label class='gfield_label gform-field-label' for='input_4_40' >College<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_4_40' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_26\"  class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_26\"><label class='gfield_label gform-field-label' for='input_4_26' >Nomination Letter (Please Upload as a PDF)<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='104857600' \/><input name='input_26' id='input_4_26' type='file' class='medium' aria-describedby=\"gfield_upload_rules_4_26 gfield_description_4_26\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_26'>Accepted file types: pdf, Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_26'><\/div><\/div><div class='gfield_description' id='gfield_description_4_26'>The nomination letter, submitted as a single PDF file, should highlight how the candidate might contribute to, and benefit from participation in the HIC Junior Faculty Fellows Program (e.g., how the candidate personifies the main HIC tenet of the transformative potential of computational perspectives in research, how the candidate's scholarship might contribute to discovery and innovations through the use of computational and data-driven approaches, and\/or how the candidate's scholarship might yield advances in the science of computing inspired by challenges in other disciplines). <\/div><\/li><li id=\"field_4_27\"  class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_27\"><label class='gfield_label gform-field-label' for='input_4_27' >Supporting Materials (Please Upload as a PDF)<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_27' id='input_4_27' type='file' class='medium' aria-describedby=\"gfield_upload_rules_4_27 gfield_description_4_27\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_27'>Accepted file types: pdf, Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_27'><\/div><\/div><div class='gfield_description' id='gfield_description_4_27'>Additional materials (if any) deemed necessary for the evaluation of the nominee, submitted as a single PDF file (e.g., letters of support, citations, etc.).<\/div><\/li><li id=\"field_4_33\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_33\"><h2 class=\"gsection_title\">Junior Fellow Candidate Information<\/h2><\/li><li id=\"field_4_1\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_1\"><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 no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_1'>\n                            <span id='input_4_1_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_1.3' id='input_4_1_3' value=''   aria-required='true'    \/>\n                                                    <label for='input_4_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_4_1_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_1.6' id='input_4_1_6' value=''   aria-required='true'    \/>\n                                                    <label for='input_4_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_2\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_2\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >BU Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_4_2_container'>\n                                <span id='input_4_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2' id='input_4_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_4_2' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_4_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2_2' id='input_4_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_4_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_4_38\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_38\"><label class='gfield_label gform-field-label' for='input_4_38' >Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_4_38' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_41\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_41\"><label class='gfield_label gform-field-label' for='input_4_41' >College<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_4_41' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_45\"  class=\"gfield gfield--type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_45\"><label class='gfield_label gform-field-label' for='input_4_45' >Upload Headshot (Please Upload as a JPG or PNG )<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='104857600' \/><input name='input_45' id='input_4_45' type='file' class='large' aria-describedby=\"gfield_upload_rules_4_45 gfield_description_4_45\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_45'>Accepted file types: jpg, png, Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_45'><\/div><\/div><div class='gfield_description' id='gfield_description_4_45'>Headshots will be used for the creation of profiles to be displayed on our Junior Faculty Fellows webpage as well as for the creation of awardee graphics which are promoted on the Institute's social media channels.<\/div><\/li><li id=\"field_4_9\"  class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_9\"><label class='gfield_label gform-field-label' for='input_4_9' >Upload Faculty CV (Please Upload as a PDF)<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='104857600' \/><input name='input_9' id='input_4_9' type='file' class='medium' aria-describedby=\"gfield_upload_rules_4_9 gfield_description_4_9\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_9'>Accepted file types: pdf, Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_9'><\/div><\/div><div class='gfield_description' id='gfield_description_4_9'>Full curriculum vitae of candidate summarizing academic preparation and appointments, honors, and awards. Include the most relevant publications; There is no limit to the number of publications on the CV.<\/div><\/li><li id=\"field_4_3\"  class=\"gfield gfield--type-website field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_3\"><label class='gfield_label gform-field-label' for='input_4_3' >BU Profile Page<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_3' id='input_4_3' type='url' value='' class='medium'  aria-describedby=\"gfield_description_4_3\"    aria-invalid=\"false\"\/>\n                <\/div><div class='gfield_description' id='gfield_description_4_3'>Please include full URL.<\/div><\/li><li id=\"field_4_30\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_30\"><label class='gfield_label gform-field-label' for='input_4_30' >Candidate research interests related to the study and development of computational capabilities and methodologies<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_4_30' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Computing Models and Algorithms (CMA)' >Computing Models and Algorithms (CMA)<\/option><option value='Data Management and Mining (DMM)' >Data Management and Mining (DMM)<\/option><option value='Networking and Software Systems (NSS)' >Networking and Software Systems (NSS)<\/option><\/select><\/div><\/li><li id=\"field_4_31\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_31\"><label class='gfield_label gform-field-label' for='input_4_31' >Candidate research interests related to broad application domains<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_4_31' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Art, Communication, and Education (ACE)' >Art, Communication, and Education (ACE)<\/option><option value='Biological and Medical Sciences (BMS)' >Biological and Medical Sciences (BMS)<\/option><option value='Engineering and Physical Sciences (EPS)' >Engineering and Physical Sciences (EPS)<\/option><option value='Social and Management Sciences (SMS)' >Social and Management Sciences (SMS)<\/option><\/select><\/div><\/li><li id=\"field_4_49\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_49\"><h2 class=\"gsection_title\">If your candidate is selected for this award, please list below all the following who should be on the notification:<\/h2><\/li><li id=\"field_4_50\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_50\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Department Dean<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 no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_50'>\n                            \n                            <span id='input_4_50_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_50.3' id='input_4_50_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_50_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_50_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_50.6' id='input_4_50_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_50_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_4_50_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_50.8' id='input_4_50_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_50_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_4_54\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_54\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Department Chair<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 no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_54'>\n                            \n                            <span id='input_4_54_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_54.3' id='input_4_54_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_54_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_54_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_54.6' id='input_4_54_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_54_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_4_54_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_54.8' id='input_4_54_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_54_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_4_55\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_55\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Department Communications Staff Member<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 no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_55'>\n                            \n                            <span id='input_4_55_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.3' id='input_4_55_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_55_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_55_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.6' id='input_4_55_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_55_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_4_55_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.8' id='input_4_55_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_55_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_4_56\"  class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_56\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Other Staff Member<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_56'>\n                            \n                            <span id='input_4_56_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_56.3' id='input_4_56_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_56_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_56_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_56.6' id='input_4_56_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_56_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_4_56_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_56.8' id='input_4_56_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_56_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_4_44\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_44\"><h2 class=\"gsection_title\">Thank 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