{"id":88,"date":"2009-11-05T14:49:42","date_gmt":"2009-11-05T18:49:42","guid":{"rendered":"https:\/\/www.bu.edu\/sfsf\/?page_id=88"},"modified":"2009-11-23T09:52:45","modified_gmt":"2009-11-23T14:52:45","slug":"consent-to-contact","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/sfsf\/consent-to-contact\/","title":{"rendered":"Consent to Contact"},"content":{"rendered":"<form action=\"http:\/\/www.bu.edu\/phpbin\/telegraph\/index.php\" method=\"post\"> <input name=\"form_configuration\" type=\"hidden\" value=\"consent-to-contact.xml\" \/> <input name=\"form_location\" type=\"hidden\" value=\"\/sfsf\/files\/wp-assets\/telegraph\/\" \/> <input name=\"email_to\" type=\"hidden\" value=\"aross1@bu.edu,sfsf@bu.edu\" \/> <strong>Yes, I\u2019d like to LEARN MORE ABOUT THIS RESEARCH!<\/strong><\/p>\n<table border=\"0\">\n<tbody>\n<tr>\n<td class=\"first\" colspan=\"2\"><label for=\"label2\">Your First Name<\/label><\/td>\n<td colspan=\"2\"><input id=\"firstname\" class=\"text\" name=\"firstname\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><label for=\"label\">Your Last Name<\/label><\/td>\n<td colspan=\"2\"><input id=\"lastname\" class=\"text\" name=\"lastname\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Status*<\/td>\n<td colspan=\"2\">\n<select id=\"status\" name=\"status\"><option selected=\"selected\" value=\"undefined\">Are you a&#8230;?<\/option><option value=\"Veteran parent\">Veteran parent<\/option><option value=\"Veteran spouse parent\">Veteran spouse parent<\/option><option value=\"Other family member\">Other family member<\/option><option value=\"Provider\">Provider<\/option><option value=\"Other interested party\">Other interested party<\/option><\/select>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Dates of most recent deployment:<\/td>\n<td colspan=\"2\"><input id=\"datesofdep\" class=\"text\" name=\"datesofdep\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Dates of next deployment:<\/td>\n<td colspan=\"2\"><input id=\"datesofnext\" class=\"text\" name=\"datesofnext\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Did you have a child under the age of 5 before your last deployment?<\/td>\n<td><input id=\"5beforeyes\" name=\"5before\" type=\"radio\" value=\"yes\" \/> Yes<\/td>\n<td><input id=\"5beforeno\" name=\"5before\" type=\"radio\" value=\"no\" \/> <label for=\"label\">No<\/label><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Do you have a child under 5 now?<\/td>\n<td><input id=\"5nowyes\" name=\"5now\" type=\"radio\" value=\"yes\" \/> Yes<\/td>\n<td><input id=\"5nowno\" name=\"5now\" type=\"radio\" value=\"no\" \/> <label for=\"label\">No<\/label><\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">How old was\/were your child(ren) when you last deployed?<\/td>\n<\/tr>\n<tr>\n<td>Name<br \/>\n:<\/p>\n<p><input id=\"child1name\" class=\"text\" name=\"child1name\" size=\"20\" type=\"text\" \/><\/td>\n<td>DOB:<\/p>\n<p><input id=\"child1dob\" class=\"text\" name=\"child1dob\" size=\"10\" type=\"text\" \/><\/td>\n<td>Age at deployment:<\/p>\n<p><input id=\"child1age\" class=\"text\" name=\"child1age\" size=\"5\" type=\"text\" \/><\/td>\n<td>Age now:<\/p>\n<p><input id=\"child1now\" class=\"text\" name=\"child1now\" size=\"5\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td>Name<br \/>\n:<\/p>\n<p><input id=\"child2name\" class=\"text\" name=\"child2name\" size=\"20\" type=\"text\" \/><\/td>\n<td>DOB:<\/p>\n<p><input id=\"child2dob\" class=\"text\" name=\"child2dob\" size=\"10\" type=\"text\" \/><\/td>\n<td>Age at deployment:<\/p>\n<p><input id=\"child2age\" class=\"text\" name=\"child2age\" size=\"5\" type=\"text\" \/><\/td>\n<td>Age now:<\/p>\n<p><input id=\"child2now\" class=\"text\" name=\"child2now\" size=\"5\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td>Name<br \/>\n:<\/p>\n<p><input id=\"child3name\" class=\"text\" name=\"child3name\" size=\"20\" type=\"text\" \/><\/td>\n<td>DOB:<\/p>\n<p><input id=\"child3dob\" class=\"text\" name=\"child3dob\" size=\"10\" type=\"text\" \/><\/td>\n<td>Age at deployment:<\/p>\n<p><input id=\"child3age\" class=\"text\" name=\"child3age\" size=\"5\" type=\"text\" \/><\/td>\n<td>Age now:<\/p>\n<p><input id=\"child3now\" class=\"text\" name=\"child3now\" size=\"5\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Town you live in:<\/td>\n<td colspan=\"2\"><input id=\"town\" class=\"text\" name=\"town\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Best phone number to reach you:<\/td>\n<td colspan=\"2\"><input id=\"phone\" class=\"text\" name=\"phone\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Best times to reach you:<\/td>\n<td colspan=\"2\"><input id=\"times\" class=\"text\" name=\"times\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Email (If this is a good way to reach you):<\/td>\n<td colspan=\"2\"><input id=\"e-mail\" class=\"text\" name=\"e-mail\" type=\"text\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><input class=\"button\" name=\"submit\" type=\"submit\" value=\"submit\" \/>*If applicable<\/p>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>Yes, I\u2019d like to LEARN MORE ABOUT THIS RESEARCH! Your First Name Your Last Name Status* Are you a&#8230;?Veteran parentVeteran spouse parentOther family memberProviderOther interested party Dates of most recent deployment: Dates of next deployment: Did you have a child under the age of 5 before your last deployment? Yes No Do you have a [&hellip;]<\/p>\n","protected":false},"author":1542,"featured_media":0,"parent":0,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/pages\/88"}],"collection":[{"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/users\/1542"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/comments?post=88"}],"version-history":[{"count":35,"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/pages\/88\/revisions"}],"predecessor-version":[{"id":163,"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/pages\/88\/revisions\/163"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/sfsf\/wp-json\/wp\/v2\/media?parent=88"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}