{"id":43958,"date":"2020-07-29T08:22:01","date_gmt":"2020-07-29T12:22:01","guid":{"rendered":"https:\/\/www.bu.edu\/sth\/?page_id=43958"},"modified":"2023-09-13T14:44:20","modified_gmt":"2023-09-13T18:44:20","slug":"student-stipend-form","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/sth\/academics\/contextual-learning\/contextual-education\/student-stipend-form\/","title":{"rendered":"Contextual Education Student Scholarship 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_69' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_69'  action='\/sth\/wp-json\/wp\/v2\/pages\/43958' data-formid='69' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_69' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_69_1\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_1\"><h2 class=\"gsection_title\">Scholarship Information<\/h2><div class='gsection_description' id='gfield_description_69_1'>If you have more than one student at your site, please fill out a form for each student.<\/div><\/li><li id=\"field_69_3\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_3\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Your 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_69_3'>\n                            \n                            <span id='input_69_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_69_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_69_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_69_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_69_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_69_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_69_4\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_4\"><label class='gfield_label gform-field-label' for='input_69_4' >Your 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_4' id='input_69_4' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_69_2\"  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_69_2\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Student 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_69_2'>\n                            \n                            <span id='input_69_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_69_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_69_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_69_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_69_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_69_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_69_5\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_5\"><label class='gfield_label gform-field-label' for='input_69_5' >Contextual Education Site<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_69_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_69_6\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_6\"><label class='gfield_label gform-field-label' for='input_69_6' >Academic Period<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_69_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Full Academic Year' >Full Academic Year<\/option><option value='Fall Semester' >Fall Semester<\/option><option value='Spring Semester' >Spring Semester<\/option><option value='Summer 1 (student is engaging in ~12hrs\/wk of on-site internship hours)' >Summer 1 (student is engaging in ~12hrs\/wk of on-site internship hours)<\/option><option value='Summer 1 and 2 (student is engaging in ~24hrs\/wk of on-site internship hours)' >Summer 1 and 2 (student is engaging in ~24hrs\/wk of on-site internship hours)<\/option><\/select><\/div><\/li><li id=\"field_69_9\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_9\"><h2 class=\"gsection_title\">Payment Information<\/h2><div class='gsection_description' id='gfield_description_69_9'>The scholarship payment will be due at the start of each semester to the Contextual Education Office.  Please make checks payable to Boston University School of Theology with the student's name on the check in the memo line. Please mail checks to the following address:\n \n        Contextual Education Office\n        Boston University School of Theology\n        745 Commonwealth Avenue, Suite 107\n        Boston, MA  02215\n \n<\/div><\/li><li id=\"field_69_13\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_69_13\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Choose One Option<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_69_13'>Please see note above re: instructions. <\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_69_13'><li class='gchoice gchoice_69_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Our site will contribute the full $1500 per semester scholarship for our intern.'  id='choice_69_13_1'   aria-describedby=\"gfield_description_69_13\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_69_13_1' id='label_69_13_1' class='gform-field-label gform-field-label--type-inline'>Our site will contribute the full $1500 per semester scholarship for our intern.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_69_13_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.2' type='checkbox'  value='Our site would like to contribute more than the minimum $1500 per semester scholarship for our intern.'  id='choice_69_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_13_2' id='label_69_13_2' class='gform-field-label gform-field-label--type-inline'>Our site would like to contribute more than the minimum $1500 per semester scholarship for our intern.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_69_13_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.3' type='checkbox'  value='Our site is unable to contribute the full $1500 per semester, but we are able to contribute a portion.'  id='choice_69_13_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_13_3' id='label_69_13_3' class='gform-field-label gform-field-label--type-inline'>Our site is unable to contribute the full $1500 per semester, but we are able to contribute a portion.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_69_13_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.4' type='checkbox'  value='Our site is unable to contribute toward the student\u2019s scholarship at this time.'  id='choice_69_13_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_13_4' id='label_69_13_4' class='gform-field-label gform-field-label--type-inline'>Our site is unable to contribute toward the student\u2019s scholarship at this time.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_69_13_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.5' type='checkbox'  value='Our site already provides the student a salary or other funding which is paid to them directly and meets or exceeds $3000 per semester. Therefore, we will not be sending student funding through the School of Theology.'  id='choice_69_13_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_13_5' id='label_69_13_5' class='gform-field-label gform-field-label--type-inline'>Our site already provides the student a salary or other funding which is paid to them directly and meets or exceeds $3000 per semester. Therefore, we will not be sending student funding through the School of Theology.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_69_14\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_14\"><label class='gfield_label gform-field-label' for='input_69_14' >If allocating over $1500 per semester, please provide amount per semester:<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_69_14' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_69_16\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_16\"><label class='gfield_label gform-field-label' for='input_69_16' >If contributing a portion of the scholarship, please provide amount:<\/label><div class='ginput_container ginput_container_number'><input name='input_16' id='input_69_16' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_69_18\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_18\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >If contributing a portion of the scholarship, please indicate when will this contribution be made.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_69_18'><li class='gchoice gchoice_69_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Per academic year'  id='choice_69_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_18_1' id='label_69_18_1' class='gform-field-label gform-field-label--type-inline'>Per academic year<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_69_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Per semester'  id='choice_69_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_18_2' id='label_69_18_2' class='gform-field-label gform-field-label--type-inline'>Per semester<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_69_19\"  class=\"gfield gfield--type-section gsection bu_google_recaptcha_section field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_19\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_69_20\"  class=\"gfield gfield--type-html bu_google_recaptcha gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_69_20\"><div class=\"g-recaptcha\" data-sitekey=\"6LeGxkEjAAAAAK4nzHZn3a_6jB2ELSN935WrVBfC\"><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_69' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_69\"]){return false;}  window[\"gf_submitting_69\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_69\"]){return false;} window[\"gf_submitting_69\"]=true;  jQuery(\"#gform_69\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_69' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='69' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_69' value='WyJbXSIsImQ5Y2U2OGUxNzE1OTZlYjZkN2E4MzI4YmJhNDVlODY3Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_69' id='gform_target_page_number_69' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_69' id='gform_source_page_number_69' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\ngform.initializeOnLoaded( function() {gformInitSpinner( 69, 'https:\/\/www.bu.edu\/sth\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_69').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_69');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_69').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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