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</div> </div></li><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q1_fullName[first]" id="first_1" autocomplete="given-name" />  <label class="form-sub-label" for="first_1" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q1_fullName[last]" id="last_1" autocomplete="family-name" />  <label class="form-sub-label" for="last_1" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_5" name="q5_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> Phone Number </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q7_phoneNumber[area]" id="input_7_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_7_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q7_phoneNumber[phone]" id="input_7_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_7_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Yes! I would like to help build strong Jewish youth by volunteering:<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_8_0" name="q8_input8[]" value="Aleph Champ Hebrew reading class" /><label id="label_input_8_0" for="input_8_0"><span>Aleph Champ Hebrew reading class</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_8_1" name="q8_input8[]" value="One-on-one private Hebrew tutoring" /><label id="label_input_8_1" for="input_8_1"><span>One-on-one private Hebrew tutoring</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_8_2" name="q8_input8[]" value="Events" /><label id="label_input_8_2" for="input_8_2"><span>Events</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_8_3" name="q8_input8[]" value="Driving kids to/from events" /><label id="label_input_8_3" for="input_8_3"><span>Driving kids to/from events</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_8_4" name="q8_input8[]" value="Giving a workshop to kids" /><label id="label_input_8_4" for="input_8_4"><span>Giving a workshop to kids</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox-other form-checkbox validate[required, other]" name="q8_input8[other]" id="other_8" value="" /><span><input type="text" form-checkbox="" class="form-checkbox-other-input form-textbox " name="q8_input8[other][text]" data-otherhint="Other" size="15" id="input_8" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_2"><div id="cid_2" class="form-input-wide"> <div style="text-align: center; text-indent:156px;" class="form-buttons-wrapper button-align-auto"><button id="input_2" type="submit" class="form-submit-button  form-submit-button-none;">Submit</button></div> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="6868914" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "6868914-6868914";</script></form></div>
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