{"id":475,"date":"2019-05-28T08:17:03","date_gmt":"2019-05-28T12:17:03","guid":{"rendered":"https:\/\/www.berea.edu\/vpf\/?page_id=475"},"modified":"2019-06-18T15:56:11","modified_gmt":"2019-06-18T19:56:11","slug":"purchasing-card-application","status":"publish","type":"page","link":"https:\/\/legacy.berea.edu\/vpf\/office-of-accounting\/purchasing-cards-and-travel-expenses\/purchasing-card-application\/","title":{"rendered":"Purchasing Card Application"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]<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_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/vpf\/wp-json\/wp\/v2\/pages\/475#gf_2' data-formid='2' novalidate><div id='gf_page_steps_2' class='gf_page_steps'><div id='gf_step_2_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Purchasing Card Agreement<\/span><\/div><div id='gf_step_2_2' class='gf_step gf_step_last gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Purchasing Card Application<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_22\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_22\" ><p>Your participation in the Berea College Purchasing Card program is a convenience that carries responsibilities.  Although the card is issued in your name, it should be considered company property and should be used with good judgment.  Your signature below verifies that you understand the Purchasing Card Program guidelines outlined below and agree to comply with them.\n<ol>\n<li>The PNC BANK CORPORATE PURCHASING CARD is provided to employees based on their need to purchase travel and business related goods and services.  A card may be revoked at any time based on change of assignment or location.  The card is not an entitlement, nor does it reflect title or position.<\/li>\n<li>Improper use of the card can be considered misappropriation of college funds, which may result in disciplinary action, up to and including termination.  The card is for travel and business related purchases only; personal charges are not to be made to the card.  A cardholder who makes unauthorized purchases or carelessly uses the Purchasing Card may be liable for the total dollar amount of such unauthorized purchases, plus any administrative fees charged by PNC Bank in connection with misuse.<\/li>\n<li>The authorized cardholder, as signed below, is the only person entitled to use the card and is responsible for all charges made to the card.  The Cardholder understands that he\/she is being entrusted with a valuable tool and will be making financial commitments on behalf of Berea College.  The Cardholder will strive to obtain the best value for Berea College and obtain tax exemption whenever possible.<\/li>\n<li>Cardholders are expected to comply with the College\u2019s Purchasing Card Policy and internal control procedures in order to protect college assets.  This includes keeping receipts, reconciling travel and business monthly expenses, and following proper card security measures.  Failure to do so may result in either revocation of my use privileges or other disciplinary actions, including disciplinary actions in accordance with the Berea College Employee Handbook.<\/li>\n<li>Cardholders are responsible for reconciling their travel and business monthly expenses and resolving any discrepancies by contacting the supplier first and then the bank.<\/li>\n<li>Each account is assigned a default accounting code by management and purchases may be automatically charged to that code.  The default code can only be changed with managerial approval.  If changed, a new accounting code does not affect past charges, only future charges.<\/li>\n<li>A lost or stolen card should be reported immediately by telephone to PNC Bank Customer Service at 1 (800) 685-4039.<\/li>\n<li>A Cardholder must surrender the card upon termination of employment (i.e. retirement or voluntary\/involuntary termination).  At this point, no further use of the account is authorized.<\/li>\n<li>The Cardholder must sign the signature line provided on the back of the credit card and agree to provide photo ID to vendors as requested on the Card.<\/li>\n<li>The Cardholder is expected to complete the required orientation session as stated in the Purchasing Card Policy.<\/li> <\/ol>\n\n<\/li><li id=\"field_2_42\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_42\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Cardholder&#039;s 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_2_42'>\n                            \n                            <span id='input_2_42_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_42.3' id='input_2_42_3' value='' tabindex='falsf'  aria-required='true'     \/>\n                                                    <label for='input_2_42_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_42_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_42.6' id='input_2_42_6' value='' tabindex='falsh'  aria-required='true'     \/>\n                                                    <label for='input_2_42_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_34\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_34\" ><label class='gfield_label gform-field-label' for='input_2_34'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_34' id='input_2_34' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='falsj'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_2_34_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_34_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_34' class='gform_hidden' value='https:\/\/legacy.berea.edu\/vpf\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_2_45\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_45\" ><label class='gfield_label gform-field-label' for='input_2_45'>Berea College Employee ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_2_45' type='text' value='' class='medium'   tabindex='falsk'  aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_38\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_38\" ><label class='gfield_label gform-field-label' for='input_2_38'>Department Name<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_2_38' type='text' value='' class='medium'   tabindex='falsl'  aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   \/> <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_21' class='gform_next_button gform-theme-button button' value='Next' tabindex='falsm' onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_3\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_3\" ><p>The above-signed Cardholder, who is an employee or agent of borrower, in consideration for the issuance and use of a PNC Purchasing Card hereby, agrees to the following:<\/p>\n<ol>\n<li>Use of the Purchasing Care shall be governed by the Purchasing Card Terms and conditions which will accompany the Purchasing Card.<\/li>\n<li>Cardholder agrees to safeguard the Purchasing Card from unauthorized use and shall inform PNC Bank of any unauthorized use as soon as said use is discovered.<\/li>\n<li>Cardholder agrees that the Purchasing card shall be used only for the business purposes of borrower and within the employment or agency relationship between Cardholder and Borrower.<\/li>\n<\/ol><\/li><li id=\"field_2_4\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_4\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Cardholder&#039;s 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_2_4'>\n                            \n                            <span id='input_2_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.3' id='input_2_4_3' value='' tabindex='falso'  aria-required='true'     \/>\n                                                    <label for='input_2_4_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.6' id='input_2_4_6' value='' tabindex='falsq'  aria-required='true'     \/>\n                                                    <label for='input_2_4_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_6\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_6\" ><label class='gfield_label gform-field-label' for='input_2_6'>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_6' id='input_2_6' type='text' value='' class='medium'   tabindex='falss'  aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_37\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_37\" ><label class='gfield_label gform-field-label' for='input_2_37'>B#<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_2_37' type='text' value='' class='medium'   tabindex='falst'  aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_53\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_53\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email Address<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_2_53_container'>\n                                <span id='input_2_53_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_53' id='input_2_53' value='' tabindex='falsu'   aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"  \/>\n                                    <label for='input_2_53' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_2_53_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_53_2' id='input_2_53_2' value='' tabindex='falsv'   aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"  \/>\n                                    <label for='input_2_53_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_2_58\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_58\" ><label class='gfield_label gform-field-label' >Are you affiliated with Partners for Education?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_58'>\n\t\t\t<li class='gchoice gchoice_2_58_0'>\n\t\t\t\t<input name='input_58' type='radio' value='Yes'  id='choice_2_58_0' tabindex='falsw'   \/>\n\t\t\t\t<label for='choice_2_58_0' id='label_2_58_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_1'>\n\t\t\t\t<input name='input_58' type='radio' value='No'  id='choice_2_58_1' tabindex='falsx'   \/>\n\t\t\t\t<label for='choice_2_58_1' id='label_2_58_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_8\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_8\" ><label class='gfield_label gform-field-label' for='input_2_8'>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_8' id='input_2_8' type='text' value='' class='medium'   tabindex='falsy'  aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_59\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_59\" ><label class='gfield_label gform-field-label' for='input_2_59'>CPO<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_2_59' type='text' value='' class='medium'   tabindex='falsz'  aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_46\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_46\" ><label class='gfield_label gform-field-label' for='input_2_46'>Work Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_46' id='input_2_46' type='tel' value='' class='medium' tabindex='falta'  aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_11\" ><label class='gfield_label gform-field-label' >Purpose for Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_11'>If the purpose is not listed, please list details (required)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_11'>\n\t\t\t<li class='gchoice gchoice_2_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Travel'  id='choice_2_11_0' tabindex='faltb'   \/>\n\t\t\t\t<label for='choice_2_11_0' id='label_2_11_0' class='gform-field-label gform-field-label--type-inline'>Travel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='Office Supplies'  id='choice_2_11_1' tabindex='faltc'   \/>\n\t\t\t\t<label for='choice_2_11_1' id='label_2_11_1' class='gform-field-label gform-field-label--type-inline'>Office Supplies<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='gf_other_choice'  id='choice_2_11_2' tabindex='faltd'  onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_2_11_other' name='input_11_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }' tabindex='faltd'  \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_47\" ><label class='gfield_label gform-field-label' >Do you need to request different limits than the default $4,000\/month and $3,000\/transaction?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_47'>\n\t\t\t<li class='gchoice gchoice_2_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='Yes'  id='choice_2_47_0' tabindex='falte'   \/>\n\t\t\t\t<label for='choice_2_47_0' id='label_2_47_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='No'  id='choice_2_47_1' tabindex='faltf'   \/>\n\t\t\t\t<label for='choice_2_47_1' id='label_2_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-number gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_15\" ><label class='gfield_label gform-field-label' for='input_2_15'>Requested Monthly Limit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_15' id='input_2_15' type='text' step='any'   value='' class='medium' tabindex='faltg'    aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_2_16\" class=\"gfield gfield--type-number gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_16\" ><label class='gfield_label gform-field-label' for='input_2_16'>Requested Single Transaction Limit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_16' id='input_2_16' type='text' step='any'   value='' class='medium' tabindex='falth'    aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_2_50\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_50\" ><label class='gfield_label gform-field-label' for='input_2_50'>Justification for limits different than default<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_2_50' class='textarea medium' tabindex='falti'    aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_48\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_48\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Supervisor&#039;s 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_2_48'>\n                            \n                            <span id='input_2_48_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_48.3' id='input_2_48_3' value='' tabindex='faltk'  aria-required='true'     \/>\n                                                    <label for='input_2_48_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n  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gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_2_51_container'>\n                                <span id='input_2_51_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_51' id='input_2_51' value='' tabindex='falto'   aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"  \/>\n                                    <label for='input_2_51' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_2_51_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_51_2' id='input_2_51_2' value='' tabindex='faltp'   aria-required=\"true\" aria-describedby=\"group-err\" aria-invalid=\"false\"  \/>\n                                    <label for='input_2_51_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_2_49\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_49\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Vice President&#039;s 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_2_49'>\n                    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