{"id":784,"date":"2020-06-10T23:44:50","date_gmt":"2020-06-10T23:44:50","guid":{"rendered":"https:\/\/web.tusculum.edu\/trio\/ub\/?page_id=784"},"modified":"2021-04-07T15:26:20","modified_gmt":"2021-04-07T15:26:20","slug":"student-observation-summer-staff","status":"publish","type":"page","link":"https:\/\/web.tusculum.edu\/trio\/ub\/student-observation-summer-staff\/","title":{"rendered":"Summer Staff &#8211; Student Observation"},"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' id='gform_wrapper_23' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Residential Staff - Student Observation<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_23'  action='\/trio\/ub\/wp-json\/wp\/v2\/pages\/784' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_23' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_23_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_1\"><label class='gfield_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 no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_23_1'>\n                            \n                            <span id='input_23_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_23_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_23_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_23_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_23_2\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_2\"><label class='gfield_label gfield_label_before_complex'  >Residential Staff Member<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_23_2'>\n                            \n                            <span id='input_23_2_3_container' class='name_first' >\n                                                    <input type='text' name='input_2.3' id='input_23_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_2_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_23_2_6_container' class='name_last' >\n                                                    <input type='text' name='input_2.6' id='input_23_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_2_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_23_3\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_3\"><label class='gfield_label'  >Ability to get along with other students<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_23_3'>\n\t\t\t<li class='gchoice gchoice_23_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='Exceptional'  id='choice_23_3_0'    \/>\n\t\t\t\t<label for='choice_23_3_0' id='label_23_3_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='Very Good'  id='choice_23_3_1'    \/>\n\t\t\t\t<label for='choice_23_3_1' id='label_23_3_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='Good'  id='choice_23_3_2'    \/>\n\t\t\t\t<label for='choice_23_3_2' id='label_23_3_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_3'>\n\t\t\t\t<input name='input_3' type='radio' value='Fair'  id='choice_23_3_3'    \/>\n\t\t\t\t<label for='choice_23_3_3' id='label_23_3_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_4'>\n\t\t\t\t<input name='input_3' type='radio' value='Poor'  id='choice_23_3_4'    \/>\n\t\t\t\t<label for='choice_23_3_4' id='label_23_3_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_5'>\n\t\t\t\t<input name='input_3' type='radio' value='Have Not Observed'  id='choice_23_3_5'    \/>\n\t\t\t\t<label for='choice_23_3_5' id='label_23_3_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_4\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_4\"><label class='gfield_label'  >Sensitivity and concern for others<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_23_4'>\n\t\t\t<li class='gchoice gchoice_23_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Exceptional'  id='choice_23_4_0'    \/>\n\t\t\t\t<label for='choice_23_4_0' id='label_23_4_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='Very Good'  id='choice_23_4_1'    \/>\n\t\t\t\t<label for='choice_23_4_1' id='label_23_4_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='Good'  id='choice_23_4_2'    \/>\n\t\t\t\t<label for='choice_23_4_2' id='label_23_4_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='Fair'  id='choice_23_4_3'    \/>\n\t\t\t\t<label for='choice_23_4_3' id='label_23_4_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_4'>\n\t\t\t\t<input name='input_4' type='radio' value='Poor'  id='choice_23_4_4'    \/>\n\t\t\t\t<label for='choice_23_4_4' id='label_23_4_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_5'>\n\t\t\t\t<input name='input_4' type='radio' value='Have Not Observed'  id='choice_23_4_5'    \/>\n\t\t\t\t<label for='choice_23_4_5' id='label_23_4_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_5\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_5\"><label class='gfield_label'  >Positive social influence on others<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_23_5'>\n\t\t\t<li class='gchoice gchoice_23_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Exceptional'  id='choice_23_5_0'    \/>\n\t\t\t\t<label for='choice_23_5_0' id='label_23_5_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Very Good'  id='choice_23_5_1'    \/>\n\t\t\t\t<label for='choice_23_5_1' id='label_23_5_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='Good'  id='choice_23_5_2'    \/>\n\t\t\t\t<label for='choice_23_5_2' id='label_23_5_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='Fair'  id='choice_23_5_3'    \/>\n\t\t\t\t<label for='choice_23_5_3' id='label_23_5_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_5_4'>\n\t\t\t\t<input name='input_5' type='radio' value='Poor'  id='choice_23_5_4'    \/>\n\t\t\t\t<label for='choice_23_5_4' id='label_23_5_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_5_5'>\n\t\t\t\t<input name='input_5' type='radio' value='Have Not Observed'  id='choice_23_5_5'    \/>\n\t\t\t\t<label for='choice_23_5_5' id='label_23_5_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_6\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_6\"><label class='gfield_label'  >Acceptance of other students<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_23_6'>\n\t\t\t<li class='gchoice gchoice_23_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Exceptional'  id='choice_23_6_0'    \/>\n\t\t\t\t<label for='choice_23_6_0' id='label_23_6_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Very Good'  id='choice_23_6_1'    \/>\n\t\t\t\t<label for='choice_23_6_1' id='label_23_6_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='Good'  id='choice_23_6_2'    \/>\n\t\t\t\t<label for='choice_23_6_2' id='label_23_6_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_3'>\n\t\t\t\t<input name='input_6' type='radio' value='Fair'  id='choice_23_6_3'    \/>\n\t\t\t\t<label for='choice_23_6_3' id='label_23_6_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_4'>\n\t\t\t\t<input name='input_6' type='radio' value='Poor'  id='choice_23_6_4'    \/>\n\t\t\t\t<label for='choice_23_6_4' id='label_23_6_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_5'>\n\t\t\t\t<input name='input_6' type='radio' value='Have Not Observed'  id='choice_23_6_5'    \/>\n\t\t\t\t<label for='choice_23_6_5' id='label_23_6_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_7\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_7\"><label class='gfield_label' for='input_23_7' >Please comment on specific problems or successes in the area of relationship with peers:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_23_7' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_23_8\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_8\"><label class='gfield_label'  >Ability to accept and use direction from staff<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_23_8'>\n\t\t\t<li class='gchoice gchoice_23_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Exceptional'  id='choice_23_8_0'    \/>\n\t\t\t\t<label for='choice_23_8_0' id='label_23_8_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Very Good'  id='choice_23_8_1'    \/>\n\t\t\t\t<label for='choice_23_8_1' id='label_23_8_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='Good'  id='choice_23_8_2'    \/>\n\t\t\t\t<label for='choice_23_8_2' id='label_23_8_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_3'>\n\t\t\t\t<input name='input_8' type='radio' value='Fair'  id='choice_23_8_3'    \/>\n\t\t\t\t<label for='choice_23_8_3' id='label_23_8_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_4'>\n\t\t\t\t<input name='input_8' type='radio' value='Poor'  id='choice_23_8_4'    \/>\n\t\t\t\t<label for='choice_23_8_4' id='label_23_8_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_5'>\n\t\t\t\t<input name='input_8' type='radio' value='Have Not Observed'  id='choice_23_8_5'    \/>\n\t\t\t\t<label for='choice_23_8_5' id='label_23_8_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_9\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_9\"><label class='gfield_label'  >Ability to accept correction from staff<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_23_9'>\n\t\t\t<li class='gchoice gchoice_23_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Exceptional'  id='choice_23_9_0'    \/>\n\t\t\t\t<label for='choice_23_9_0' id='label_23_9_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Very Good'  id='choice_23_9_1'    \/>\n\t\t\t\t<label for='choice_23_9_1' id='label_23_9_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='Good'  id='choice_23_9_2'    \/>\n\t\t\t\t<label for='choice_23_9_2' id='label_23_9_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_9_3'>\n\t\t\t\t<input name='input_9' type='radio' value='Fair'  id='choice_23_9_3'    \/>\n\t\t\t\t<label for='choice_23_9_3' id='label_23_9_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_9_4'>\n\t\t\t\t<input name='input_9' type='radio' value='Poor'  id='choice_23_9_4'    \/>\n\t\t\t\t<label for='choice_23_9_4' id='label_23_9_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_9_5'>\n\t\t\t\t<input name='input_9' type='radio' value='Have Not Observed'  id='choice_23_9_5'    \/>\n\t\t\t\t<label for='choice_23_9_5' id='label_23_9_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_10\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_10\"><label class='gfield_label'  >Willingness to communicate with staff<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_23_10'>\n\t\t\t<li class='gchoice gchoice_23_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Exceptional'  id='choice_23_10_0'    \/>\n\t\t\t\t<label for='choice_23_10_0' id='label_23_10_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='Very Good'  id='choice_23_10_1'    \/>\n\t\t\t\t<label for='choice_23_10_1' id='label_23_10_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='Good'  id='choice_23_10_2'    \/>\n\t\t\t\t<label for='choice_23_10_2' id='label_23_10_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_10_3'>\n\t\t\t\t<input name='input_10' type='radio' value='Fair'  id='choice_23_10_3'    \/>\n\t\t\t\t<label for='choice_23_10_3' id='label_23_10_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_10_4'>\n\t\t\t\t<input name='input_10' type='radio' value='Poor'  id='choice_23_10_4'    \/>\n\t\t\t\t<label for='choice_23_10_4' id='label_23_10_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_10_5'>\n\t\t\t\t<input name='input_10' type='radio' value='Have Not Observed'  id='choice_23_10_5'    \/>\n\t\t\t\t<label for='choice_23_10_5' id='label_23_10_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_11\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_11\"><label class='gfield_label'  >Ability to share ideas on a realistic level<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_23_11'>\n\t\t\t<li class='gchoice gchoice_23_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Exceptional'  id='choice_23_11_0'    \/>\n\t\t\t\t<label for='choice_23_11_0' id='label_23_11_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='Very Good'  id='choice_23_11_1'    \/>\n\t\t\t\t<label for='choice_23_11_1' id='label_23_11_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='Good'  id='choice_23_11_2'    \/>\n\t\t\t\t<label for='choice_23_11_2' id='label_23_11_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_11_3'>\n\t\t\t\t<input name='input_11' type='radio' value='Fair'  id='choice_23_11_3'    \/>\n\t\t\t\t<label for='choice_23_11_3' id='label_23_11_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_11_4'>\n\t\t\t\t<input name='input_11' type='radio' value='Poor'  id='choice_23_11_4'    \/>\n\t\t\t\t<label for='choice_23_11_4' id='label_23_11_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_11_5'>\n\t\t\t\t<input name='input_11' type='radio' value='Have Not Observed'  id='choice_23_11_5'    \/>\n\t\t\t\t<label for='choice_23_11_5' id='label_23_11_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_12\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_12\"><label class='gfield_label'  >Demonstrated level of organization<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_23_12'>\n\t\t\t<li class='gchoice gchoice_23_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Exceptional'  id='choice_23_12_0'    \/>\n\t\t\t\t<label for='choice_23_12_0' id='label_23_12_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Very Good'  id='choice_23_12_1'    \/>\n\t\t\t\t<label for='choice_23_12_1' id='label_23_12_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='Good'  id='choice_23_12_2'    \/>\n\t\t\t\t<label for='choice_23_12_2' id='label_23_12_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_12_3'>\n\t\t\t\t<input name='input_12' type='radio' value='Fair'  id='choice_23_12_3'    \/>\n\t\t\t\t<label for='choice_23_12_3' id='label_23_12_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_12_4'>\n\t\t\t\t<input name='input_12' type='radio' value='Poor'  id='choice_23_12_4'    \/>\n\t\t\t\t<label for='choice_23_12_4' id='label_23_12_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_12_5'>\n\t\t\t\t<input name='input_12' type='radio' value='Have Not Observed'  id='choice_23_12_5'    \/>\n\t\t\t\t<label for='choice_23_12_5' id='label_23_12_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_14\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_14\"><label class='gfield_label' for='input_23_14' >Please comment on specific problems or successes in the area of relationship with staff.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_23_14' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_23_16\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_16\"><label class='gfield_label'  >Willingness to respond positively to challenges<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_23_16'>\n\t\t\t<li class='gchoice gchoice_23_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='Exceptional'  id='choice_23_16_0'    \/>\n\t\t\t\t<label for='choice_23_16_0' id='label_23_16_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='Very Good'  id='choice_23_16_1'    \/>\n\t\t\t\t<label for='choice_23_16_1' id='label_23_16_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_16_2'>\n\t\t\t\t<input name='input_16' type='radio' value='Good'  id='choice_23_16_2'    \/>\n\t\t\t\t<label for='choice_23_16_2' id='label_23_16_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_16_3'>\n\t\t\t\t<input name='input_16' type='radio' value='Fair'  id='choice_23_16_3'    \/>\n\t\t\t\t<label for='choice_23_16_3' id='label_23_16_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_16_4'>\n\t\t\t\t<input name='input_16' type='radio' value='Poor'  id='choice_23_16_4'    \/>\n\t\t\t\t<label for='choice_23_16_4' id='label_23_16_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_16_5'>\n\t\t\t\t<input name='input_16' type='radio' value='Have Not Observed'  id='choice_23_16_5'    \/>\n\t\t\t\t<label for='choice_23_16_5' id='label_23_16_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_17\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_17\"><label class='gfield_label'  >Level of self-motivation<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_23_17'>\n\t\t\t<li class='gchoice gchoice_23_17_0'>\n\t\t\t\t<input name='input_17' type='radio' value='Exceptional'  id='choice_23_17_0'    \/>\n\t\t\t\t<label for='choice_23_17_0' id='label_23_17_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_17_1'>\n\t\t\t\t<input name='input_17' type='radio' value='Very Good'  id='choice_23_17_1'    \/>\n\t\t\t\t<label for='choice_23_17_1' id='label_23_17_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_17_2'>\n\t\t\t\t<input name='input_17' type='radio' value='Good'  id='choice_23_17_2'    \/>\n\t\t\t\t<label for='choice_23_17_2' id='label_23_17_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_17_3'>\n\t\t\t\t<input name='input_17' type='radio' value='Fair'  id='choice_23_17_3'    \/>\n\t\t\t\t<label for='choice_23_17_3' id='label_23_17_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_17_4'>\n\t\t\t\t<input name='input_17' type='radio' value='Poor'  id='choice_23_17_4'    \/>\n\t\t\t\t<label for='choice_23_17_4' id='label_23_17_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_17_5'>\n\t\t\t\t<input name='input_17' type='radio' value='Have Not Observed'  id='choice_23_17_5'    \/>\n\t\t\t\t<label for='choice_23_17_5' id='label_23_17_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_18\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_18\"><label class='gfield_label'  >Demonstrated level of responsibility<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_23_18'>\n\t\t\t<li class='gchoice gchoice_23_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='Exceptional'  id='choice_23_18_0'    \/>\n\t\t\t\t<label for='choice_23_18_0' id='label_23_18_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='Very Good'  id='choice_23_18_1'    \/>\n\t\t\t\t<label for='choice_23_18_1' id='label_23_18_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='Good'  id='choice_23_18_2'    \/>\n\t\t\t\t<label for='choice_23_18_2' id='label_23_18_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='Fair'  id='choice_23_18_3'    \/>\n\t\t\t\t<label for='choice_23_18_3' id='label_23_18_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_18_4'>\n\t\t\t\t<input name='input_18' type='radio' value='Poor'  id='choice_23_18_4'    \/>\n\t\t\t\t<label for='choice_23_18_4' id='label_23_18_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_18_5'>\n\t\t\t\t<input name='input_18' type='radio' value='Have Not Observed'  id='choice_23_18_5'    \/>\n\t\t\t\t<label for='choice_23_18_5' id='label_23_18_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_19\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_19\"><label class='gfield_label'  >Demonstrated level of organization<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_23_19'>\n\t\t\t<li class='gchoice gchoice_23_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Exceptional'  id='choice_23_19_0'    \/>\n\t\t\t\t<label for='choice_23_19_0' id='label_23_19_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='Very Good'  id='choice_23_19_1'    \/>\n\t\t\t\t<label for='choice_23_19_1' id='label_23_19_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='Good'  id='choice_23_19_2'    \/>\n\t\t\t\t<label for='choice_23_19_2' id='label_23_19_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_19_3'>\n\t\t\t\t<input name='input_19' type='radio' value='Fair'  id='choice_23_19_3'    \/>\n\t\t\t\t<label for='choice_23_19_3' id='label_23_19_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_19_4'>\n\t\t\t\t<input name='input_19' type='radio' value='Poor'  id='choice_23_19_4'    \/>\n\t\t\t\t<label for='choice_23_19_4' id='label_23_19_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_19_5'>\n\t\t\t\t<input name='input_19' type='radio' value='Have Not Observed'  id='choice_23_19_5'    \/>\n\t\t\t\t<label for='choice_23_19_5' id='label_23_19_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_20\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_20\"><label class='gfield_label' for='input_23_20' >Please comment on specific problems or successes in the area of leadership qualities.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_23_20' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_23_29\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_29\"><label class='gfield_label'  >Disposition<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_23_29'>\n\t\t\t<li class='gchoice gchoice_23_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Exceptional'  id='choice_23_29_0'    \/>\n\t\t\t\t<label for='choice_23_29_0' id='label_23_29_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='Very Good'  id='choice_23_29_1'    \/>\n\t\t\t\t<label for='choice_23_29_1' id='label_23_29_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_29_2'>\n\t\t\t\t<input name='input_29' type='radio' value='Good'  id='choice_23_29_2'    \/>\n\t\t\t\t<label for='choice_23_29_2' id='label_23_29_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_29_3'>\n\t\t\t\t<input name='input_29' type='radio' value='Fair'  id='choice_23_29_3'    \/>\n\t\t\t\t<label for='choice_23_29_3' id='label_23_29_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_29_4'>\n\t\t\t\t<input name='input_29' type='radio' value='Poor'  id='choice_23_29_4'    \/>\n\t\t\t\t<label for='choice_23_29_4' id='label_23_29_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_29_5'>\n\t\t\t\t<input name='input_29' type='radio' value='Have Not Observed'  id='choice_23_29_5'    \/>\n\t\t\t\t<label for='choice_23_29_5' id='label_23_29_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_30\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_30\"><label class='gfield_label'  >General attitude<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_23_30'>\n\t\t\t<li class='gchoice gchoice_23_30_0'>\n\t\t\t\t<input name='input_30' type='radio' value='Exceptional'  id='choice_23_30_0'    \/>\n\t\t\t\t<label for='choice_23_30_0' id='label_23_30_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_30_1'>\n\t\t\t\t<input name='input_30' type='radio' value='Very Good'  id='choice_23_30_1'    \/>\n\t\t\t\t<label for='choice_23_30_1' id='label_23_30_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_30_2'>\n\t\t\t\t<input name='input_30' type='radio' value='Good'  id='choice_23_30_2'    \/>\n\t\t\t\t<label for='choice_23_30_2' id='label_23_30_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_30_3'>\n\t\t\t\t<input name='input_30' type='radio' value='Fair'  id='choice_23_30_3'    \/>\n\t\t\t\t<label for='choice_23_30_3' id='label_23_30_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_30_4'>\n\t\t\t\t<input name='input_30' type='radio' value='Poor'  id='choice_23_30_4'    \/>\n\t\t\t\t<label for='choice_23_30_4' id='label_23_30_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_30_5'>\n\t\t\t\t<input name='input_30' type='radio' value='Have Not Observed'  id='choice_23_30_5'    \/>\n\t\t\t\t<label for='choice_23_30_5' id='label_23_30_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_31\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_31\"><label class='gfield_label'  >Level of self-esteem<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_23_31'>\n\t\t\t<li class='gchoice gchoice_23_31_0'>\n\t\t\t\t<input name='input_31' type='radio' value='Exceptional'  id='choice_23_31_0'    \/>\n\t\t\t\t<label for='choice_23_31_0' id='label_23_31_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_31_1'>\n\t\t\t\t<input name='input_31' type='radio' value='Very Good'  id='choice_23_31_1'    \/>\n\t\t\t\t<label for='choice_23_31_1' id='label_23_31_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_31_2'>\n\t\t\t\t<input name='input_31' type='radio' value='Good'  id='choice_23_31_2'    \/>\n\t\t\t\t<label for='choice_23_31_2' id='label_23_31_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_31_3'>\n\t\t\t\t<input name='input_31' type='radio' value='Fair'  id='choice_23_31_3'    \/>\n\t\t\t\t<label for='choice_23_31_3' id='label_23_31_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_31_4'>\n\t\t\t\t<input name='input_31' type='radio' value='Poor'  id='choice_23_31_4'    \/>\n\t\t\t\t<label for='choice_23_31_4' id='label_23_31_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_31_5'>\n\t\t\t\t<input name='input_31' type='radio' value='Have Not Observed'  id='choice_23_31_5'    \/>\n\t\t\t\t<label for='choice_23_31_5' id='label_23_31_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_32\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_32\"><label class='gfield_label'  >Degree of participation in program activities<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_23_32'>\n\t\t\t<li class='gchoice gchoice_23_32_0'>\n\t\t\t\t<input name='input_32' type='radio' value='Exceptional'  id='choice_23_32_0'    \/>\n\t\t\t\t<label for='choice_23_32_0' id='label_23_32_0'>Exceptional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_32_1'>\n\t\t\t\t<input name='input_32' type='radio' value='Very Good'  id='choice_23_32_1'    \/>\n\t\t\t\t<label for='choice_23_32_1' id='label_23_32_1'>Very Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_32_2'>\n\t\t\t\t<input name='input_32' type='radio' value='Good'  id='choice_23_32_2'    \/>\n\t\t\t\t<label for='choice_23_32_2' id='label_23_32_2'>Good<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_32_3'>\n\t\t\t\t<input name='input_32' type='radio' value='Fair'  id='choice_23_32_3'    \/>\n\t\t\t\t<label for='choice_23_32_3' id='label_23_32_3'>Fair<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_32_4'>\n\t\t\t\t<input name='input_32' type='radio' value='Poor'  id='choice_23_32_4'    \/>\n\t\t\t\t<label for='choice_23_32_4' id='label_23_32_4'>Poor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_32_5'>\n\t\t\t\t<input name='input_32' type='radio' value='Have Not Observed'  id='choice_23_32_5'    \/>\n\t\t\t\t<label for='choice_23_32_5' id='label_23_32_5'>Have Not Observed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_35\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_35\"><label class='gfield_label' for='input_23_35' >Please comment on specific problems or successes in the area of general attitude and behavior.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_23_35' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_23_34\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_23_34\"><label class='gfield_label' for='input_23_34' >Potential need for health referral(s)<\/label><div class='ginput_container 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