{"id":9029,"date":"2026-07-22T10:30:43","date_gmt":"2026-07-22T15:30:43","guid":{"rendered":"https:\/\/www.eastcentral.edu\/cwd\/?page_id=9029"},"modified":"2026-08-05T15:29:53","modified_gmt":"2026-08-05T20:29:53","slug":"health-care-careers-registration","status":"publish","type":"page","link":"https:\/\/www.eastcentral.edu\/cwd\/health-care-careers\/health-care-careers-registration\/","title":{"rendered":"Health Care Careers Registration"},"content":{"rendered":"<div class=\"hcc-registration\">\n\t\n\t\t<form id=\"hcc-registration-form\" method=\"post\" action=\"https:\/\/www.eastcentral.edu\/cwd\/wp-admin\/admin-post.php\" novalidate>\n\t\t<input type=\"hidden\" name=\"action\" value=\"hcc_submit_registration\" \/>\n\t\t<input type=\"hidden\" id=\"hcc_nonce\" name=\"hcc_nonce\" value=\"ff4242db94\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/cwd\/wp-json\/wp\/v2\/pages\/9029\" \/>\n\t\t<fieldset>\n\t\t\t<legend>Course Selection<\/legend>\n\t\t\t<p class=\"hcc-field hcc-field-course\">\n\t\t\t\t<label for=\"hcc_course\">Course <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t<select name=\"course_ticket\" id=\"hcc_course\" required>\n\t\t\t\t\t<option value=\"\">\u2014 Select a course \u2014<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"158\"\n\t\t\t\t\t\t\tdata-price=\"100.00\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\tCertified Nurse Assistant (November 2, 2026 \u2013 February 17, 2027)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t<span id=\"hcc-course-price\" class=\"hcc-price\" aria-live=\"polite\"><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\n\t\t<fieldset>\n\t\t\t<legend>Personal Information<\/legend>\n\t\t\t\n\t\t\t<div class=\"hcc-col-3\">\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_first_name\">First name <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" name=\"first_name\" id=\"hcc_first_name\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_middle_name\">Middle name<\/label>\n\t\t\t\t\t<input type=\"text\" name=\"middle_name\" id=\"hcc_middle_name\" value=\"\" \/>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_last_name\">Last name <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" name=\"last_name\" id=\"hcc_last_name\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p class=\"hcc-field\">\n\t\t\t\t<label for=\"hcc_previous_name\">Previous name<\/label>\n\t\t\t\t<input type=\"text\" name=\"previous_name\" id=\"hcc_previous_name\" value=\"\" \/>\n\t\t\t<\/p>\n\t\t\t<p class=\"hcc-field hcc-field-dob\">\n\t\t\t\t<label for=\"hcc_dob_month\">Date of birth <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t<span class=\"hcc-dob-selects\">\n\t\t\t\t\t<div class=\"hcc-dob-grid\">\n\t\t\t\t\t\t<select name=\"dob_month\" id=\"hcc_dob_month\" aria-label=\"Month\" required>\n\t\t\t\t\t\t\t<option value=\"\">Month<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1\" >\n\t\t\t\t\t\t\t\t\tJanuary\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2\" >\n\t\t\t\t\t\t\t\t\tFebruary\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"3\" >\n\t\t\t\t\t\t\t\t\tMarch\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"4\" >\n\t\t\t\t\t\t\t\t\tApril\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"5\" >\n\t\t\t\t\t\t\t\t\tMay\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"6\" >\n\t\t\t\t\t\t\t\t\tJune\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"7\" >\n\t\t\t\t\t\t\t\t\tJuly\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"8\" >\n\t\t\t\t\t\t\t\t\tAugust\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"9\" >\n\t\t\t\t\t\t\t\t\tSeptember\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"10\" >\n\t\t\t\t\t\t\t\t\tOctober\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"11\" >\n\t\t\t\t\t\t\t\t\tNovember\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"12\" >\n\t\t\t\t\t\t\t\t\tDecember\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<select name=\"dob_day\" id=\"hcc_dob_day\" aria-label=\"Day\" required>\n\t\t\t\t\t\t\t<option value=\"\">Day<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1\" >1<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2\" >2<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"3\" >3<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"4\" >4<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"5\" >5<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"6\" >6<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"7\" >7<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"8\" >8<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"9\" >9<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"10\" >10<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"11\" >11<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"12\" >12<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"13\" >13<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"14\" >14<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"15\" >15<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"16\" >16<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"17\" >17<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"18\" >18<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"19\" >19<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"20\" >20<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"21\" >21<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"22\" >22<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"23\" >23<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"24\" >24<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"25\" >25<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"26\" >26<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"27\" >27<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"28\" >28<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"29\" >29<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"30\" >30<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"31\" >31<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<select name=\"dob_year\" id=\"hcc_dob_year\" aria-label=\"Year\" required>\n\t\t\t\t\t\t\t<option value=\"\">Year<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2012\" >2012<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2011\" >2011<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2010\" >2010<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2009\" >2009<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2008\" >2008<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2007\" >2007<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2006\" >2006<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2005\" >2005<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2004\" >2004<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2003\" >2003<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2002\" >2002<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2001\" >2001<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2000\" >2000<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1999\" >1999<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1998\" >1998<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1997\" >1997<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1996\" >1996<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1995\" >1995<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1994\" >1994<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1993\" >1993<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1992\" >1992<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1991\" >1991<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1990\" >1990<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1989\" >1989<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1988\" >1988<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1987\" >1987<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1986\" >1986<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1985\" >1985<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1984\" >1984<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1983\" >1983<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1982\" >1982<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1981\" >1981<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1980\" >1980<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1979\" >1979<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1978\" >1978<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1977\" >1977<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1976\" >1976<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1975\" >1975<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1974\" >1974<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1973\" >1973<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1972\" >1972<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1971\" >1971<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1970\" >1970<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1969\" >1969<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1968\" >1968<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1967\" >1967<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1966\" >1966<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1965\" >1965<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1964\" >1964<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1963\" >1963<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1962\" >1962<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1961\" >1961<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1960\" >1960<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1959\" >1959<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1958\" >1958<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1957\" >1957<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1956\" >1956<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1955\" >1955<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1954\" >1954<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1953\" >1953<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1952\" >1952<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1951\" >1951<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1950\" >1950<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1949\" >1949<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1948\" >1948<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1947\" >1947<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1946\" >1946<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1945\" >1945<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1944\" >1944<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1943\" >1943<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1942\" >1942<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1941\" >1941<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1940\" >1940<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1939\" >1939<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1938\" >1938<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1937\" >1937<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1936\" >1936<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1935\" >1935<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1934\" >1934<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1933\" >1933<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1932\" >1932<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1931\" >1931<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1930\" >1930<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1929\" >1929<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1928\" >1928<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1927\" >1927<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1926\" >1926<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"hcc-col-2\">\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_email\">Email <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"email\" name=\"email\" id=\"hcc_email\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field hcc-field-radios\">\n\t\t\t\t\t<span class=\"hcc-label\">Gender<\/span>\n\t\t\t\t\t<label><input type=\"radio\" name=\"gender\" value=\"Male\"  \/> Male<\/label>\n\t\t\t\t\t<label><input type=\"radio\" name=\"gender\" value=\"Female\"  \/> Female<\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p class=\"hcc-field\">\n\t\t\t\t<label for=\"hcc_ssn\">Social Security number <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t<input type=\"text\" name=\"ssn\" id=\"hcc_ssn\" value=\"\" inputmode=\"numeric\"\n\t\t\t\t\tautocomplete=\"off\" maxlength=\"11\" placeholder=\"XXX-XX-XXXX\" required \/>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\n\t\t<fieldset>\n\t\t\t<legend>Address<\/legend>\n\t\t\t<p class=\"hcc-field\">\n\t\t\t\t<label for=\"hcc_address\">Address <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t<input type=\"text\" name=\"address\" id=\"hcc_address\" value=\"\" required \/>\n\t\t\t<\/p>\n\t\t\t<div class=\"hcc-col-3\">\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_city\">City <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" name=\"city\" id=\"hcc_city\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_state\">State <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<select name=\"state\" id=\"hcc_state\" required>\n\t\t\t\t\t\t<option value=\"\">\u2014 Select \u2014<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AL\" >Alabama<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AK\" >Alaska<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AZ\" >Arizona<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AR\" >Arkansas<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CA\" >California<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CO\" >Colorado<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CT\" >Connecticut<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DE\" >Delaware<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DC\" >District of Columbia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"FL\" >Florida<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GA\" >Georgia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"HI\" >Hawaii<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ID\" >Idaho<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IL\" >Illinois<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IN\" >Indiana<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IA\" >Iowa<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KS\" >Kansas<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KY\" >Kentucky<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LA\" >Louisiana<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ME\" >Maine<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MD\" >Maryland<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MA\" >Massachusetts<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MI\" >Michigan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MN\" >Minnesota<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MS\" >Mississippi<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MO\" >Missouri<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MT\" >Montana<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NE\" >Nebraska<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NV\" >Nevada<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NH\" >New Hampshire<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NJ\" >New Jersey<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NM\" >New Mexico<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NY\" >New York<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NC\" >North Carolina<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ND\" >North Dakota<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"OH\" >Ohio<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"OK\" >Oklahoma<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"OR\" >Oregon<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PA\" >Pennsylvania<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"RI\" >Rhode Island<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SC\" >South Carolina<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SD\" >South Dakota<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TN\" >Tennessee<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TX\" >Texas<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"UT\" >Utah<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VT\" >Vermont<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VA\" >Virginia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"WA\" >Washington<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"WV\" >West Virginia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"WI\" >Wisconsin<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"WY\" >Wyoming<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_zip\">Zip <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" name=\"zip\" id=\"hcc_zip\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/fieldset>\n\n\t\t<fieldset>\n\t\t\t<legend>Phone &amp; Emergency Contact<\/legend>\n\t\t\t<div class=\"hcc-col-2\">\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_phone_primary\">Primary phone <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"tel\" name=\"phone_primary\" id=\"hcc_phone_primary\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_phone_secondary\">Secondary phone<\/label>\n\t\t\t\t\t<input type=\"tel\" name=\"phone_secondary\" id=\"hcc_phone_secondary\" value=\"\" \/>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_emergency_contact\">Emergency contact <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" name=\"emergency_contact\" id=\"hcc_emergency_contact\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"hcc-field\">\n\t\t\t\t\t<label for=\"hcc_emergency_phone\">Emergency phone <span class=\"hcc-req\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"tel\" name=\"emergency_phone\" id=\"hcc_emergency_phone\" value=\"\" required \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/fieldset>\n\n\t\t<fieldset>\n\t\t\t<legend>Background<\/legend>\n\t\t\t<p class=\"hcc-field hcc-field-radios\">\n\t\t\t\t<span class=\"hcc-label\">Have you ever been arrested for, charged with, pleaded guilty to or been convicted of a felony? <span class=\"hcc-req\">*<\/span><\/span>\n\t\t\t\t<label><input type=\"radio\" name=\"felony_convicted\" value=\"Yes\"  required \/> Yes<\/label>\n\t\t\t\t<label><input type=\"radio\" name=\"felony_convicted\" value=\"No\"  \/> No<\/label>\n\t\t\t<\/p>\n\t\t\t<p class=\"hcc-field hcc-field-radios\">\n\t\t\t\t<span class=\"hcc-label\">Have you ever received a suspended imposition or suspended execution of a sentence for a felony? <span class=\"hcc-req\">*<\/span><\/span>\n\t\t\t\t<label><input type=\"radio\" name=\"felony_suspended\" value=\"Yes\"  required \/> Yes<\/label>\n\t\t\t\t<label><input type=\"radio\" name=\"felony_suspended\" value=\"No\"  \/> No<\/label>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\n\t\t\t\t\t<div class=\"hcc-field hcc-recaptcha\">\n\t\t\t\t<div class=\"g-recaptcha\" data-sitekey=\"6Ld9WwkbAAAAAF5z9B8eKqM6I0m_yk8iUuvaw1DF\"><\/div>\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"hcc-submit\">\n\t\t\t<button type=\"submit\" class=\"ecc-button\" id=\"hcc-submit-btn\">Submit Registration<\/button>\n\t\t\t<span class=\"hcc-submit-note\">You will be taken to our secure payment page.<\/span>\n\t\t<\/p>\n\t<\/form>\n\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":98,"featured_media":0,"parent":22,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","footnotes":""},"yst_prominent_words":[],"class_list":["post-9029","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/pages\/9029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/users\/98"}],"replies":[{"embeddable":true,"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/comments?post=9029"}],"version-history":[{"count":3,"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/pages\/9029\/revisions"}],"predecessor-version":[{"id":9082,"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/pages\/9029\/revisions\/9082"}],"up":[{"embeddable":true,"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/pages\/22"}],"wp:attachment":[{"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/media?parent=9029"}],"wp:term":[{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/www.eastcentral.edu\/cwd\/wp-json\/wp\/v2\/yst_prominent_words?post=9029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}