{"id":18707,"date":"2025-09-12T15:32:19","date_gmt":"2025-09-12T19:32:19","guid":{"rendered":"https:\/\/www.yorku.ca\/research\/connected-minds\/?page_id=18707"},"modified":"2025-09-12T16:05:38","modified_gmt":"2025-09-12T20:05:38","slug":"applying-for-membership-in-connected-minds","status":"publish","type":"page","link":"https:\/\/www.yorku.ca\/research\/connected-minds\/applying-for-membership-in-connected-minds\/","title":{"rendered":"Connected Minds Membership Application Form"},"content":{"rendered":"\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">To be eligible for membership, you must be faculty at either 快播视频 or Queen's University and are eligible to hold a cost centre.<\/mark><\/p>\n\n\n\n<div class=\"wp-block-group has-background\" style=\"background-color:#f6f6f6\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:22px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group has-background\" style=\"background-color:#f6f6f6\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:1%\">\n<p class=\"has-large-font-size\"><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:2%\">\n<p class=\"has-large-font-size\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-luminous-vivid-amber-color\"><i class=\"fas fa-pencil-alt\"><\/i><\/mark><\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:94%\"><script type=\"text\/javascript\">\n\/* <![CDATA[ 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                        <h2 class=\"gform_title\">Membership Application<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2' class='gf_confirmation_green_gradient' action='\/research\/connected-minds\/wp-json\/wp\/v2\/pages\/18707#gf_2' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_2_45\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_2_1\" 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\"  ><legend class='gfield_label gform-field-label' >Are you a faculty at either 快播视频 or Queen&#039;s University and are eligible to hold a cost centre?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_1'>\n\t\t\t<div class='gchoice gchoice_2_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Yes'  id='choice_2_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_1_0' id='label_2_1_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='No'  id='choice_2_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_1_1' id='label_2_1_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_46\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_2_2\" 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\"  ><legend class='gfield_label gform-field-label' >Are you a member of any of the below research centres\/institutes, or are a faculty member at Osgoode Hall Law School or Schulich School of Business, and\/or identify as a Black or Indigenous scholar?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_2_2'><b>From York:<\/b> Centre for Artificial Intelligence and Society, Centre for Indigenous Knowledges and Languages, Centre for Integrative and Applied Neuroscience, Institute for Technoscience and Society, Sensorium, Centre for Vision Research, VISTA\n\n\n<br><br><b>From Queen's: <\/b>Centre for Neuroscience Studies, Centre for Health Innovation, Ingenuity Labs Research Institute, Health Services and Policy Research Institute<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_2'>\n\t\t\t<div class='gchoice gchoice_2_2_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Yes'  id='choice_2_2_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_2\"   \/>\n\t\t\t\t\t<label for='choice_2_2_0' id='label_2_2_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_2_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='No'  id='choice_2_2_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_2_1' id='label_2_2_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_3\" class=\"gfield gfield--type-section gsection gf_alert_red field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Thank you for your interest in the Connected Minds program.<\/h3><div class='gsection_description' id='gfield_description_2_3'>Membership is only available to faculty members from either 快播视频 or Queen's University who are able to hold a cost centre.\n\nPlease visit our opportunities page or email us at ConnectedMindsInfo@yorku.ca to find out other ways you can take part in the Connected Minds program.<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_4' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-4' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_2_5\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Phase 1 Membership<\/h3><\/div><fieldset id=\"field_2_6\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><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_6'>\n                            \n                            <span id='input_2_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_2_6_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_6_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_2_6_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_6_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_2_7\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_2_7' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_8\" class=\"gfield gfield--type-website field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_8'>Website<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_8' id='input_2_8' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><fieldset id=\"field_2_9\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Instituion<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_9'>\n\t\t\t<div class='gchoice gchoice_2_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='快播视频'  id='choice_2_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_0' id='label_2_9_0' class='gform-field-label gform-field-label--type-inline'>快播视频<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Queen&#039;s University'  id='choice_2_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_1' id='label_2_9_1' class='gform-field-label gform-field-label--type-inline'>Queen's University<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select any and all of the following Research Centres or Institutes that you are a part of:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_11'><div class='gchoice gchoice_2_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Centre for Neuroscience Studies'  id='choice_2_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_11_1' id='label_2_11_1' class='gform-field-label gform-field-label--type-inline'>Centre for Neuroscience Studies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='Ingenuity Labs Research Institute'  id='choice_2_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_11_2' id='label_2_11_2' class='gform-field-label gform-field-label--type-inline'>Ingenuity Labs Research Institute<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_11_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.3' type='checkbox'  value='Centre for Health Innovation'  id='choice_2_11_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_11_3' id='label_2_11_3' class='gform-field-label gform-field-label--type-inline'>Centre for Health Innovation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_11_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.4' type='checkbox'  value='Health Services and Policy Research Institute'  id='choice_2_11_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_11_4' id='label_2_11_4' class='gform-field-label gform-field-label--type-inline'>Health Services and Policy Research Institute<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select any and all of the following Research Centres or Institutes that you are a part of:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_10'><div class='gchoice gchoice_2_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Centre for AI &amp; Society'  id='choice_2_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_10_1' id='label_2_10_1' class='gform-field-label gform-field-label--type-inline'>Centre for AI & Society<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Institute for Technoscience &amp; Society'  id='choice_2_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_10_2' id='label_2_10_2' class='gform-field-label gform-field-label--type-inline'>Institute for Technoscience & Society<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Centre for Indigenous Knowledges &amp; Languages'  id='choice_2_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_10_3' id='label_2_10_3' class='gform-field-label gform-field-label--type-inline'>Centre for Indigenous Knowledges & Languages<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Centre for Vision Research'  id='choice_2_10_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_10_4' id='label_2_10_4' class='gform-field-label gform-field-label--type-inline'>Centre for Vision Research<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_10_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.5' type='checkbox'  value='Centre for Integrated &amp; Applied Neuroscience'  id='choice_2_10_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_10_5' id='label_2_10_5' class='gform-field-label gform-field-label--type-inline'>Centre for Integrated & Applied Neuroscience<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_10_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.6' type='checkbox'  value='Sensorium'  id='choice_2_10_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_10_6' id='label_2_10_6' class='gform-field-label gform-field-label--type-inline'>Sensorium<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_10_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.7' type='checkbox'  value='VISTA'  id='choice_2_10_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_10_7' id='label_2_10_7' class='gform-field-label gform-field-label--type-inline'>VISTA<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_12\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_12'>Faculty<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_2_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_14\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_14'>Home Department<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_2_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_13\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_13'>Title\/Position<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_2_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_15\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_15'>Cross-Appointments<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_2_15' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_16\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Check any and all that apply:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_16'><div class='gchoice gchoice_2_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='You are an early career researcher (within 5-years of first academic appointment minus eligible delay)'  id='choice_2_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_16_1' id='label_2_16_1' class='gform-field-label gform-field-label--type-inline'>You are an early career researcher (within 5-years of first academic appointment minus eligible delay)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='You identify as a Black scholar'  id='choice_2_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_16_2' id='label_2_16_2' class='gform-field-label gform-field-label--type-inline'>You identify as a Black scholar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='You identify as an Indigenous scholar'  id='choice_2_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_16_3' id='label_2_16_3' class='gform-field-label gform-field-label--type-inline'>You identify as an Indigenous scholar<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >You have indicated that you are an ECR, which year are you in?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_49'>\n\t\t\t<div class='gchoice gchoice_2_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Year 1'  id='choice_2_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_49_0' id='label_2_49_0' class='gform-field-label gform-field-label--type-inline'>Year 1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Year 2'  id='choice_2_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_49_1' id='label_2_49_1' class='gform-field-label gform-field-label--type-inline'>Year 2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Year 3'  id='choice_2_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_49_2' id='label_2_49_2' class='gform-field-label gform-field-label--type-inline'>Year 3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_49_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Year 4'  id='choice_2_49_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_49_3' id='label_2_49_3' class='gform-field-label gform-field-label--type-inline'>Year 4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_49_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Year 5'  id='choice_2_49_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_49_4' id='label_2_49_4' class='gform-field-label gform-field-label--type-inline'>Year 5<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_18\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'>List 3 keywords\/phrases that describe your area(s) of interest.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_2_18' class='textarea small'   maxlength='400'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please indicate which pillar your work\/expertise aligns with (select all that apply):<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_47'><div class='gchoice gchoice_2_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Society'  id='choice_2_47_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_47_1' id='label_2_47_1' class='gform-field-label gform-field-label--type-inline'>Society<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Neuroscience &amp; Behaviour'  id='choice_2_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_47_2' id='label_2_47_2' class='gform-field-label gform-field-label--type-inline'>Neuroscience & Behaviour<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_47_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='Intelligent Technologies'  id='choice_2_47_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_47_3' id='label_2_47_3' class='gform-field-label gform-field-label--type-inline'>Intelligent Technologies<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_19\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select any and all of the below committees that you would be interested in serving on:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_19'><div class='gchoice gchoice_2_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='EDI'  id='choice_2_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_1' id='label_2_19_1' class='gform-field-label gform-field-label--type-inline'>EDI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Research'  id='choice_2_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_2' id='label_2_19_2' class='gform-field-label gform-field-label--type-inline'>Research<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='Partnerships'  id='choice_2_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_3' id='label_2_19_3' class='gform-field-label gform-field-label--type-inline'>Partnerships<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Knowledge Mobilization'  id='choice_2_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_4' id='label_2_19_4' class='gform-field-label gform-field-label--type-inline'>Knowledge Mobilization<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.5' type='checkbox'  value='Training'  id='choice_2_19_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_5' id='label_2_19_5' class='gform-field-label gform-field-label--type-inline'>Training<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.6' type='checkbox'  value='Performance Monitoring'  id='choice_2_19_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_6' id='label_2_19_6' class='gform-field-label gform-field-label--type-inline'>Performance Monitoring<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.7' type='checkbox'  value='Facilities &amp; Infrastructure'  id='choice_2_19_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_7' id='label_2_19_7' class='gform-field-label gform-field-label--type-inline'>Facilities & Infrastructure<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.8' type='checkbox'  value='Innovation &amp; Commercialization'  id='choice_2_19_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_8' id='label_2_19_8' class='gform-field-label gform-field-label--type-inline'>Innovation & Commercialization<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_19_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.9' type='checkbox'  value='Indigenous Advisory Circle'  id='choice_2_19_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_9' id='label_2_19_9' class='gform-field-label gform-field-label--type-inline'>Indigenous Advisory Circle<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_20\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_20'>Please upload a copy of your CV here in PDF format:<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='40960000' \/><input name='input_20' id='input_2_20' type='file' class='large' aria-describedby=\"gfield_upload_rules_2_20\" onchange='javascript:gformValidateFileSize( this, 40960000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_20'>Accepted file types: pdf, Max. file size: 39 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_20'><\/div> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_2_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_2_22\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Phase 2 Membership<\/h3><\/div><fieldset id=\"field_2_23\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of Supporting Connected Minds Member<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><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_23'>\n                            \n                            <span id='input_2_23_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.3' id='input_2_23_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_23_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_23_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.6' id='input_2_23_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_23_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><div class='gfield_description' id='gfield_description_2_23'><b><p style=\"color: red;\">The supporting Connected Minds member must email a signed letter of support\/nomination directly to ApplyConnectedMinds@yorku.ca.<\/p><\/b><\/div><\/fieldset><div id=\"field_2_44\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_2_24\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Applicant Name<\/legend><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_24'>\n                            \n                            <span id='input_2_24_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_24.3' id='input_2_24_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_24_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_24_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_24.6' id='input_2_24_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_24_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_2_25\" class=\"gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_25'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_25' id='input_2_25' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_26\" class=\"gfield gfield--type-website field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'>Website<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_26' id='input_2_26' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><fieldset id=\"field_2_27\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Affiliation<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_27'>\n\t\t\t<div class='gchoice gchoice_2_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='快播视频'  id='choice_2_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_27_0' id='label_2_27_0' class='gform-field-label gform-field-label--type-inline'>快播视频<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Queen&#039;s University'  id='choice_2_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_27_1' id='label_2_27_1' class='gform-field-label gform-field-label--type-inline'>Queen's University<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_28\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_28'>Faculty<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_2_28' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_29\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_29'>Home Department<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_2_29' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_30\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_30'>Title\/Position<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_2_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_31\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_31'>Cross-Appointments<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_2_31' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_32\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you an early career researcher (ECR)?<\/legend><div class='gfield_description' id='gfield_description_2_32'>(Within 5-years of first academic appointment minus eligible delay.)<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_32'>\n\t\t\t<div class='gchoice gchoice_2_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Yes'  id='choice_2_32_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_32\"   \/>\n\t\t\t\t\t<label for='choice_2_32_0' id='label_2_32_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='No'  id='choice_2_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_32_1' id='label_2_32_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >You have indicated that you are an ECR, which year are you in?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_50'>\n\t\t\t<div class='gchoice gchoice_2_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Year 1'  id='choice_2_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_50_0' id='label_2_50_0' class='gform-field-label gform-field-label--type-inline'>Year 1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Year 2'  id='choice_2_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_50_1' id='label_2_50_1' class='gform-field-label gform-field-label--type-inline'>Year 2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_50_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Year 3'  id='choice_2_50_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_50_2' id='label_2_50_2' class='gform-field-label gform-field-label--type-inline'>Year 3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_50_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Year 4'  id='choice_2_50_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_50_3' id='label_2_50_3' class='gform-field-label gform-field-label--type-inline'>Year 4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_50_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Year 5'  id='choice_2_50_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_50_4' id='label_2_50_4' class='gform-field-label gform-field-label--type-inline'>Year 5<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_48\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please indicate which pillar your work\/expertise aligns with (select all that apply):<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_48'><div class='gchoice gchoice_2_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='Society'  id='choice_2_48_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_48_1' id='label_2_48_1' class='gform-field-label gform-field-label--type-inline'>Society<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_48_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.2' type='checkbox'  value='Neuroscience &amp; Behaviour'  id='choice_2_48_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_48_2' id='label_2_48_2' class='gform-field-label gform-field-label--type-inline'>Neuroscience & Behaviour<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_48_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.3' type='checkbox'  value='Intelligent Technologies'  id='choice_2_48_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_48_3' id='label_2_48_3' class='gform-field-label gform-field-label--type-inline'>Intelligent Technologies<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_33\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_33'>List 3 keywords\/phrases that describe your area(s) of interest.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_2_33' class='textarea small'   maxlength='400'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_34\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_34'>If applicable, please list any and all research units\/institutes that you are a member of.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_2_34' class='textarea small'   maxlength='400'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_35\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_2_36\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>How do your academic credentials fit within the Connected Minds mandate?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_36' id='input_2_36' class='textarea large'   maxlength='3250'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_37\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_37'>Please describe what your expected\/proposed contributions to Connected Minds will be.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_2_37' class='textarea large'   maxlength='2100'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_38\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_38'>Please describe what benefits you anticipate from being part of Connected Minds.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_2_38' class='textarea large'   maxlength='1250'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_39\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_2_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select any and all of the below committees that you would be interested in serving on:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_40'><div class='gchoice gchoice_2_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='EDI'  id='choice_2_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_1' id='label_2_40_1' class='gform-field-label gform-field-label--type-inline'>EDI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Research'  id='choice_2_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_2' id='label_2_40_2' class='gform-field-label gform-field-label--type-inline'>Research<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Partnerships'  id='choice_2_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_3' id='label_2_40_3' class='gform-field-label gform-field-label--type-inline'>Partnerships<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Knowledge Mobilization'  id='choice_2_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_4' id='label_2_40_4' class='gform-field-label gform-field-label--type-inline'>Knowledge Mobilization<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.5' type='checkbox'  value='Training'  id='choice_2_40_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_5' id='label_2_40_5' class='gform-field-label gform-field-label--type-inline'>Training<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.6' type='checkbox'  value='Performance 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type='hidden' name='MAX_FILE_SIZE' value='40960000' \/><input name='input_42' id='input_2_42' type='file' class='large' aria-describedby=\"gfield_upload_rules_2_42\" onchange='javascript:gformValidateFileSize( this, 40960000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_42'>Accepted file types: pdf, Max. file size: 39 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_42'><\/div> <\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' 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