{"id":140,"date":"2021-12-06T18:11:07","date_gmt":"2021-12-07T00:11:07","guid":{"rendered":"https:\/\/www.ntcmn.edu\/myntc\/?page_id=140"},"modified":"2025-09-04T08:52:29","modified_gmt":"2025-09-04T13:52:29","slug":"american-indian-resource-center","status":"publish","type":"page","link":"https:\/\/www.ntcmn.edu\/myntc\/support-services\/american-indian-resource-center\/","title":{"rendered":"American Indian Resource Center"},"content":{"rendered":"<h2>Boozhoo\/Welcome<\/h2>\n<p>The American Indian Resource Center is a welcoming and inclusive space that supports all American Indian students. We provide a safe environment to navigate and balance life&rsquo;s responsibilities. We understand that college can be challenging for everyone. We are here to help students with academic, personal and cultural struggles they may face during their college careers.<\/p>\n<p>Our student services are comprehensive, offering a dedicated support system, connections and referrals to a wide range of on-campus and off-campus services and activities. These include but are not limited to; chemical health programs, disability services, cultural events, academic tutoring and career counseling. We&rsquo;ve got you covered, ensuring you have the support you need to succeed.<\/p>\n<h3>Who Qualifies<\/h3>\n<p>Any student enrolled in NTC (Northwest Technical College) who identifies as American Indian qualifies for the services provided by the American Indian Resource Center.<\/p>\n<h3>Staff<\/h3>\n<p>Nicole Naasz<br>\nNTC AIRC Coordinator<br>\n218\/333-6656<br>\nNTC Campus Room 132A<br>\n<a href=\"mailto:nicole.naasz@ntcmn.edu\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">nicole.naasz@ntcmn.edu<\/a><\/p>\n<p>The NTC AIRC Coordinator provides individual support to students. They offer referrals and advocacy to supportive services within NTC, BSU, the Bemidji community and our virtual learners&rsquo; communities. This advocacy may involve helping students navigate academic or personal challenges, connecting them with appropriate resources or representing their needs within the college and local community. This personalized support ensures that your specific barriers will be understood and addressed.<\/p>\n<p>To schedule a meeting with Nicole please fill out the survey below that will help the coordinator to understand your needs better. After reviewing your assessment form, the AIRC Coordinator will meet with you to discuss your needs. Together, you will identify specific goals and steps to help you overcome your identified barriers. These could include academic goals, personal development objectives or referrals to specific support services.<\/p>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_13' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Student Needs Assessment<\/h2>\n                            <p class='gform_description'>This survey is to help you identify needs, barriers, or supports that are available to you as an NTC student. After filling out the survey please wait two business days for Nicole Naasz, American Indian Resource Center Coordinator, to get in touch with you via your selected preference.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/myntc\/wp-json\/wp\/v2\/pages\/140#gf_13' data-formid='13' novalidate>\n        <div id='gf_progressbar_wrapper_13' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>6<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_16' style='width:16%;'><span>16%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_13_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_13' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_13_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<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_13_1'>\n                            \n                            <span id='input_13_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_13_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_13_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_13_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_13_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_13_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_13_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_13_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_13_2\" autocomplete=\"email\"\/>\n                        <\/div><div class='gfield_description' id='gfield_description_13_2'>Please use your email that you regularly check.<\/div><\/div><div id=\"field_13_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_58'>Phone number for calling or texting<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_13_58' type='text' value='' class='large'  aria-describedby=\"gfield_description_13_58\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_13_58'>Please use the format: XXX-XXX-XXXX<\/div><\/div><fieldset id=\"field_13_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please check how you want Nicole to reach out to you.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_56'><div class='gchoice gchoice_13_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='Email'  id='choice_13_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_56_1' id='label_13_56_1' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='Phone call'  id='choice_13_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_56_2' id='label_13_56_2' class='gform-field-label gform-field-label--type-inline'>Phone call<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='Text'  id='choice_13_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_56_3' id='label_13_56_3' class='gform-field-label gform-field-label--type-inline'>Text<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='Meet in Office'  id='choice_13_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_56_4' id='label_13_56_4' class='gform-field-label gform-field-label--type-inline'>Meet in Office<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_13_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_15'>Student ID#<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_13_15' type='text' value='' class='large'  aria-describedby=\"gfield_description_13_15\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_13_15'>This your tech ID which is 8 numbers long. Please include zeros. <\/div><\/div><fieldset id=\"field_13_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >As a Student, I want to:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_16'><div class='gchoice gchoice_13_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Improve Note Taking skills'  id='choice_13_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_1' id='label_13_16_1' class='gform-field-label gform-field-label--type-inline'>Improve Note Taking skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Improve Time Management Skills'  id='choice_13_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_2' id='label_13_16_2' class='gform-field-label gform-field-label--type-inline'>Improve Time Management Skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Improve Grade Point Average'  id='choice_13_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_3' id='label_13_16_3' class='gform-field-label gform-field-label--type-inline'>Improve Grade Point Average<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='Increase College reading speed'  id='choice_13_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_4' id='label_13_16_4' class='gform-field-label gform-field-label--type-inline'>Increase College reading speed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='Improve general Study habits'  id='choice_13_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_5' id='label_13_16_5' class='gform-field-label gform-field-label--type-inline'>Improve general Study habits<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.6' type='checkbox'  value='Improve Math Skills'  id='choice_13_16_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_6' id='label_13_16_6' class='gform-field-label gform-field-label--type-inline'>Improve Math Skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.7' type='checkbox'  value='Improve Vocabulary'  id='choice_13_16_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_7' id='label_13_16_7' class='gform-field-label gform-field-label--type-inline'>Improve Vocabulary<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.8' type='checkbox'  value='Improve Test Taking Skills'  id='choice_13_16_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_8' id='label_13_16_8' class='gform-field-label gform-field-label--type-inline'>Improve Test Taking Skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.9' type='checkbox'  value='Enhance Memory'  id='choice_13_16_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_9' id='label_13_16_9' class='gform-field-label gform-field-label--type-inline'>Enhance Memory<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.11' type='checkbox'  value='Receive Transfer Assistance'  id='choice_13_16_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_11' id='label_13_16_11' class='gform-field-label gform-field-label--type-inline'>Receive Transfer Assistance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.12' type='checkbox'  value='Improve Spelling'  id='choice_13_16_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_12' id='label_13_16_12' class='gform-field-label gform-field-label--type-inline'>Improve Spelling<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.13' type='checkbox'  value='Reduce math\/test anxiety'  id='choice_13_16_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_13' id='label_13_16_13' class='gform-field-label gform-field-label--type-inline'>Reduce math\/test anxiety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.14' type='checkbox'  value='Develop a plan for college'  id='choice_13_16_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_14' id='label_13_16_14' class='gform-field-label gform-field-label--type-inline'>Develop a plan for college<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.15' type='checkbox'  value='Improve reading comprehension'  id='choice_13_16_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_15' id='label_13_16_15' class='gform-field-label gform-field-label--type-inline'>Improve reading comprehension<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.16' type='checkbox'  value='Make good career decisions'  id='choice_13_16_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_16' id='label_13_16_16' class='gform-field-label gform-field-label--type-inline'>Make good career decisions<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_16_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_13_59' 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_13_2' class='gform_page' data-js='page-field-id-59' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_13_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please Check any of the following items which describes you:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_17'><div class='gchoice gchoice_13_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Out of School too long'  id='choice_13_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_1' id='label_13_17_1' class='gform-field-label gform-field-label--type-inline'>Out of School too long<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Afraid I might not fit in at NTC'  id='choice_13_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_2' id='label_13_17_2' class='gform-field-label gform-field-label--type-inline'>Afraid I might not fit in at NTC<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Difficulty meeting new people'  id='choice_13_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_3' id='label_13_17_3' class='gform-field-label gform-field-label--type-inline'>Difficulty meeting new people<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Not prepared for course level'  id='choice_13_17_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_4' id='label_13_17_4' class='gform-field-label gform-field-label--type-inline'>Not prepared for course level<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.5' type='checkbox'  value='Registered for too many classes'  id='choice_13_17_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_5' id='label_13_17_5' class='gform-field-label gform-field-label--type-inline'>Registered for too many classes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.6' type='checkbox'  value='Difficulty Organizating'  id='choice_13_17_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_6' id='label_13_17_6' class='gform-field-label gform-field-label--type-inline'>Difficulty Organizating<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.7' type='checkbox'  value='Difficulty Prioritizing'  id='choice_13_17_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_7' id='label_13_17_7' class='gform-field-label gform-field-label--type-inline'>Difficulty Prioritizing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.8' type='checkbox'  value='Unsure of College procedures'  id='choice_13_17_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_8' id='label_13_17_8' class='gform-field-label gform-field-label--type-inline'>Unsure of College procedures<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.9' type='checkbox'  value='Few computer skills'  id='choice_13_17_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_9' id='label_13_17_9' class='gform-field-label gform-field-label--type-inline'>Few computer skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.11' type='checkbox'  value='Difficulty with public speaking'  id='choice_13_17_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_11' id='label_13_17_11' class='gform-field-label gform-field-label--type-inline'>Difficulty with public speaking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.12' type='checkbox'  value='Change Major 1+ times'  id='choice_13_17_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_12' id='label_13_17_12' class='gform-field-label gform-field-label--type-inline'>Change Major 1+ times<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.13' type='checkbox'  value='May need personal counseling'  id='choice_13_17_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_13' id='label_13_17_13' class='gform-field-label gform-field-label--type-inline'>May need personal counseling<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.14' type='checkbox'  value='Difficulty meeting deadlines'  id='choice_13_17_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_14' id='label_13_17_14' class='gform-field-label gform-field-label--type-inline'>Difficulty meeting deadlines<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.15' type='checkbox'  value='Limited experience with Internet'  id='choice_13_17_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_15' id='label_13_17_15' class='gform-field-label gform-field-label--type-inline'>Limited experience with Internet<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.16' type='checkbox'  value='Panic during tests'  id='choice_13_17_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_16' id='label_13_17_16' class='gform-field-label gform-field-label--type-inline'>Panic during tests<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.17' type='checkbox'  value='Afraid of failing'  id='choice_13_17_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_17' id='label_13_17_17' class='gform-field-label gform-field-label--type-inline'>Afraid of failing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.18' type='checkbox'  value='Difficulty managing money'  id='choice_13_17_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_18' id='label_13_17_18' class='gform-field-label gform-field-label--type-inline'>Difficulty managing money<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.19' type='checkbox'  value='Conflict with Instructor'  id='choice_13_17_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_19' id='label_13_17_19' class='gform-field-label gform-field-label--type-inline'>Conflict with Instructor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.21' type='checkbox'  value='Difficulty finding childcare'  id='choice_13_17_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_21' id='label_13_17_21' class='gform-field-label gform-field-label--type-inline'>Difficulty finding childcare<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.22' type='checkbox'  value='Working too much during the week'  id='choice_13_17_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_22' id='label_13_17_22' class='gform-field-label gform-field-label--type-inline'>Working too much during the week<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.23' type='checkbox'  value='Unable to understand content'  id='choice_13_17_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_23' id='label_13_17_23' class='gform-field-label gform-field-label--type-inline'>Unable to understand content<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_17_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.24' type='checkbox'  value='Difficulty participating in discussions'  id='choice_13_17_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_17_24' id='label_13_17_24' class='gform-field-label gform-field-label--type-inline'>Difficulty participating in discussions<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_17_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What obstacles would most likely prevent you from completing your academic goals?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_18'><div class='gchoice gchoice_13_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Poor study habits'  id='choice_13_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_1' id='label_13_18_1' class='gform-field-label gform-field-label--type-inline'>Poor study habits<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Bad Grades'  id='choice_13_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_2' id='label_13_18_2' class='gform-field-label gform-field-label--type-inline'>Bad Grades<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Family medical problems'  id='choice_13_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_3' id='label_13_18_3' class='gform-field-label gform-field-label--type-inline'>Family medical problems<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='Alcohol and\/or drug problems'  id='choice_13_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_4' id='label_13_18_4' class='gform-field-label gform-field-label--type-inline'>Alcohol and\/or drug problems<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.5' type='checkbox'  value='Feeling depressed or Sad'  id='choice_13_18_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_5' id='label_13_18_5' class='gform-field-label gform-field-label--type-inline'>Feeling depressed or Sad<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.6' type='checkbox'  value='Always worrying'  id='choice_13_18_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_6' id='label_13_18_6' class='gform-field-label gform-field-label--type-inline'>Always worrying<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.7' type='checkbox'  value='Always feeling tired'  id='choice_13_18_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_7' id='label_13_18_7' class='gform-field-label gform-field-label--type-inline'>Always feeling tired<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.8' type='checkbox'  value='Trouble Sleeping'  id='choice_13_18_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_8' id='label_13_18_8' class='gform-field-label gform-field-label--type-inline'>Trouble Sleeping<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.9' type='checkbox'  value='Easily Distracted'  id='choice_13_18_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_9' id='label_13_18_9' class='gform-field-label gform-field-label--type-inline'>Easily Distracted<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.11' type='checkbox'  value='Lack of money'  id='choice_13_18_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_11' id='label_13_18_11' class='gform-field-label gform-field-label--type-inline'>Lack of money<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.12' type='checkbox'  value='Taking things too seriously'  id='choice_13_18_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_12' id='label_13_18_12' class='gform-field-label gform-field-label--type-inline'>Taking things too seriously<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.13' type='checkbox'  value='Separation or Divorce'  id='choice_13_18_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_13' id='label_13_18_13' class='gform-field-label gform-field-label--type-inline'>Separation or Divorce<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.14' type='checkbox'  value='Problems at home'  id='choice_13_18_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_14' id='label_13_18_14' class='gform-field-label gform-field-label--type-inline'>Problems at home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.15' type='checkbox'  value='No close friends at NTC'  id='choice_13_18_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_15' id='label_13_18_15' class='gform-field-label gform-field-label--type-inline'>No close friends at NTC<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.16' type='checkbox'  value='No support from family\/friends'  id='choice_13_18_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_16' id='label_13_18_16' class='gform-field-label gform-field-label--type-inline'>No support from family\/friends<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.17' type='checkbox'  value='Dealing with bills'  id='choice_13_18_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_17' id='label_13_18_17' class='gform-field-label gform-field-label--type-inline'>Dealing with bills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.18' type='checkbox'  value='Test anxiety'  id='choice_13_18_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_18' id='label_13_18_18' class='gform-field-label gform-field-label--type-inline'>Test anxiety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.19' type='checkbox'  value='Recurring health concerns'  id='choice_13_18_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_19' id='label_13_18_19' class='gform-field-label gform-field-label--type-inline'>Recurring health concerns<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.21' type='checkbox'  value='Afraid to ask Questions'  id='choice_13_18_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_21' id='label_13_18_21' class='gform-field-label gform-field-label--type-inline'>Afraid to ask Questions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.22' type='checkbox'  value='Too Shy'  id='choice_13_18_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_22' id='label_13_18_22' class='gform-field-label gform-field-label--type-inline'>Too Shy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_18_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.23' type='checkbox'  value='Taking the wrong classes'  id='choice_13_18_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_18_23' id='label_13_18_23' class='gform-field-label gform-field-label--type-inline'>Taking the wrong classes<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_18_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_60' 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_13_60' 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_13_3' class='gform_page' data-js='page-field-id-60' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_3' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_13_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Please select the most important areas that you would like assistance:<\/h3><\/div><fieldset id=\"field_13_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Academic<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_21'><div class='gchoice gchoice_13_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='Course Selection'  id='choice_13_21_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_21_1' id='label_13_21_1' class='gform-field-label gform-field-label--type-inline'>Course Selection<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='Selecting a Major'  id='choice_13_21_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_21_2' id='label_13_21_2' class='gform-field-label gform-field-label--type-inline'>Selecting a Major<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='Study Skills'  id='choice_13_21_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_21_3' id='label_13_21_3' class='gform-field-label gform-field-label--type-inline'>Study Skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='Tutoring'  id='choice_13_21_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_21_4' id='label_13_21_4' class='gform-field-label gform-field-label--type-inline'>Tutoring<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_21_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Career<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_22'><div class='gchoice gchoice_13_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Interviewing'  id='choice_13_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_22_1' id='label_13_22_1' class='gform-field-label gform-field-label--type-inline'>Interviewing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Resume\/Cover letter'  id='choice_13_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_22_2' id='label_13_22_2' class='gform-field-label gform-field-label--type-inline'>Resume\/Cover letter<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Job Searching'  id='choice_13_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_22_3' id='label_13_22_3' class='gform-field-label gform-field-label--type-inline'>Job Searching<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='Co-op\/Internship'  id='choice_13_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_22_4' id='label_13_22_4' class='gform-field-label gform-field-label--type-inline'>Co-op\/Internship<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_22_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.5' type='checkbox'  value='Leadership Development'  id='choice_13_22_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_22_5' id='label_13_22_5' class='gform-field-label gform-field-label--type-inline'>Leadership Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_22_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Financial<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_23'><div class='gchoice gchoice_13_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Personal Budget'  id='choice_13_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_1' id='label_13_23_1' class='gform-field-label gform-field-label--type-inline'>Personal Budget<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='FAFSA'  id='choice_13_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_2' id='label_13_23_2' class='gform-field-label gform-field-label--type-inline'>FAFSA<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Grants\/Scholarships'  id='choice_13_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_3' id='label_13_23_3' class='gform-field-label gform-field-label--type-inline'>Grants\/Scholarships<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='AISP - American Indian Scholars Program'  id='choice_13_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_4' id='label_13_23_4' class='gform-field-label gform-field-label--type-inline'>AISP - American Indian Scholars Program<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_23_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.5' type='checkbox'  value='MISP - Minnesota Indian Scholarship Program'  id='choice_13_23_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_5' id='label_13_23_5' class='gform-field-label gform-field-label--type-inline'>MISP - Minnesota Indian Scholarship Program<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_23_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.6' type='checkbox'  value='Tribal Scholarship'  id='choice_13_23_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_6' id='label_13_23_6' class='gform-field-label gform-field-label--type-inline'>Tribal Scholarship<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_23_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.7' type='checkbox'  value='Loans'  id='choice_13_23_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_7' id='label_13_23_7' class='gform-field-label gform-field-label--type-inline'>Loans<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_23_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Personal<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_24'><div class='gchoice gchoice_13_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Stress Management'  id='choice_13_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_1' id='label_13_24_1' class='gform-field-label gform-field-label--type-inline'>Stress Management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='Substance Abuse'  id='choice_13_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_2' id='label_13_24_2' class='gform-field-label gform-field-label--type-inline'>Substance Abuse<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='Relationships'  id='choice_13_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_3' id='label_13_24_3' class='gform-field-label gform-field-label--type-inline'>Relationships<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.4' type='checkbox'  value='Anxiety'  id='choice_13_24_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_4' id='label_13_24_4' class='gform-field-label gform-field-label--type-inline'>Anxiety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.5' type='checkbox'  value='Depression'  id='choice_13_24_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_5' id='label_13_24_5' class='gform-field-label gform-field-label--type-inline'>Depression<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.6' type='checkbox'  value='Motivation'  id='choice_13_24_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_6' id='label_13_24_6' class='gform-field-label gform-field-label--type-inline'>Motivation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.7' type='checkbox'  value='Exploring Diversity'  id='choice_13_24_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_7' id='label_13_24_7' class='gform-field-label gform-field-label--type-inline'>Exploring Diversity<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.8' type='checkbox'  value='Time Mangement'  id='choice_13_24_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_8' id='label_13_24_8' class='gform-field-label gform-field-label--type-inline'>Time Mangement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.9' type='checkbox'  value='Organization and Prioritization'  id='choice_13_24_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_9' id='label_13_24_9' class='gform-field-label gform-field-label--type-inline'>Organization and Prioritization<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_24_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.11' type='checkbox'  value='Getting in touch with a Counselor or Therapist'  id='choice_13_24_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_11' id='label_13_24_11' class='gform-field-label gform-field-label--type-inline'>Getting in touch with a Counselor or Therapist<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_24_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Transfer to a 4-year Institution<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_25'><div class='gchoice gchoice_13_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Search Process'  id='choice_13_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_25_1' id='label_13_25_1' class='gform-field-label gform-field-label--type-inline'>Search Process<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='Application Process'  id='choice_13_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_25_2' id='label_13_25_2' class='gform-field-label gform-field-label--type-inline'>Application Process<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_25_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.3' type='checkbox'  value='Funding'  id='choice_13_25_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_25_3' id='label_13_25_3' class='gform-field-label gform-field-label--type-inline'>Funding<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_25_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.4' type='checkbox'  value='Planning'  id='choice_13_25_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_25_4' id='label_13_25_4' class='gform-field-label gform-field-label--type-inline'>Planning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_25_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.5' type='checkbox'  value='Transcripts'  id='choice_13_25_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_25_5' id='label_13_25_5' class='gform-field-label gform-field-label--type-inline'>Transcripts<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_25_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_61' 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_13_61' 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_13_4' class='gform_page' data-js='page-field-id-61' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_4' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_13_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Rate your skills in each area<\/h3><\/div><div id=\"field_13_28\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_28'>Math<\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_13_28' class='large gfield_select'     aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Above Average' >Above Average<\/option><option value='Average' >Average<\/option><option value='Below Average' >Below Average<\/option><option value='Poor' >Poor<\/option><\/select><\/div><\/div><div id=\"field_13_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_29'>Science<\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_13_29' class='large gfield_select'     aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Above Average' >Above Average<\/option><option value='Average' >Average<\/option><option value='Below Average' >Below Average<\/option><option value='Poor' >Poor<\/option><\/select><\/div><\/div><div id=\"field_13_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_30'>Reading<\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_13_30' class='large gfield_select'     aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Above Average' >Above Average<\/option><option value='Average' >Average<\/option><option value='Below Average' >Below Average<\/option><option value='Poor' >Poor<\/option><\/select><\/div><\/div><div id=\"field_13_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_31'>Writing<\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_13_31' class='large gfield_select'     aria-invalid=\"false\" ><option value='Excellent' >Excellent<\/option><option value='Above Average' >Above Average<\/option><option value='Average' >Average<\/option><option value='Below Average' >Below Average<\/option><option value='Poor' >Poor<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_62' 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_13_62' 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_13_5' class='gform_page' data-js='page-field-id-62' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_5' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_13_32\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_32'>Describe 2(or more) personal strengths which you feel will help you succeed as a student:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_13_32' class='textarea large'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_13_33\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_33'>After Graduation from Northwest Technical College, I plan to:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_13_33' class='textarea large'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_63' 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_13_63' 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_13_6' class='gform_page' data-js='page-field-id-63' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_6' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_13_34\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Personal Inventory<\/h3><div class='gsection_description' id='gfield_description_13_34'>Directions: Answer each question by marking Yes if the statement is like you or describes you; mark No if it is not like you or doesn't describe you. Answer all questions as honestly as you can with your first impression.<\/div><\/div><fieldset id=\"field_13_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I want to make changes in my life.<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_13_35'>\n\t\t\t<div class='gchoice gchoice_13_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Yes'  id='choice_13_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_35_0' id='label_13_35_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_13_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='No'  id='choice_13_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_35_1' id='label_13_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >People expect too much of me.<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_13_36'>\n\t\t\t<div class='gchoice gchoice_13_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Yes'  id='choice_13_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_36_0' id='label_13_36_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_13_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='No'  id='choice_13_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_36_1' id='label_13_36_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am well-liked by people my own age.<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_13_37'>\n\t\t\t<div class='gchoice gchoice_13_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Yes'  id='choice_13_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_37_0' id='label_13_37_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_13_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='No'  id='choice_13_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_37_1' id='label_13_37_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Work often upsets me.<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_13_38'>\n\t\t\t<div class='gchoice gchoice_13_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Yes'  id='choice_13_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_38_0' id='label_13_38_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_13_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='No'  id='choice_13_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_38_1' id='label_13_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have too many things going on in my life.<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_13_39'>\n\t\t\t<div class='gchoice gchoice_13_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Yes'  id='choice_13_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_39_0' id='label_13_39_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_13_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='No'  id='choice_13_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_39_1' id='label_13_39_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My feelings are very important to my family.<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_13_40'>\n\t\t\t<div class='gchoice gchoice_13_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Yes'  id='choice_13_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_40_0' id='label_13_40_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_13_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='No'  id='choice_13_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_40_1' id='label_13_40_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >At home I lose my temper easily.<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_13_41'>\n\t\t\t<div class='gchoice gchoice_13_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes'  id='choice_13_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_41_0' id='label_13_41_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_13_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No'  id='choice_13_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_41_1' id='label_13_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am very often in a good mood.<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_13_42'>\n\t\t\t<div class='gchoice gchoice_13_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Yes'  id='choice_13_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_42_0' id='label_13_42_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_13_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='No'  id='choice_13_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_42_1' id='label_13_42_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I can easily make decisions.<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_13_43'>\n\t\t\t<div class='gchoice gchoice_13_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Yes'  id='choice_13_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_43_0' id='label_13_43_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_13_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='No'  id='choice_13_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_43_1' id='label_13_43_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I feel I always need to improve myself.<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_13_44'>\n\t\t\t<div class='gchoice gchoice_13_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Yes'  id='choice_13_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_44_0' id='label_13_44_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_13_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='No'  id='choice_13_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_44_1' id='label_13_44_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I find it very hard to express my opinions in front of other people.<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_13_45'>\n\t\t\t<div class='gchoice gchoice_13_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Yes'  id='choice_13_45_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_45_0' id='label_13_45_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_13_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='No'  id='choice_13_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_45_1' id='label_13_45_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am easy to be with.<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_13_46'>\n\t\t\t<div class='gchoice gchoice_13_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Yes'  id='choice_13_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_46_0' id='label_13_46_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_13_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='No'  id='choice_13_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_46_1' id='label_13_46_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I find it hard to get used to new things.<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_13_47'>\n\t\t\t<div class='gchoice gchoice_13_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Yes'  id='choice_13_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_47_0' id='label_13_47_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_13_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='No'  id='choice_13_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_47_1' id='label_13_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I&#039;d rather give in than fight.<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_13_48'>\n\t\t\t<div class='gchoice gchoice_13_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Yes'  id='choice_13_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_48_0' id='label_13_48_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_13_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='No'  id='choice_13_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_48_1' id='label_13_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >It&#039;s not easy being me sometimes.<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_13_49'>\n\t\t\t<div class='gchoice gchoice_13_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Yes'  id='choice_13_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_49_0' id='label_13_49_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_13_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='No'  id='choice_13_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_49_1' id='label_13_49_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My family puts pressure on me.<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_13_50'>\n\t\t\t<div class='gchoice gchoice_13_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Yes'  id='choice_13_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_50_0' id='label_13_50_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_13_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='No'  id='choice_13_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_50_1' id='label_13_50_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I&#039;ve often thought of leaving home.<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_13_51'>\n\t\t\t<div class='gchoice gchoice_13_51_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='Yes'  id='choice_13_51_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_51_0' id='label_13_51_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_13_51_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='No'  id='choice_13_51_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_51_1' id='label_13_51_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Other people are better looking than I am.<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_13_52'>\n\t\t\t<div class='gchoice gchoice_13_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Yes'  id='choice_13_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_52_0' id='label_13_52_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_13_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='No'  id='choice_13_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_52_1' id='label_13_52_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I&#039;d like to feel better about myself.<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_13_53'>\n\t\t\t<div class='gchoice gchoice_13_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Yes'  id='choice_13_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_53_0' id='label_13_53_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_13_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='No'  id='choice_13_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_53_1' id='label_13_53_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My family is very supportive of me.<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_13_54'>\n\t\t\t<div class='gchoice gchoice_13_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Yes'  id='choice_13_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_54_0' id='label_13_54_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_13_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='No'  id='choice_13_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_54_1' id='label_13_54_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_13' 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_13' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_13' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_13' id='gform_theme_13' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_13' 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You may also raise a flag in the NTC Navigate software. Office hours are 8:30 a.m. to 5:00 p.m., Monday through Friday.<\/p>\n<h4>Funding Resources<\/h4>\n<p>Do you have an emergency that could affect your success in college? See the: <a href=\"https:\/\/www.ntcmn.edu\/myntc\/support-services\/student-emergency-fund-application\/\" target=\"_blank\" rel=\"noopener\">Student Emergency Fund Application<\/a><\/p>\n<p>Do you or did you have an IEP\/501Plan in school or ADA compliance questions? 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