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<ul class="er_fld_row"><li class="er_fld_type_content" draggable="false" style="width: 50%;"> <i class="fa fa-info-circle"></i><label>Guidelines\Help Text</label><div class="cst_content"><img 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"> Thank you for your interest in Palmer Home for Children. Please complete this application to the best of your ability. Placement decisions may take up to 30 days and depend on availability and the child’s needs. Our Intake and Community Care Manager will contact you.</div></li></ul><ul class="er_fld_row"><li class="er_fld_type_text" draggable="false" style="width: 33.3333%;" map_to="CC_FirstName"> <i class="fa fa-font"></i><label class="er_fld_label required">Child's First Name</label><input name="CST_30" type="text" class="er_fld_required"></li></ul><ul class="er_fld_row"><li class="er_fld_type_text" draggable="false" style="width: 50%;" map_to="CC_MiddleInitial"> <i class="fa fa-font"></i><label class="er_fld_label">Child's Middle Name</label><input name="CST_32" type="text"></li></ul><ul class="er_fld_row"><li class="er_fld_type_text" draggable="false" style="width: 100%;" map_to="CC_LastName"> <i class="fa fa-font"></i><label class="er_fld_label required">Child's Last Name</label><input name="CST_28" type="text" class="er_fld_required"></li></ul><ul class="er_fld_row"><li class="er_fld_type_date" draggable="false" style="width: 33.3333%;" map_to="CC_DOB"> <i class="fa fa-calendar"></i><label class="er_fld_label required">Child's Date of Birth</label><input class="cst_datepicker er_fld_required" name="CST_31" type="text"></li><li class="er_fld_type_radio" style="white-space: normal; width: 33.3333%;" draggable="false"><i class="fa fa-circle-o"></i><label class="er_fld_label required">Child's Gender</label> <label class="er_option"><input class="type_radio er_fld_required" type="radio" name="CST_36" value="Femaie">Femaie</label><label class="er_option"><input class="type_radio er_fld_required" type="radio" name="CST_36" value="Male">Male</label><label class="er_option er_option_other er_option_other_off"><input class="type_radio er_option_other er_fld_required" type="radio" name="CST_36" value="Other:">Other:<input class="cst_Other er_fld_required" name="CST_36_Other" type="text"></label></li></ul><ul class="er_fld_row"><li class="er_fld_type_dropdown" draggable="false" style="width: 100%;" map_to="CC_Race"><i class="fa fa-caret-down"></i><label class="er_fld_label required">Race</label><select name="CST_34" class="er_fld_required"><option value="- Not Specified -" selected="">- Not Specified -</option><option value="American Indian or Alaska Native">American Indian or Alaska Native</option><option value="Asian">Asian</option><option value="Black or African American">Black or African American</option><option value="Multi-Racial">Multi-Racial</option><option value="Native Hawaiian or Other Pacific Islander">Native Hawaiian or Other Pacific Islander</option><option value="White">White</option><option value="Other">Other</option><option value="Unknown">Unknown</option></select></li></ul><ul class="er_fld_row"><li class="er_fld_type_paragraph er_fld_type_paragraph_large" draggable="false" style="width: 50%;" map_to="CC_ReferralReason_Ref"> <i class="fa fa-paragraph"></i><label class="er_fld_label required">Reason for Referral (include Behavioral History)</label><textarea name="CST_13" style="width:100%;" class="er_fld_required"></textarea></li></ul><ul class="er_fld_row"><li class="er_fld_type_text" draggable="false" style="width: 50%;" map_to="CC_Birthplace"> <i class="fa fa-font"></i><label class="er_fld_label required">State and County Child Reside in </label><input name="CST_24" type="text" class="er_fld_required"></li></ul><ul class="er_fld_row"><li class="er_fld_type_text" draggable="false" style="width: 33.3333%;" map_to="CC_ReferringWorker_Ref"> <i class="fa fa-font"></i><label class="er_fld_label required">Your Name</label><input name="CST_9" type="text" class="er_fld_required"></li></ul><ul class="er_fld_row"><li class="er_fld_type_number" draggable="false" style="width: 100%;" map_to="CC_ReferringPhone_Ref"> <i class="fa fa-hashtag"></i><label class="er_fld_label required">Phone Number (no dashes or periods) </label><input name="CST_6" type="text" class="er_fld_required"></li></ul><ul class="er_fld_row"><li class="er_fld_type_text" draggable="false" style="width: 100%;" map_to="CC_ReferringEmail_Ref"> <i class="fa fa-font"></i><label class="er_fld_label required">Email</label><input name="CST_15" type="text" class="er_fld_required"></li></ul><ul class="er_fld_row"><li class="er_fld_type_dropdown" draggable="false" style="width: 50%;" map_to="CC_RefSecReason_Ref" er_fld_condvals="er_fld_showif_values=No"><i class="fa fa-caret-down"></i><label class="er_fld_label required">Is the Child in your custody?</label><select name="CST_26" class="er_fld_required"><option value="- Not Specified -">- Not Specified -</option><option value="Yes">Yes</option><option value="No">No</option></select></li></ul><ul class="er_fld_row"><li class="er_fld_type_text er_fld_showif" draggable="false" style="width: 100%;" er_fld_condfld="CST_26" map_to="CC_RefSecReason_Ref" er_fld_condvals="er_fld_showif_values=No"> <i class="fa fa-font"></i><label class="er_fld_label">Who has custody?</label><input name="CST_27" type="text"></li></ul>
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