{"id":3285,"date":"2023-02-06T12:54:57","date_gmt":"2023-02-06T17:54:57","guid":{"rendered":"https:\/\/web.saumag.edu\/housing\/?page_id=3285"},"modified":"2023-02-16T18:15:15","modified_gmt":"2023-02-16T23:15:15","slug":"faculty-staff-rental","status":"publish","type":"page","link":"https:\/\/web.saumag.edu\/housing\/faculty-staff-rental\/","title":{"rendered":"Faculty\/Staff Rental Application &#8211; Mulerider Pointe"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3285\" class=\"elementor elementor-3285\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6472576b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6472576b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 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448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #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><form method='post' enctype='multipart\/form-data'  id='gform_61'  action='\/housing\/wp-json\/wp\/v2\/pages\/3285' data-formid='61' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_61' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_61_27\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"alert alert-info\" style=\"text-align: center;\"><h3>Mulerider Pointe Rent: $750\/month<\/h3>\nRent includes electricity, water, internet, and pool access.\n<\/div><\/div><div id=\"field_61_12\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Employee Information<\/h3><\/div><fieldset id=\"field_61_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below 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_61_1'>\n                            \n                            <span id='input_61_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_61_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_61_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_61_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_61_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_61_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_61_3\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_3'>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_3' id='input_61_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_61_4\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_4'>Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_61_4' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_61_6\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_6'>SAU Faculty\/Staff ID Number<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_6' id='input_61_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_61_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_7'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_61_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_61_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_61_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_61_7' class='gform_hidden' value='https:\/\/web.saumag.edu\/housing\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_61_8\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_8'>SAU Position Title<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_8' id='input_61_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_61_10\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_10'>Office Location<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_61_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_61_11\" class=\"gfield gfield--type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_11'>Office Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_61_11' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_61_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Resident Information<\/h3><\/div><fieldset id=\"field_61_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Will there be anyone else residing in the apartment with you?<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_61_18'>\n\t\t\t<div class='gchoice gchoice_61_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Yes'  id='choice_61_18_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_61_18\"   \/>\n\t\t\t\t\t<label for='choice_61_18_0' id='label_61_18_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_61_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='No'  id='choice_61_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_61_18_1' id='label_61_18_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_61_18'>Only immediate family members may live in the apartment.<\/div><\/fieldset><div id=\"field_61_26\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_26'>How many family members will be residing with you?<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_26' id='input_61_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_61_14\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Family that will be residing in the apartment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date of Birth (mm\/dd\/yyyy)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Relationship<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_14_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_14\" aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_14[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_14_cell2 gform-grid-col' data-label='Date of Birth (mm\/dd\/yyyy)'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_14\" aria-label='Date of Birth (mm\/dd\/yyyy), Row 1' data-aria-label-template='Date of Birth (mm\/dd\/yyyy), Row {0}' type='text' name='input_14[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_14_cell3 gform-grid-col' data-label='Relationship'><select title='Relationship' name='input_14[]'   aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_14\" aria-label='Relationship, Row 1' data-aria-label-template='Relationship, Row {0}'><option value='Legal dependent\/child' >Legal dependent\/child<\/option><option value='Spouse' >Spouse<\/option><option value='Parent' >Parent<\/option><\/select><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_61_14'>Please click the plus icon on the right to add additional family members.<\/div><\/fieldset><fieldset id=\"field_61_15\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Emergency Contact Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_61_15'>\n                            \n                            <span id='input_61_15_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.3' id='input_61_15_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_61_15_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_61_15_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.6' id='input_61_15_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_61_15_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_61_17\" class=\"gfield gfield--type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_17'>Emergency Contact Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_61_17' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_61_16\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_16'>Emergency Contact Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_61_16' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_61_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you need the apartment furnished?<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_61_23'>\n\t\t\t<div class='gchoice gchoice_61_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Yes'  id='choice_61_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_61_23_0' id='label_61_23_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_61_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_61_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_61_23_1' id='label_61_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_61_24\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_24'>How many beds will you need provided?<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_24' id='input_61_24' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_61_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has anyone, who will be residing with you in the Mulerider Pointe Apartments, been arrested or convicted of a felony, other than a minor traffic violation?<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_61_25'>\n\t\t\t<div class='gchoice gchoice_61_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Yes'  id='choice_61_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_61_25_0' id='label_61_25_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_61_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='No'  id='choice_61_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_61_25_1' id='label_61_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_61_28\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_61_28'>Please explain.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_61_28' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_61_19\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Pet Information<\/h3><div class='gsection_description' id='gfield_description_61_19'>University Housing allows faculty\/staff to have up to two pets, under 25 pounds.  Pets may include dog or cat and must be spayed\/neutered.  Other animal species must be approved in advance by University Housing.  Additional vet records and documentation will be required.<\/div><\/div><fieldset id=\"field_61_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a pet?<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_61_20'>\n\t\t\t<div class='gchoice gchoice_61_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Yes'  id='choice_61_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_61_20_0' id='label_61_20_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_61_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='No'  id='choice_61_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_61_20_1' id='label_61_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_61_21\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Pet Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Type<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Breed<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Weight<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Age<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Color<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Rabies Vaccination Expiration<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_21_cell1 gform-grid-col' data-label='Type'><select title='Type' name='input_21[]'   aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_21\" aria-label='Type, Row 1' data-aria-label-template='Type, Row {0}'><option value='Cat' >Cat<\/option><option value='Dog' >Dog<\/option><\/select><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_21_cell2 gform-grid-col' data-label='Breed'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_21\" aria-label='Breed, Row 1' data-aria-label-template='Breed, Row {0}' type='text' name='input_21[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_21_cell3 gform-grid-col' data-label='Weight'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_21\" aria-label='Weight, Row 1' data-aria-label-template='Weight, Row {0}' type='text' name='input_21[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_21_cell4 gform-grid-col' data-label='Age'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_21\" aria-label='Age, Row 1' data-aria-label-template='Age, Row {0}' type='text' name='input_21[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_21_cell5 gform-grid-col' data-label='Color'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_21\" aria-label='Color, Row 1' data-aria-label-template='Color, Row {0}' type='text' name='input_21[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_21_cell6 gform-grid-col' data-label='Rabies Vaccination Expiration'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_61_21\" aria-label='Rabies Vaccination Expiration, Row 1' data-aria-label-template='Rabies Vaccination Expiration, Row {0}' type='text' name='input_21[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 2)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 2)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_61_21'>Use the plus icon to the right to add an additional pet (maximum of 2)<\/div><\/fieldset><fieldset id=\"field_61_22\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Certification Statement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_22.1' id='input_61_22_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_61_22_1' >I certify that the information provided in this University Rental Application is true and correct to the best of my knowledge as of the date submitted.  I acknowledge that University Housing shall rely on the information contained herein, and I authorize University Housing to verify any or all information provided.<\/label><input type='hidden' name='input_22.2' value='I certify that the information provided in this University Rental Application is true and correct to the best of my knowledge as of the date submitted.  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