{"id":1885,"date":"2018-12-26T09:52:30","date_gmt":"2018-12-26T14:52:30","guid":{"rendered":"https:\/\/nhsgreaterberks.org\/?page_id=1885"},"modified":"2018-12-26T10:04:29","modified_gmt":"2018-12-26T15:04:29","slug":"spanish-fastrac-intake-form","status":"publish","type":"page","link":"https:\/\/nhsgb.org\/buy-your-home\/homebuyer-education\/spanish-fastrac-intake-form\/","title":{"rendered":"Spanish FASTRAC Intake Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_15_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_ajax_submit  frm_pro_form \" id=\"form_customer-intake-form2\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"15\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_15\" id=\"frm_hide_fields_15\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"customer-intake-form2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_15\" name=\"frm_submit_entry_15\" value=\"79a6fb23fc\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/1885\" \/><div id=\"frm_field_296_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">ESTUDIANTE\/SOLICITANTE:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_297_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third frm_first\">\r\n    <label for=\"field_first_name2\" class=\"frm_primary_label\">Nombre\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_first_name2\" name=\"item_meta[297]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Nombre cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_first_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_first_name2\">Primer<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_298_container\" class=\"frm_form_field form-field  frm_hidden_container frm_third\">\r\n    <label for=\"field_middle_name2\" class=\"frm_primary_label\">Segundo Nombre\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_middle_name2\" name=\"item_meta[298]\" value=\"\"  data-sectionid=\"296\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_middle_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_middle_name2\">Segundo Nombre<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_299_container\" class=\"frm_form_field form-field  frm_required_field frm_hidden_container frm_third\">\r\n    <label for=\"field_last_name2\" class=\"frm_primary_label\">Apellido\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_last_name2\" name=\"item_meta[299]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Apellido cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_last_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_last_name2\">Apellido<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_300_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds frm_first\">\r\n    <label for=\"field_street2\" class=\"frm_primary_label\">Direcci\u00f3n\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_street2\" name=\"item_meta[300]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Direcci\u00f3n cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_301_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_apt2\" class=\"frm_primary_label\">Apt#\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_apt2\" name=\"item_meta[301]\" value=\"\"  data-sectionid=\"296\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_302_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_city2\" class=\"frm_primary_label\">Ciudad\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_city2\" name=\"item_meta[302]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Ciudad cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_303_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth\">\r\n    <label for=\"field_state2\" class=\"frm_primary_label\">Estado\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_state2\" name=\"item_meta[303]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Estado cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_304_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth\">\r\n    <label for=\"field_zip_code2\" class=\"frm_primary_label\">C\u00f3digo Postal\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zip_code2\" name=\"item_meta[304]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"C\u00f3digo Postal cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_305_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth\">\r\n    <label for=\"field_ssn2\" class=\"frm_primary_label\">Seguro Social #\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ssn2\" name=\"item_meta[305]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Seguro Social # cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_306_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_first\">\r\n    <label for=\"field_home_phone2\" class=\"frm_primary_label\">Tel\u00e9fono De Hogar\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_home_phone2\" name=\"item_meta[306]\" value=\"\"  data-sectionid=\"296\" data-frmmask=\"(999)999-9999\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_307_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_work_phone2\" class=\"frm_primary_label\">Trabajo\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_work_phone2\" name=\"item_meta[307]\" value=\"\"  data-sectionid=\"296\" data-frmmask=\"(999)999-9999\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_308_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_cell_phone2\" class=\"frm_primary_label\">Celular\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_cell_phone2\" name=\"item_meta[308]\" value=\"\"  data-sectionid=\"296\" data-frmmask=\"(999)999-9999\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_309_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_birth_date2\" class=\"frm_primary_label\">Fecha De Nacimiento\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_birth_date2\" name=\"item_meta[309]\" value=\"\"  data-sectionid=\"296\" maxlength=\"10\" data-reqmsg=\"Fecha De Nacimiento cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_310_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth horizontal_radio\">\r\n    <label for=\"field_gender2\" class=\"frm_primary_label\">Genero\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_310-296-0\"><label for=\"field_gender2-0\">\t\t<input type=\"radio\" name=\"item_meta[310]\" id=\"field_gender2-0\" value=\"Masculino\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Genero cannot be blank.\" data-invmsg=\"Genero is invalid\" aria-invalid=\"false\"  \/> Masculino<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_310-296-1\"><label for=\"field_gender2-1\">\t\t<input type=\"radio\" name=\"item_meta[310]\" id=\"field_gender2-1\" value=\"Femenino\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Genero cannot be blank.\" data-invmsg=\"Genero is invalid\" aria-invalid=\"false\"  \/> Femenino<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_311_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth horizontal_radio\">\r\n    <label for=\"field_over6\" class=\"frm_primary_label\">Mas De 62\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_311-296-3\"><label for=\"field_over6-3\"><input type=\"checkbox\" name=\"item_meta[311][]\" id=\"field_over6-3\" value=\"Si\"  data-sectionid=\"296\" data-invmsg=\"Mas De 62 is invalid\" aria-invalid=\"false\"   \/> Si<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_312_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_email2\" class=\"frm_primary_label\">Correo Electr\u00f3nico\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_email2\" name=\"item_meta[312]\" value=\"\"  data-sectionid=\"296\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_313_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first horizontal_radio\">\r\n    <label for=\"field_ethnicity2\" class=\"frm_primary_label\">\u00c9tnico: Hispano\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_313-296-0\"><label for=\"field_ethnicity2-0\">\t\t<input type=\"radio\" name=\"item_meta[313]\" id=\"field_ethnicity2-0\" value=\"Si\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"\u00c9tnico: Hispano cannot be blank.\" data-invmsg=\"\u00c9tnico: Hispano is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_313-296-1\"><label for=\"field_ethnicity2-1\">\t\t<input type=\"radio\" name=\"item_meta[313]\" id=\"field_ethnicity2-1\" value=\"No\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"\u00c9tnico: Hispano cannot be blank.\" data-invmsg=\"\u00c9tnico: Hispano is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_314_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half horizontal_radio\">\r\n    <label for=\"field_foreign_born2\" class=\"frm_primary_label\">Extranjero\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_314-296-0\"><label for=\"field_foreign_born2-0\">\t\t<input type=\"radio\" name=\"item_meta[314]\" id=\"field_foreign_born2-0\" value=\"Si\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Extranjero cannot be blank.\" data-invmsg=\"Extranjero is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_314-296-1\"><label for=\"field_foreign_born2-1\">\t\t<input type=\"radio\" name=\"item_meta[314]\" id=\"field_foreign_born2-1\" value=\"No\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Extranjero cannot be blank.\" data-invmsg=\"Extranjero is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_315_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first vertical_radio\">\r\n    <label for=\"field_race2\" class=\"frm_primary_label\">Raza\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_315-296-0\"><label for=\"field_race2-0\">\t\t<input type=\"radio\" name=\"item_meta[315]\" id=\"field_race2-0\" value=\"Dominicano\/a\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Raza cannot be blank.\" data-invmsg=\"Raza is invalid\" aria-invalid=\"false\"  \/> Dominicano\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_315-296-1\"><label for=\"field_race2-1\">\t\t<input type=\"radio\" name=\"item_meta[315]\" id=\"field_race2-1\" value=\"Blanco\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Raza cannot be blank.\" data-invmsg=\"Raza is invalid\" aria-invalid=\"false\"  \/> Blanco<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_315-296-2\"><label for=\"field_race2-2\">\t\t<input type=\"radio\" name=\"item_meta[315]\" id=\"field_race2-2\" value=\"Negro\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Raza cannot be blank.\" data-invmsg=\"Raza is invalid\" aria-invalid=\"false\"  \/> Negro<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_315-296-3\"><label for=\"field_race2-3\">\t\t<input type=\"radio\" name=\"item_meta[315]\" id=\"field_race2-3\" value=\"Mexicano\/a\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Raza cannot be blank.\" data-invmsg=\"Raza is invalid\" aria-invalid=\"false\"  \/> Mexicano\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_315-296-4\"><label for=\"field_race2-4\">\t\t<input type=\"radio\" name=\"item_meta[315]\" id=\"field_race2-4\" value=\"Puertorrique\u00f1o\/a\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Raza cannot be blank.\" data-invmsg=\"Raza is invalid\" aria-invalid=\"false\"  \/> Puertorrique\u00f1o\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_315-296-5\"><label for=\"field_race2-5\">\t\t<input type=\"radio\" name=\"item_meta[315]\" id=\"field_race2-5\" value=\"No Est\u00e1 Disponible\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Raza cannot be blank.\" data-invmsg=\"Raza is invalid\" aria-invalid=\"false\"  \/> No Est\u00e1 Disponible<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_315-296-6\"><label for=\"field_race2-6\">\t\t<input type=\"radio\" name=\"item_meta[315]\" id=\"field_race2-6\" value=\"Opt\u00f3 No Responder\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Raza cannot be blank.\" data-invmsg=\"Raza is invalid\" aria-invalid=\"false\"  \/> Opt\u00f3 No Responder<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_316_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half vertical_radio\">\r\n    <label for=\"field_household_type2\" class=\"frm_primary_label\">Estado Matrimonial\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_316-296-0\"><label for=\"field_household_type2-0\">\t\t<input type=\"radio\" name=\"item_meta[316]\" id=\"field_household_type2-0\" value=\"Soltero\/a\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Estado Matrimonial cannot be blank.\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Soltero\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_316-296-1\"><label for=\"field_household_type2-1\">\t\t<input type=\"radio\" name=\"item_meta[316]\" id=\"field_household_type2-1\" value=\"Dos o M\u00e1s Adultos no Rela\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Estado Matrimonial cannot be blank.\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Dos o M\u00e1s Adultos no Rela<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_316-296-2\"><label for=\"field_household_type2-2\">\t\t<input type=\"radio\" name=\"item_meta[316]\" id=\"field_household_type2-2\" value=\"Mujer Soltera Cabeza de Hogar\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Estado Matrimonial cannot be blank.\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Mujer Soltera Cabeza de Hogar<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_316-296-4\"><label for=\"field_household_type2-4\">\t\t<input type=\"radio\" name=\"item_meta[316]\" id=\"field_household_type2-4\" value=\"Hombre Soltero Cabeza de Hogar\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Estado Matrimonial cannot be blank.\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Hombre Soltero Cabeza de Hogar<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_316-296-7\"><label for=\"field_household_type2-7\">\t\t<input type=\"radio\" name=\"item_meta[316]\" id=\"field_household_type2-7\" value=\"Casado\/a con Dependientes\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Estado Matrimonial cannot be blank.\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Casado\/a con Dependientes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_316-296-11\"><label for=\"field_household_type2-11\">\t\t<input type=\"radio\" name=\"item_meta[316]\" id=\"field_household_type2-11\" value=\"Casado\/a sin Dependientes\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Estado Matrimonial cannot be blank.\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Casado\/a sin Dependientes<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_317_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first horizontal_radio\">\r\n    <label for=\"field_handicapped2\" class=\"frm_primary_label\">Incapacitado\/Minusv\u00e1lido\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_317-296-0\"><label for=\"field_handicapped2-0\">\t\t<input type=\"radio\" name=\"item_meta[317]\" id=\"field_handicapped2-0\" value=\"Si\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Incapacitado\/Minusv\u00e1lido cannot be blank.\" data-invmsg=\"Incapacitado\/Minusv\u00e1lido is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_317-296-1\"><label for=\"field_handicapped2-1\">\t\t<input type=\"radio\" name=\"item_meta[317]\" id=\"field_handicapped2-1\" value=\"No\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Incapacitado\/Minusv\u00e1lido cannot be blank.\" data-invmsg=\"Incapacitado\/Minusv\u00e1lido is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_318_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half horizontal_radio\">\r\n    <label for=\"field_veteran2\" class=\"frm_primary_label\">Veterano\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_318-296-0\"><label for=\"field_veteran2-0\">\t\t<input type=\"radio\" name=\"item_meta[318]\" id=\"field_veteran2-0\" value=\"Si\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Veterano cannot be blank.\" data-invmsg=\"Veterano is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_318-296-1\"><label for=\"field_veteran2-1\">\t\t<input type=\"radio\" name=\"item_meta[318]\" id=\"field_veteran2-1\" value=\"No\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Veterano cannot be blank.\" data-invmsg=\"Veterano is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_319_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first vertical_radio\">\r\n    <label for=\"field_current_housing_arrangement2\" class=\"frm_primary_label\">Disposici\u00f3n actual de la vivienda\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_319-296-0\"><label for=\"field_current_housing_arrangement2-0\">\t\t<input type=\"radio\" name=\"item_meta[319]\" id=\"field_current_housing_arrangement2-0\" value=\"Renta\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Disposici\u00f3n actual de la vivienda cannot be blank.\" data-invmsg=\"Disposici\u00f3n actual de la vivienda is invalid\" aria-invalid=\"false\"  \/> Renta<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_319-296-1\"><label for=\"field_current_housing_arrangement2-1\">\t\t<input type=\"radio\" name=\"item_meta[319]\" id=\"field_current_housing_arrangement2-1\" value=\"Sin Vivienda\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Disposici\u00f3n actual de la vivienda cannot be blank.\" data-invmsg=\"Disposici\u00f3n actual de la vivienda is invalid\" aria-invalid=\"false\"  \/> Sin Vivienda<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_319-296-2\"><label for=\"field_current_housing_arrangement2-2\">\t\t<input type=\"radio\" name=\"item_meta[319]\" id=\"field_current_housing_arrangement2-2\" value=\"Viviendo con familiares sin pagar renta\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Disposici\u00f3n actual de la vivienda cannot be blank.\" data-invmsg=\"Disposici\u00f3n actual de la vivienda is invalid\" aria-invalid=\"false\"  \/> Viviendo con familiares sin pagar renta<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_320_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half vertical_radio\">\r\n    <label for=\"field_first_time_home_buyer2\" class=\"frm_primary_label\">Primera vez comprador de casa\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_320-296-0\"><label for=\"field_first_time_home_buyer2-0\">\t\t<input type=\"radio\" name=\"item_meta[320]\" id=\"field_first_time_home_buyer2-0\" value=\"Si\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Primera vez comprador de casa cannot be blank.\" data-invmsg=\"Primera vez comprador de casa is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_320-296-1\"><label for=\"field_first_time_home_buyer2-1\">\t\t<input type=\"radio\" name=\"item_meta[320]\" id=\"field_first_time_home_buyer2-1\" value=\"No\"\n\t\t   data-sectionid=\"296\" data-reqmsg=\"Primera vez comprador de casa cannot be blank.\" data-invmsg=\"Primera vez comprador de casa is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_321_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_household_size_that_will_live_in_home2\" class=\"frm_primary_label\">Tama\u00f1o del hogar que vivir\u00e1 en casa\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_household_size_that_will_live_in_home2\" name=\"item_meta[321]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Tama\u00f1o del hogar que vivir\u00e1 en casa cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_322_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_how_many_are_dependents2\" class=\"frm_primary_label\">Cu\u00e1ntos son dependientes?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_how_many_are_dependents2\" name=\"item_meta[322]\" value=\"\"  data-sectionid=\"296\" data-reqmsg=\"Cu\u00e1ntos son dependientes? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_324_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container horizontal_radio\">\r\n    <label for=\"field_nondependents2\" class=\"frm_primary_label\">Habr\u00e1 personas que no son dependientes que vivir\u00e1n en el hogar?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_324-0\"><label for=\"field_nondependents2-0\">\t\t<input type=\"radio\" name=\"item_meta[324]\" id=\"field_nondependents2-0\" value=\"Si\"\n\t\t   data-reqmsg=\"Habr\u00e1 personas que no son dependientes que vivir\u00e1n en el hogar? cannot be blank.\" data-invmsg=\"Habr\u00e1 personas que no son dependientes que vivir\u00e1n en el hogar? is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_324-1\"><label for=\"field_nondependents2-1\">\t\t<input type=\"radio\" name=\"item_meta[324]\" id=\"field_nondependents2-1\" value=\"No\"\n\t\t   data-reqmsg=\"Habr\u00e1 personas que no son dependientes que vivir\u00e1n en el hogar? cannot be blank.\" data-invmsg=\"Habr\u00e1 personas que no son dependientes que vivir\u00e1n en el hogar? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_325_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Si Respondiste Si, lista abajo:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_326_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_realtionship2\" class=\"frm_primary_label\">Relaci\u00f3n\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_realtionship2\" name=\"item_meta[326]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_327_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_age2\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_age2\" name=\"item_meta[327]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_328_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_relationship_12\" class=\"frm_primary_label\">Relaci\u00f3n\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_relationship_12\" name=\"item_meta[328]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_329_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_age_12\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_age_12\" name=\"item_meta[329]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_331_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_applicant_gross_monthly_income2\" class=\"frm_primary_label\">Ingreso Mensual Bruto Del Soli\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n   $ <input type=\"text\" id=\"field_applicant_gross_monthly_income2\" name=\"item_meta[331]\" value=\"\"  data-reqmsg=\"Ingreso Mensual Bruto Del Soli cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_332_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_household_gross_monthly_income2\" class=\"frm_primary_label\">Ingresos Mensuales Bruto del Hogar\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    $ <input type=\"text\" id=\"field_household_gross_monthly_income2\" name=\"item_meta[332]\" value=\"\"  data-reqmsg=\"Ingresos Mensuales Bruto del Hogar cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_333_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container horizontal_radio\">\r\n    <label for=\"field_education_level2\" class=\"frm_primary_label\">Nivel de Educaci\u00f3n (Marque Uno)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_333-0\"><label for=\"field_education_level2-0\">\t\t<input type=\"radio\" name=\"item_meta[333]\" id=\"field_education_level2-0\" value=\"Menos de Diploma de preparatoria\"\n\t\t   data-reqmsg=\"Nivel de Educaci\u00f3n (Marque Uno) cannot be blank.\" data-invmsg=\"Nivel de Educaci\u00f3n (Marque Uno) is invalid\" aria-invalid=\"false\"  \/> Menos de Diploma de preparatoria<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_333-1\"><label for=\"field_education_level2-1\">\t\t<input type=\"radio\" name=\"item_meta[333]\" id=\"field_education_level2-1\" value=\"Universidad Dos A\u00f1os\"\n\t\t   data-reqmsg=\"Nivel de Educaci\u00f3n (Marque Uno) cannot be blank.\" data-invmsg=\"Nivel de Educaci\u00f3n (Marque Uno) is invalid\" aria-invalid=\"false\"  \/> Universidad Dos A\u00f1os<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_333-2\"><label for=\"field_education_level2-2\">\t\t<input type=\"radio\" name=\"item_meta[333]\" id=\"field_education_level2-2\" value=\"Maestr\u00eda\"\n\t\t   data-reqmsg=\"Nivel de Educaci\u00f3n (Marque Uno) cannot be blank.\" data-invmsg=\"Nivel de Educaci\u00f3n (Marque Uno) is invalid\" aria-invalid=\"false\"  \/> Maestr\u00eda<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_333-4\"><label for=\"field_education_level2-4\">\t\t<input type=\"radio\" name=\"item_meta[333]\" id=\"field_education_level2-4\" value=\"Diploma de preparatoria o equivalente\"\n\t\t   data-reqmsg=\"Nivel de Educaci\u00f3n (Marque Uno) cannot be blank.\" data-invmsg=\"Nivel de Educaci\u00f3n (Marque Uno) is invalid\" aria-invalid=\"false\"  \/> Diploma de preparatoria o equivalente<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_333-7\"><label for=\"field_education_level2-7\">\t\t<input type=\"radio\" name=\"item_meta[333]\" id=\"field_education_level2-7\" value=\"Licenciatura\"\n\t\t   data-reqmsg=\"Nivel de Educaci\u00f3n (Marque Uno) cannot be blank.\" data-invmsg=\"Nivel de Educaci\u00f3n (Marque Uno) is invalid\" aria-invalid=\"false\"  \/> Licenciatura<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_334_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio frm_other_container\">\r\n    <label for=\"field_referred_to_homeownership_center_by2\" class=\"frm_primary_label\">Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-0\"><label for=\"field_referred_to_homeownership_center_by2-0\"><input type=\"checkbox\" name=\"item_meta[334][]\" id=\"field_referred_to_homeownership_center_by2-0\" value=\"Yo Mismo\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Yo Mismo<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-other_2\"><label for=\"field_referred_to_homeownership_center_by2-other_2\"><input type=\"checkbox\" name=\"item_meta[334][other_2]\" id=\"field_referred_to_homeownership_center_by2-other_2\" value=\"Prestamista\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Prestamista<\/label><label for=\"field_referred_to_homeownership_center_by2-other_2-otext\" class=\"frm_screen_reader frm_hidden\">Prestamista<\/label><input type=\"text\" id=\"field_referred_to_homeownership_center_by2-other_2-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][334][other_2]\" value=\"\" \/><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-other_4\"><label for=\"field_referred_to_homeownership_center_by2-other_4\"><input type=\"checkbox\" name=\"item_meta[334][other_4]\" id=\"field_referred_to_homeownership_center_by2-other_4\" value=\"Agente de Bienes Ra\u00edces\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Agente de Bienes Ra\u00edces<\/label><label for=\"field_referred_to_homeownership_center_by2-other_4-otext\" class=\"frm_screen_reader frm_hidden\">Agente de Bienes Ra\u00edces<\/label><input type=\"text\" id=\"field_referred_to_homeownership_center_by2-other_4-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][334][other_4]\" value=\"\" \/><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-5\"><label for=\"field_referred_to_homeownership_center_by2-5\"><input type=\"checkbox\" name=\"item_meta[334][]\" id=\"field_referred_to_homeownership_center_by2-5\" value=\"Miembro de la familia\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Miembro de la familia<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-7\"><label for=\"field_referred_to_homeownership_center_by2-7\"><input type=\"checkbox\" name=\"item_meta[334][]\" id=\"field_referred_to_homeownership_center_by2-7\" value=\"Pagina de web de NHS\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Pagina de web de NHS<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-10\"><label for=\"field_referred_to_homeownership_center_by2-10\"><input type=\"checkbox\" name=\"item_meta[334][]\" id=\"field_referred_to_homeownership_center_by2-10\" value=\"Personal del Gobierno\/Miembro Directivo\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Personal del Gobierno\/Miembro Directivo<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-14\"><label for=\"field_referred_to_homeownership_center_by2-14\"><input type=\"checkbox\" name=\"item_meta[334][]\" id=\"field_referred_to_homeownership_center_by2-14\" value=\"Amigo\/a\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Amigo\/a<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-19\"><label for=\"field_referred_to_homeownership_center_by2-19\"><input type=\"checkbox\" name=\"item_meta[334][]\" id=\"field_referred_to_homeownership_center_by2-19\" value=\"Anuncio de Publicidad\/ Peri\u00f3dico\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Anuncio de Publicidad\/ Peri\u00f3dico<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_334-other_28\"><label for=\"field_referred_to_homeownership_center_by2-other_28\"><input type=\"checkbox\" name=\"item_meta[334][other_28]\" id=\"field_referred_to_homeownership_center_by2-other_28\" value=\"Otro\"  data-reqmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) cannot be blank.\" data-invmsg=\"Quien lo Refiri\u00f3 a NHS HomeOwnership Center: (por favor marque todos los que apliquen) is invalid\" aria-invalid=\"false\"   \/> Otro<\/label><label for=\"field_referred_to_homeownership_center_by2-other_28-otext\" class=\"frm_screen_reader frm_hidden\">Otro<\/label><input type=\"text\" id=\"field_referred_to_homeownership_center_by2-other_28-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][334][other_28]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_335_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">ESTUDIANTE\/ CO- SOLICITANTE<\/h3>\r\n\r\n\r\n<div id=\"frm_field_336_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth  frm_first\">\r\n    <label for=\"field_co_first_name2\" class=\"frm_primary_label\">Nombre\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_first_name2\" name=\"item_meta[336]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_first_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_first_name2\">Primer<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_337_container\" class=\"frm_form_field form-field  frm_hidden_container frm_fourth\">\r\n    <label for=\"field_co_middle_name2\" class=\"frm_primary_label\">Segundo Nombre\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_middle_name2\" name=\"item_meta[337]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_middle_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_middle_name2\">Segundo Nombre<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_338_container\" class=\"frm_form_field form-field  frm_hidden_container frm_fourth\">\r\n    <label for=\"field_co_last_name2\" class=\"frm_primary_label\">Apellido\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_last_name2\" name=\"item_meta[338]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_last_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_last_name2\">Apellido<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_339_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_co_ssn2\" class=\"frm_primary_label\">Seguro Social #\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_ssn2\" name=\"item_meta[339]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_340_container\" class=\"frm_form_field form-field  frm_top_container frm_fifth  frm_first\">\r\n    <label for=\"field_co_street2\" class=\"frm_primary_label\">Direcci\u00f3n\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_street2\" name=\"item_meta[340]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_street2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_street2\">Direcci\u00f3n<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_341_container\" class=\"frm_form_field form-field  frm_hidden_container frm_fifth\">\r\n    <label for=\"field_co_apt2\" class=\"frm_primary_label\">Apt#\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_apt2\" name=\"item_meta[341]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_apt2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_apt2\">Apt#<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_342_container\" class=\"frm_form_field form-field  frm_hidden_container frm_fifth\">\r\n    <label for=\"field_co_city2\" class=\"frm_primary_label\">Ciudad\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_city2\" name=\"item_meta[342]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_city2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_city2\">Ciudad<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_343_container\" class=\"frm_form_field form-field  frm_hidden_container frm_fifth\">\r\n    <label for=\"field_co_state2\" class=\"frm_primary_label\">Estado\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_state2\" name=\"item_meta[343]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_state2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_state2\">Estado<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_344_container\" class=\"frm_form_field form-field  frm_hidden_container frm_fifth\">\r\n    <label for=\"field_co_zip_code2\" class=\"frm_primary_label\">C\u00f3digo Postal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_zip_code2\" name=\"item_meta[344]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_co_zip_code2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_co_zip_code2\">C\u00f3digo Postal<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_345_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_first\">\r\n    <label for=\"field_co_home_phone2\" class=\"frm_primary_label\">Tel\u00e9fono de Hogar:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_co_home_phone2\" name=\"item_meta[345]\" value=\"\"  data-sectionid=\"335\" data-frmmask=\"(999)999-9999\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_346_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_co_work_phone2\" class=\"frm_primary_label\">Trabajo\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_co_work_phone2\" name=\"item_meta[346]\" value=\"\"  data-sectionid=\"335\" data-frmmask=\"(999)999-9999\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_347_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_co_cell_phone2\" class=\"frm_primary_label\">Celular\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_co_cell_phone2\" name=\"item_meta[347]\" value=\"\"  data-sectionid=\"335\" data-frmmask=\"(999)999-9999\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_348_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_co_birth_date2\" class=\"frm_primary_label\">Fecha De Nacimiento\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_birth_date2\" name=\"item_meta[348]\" value=\"\"  data-sectionid=\"335\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_349_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth horizontal_radio\">\r\n    <label for=\"field_co_gender2\" class=\"frm_primary_label\">G\u00e9nero\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_349-335-0\"><label for=\"field_co_gender2-0\">\t\t<input type=\"radio\" name=\"item_meta[349]\" id=\"field_co_gender2-0\" value=\"Masculino\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"G\u00e9nero is invalid\" aria-invalid=\"false\"  \/> Masculino<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_349-335-1\"><label for=\"field_co_gender2-1\">\t\t<input type=\"radio\" name=\"item_meta[349]\" id=\"field_co_gender2-1\" value=\"Femenino\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"G\u00e9nero is invalid\" aria-invalid=\"false\"  \/> Femenino<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_350_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth horizontal_radio\">\r\n    <label for=\"field_co_over6\" class=\"frm_primary_label\">M\u00e1s De 62\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_350-335-0\"><label for=\"field_co_over6-0\"><input type=\"checkbox\" name=\"item_meta[350][]\" id=\"field_co_over6-0\" value=\"Si\"  data-sectionid=\"335\" data-invmsg=\"M\u00e1s De 62 is invalid\" aria-invalid=\"false\"   \/> Si<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_351_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_co_email2\" class=\"frm_primary_label\">Correo Electr\u00f3nico\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_co_email2\" name=\"item_meta[351]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_357_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first horizontal_radio\">\r\n    <label for=\"field_co_ethnicity2\" class=\"frm_primary_label\">\u00c9tnico: Hispano\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_357-335-0\"><label for=\"field_co_ethnicity2-0\">\t\t<input type=\"radio\" name=\"item_meta[357]\" id=\"field_co_ethnicity2-0\" value=\"Si\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"\u00c9tnico: Hispano is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_357-335-1\"><label for=\"field_co_ethnicity2-1\">\t\t<input type=\"radio\" name=\"item_meta[357]\" id=\"field_co_ethnicity2-1\" value=\"No\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"\u00c9tnico: Hispano is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_358_container\" class=\"frm_form_field form-field  frm_top_container frm_half horizontal_radio\">\r\n    <label for=\"field_co_foreign_born2\" class=\"frm_primary_label\">Extranjero\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_358-335-0\"><label for=\"field_co_foreign_born2-0\">\t\t<input type=\"radio\" name=\"item_meta[358]\" id=\"field_co_foreign_born2-0\" value=\"Si\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Extranjero is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_358-335-1\"><label for=\"field_co_foreign_born2-1\">\t\t<input type=\"radio\" name=\"item_meta[358]\" id=\"field_co_foreign_born2-1\" value=\"No\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Extranjero is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_359_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first vertical_radio\">\r\n    <label for=\"field_co_race2\" class=\"frm_primary_label\">Etnicidad\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_359-335-0\"><label for=\"field_co_race2-0\">\t\t<input type=\"radio\" name=\"item_meta[359]\" id=\"field_co_race2-0\" value=\"Dominicano\/a\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Etnicidad is invalid\" aria-invalid=\"false\"  \/> Dominicano\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_359-335-1\"><label for=\"field_co_race2-1\">\t\t<input type=\"radio\" name=\"item_meta[359]\" id=\"field_co_race2-1\" value=\"Blanco\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Etnicidad is invalid\" aria-invalid=\"false\"  \/> Blanco<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_359-335-2\"><label for=\"field_co_race2-2\">\t\t<input type=\"radio\" name=\"item_meta[359]\" id=\"field_co_race2-2\" value=\"Negro\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Etnicidad is invalid\" aria-invalid=\"false\"  \/> Negro<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_359-335-3\"><label for=\"field_co_race2-3\">\t\t<input type=\"radio\" name=\"item_meta[359]\" id=\"field_co_race2-3\" value=\"Mexicano\/a\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Etnicidad is invalid\" aria-invalid=\"false\"  \/> Mexicano\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_359-335-4\"><label for=\"field_co_race2-4\">\t\t<input type=\"radio\" name=\"item_meta[359]\" id=\"field_co_race2-4\" value=\"Puertorrique\u00f1o\/a\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Etnicidad is invalid\" aria-invalid=\"false\"  \/> Puertorrique\u00f1o\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_359-335-5\"><label for=\"field_co_race2-5\">\t\t<input type=\"radio\" name=\"item_meta[359]\" id=\"field_co_race2-5\" value=\"No Est\u00e1 Disponible\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Etnicidad is invalid\" aria-invalid=\"false\"  \/> No Est\u00e1 Disponible<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_359-335-6\"><label for=\"field_co_race2-6\">\t\t<input type=\"radio\" name=\"item_meta[359]\" id=\"field_co_race2-6\" value=\"Opt\u00f3 No Responder\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Etnicidad is invalid\" aria-invalid=\"false\"  \/> Opt\u00f3 No Responder<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_352_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <label for=\"field_co_martial_status2\" class=\"frm_primary_label\">Estado Matrimonial\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_352-335-0\"><label for=\"field_co_martial_status2-0\">\t\t<input type=\"radio\" name=\"item_meta[352]\" id=\"field_co_martial_status2-0\" value=\"Soltero\/a\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Soltero\/a<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_352-335-1\"><label for=\"field_co_martial_status2-1\">\t\t<input type=\"radio\" name=\"item_meta[352]\" id=\"field_co_martial_status2-1\" value=\"Dos o M\u00e1s Adultos no Relacionado\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Dos o M\u00e1s Adultos no Relacionado<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_352-335-2\"><label for=\"field_co_martial_status2-2\">\t\t<input type=\"radio\" name=\"item_meta[352]\" id=\"field_co_martial_status2-2\" value=\"Mujer Soltera Cabeza de Hogar\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Mujer Soltera Cabeza de Hogar<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_352-335-4\"><label for=\"field_co_martial_status2-4\">\t\t<input type=\"radio\" name=\"item_meta[352]\" id=\"field_co_martial_status2-4\" value=\"Hombre Soltero Cabeza de Hogar\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Hombre Soltero Cabeza de Hogar<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_352-335-7\"><label for=\"field_co_martial_status2-7\">\t\t<input type=\"radio\" name=\"item_meta[352]\" id=\"field_co_martial_status2-7\" value=\"Casado\/a con Dependientes\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Casado\/a con Dependientes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_352-335-8\"><label for=\"field_co_martial_status2-8\">\t\t<input type=\"radio\" name=\"item_meta[352]\" id=\"field_co_martial_status2-8\" value=\"Casado\/a sin Dependientes\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Estado Matrimonial is invalid\" aria-invalid=\"false\"  \/> Casado\/a sin Dependientes<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_356_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first horizontal_radio\">\r\n    <label for=\"field_co_handicapped2\" class=\"frm_primary_label\">Incapacitado\/Minusv\u00e1lido\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_356-335-0\"><label for=\"field_co_handicapped2-0\">\t\t<input type=\"radio\" name=\"item_meta[356]\" id=\"field_co_handicapped2-0\" value=\"Si\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Incapacitado\/Minusv\u00e1lido is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_356-335-1\"><label for=\"field_co_handicapped2-1\">\t\t<input type=\"radio\" name=\"item_meta[356]\" id=\"field_co_handicapped2-1\" value=\"No\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Incapacitado\/Minusv\u00e1lido is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_368_container\" class=\"frm_form_field form-field  frm_top_container frm_half horizontal_radio\">\r\n    <label for=\"field_co_veteran2\" class=\"frm_primary_label\">Veterano\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_368-335-0\"><label for=\"field_co_veteran2-0\">\t\t<input type=\"radio\" name=\"item_meta[368]\" id=\"field_co_veteran2-0\" value=\"Si\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Veterano is invalid\" aria-invalid=\"false\"  \/> Si<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_368-335-1\"><label for=\"field_co_veteran2-1\">\t\t<input type=\"radio\" name=\"item_meta[368]\" id=\"field_co_veteran2-1\" value=\"No\"\n\t\t   data-sectionid=\"335\" data-invmsg=\"Veterano is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_353_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_co_applicant_gross_monthly_income2\" class=\"frm_primary_label\">Ingreso Mensual Bruto Del Co-Solicitante\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n   $ <input type=\"text\" id=\"field_co_applicant_gross_monthly_income2\" name=\"item_meta[353]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_354_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_co_gross_monthly_income2\" class=\"frm_primary_label\">Ingresos Mensuales Bruto del Hogar\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n   $ <input type=\"text\" id=\"field_co_gross_monthly_income2\" name=\"item_meta[354]\" value=\"\"  data-sectionid=\"335\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_361_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">AUTHORIZATION & CERTIFICATION<\/h3>\r\n\r\n\r\n<div id=\"frm_field_362_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><strong>Certificaci\u00f3n Del Estudiante:<\/strong><\/p>\n<p>Yo\/Nosotros certificamos que la informaci\u00f3n incluida en este formulario es verdadera y completa a lo mejor de mi\/nuestro<br \/>\nconocimiento y creencia.<\/p>\n<p><strong>Autorizo a NHS HomeOwnership Center para que:<\/strong><\/p>\n<p style=\"padding-left: 20px;\">(a) Pida mi\/nuestro reporte de cr\u00e9dito, y lo (los) eval\u00faen para aconsejarnos en el proceso de comprar casa y obtener un pr\u00e9stamo hipotecario.<\/p>\n<p style=\"padding-left: 20px;\">(b) Obtener una copia del informe de cierre Closing Disclosure (CD), Tasaci\u00f3n, Notas de Bienes Ra\u00edces, Puntuaje de Cr\u00e9dito, y<br \/>\nDocumentaci\u00f3n de Ingresos cuando compre una casa, del prestamista que hizo a m\u00ed\/nosotros un pr\u00e9stamo y\/o la compa\u00f1\u00eda de t\u00edtulo que cerraron el pr\u00e9stamo.<\/p>\n<\/div>\n<div id=\"frm_field_363_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds frm_first\">\r\n    <label for=\"field_student_signature2\" class=\"frm_primary_label\">Firma Del Estudiante\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"sigPad\" id=\"sigPad363\" style=\"max-width:400px;\">\n\t<div class=\"sig sigWrapper\" style=\"height:150px;border-color:#cccccc;--bg-color:#ffffff;--active:#008ec2;--inactive:#dddddd;--active-text:#ffffff;--inactive-text:#ffffff;--button-margin:22px;--button-size:20px;--button-padding:10px;--button-side-margin:22px\">\n\t\t\t\t<ul class=\"sigNav\">\n\t\t\t<li class=\"drawIt\"><a href=\"#\" class=\"current\" title=\"Draw It\" aria-label=\"Draw It\"><i class=\"fas fa-pencil-alt\" aria-hidden><\/i><\/a><\/li>\n\t\t\t<li class=\"typeIt\"><a href=\"#\" title=\"Type It\" aria-label=\"Type It\"><i class=\"far fa-keyboard\" aria-hidden><\/i><\/a><\/li>\n\t\t<\/ul>\n\t\t\t\t<div class=\"typed\">\n\t\t\t<input type=\"text\" name=\"item_meta[363][typed]\" class=\"name\" id=\"field_student_signature2\" autocomplete=\"off\" value=\"\" \/>\n\t\t<\/div>\n\t\t<canvas class=\"pad\" width=\"396\" height=\"150\"><\/canvas>\n\t\t<div class=\"clearButton\"><a href=\"#clear\">Clear<\/a><\/div>\n\t\t<input type=\"hidden\" name=\"item_meta[363][output]\" class=\"output\" value=\"\" \/>\n\t<\/div>\n<\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_364_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_signature_date2\" class=\"frm_primary_label\">Fecha\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_signature_date2\" name=\"item_meta[364]\" value=\"\"  data-sectionid=\"361\" maxlength=\"10\" data-reqmsg=\"Fecha cannot be blank.\" 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It\" aria-label=\"Type It\"><i class=\"far fa-keyboard\" aria-hidden><\/i><\/a><\/li>\n\t\t<\/ul>\n\t\t\t\t<div class=\"typed\">\n\t\t\t<input type=\"text\" name=\"item_meta[365][typed]\" class=\"name\" id=\"field_co_student_signature2\" autocomplete=\"off\" value=\"\" \/>\n\t\t<\/div>\n\t\t<canvas class=\"pad\" width=\"396\" height=\"150\"><\/canvas>\n\t\t<div class=\"clearButton\"><a href=\"#clear\">Clear<\/a><\/div>\n\t\t<input type=\"hidden\" name=\"item_meta[365][output]\" class=\"output\" value=\"\" \/>\n\t<\/div>\n<\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_366_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_co_signature_date2\" class=\"frm_primary_label\">Fecha\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_co_signature_date2\" name=\"item_meta[366]\" value=\"\"  data-sectionid=\"361\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" 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