{"id":1155,"date":"2025-12-30T18:20:09","date_gmt":"2025-12-30T18:20:09","guid":{"rendered":"https:\/\/focusedscholars.org\/?page_id=1155"},"modified":"2026-01-03T12:04:01","modified_gmt":"2026-01-03T12:04:01","slug":"focused-scholars-contact-form","status":"publish","type":"page","link":"https:\/\/focusedscholars.org\/?page_id=1155","title":{"rendered":"FocusED Scholars Contact Form"},"content":{"rendered":"<style id=\"wpforms-css-vars-1146-block-14643ccd-7d99-4e49-ae7f-f1e642599c28\">\n\t\t\t\t#wpforms-1146.wpforms-block-14643ccd-7d99-4e49-ae7f-f1e642599c28 {\n\t\t\t\t--wpforms-label-color: #0609c4;\n--wpforms-label-sublabel-color: #0fab31;\n--wpforms-field-border-color: rgba(0, 0, 0, 0.25);\n--wpforms-field-border-color-spare: rgba(0, 0, 0, 0.25);\n--wpforms-field-text-color: rgba(0, 0, 0, 0.7);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 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class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1146-field_1-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1146-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-1146-field_1-error\" required><label for=\"wpforms-1146-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1146-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-1146-field_1-last-error\" required><label for=\"wpforms-1146-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1146-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1146-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1146-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1146-field_2-error\" required><\/div><div id=\"wpforms-1146-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Organization or Relationship Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1146-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1146-field_5_1\" name=\"wpforms[fields][5]\" value=\"Agency\" aria-errormessage=\"wpforms-1146-field_5_1-error\" aria-describedby=\"wpforms-1146-field_5-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_5_1\">Agency<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1146-field_5_2\" name=\"wpforms[fields][5]\" value=\"Parent\" aria-errormessage=\"wpforms-1146-field_5_2-error\" aria-describedby=\"wpforms-1146-field_5-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_5_2\">Parent<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1146-field_5_4\" name=\"wpforms[fields][5]\" value=\"Child Care Facility\" aria-errormessage=\"wpforms-1146-field_5_4-error\" aria-describedby=\"wpforms-1146-field_5-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_5_4\">Child Care Facility<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1146-field_5_3\" name=\"wpforms[fields][5]\" value=\"School\" aria-errormessage=\"wpforms-1146-field_5_3-error\" aria-describedby=\"wpforms-1146-field_5-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_5_3\">School<\/label><\/li><\/ul><div id=\"wpforms-1146-field_5-description\" class=\"wpforms-field-description\">Please select the option that best describes your role or affiliation.<\/div><\/fieldset><\/div>\t\t<div id=\"wpforms-1146-field_9-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"9\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-1146-field_9\" >Organization Email Zip<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-1146-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-1146-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1146-field_6\">Organization <\/label><input type=\"text\" id=\"wpforms-1146-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-1146-field_6-error\" ><\/div><div id=\"wpforms-1146-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1146-field_7\">Address<\/label><input type=\"text\" id=\"wpforms-1146-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-1146-field_7-error\" ><\/div><div id=\"wpforms-1146-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1146-field_8\">City, State, Zip Code<\/label><input type=\"text\" id=\"wpforms-1146-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-1146-field_8-error\" ><\/div><div id=\"wpforms-1146-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1146-field_10\">Telephone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1146-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-1146-field_10-error\" required><\/div><div id=\"wpforms-1146-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Checkboxes<\/legend><ul id=\"wpforms-1146-field_3\"><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_6\" name=\"wpforms[fields][3][]\" value=\"1:1 Support\" aria-errormessage=\"wpforms-1146-field_3_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_6\">1:1 Support<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_2\" name=\"wpforms[fields][3][]\" value=\"Flight Risk Monitoring\" aria-errormessage=\"wpforms-1146-field_3_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_2\">Flight Risk Monitoring<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_8\" name=\"wpforms[fields][3][]\" value=\"Interpreter Services\" aria-errormessage=\"wpforms-1146-field_3_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_8\">Interpreter Services<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_5\" name=\"wpforms[fields][3][]\" value=\"Substitute Educator Services\" aria-errormessage=\"wpforms-1146-field_3_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_5\">Substitute Educator Services<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_3\" name=\"wpforms[fields][3][]\" value=\"Supervised Visits\" aria-errormessage=\"wpforms-1146-field_3_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_3\">Supervised Visits<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_4\" name=\"wpforms[fields][3][]\" value=\"Transportation Services\" aria-errormessage=\"wpforms-1146-field_3_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_4\">Transportation Services<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_1\" name=\"wpforms[fields][3][]\" value=\"Transitioning Support\" aria-errormessage=\"wpforms-1146-field_3_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_1\">Transitioning Support<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-1146-field_3_7\" name=\"wpforms[fields][3][]\" value=\"Tutoring\" aria-errormessage=\"wpforms-1146-field_3_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1146-field_3_7\">Tutoring<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1146-field_4-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1146-field_4\">Service Request Details <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-1146-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-1146-field_4-error\" aria-describedby=\"wpforms-1146-field_4-description\" required><\/textarea><div id=\"wpforms-1146-field_4-description\" class=\"wpforms-field-description\">Please provide any relevant information regarding your inquiry, requested services, timelines, or specific needs to help our team respond accurately and efficiently.<\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-1146-field_9-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-1146-field_9-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-1146-field_9-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div 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-->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1155","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/focusedscholars.org\/index.php?rest_route=\/wp\/v2\/pages\/1155","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/focusedscholars.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/focusedscholars.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/focusedscholars.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/focusedscholars.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1155"}],"version-history":[{"count":8,"href":"https:\/\/focusedscholars.org\/index.php?rest_route=\/wp\/v2\/pages\/1155\/revisions"}],"predecessor-version":[{"id":1239,"href":"https:\/\/focusedscholars.org\/index.php?rest_route=\/wp\/v2\/pages\/1155\/revisions\/1239"}],"wp:attachment":[{"href":"https:\/\/focusedscholars.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1155"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}