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formCode.html
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<!--<input id="FirstName" name="FirstName" type="text" value="UTI-TEST" required-->/>
l<input id="LastName" name="LastName" type="text" value="CORS" />
email<input id="txtEmail" name="EmailAddresses[0].Address" type="email" value="[email protected]" />
phone<input id="txtPhone" name="PhoneNumbers[0].Number" type="text" value="602-315-4874" />
phone type<select id="PhoneType" name="PhoneNumbers[0].Type" tabindex="5" class="Dropdown phone-type" data-validation="required">
<option selected="selected" value="">Select one</option>
<option value="1">Mobile</option>
<option value="2">Home</option>
</select>
OKTO TEXT:<input type="radio" name="PhoneNumbers[0].okToText" id="rdbPhoneOkToTextYes" value="true" tabindex="6" data-validation="requiredYesNo" data-validation-element="#errOkToText" /><label for="rdbPhoneOkToTextYes">Yes</label>
<input type="radio" name="PhoneNumbers[0].okToText" id="rdbPhoneOkToTextNo" value="false" tabindex="7" data-validation="requiredYesNo" data-validation-element="#errOkToText" /><label for="rdbPhoneOkToTextNo">No</label>
Address Type: <input id="addressType" name="Addresses[0].AddressType" type="hidden" value="L" />
DDL Country: <select id="ddlCountry" name="Addresses[0].Country" tabindex="80" class="Dropdown form-control"><option value="US">UNITED STATES</option><option value="AF">AFGHANISTAN</option><option value="AL">ALBANIA</option><option value="DZ">ALGERIA</option><option value="AS">AMERICAN SAMOA</option><option value="AD">ANDORRE</option><option value="AO">ANGOLA</option><option value="AI">ANGUILLA</option><option value="AQ">ANTARCTICA</option><option value="AG">ANTIGUA AND BARBUDA</option><option value="AR">ARGENTINA</option><option value="AM">ARMENIA</option><option value="AW">ARUBA</option><option value="AU">AUSTRALIA</option><option value="AT">AUSTRIA</option><option value="AZ">AZERBAIJAN</option><option value="BS">BAHAMAS</option><option value="BH">BAHRAIN</option><option value="BD">BANGLADESH</option><option value="BB">BARBADOS</option><option value="BY">BELARUS</option><option value="BE">BELGIUM</option><option value="BZ">BELIZE</option><option value="BJ">BENIN</option><option value="BM">BERMUDA</option><option value="BT">BHUTAN</option><option value="BO">BOLIVIA</option><option value="BA">BOSNIA AND HERZEGOVINA</option><option value="BW">BOTSWANA</option><option value="BV">BOUVET ISLAND</option><option value="BR">BRAZIL</option><option value="IO">BRITISH INDIAN OCEAN TERRITORY</option><option value="BN">BRUNEI DARUSSALAM</option><option value="BG">BULGARIA</option><option value="BF">BURKINA FASO</option><option value="BI">BURUNDI</option><option value="KH">CAMBODIA</option><option value="CM">CAMEROON</option><option value="CA">CANADA</option><option value="CV">CAPE VERDE</option><option value="KY">CAYMAN ISLANDS</option><option value="CF">CENTRAL AFRICAN REPUBLIC</option><option value="TD">CHAD</option><option value="CL">CHILE</option><option value="CN">CHINA</option><option value="CX">CHRISTMAS ISLAND</option><option value="CC">COCOS (KEELING) ISLANDS</option><option value="CO">COLOMBIA</option><option value="KM">COMOROS</option><option value="CG">CONGO</option><option value="CD">CONGO, DEMOCRATIC REPUBLIC OF</option><option value="CK">COOK ISLANDS</option><option value="CR">COSTA RICA</option><option value="CI">COTE D'IVOIRE</option><option value="HR">CROATIA</option><option value="CU">CUBA</option><option value="CY">CYPRUS</option><option value="CZ">CZECH REPUBLIC</option><option value="DK">DENMARK</option><option value="DJ">DJIBOUTI</option><option value="DM">DOMINICA</option><option value="DO">DOMINICAN REPUBLIC</option><option value="TP">EAST TIMOR</option><option value="EC">ECUADOR</option><option value="EG">EGYPT</option><option value="SV">EL SALVADOR</option><option value="GQ">EQUATORIAL GUINEA</option><option value="ER">ERITREA</option><option value="EE">ESTONIA</option><option value="ET">ETHIOPIA</option><option value="FK">FALKLAND ISLANDS (MALVINAS)</option><option value="FO">FAROE ISLANDS</option><option value="FJ">FIJI</option><option value="FI">FINLAND</option><option value="FR">FRANCE</option><option value="GF">FRENCH GUIANA</option><option value="PF">FRENCH POLYNESIA</option><option value="TF">FRENCH SOUTHERN TERRITORIES</option><option value="GA">GABON</option><option value="GM">GAMBIA</option><option value="GE">GEORGIA</option><option value="DE">GERMANY</option><option value="GH">GHANA</option><option value="GI">GIBRALTAR</option><option value="GR">GREECE</option><option value="GL">GREENLAND</option><option value="GD">GRENADA</option><option value="GP">GUADELOUPE</option><option value="GU">GUAM</option><option value="GT">GUATEMALA</option><option value="GN">GUINEA</option><option value="GW">GUINEA-BISSAU</option><option value="GY">GUYANA</option><option value="HT">HAITI</option><option value="HM">HEARD ISLAND AND MCDONALD ISLANDS</option><option value="VA">HOLY SEE (VATICAN CITY STATE)</option><option value="HN">HONDURAS</option><option value="HK">HONG KONG</option><option value="HU">HUNGARY</option><option value="IS">ICELAND</option><option value="IN">INDIA</option><option value="ID">INDONESIA</option><option value="IR">IRAN, ISLAMIC REPUBLIC OF</option><option value="IQ">IRAQ</option><option value="IE">IRELAND</option><option value="IL">ISRAEL</option><option value="IT">ITALY</option><option value="JM">JAMAICA</option><option value="JP">JAPAN</option><option value="JO">JORDAN</option><option value="KZ">KAZAKSTAN</option><option value="KE">KENYA</option><option value="KI">KIRIBATI</option><option value="KP">KOREA, DEMOCRATIC REPUBLIC OF</option><option value="KR">KOREA, REPUBLIC OF</option><option value="KW">KUWAIT</option><option value="KG">KYRGYZSTAN</option><option value="LA">LAO PEOPLES DEMOCRATIC REPUBLIC</option><option value="LV">LATVIA</option><option value="LB">LEBANON</option><option value="LS">LESOTHO</option><option value="LR">LIBERIA</option><option value="LY">LIBYAN ARAB JAMAHIRIYA</option><option value="LI">LIECHTENSTEIN</option><option value="LT">LITHUANIA</option><option value="LU">LUXEMBOURG</option><option value="MO">MACAU</option><option value="MK">MACEDONIA, YUGOSLAV REPUBLIC OF</option><option value="MG">MADAGASCAR</option><option value="MW">MALAWI</option><option value="MY">MALAYSIA</option><option value="MV">MALDIVES</option><option value="ML">MALI</option><option value="MT">MALTA</option><option value="MH">MARSHALL ISLANDS</option><option value="MQ">MARTINIQUE</option><option value="MR">MAURITANIA</option><option value="MU">MAURITIUS</option><option value="YT">MAYOTTE</option><option value="MX">MEXICO</option><option value="FM">MICRONESIA, FEDERATED STATES OF</option><option value="MD">MOLDOVA, REPUBLIC OF</option><option value="MC">MONACO</option><option value="MN">MONGOLIA</option><option value="MS">MONTSERRAT</option><option value="MA">MOROCCO</option><option value="MZ">MOZAMBIQUE</option><option value="MM">MYANMAR</option><option value="NA">NAMIBIA</option><option value="NR">NAURU</option><option value="NP">NEPAL</option><option value="NL">NETHERLANDS</option><option value="AN">NETHERLANDS ANTILLES</option><option value="NC">NEW CALEDONIA</option><option value="NZ">NEW ZEALAND</option><option value="NI">NICARAGUA</option><option value="NE">NIGER</option><option value="NG">NIGERIA</option><option value="NU">NIUE</option><option value="NF">NORFOLK ISLAND</option><option value="MP">NORTHERN MARIANA ISLANDS</option><option value="NO">NORWAY</option><option value="OM">OMAN</option><option value="PK">PAKISTAN</option><option value="PW">PALAU</option><option value="PS">PALESTINIAN TERRITORY, OCCUPIED</option><option value="PA">PANAMA</option><option value="PG">PAPUA NEW GUINEA</option><option value="PY">PARAGUAY</option><option value="PE">PERU</option><option value="PH">PHILIPPINES</option><option value="PN">PITCAIRN</option><option value="PL">POLAND</option><option value="PT">PORTUGAL</option><option value="PR">PUERTO RICO</option><option value="QA">QATAR</option><option value="RE">REUNION</option><option value="RO">ROMANIA</option><option value="RU">RUSSIAN FEDERATION</option><option value="RW">RWANDA</option><option value="SH">SAINT HELENA</option><option value="KN">SAINT KITTS AND NEVIS</option><option value="LC">SAINT LUCIA</option><option value="PM">SAINT PIERRE AND MIQUELON</option><option value="VC">SAINT VINCENT AND THE GRENADINES</option><option value="WS">SAMOA</option><option value="SM">SAN MARINO</option><option value="ST">SAO TOME AND PRINCIPE</option><option value="SA">SAUDI ARABIA</option><option value="SN">SENEGAL</option><option value="SC">SEYCHELLES</option><option value="SL">SIERRA LEONE</option><option value="SG">SINGAPORE</option><option value="SK">SLOVAKIA</option><option value="SI">SLOVENIA</option><option value="SB">SOLOMON ISLANDS</option><option value="SO">SOMALIA</option><option value="ZA">SOUTH AFRICA</option><option value="ES">SPAIN</option><option value="LK">SRI LANKA</option><option value="SD">SUDAN</option><option value="SR">SURINAME</option><option value="SJ">SVALBARD AND JAN MAYEN</option><option value="SZ">SWAZILAND</option><option value="SE">SWEDEN</option><option value="CH">SWITZERLAND</option><option value="SY">SYRIAN ARAB REPUBLIC</option><option value="TW">TAIWAN, PROVINCE OF CHINA</option><option value="TJ">TAJIKISTAN</option><option value="TZ">TANZANIA, UNITED REPUBLIC OF</option><option value="TH">THAILAND</option><option value="TG">TOGO</option><option value="TK">TOKELAU</option><option value="TO">TONGA</option><option value="TT">TRINIDAD AND TOBAGO</option><option value="TN">TUNISIA</option><option value="TR">TURKEY</option><option value="TM">TURKMENISTAN</option><option value="TC">TURKS AND CAICOS ISLANDS</option><option value="TV">TUVALU</option><option value="UG">UGANDA</option><option value="UA">UKRAINE</option><option value="AE">UNITED ARAB EMIRATES</option><option value="GB">UNITED KINGDOM</option><option value="UY">URUGUAY</option><option value="UZ">UZBEKISTAN</option><option value="VU">VANUATU</option><option value="VE">VENEZUELA</option><option value="VN">VIETNAM</option><option value="VG">VIRGIN ISLANDS, BRITISH</option><option value="VI">VIRGIN ISLANDS, U.S.</option><option value="WF">WALLIS AND FUTUNA</option><option value="EH">WESTERN SAHARA</option><option value="YE">YEMEN</option><option value="YU">YUGOSLAVIA</option><option value="ZM">ZAMBIA</option><option value="ZW">ZIMBABWE</option></select>
Zip Code: <input id="txtZipcode" name="Addresses[0].PostalCode" type="text" maxlength="5" value="85260" />
Postal Code:<input id="txtPostalCode" name="Addresses[0].PostalCode" type="text" tabindex="10" class="Textbox zipcode" disabled="disabled" data-validation="required" maxlength="20" />
Interested in: <select id="Interest" name="Interest" tabindex="11" class="Dropdown" data-validation="required">
<option value="">Choose One</option>
<option value="AU" selected="selected">Automotive Technician Training</option>
<option value="MO">Motorcycle Mechanic Training</option>
<option value="DI">Diesel / Industrial Training</option>
<option value="CR">Collision and Auto Body Repair</option>
<option value="NASCAR">NASCAR Technician and Pit Crew Training</option>
<option value="MA">Marine Mechanic Training</option>
</select>
</fieldset>
<fieldset>
Address 1: <input id="txtAddress" name="Addresses[0].AddressLine1" class="Textbox" maxlength="75" type="text" data-validation="required" />
City: <input id="txtCity" name="Addresses[0].City" class="Textbox" type="text" data-validation="required" maxlength="75" />
Region<input id="txtRegion" name="Addresses[0].State" class="Textbox" type="text" disabled="disabled" data-validation="required" maxlength="75" />
State: <select id="ddlState" name="Addresses[0].State" class="Dropdown form-control" data-validation="required"><option value="">Select a State</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="AA">Armed Forces Americas </option><option value="AE">Armed Forces Europe</option><option value="AP">Armed Forces Pacific</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District Of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="MP">Northern Mariana Is</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select><br />
Alt Phone: <input id="txtAltPhone" name="PhoneNumbers[1].Number" class="Textbox" type="text" data-validation="maskedPhone" />
Alt Phone Type: <select id="AltPhoneType" name="PhoneNumbers[1].Type" class="Dropdown phone-type">
<option selected="selected" value="">Select one</option>
<option value="1">Mobile</option>
<option value="2">Home</option>
</select>
Alt ok to text? <input type="radio" name="PhoneNumbers[1].okToText" id="rdbAltPhoneOkToTextYes" value="true" data-validation="requiredYesNo" data-validation-element="#errAltOkToText" /><label for="rdbAltPhoneOkToTextYes">Yes</label>
<input type="radio" name="PhoneNumbers[1].okToText" id="rdbAltPhoneOkToTextNo" value="false" data-validation="requiredYesNo" data-validation-element="#errAltOkToText" /><label for="rdbAltPhoneOkToTextNo">No</label>
<input type="hidden" id="dob" value="12/21/1999" />
Education Level: <select name="EducationLevel" id="ddlEducation" class="Dropdown" data-validation="required">
<option selected="selected" value="">Choose One</option>
<option value="HS Grad">High School Student or Graduate</option>
<option value="Home School">Home School</option>
<option value="GED">GED</option>
<option value="No Equivalent">None of the above</option>
</select>
Grad Month: <select id="GradMonth" name="GradDate[month]" class="Dropdown" data-validation="required" data-validation-element="#gradMonthErr">
<option selected="selected" value="">Month:</option>
<option value="01">Jan</option>
</select>
/
Grad year:<select id="select-choice-grad-year" name="GradDate[year]" class="Dropdown" data-validation="required" data-validation-element="#gradYearErr">
<option selected="selected" value="">Year:</option>
</select>
HS State<select id="high-school-state" name="HighSchoolState" data-validation="required" itemprop="" class="form-control"><option value="">Select a State</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="AA">Armed Forces Americas </option><option value="AE">Armed Forces Europe</option><option value="AP">Armed Forces Pacific</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District Of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="MP">Northern Mariana Is</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select>
HS City<select id="high-school-city" name="HighSchoolCity" data-validation="required" class="form-control" style="display: block;"><option value="">Select a City</option><option value="Adak">Adak</option><option value="Akiachak">Akiachak</option><option value="Akiak">Akiak</option><option value="Akutan">Akutan</option><option value="Alakanuk">Alakanuk</option><option value="Allakaket">Allakaket</option><option value="Ambler">Ambler</option><option value="Anaktuvuk Pass">Anaktuvuk Pass</option><option value="Anchorage">Anchorage</option><option value="Anderson">Anderson</option><option value="Angoon">Angoon</option><option value="Aniak">Aniak</option><option value="Anvik">Anvik</option><option value="Arctic Village">Arctic Village</option><option value="Atka">Atka</option><option value="Atmautluak">Atmautluak</option><option value="Atqasuk">Atqasuk</option><option value="Barrow">Barrow</option><option value="Beaver">Beaver</option><option value="Bethel">Bethel</option><option value="Bettles Field">Bettles Field</option><option value="Big Lake">Big Lake</option><option value="Brevig Mission">Brevig Mission</option><option value="Buckland">Buckland</option><option value="Cantwell">Cantwell</option><option value="Central">Central</option><option value="Chalkyitsik">Chalkyitsik</option><option value="Chefornak">Chefornak</option><option value="Chenega Bay">Chenega Bay</option><option value="Chevak">Chevak</option><option value="Chignik">Chignik</option><option value="Chignik Lagoon">Chignik Lagoon</option><option value="Chignik Lake">Chignik Lake</option><option value="Circle">Circle</option><option value="Coffman Cove">Coffman Cove</option><option value="Cold Bay">Cold Bay</option><option value="Copper Center">Copper Center</option><option value="Cordova">Cordova</option><option value="Craig">Craig</option><option value="Crooked Creek">Crooked Creek</option><option value="Deering">Deering</option><option value="Delta Junction">Delta Junction</option><option value="Dillingham">Dillingham</option><option value="Eagle">Eagle</option><option value="Eagle River">Eagle River</option><option value="Eek">Eek</option><option value="Egegik">Egegik</option><option value="Eielson Afb">Eielson Afb</option><option value="Elfin Cove">Elfin Cove</option><option value="Elim">Elim</option><option value="Emmonak">Emmonak</option><option value="Fairbanks">Fairbanks</option><option value="False Pass">False Pass</option><option value="Fort Richardson">Fort Richardson</option><option value="Fort Yukon">Fort Yukon</option><option value="Fritz Creek">Fritz Creek</option><option value="Gakona">Gakona</option><option value="Galena">Galena</option><option value="Gambell">Gambell</option><option value="Glennallen">Glennallen</option><option value="GoodNews Bay">GoodNews Bay</option><option value="Grayling">Grayling</option><option value="Gustavus">Gustavus</option><option value="Haines">Haines</option><option value="Healy">Healy</option><option value="Holy Cross">Holy Cross</option><option value="Homer">Homer</option><option value="Hoonah">Hoonah</option><option value="Hooper Bay">Hooper Bay</option><option value="Hope">Hope</option><option value="Huslia">Huslia</option><option value="Hydaburg">Hydaburg</option><option value="Hyder">Hyder</option><option value="Iliamna">Iliamna</option><option value="Juneau">Juneau</option><option value="Kake">Kake</option><option value="Kaktovik">Kaktovik</option><option value="Kalskag">Kalskag</option><option value="Kaltag">Kaltag</option><option value="Karluk">Karluk</option><option value="Kasigluk">Kasigluk</option><option value="Kenai">Kenai</option><option value="Ketchikan">Ketchikan</option><option value="Kiana">Kiana</option><option value="King Cove">King Cove</option><option value="King Salmon">King Salmon</option><option value="Kipnuk">Kipnuk</option><option value="Kivalina">Kivalina</option><option value="Klawock">Klawock</option><option value="Kodiak">Kodiak</option><option value="Kotlik">Kotlik</option><option value="Kotzebue">Kotzebue</option><option value="Koyuk">Koyuk</option><option value="Koyukuk">Koyukuk</option><option value="Kwethluk">Kwethluk</option><option value="Kwigillingok">Kwigillingok</option><option value="Lake Minchumina">Lake Minchumina</option><option value="Larsen Bay">Larsen Bay</option><option value="Levelock">Levelock</option><option value="Manley Hot Springs">Manley Hot Springs</option><option value="Manokotak">Manokotak</option><option value="Marshall">Marshall</option><option value="Mc Grath">Mc Grath</option><option value="Metlakatla">Metlakatla</option><option value="Minto">Minto</option><option value="Mountain Village">Mountain Village</option><option value="Naknek">Naknek</option><option value="Nanwalek">Nanwalek</option><option value="Napakiak">Napakiak</option><option value="Nenana">Nenana</option><option value="New Stuyahok">New Stuyahok</option><option value="Nightmute">Nightmute</option><option value="Nikiski">Nikiski</option><option value="Nikolaevsk">Nikolaevsk</option><option value="Nikolai">Nikolai</option><option value="Nikolski">Nikolski</option><option value="Ninilchik">Ninilchik</option><option value="Noatak">Noatak</option><option value="Nome">Nome</option><option value="Nondalton">Nondalton</option><option value="Noorvik">Noorvik</option><option value="North Pole">North Pole</option><option value="Northway">Northway</option><option value="Nuiqsut">Nuiqsut</option><option value="Nulato">Nulato</option><option value="Nunam Iqua">Nunam Iqua</option><option value="Nunapitchuk">Nunapitchuk</option><option value="Old Harbor">Old Harbor</option><option value="Ouzinkie">Ouzinkie</option><option value="Palmer">Palmer</option><option value="Pedro Bay">Pedro Bay</option><option value="Pelican">Pelican</option><option value="Perryville">Perryville</option><option value="Petersburg">Petersburg</option><option value="Pilot Point">Pilot Point</option><option value="Pilot Station">Pilot Station</option><option value="Platinum">Platinum</option><option value="Point Hope">Point Hope</option><option value="Point Lay">Point Lay</option><option value="Port Alexander">Port Alexander</option><option value="Port Alsworth">Port Alsworth</option><option value="Port Graham">Port Graham</option><option value="Port Heiden">Port Heiden</option><option value="Port Lions">Port Lions</option><option value="Quinhagak">Quinhagak</option><option value="Rampart">Rampart</option><option value="Red Devil">Red Devil</option><option value="Ruby">Ruby</option><option value="Russian Mission">Russian Mission</option><option value="Saint Marys">Saint Marys</option><option value="Saint Michael">Saint Michael</option><option value="Saint Paul Island">Saint Paul Island</option><option value="Sand Point">Sand Point</option><option value="Savoonga">Savoonga</option><option value="Scammon Bay">Scammon Bay</option><option value="Selawik">Selawik</option><option value="Seldovia">Seldovia</option><option value="Seward">Seward</option><option value="Shageluk">Shageluk</option><option value="Shaktoolik">Shaktoolik</option><option value="Shishmaref">Shishmaref</option><option value="Shungnak">Shungnak</option><option value="Sitka">Sitka</option><option value="Skagway">Skagway</option><option value="Skwentna">Skwentna</option><option value="Sleetmute">Sleetmute</option><option value="Soldotna">Soldotna</option><option value="Stebbins">Stebbins</option><option value="Stevens Village">Stevens Village</option><option value="Takotna">Takotna</option><option value="Talkeetna">Talkeetna</option><option value="Tanana">Tanana</option><option value="Tatitlek">Tatitlek</option><option value="Teller">Teller</option><option value="Tenakee Springs">Tenakee Springs</option><option value="Thorne Bay">Thorne Bay</option><option value="Togiak">Togiak</option><option value="Tok">Tok</option><option value="Toksook Bay">Toksook Bay</option><option value="Tuluksak">Tuluksak</option><option value="Tuntutuliak">Tuntutuliak</option><option value="Tununak">Tununak</option><option value="Tyonek">Tyonek</option><option value="Unalakleet">Unalakleet</option><option value="Unalaska">Unalaska</option><option value="Valdez">Valdez</option><option value="Venetie">Venetie</option><option value="Wainwright">Wainwright</option><option value="Wales">Wales</option><option value="Wasilla">Wasilla</option><option value="White Mountain">White Mountain</option><option value="Whittier">Whittier</option><option value="Wrangell">Wrangell</option><option value="Yakutat">Yakutat</option></select>
<select type="text" id="txtHighSchool" data-real="#selectedHighSchoolID" name="HighSchool" data-validation="required" class="form-control" style="display: block;"><option value="">Select Your High School</option><option value="0">- HIGH SCHOOL NOT LISTED -</option><option value="2255">Alaska School For The Deaf & H</option><option value="2259">Alternative Career Education</option><option value="83881">Anchorage Christian School</option><option value="25036">Anchorage College & Career</option><option value="2261">Anchorage Corrections</option><option value="2263">Anchorage Outreach/Private</option><option value="2297">Avail School</option><option value="40259">Bartlett High School</option><option value="2215">Benson Secondary School</option><option value="2159">Booth Memorial Home</option><option value="2276">Charter North Hospital</option><option value="23001">Dimond High School</option><option value="22757">East Anchorage High School</option><option value="2237">Family Partnership Charter Sch</option><option value="84360">Frontier Charter School</option><option value="2909">Grace Christian School</option><option value="83810">Highland Tech High Charter Sch</option><option value="40288">Ivanof Bay School</option><option value="2192">Jesse Lee Home</option><option value="22758">King Career Center</option><option value="82214">Lumen Christi</option><option value="2287">Mclaughlin Youth Center</option><option value="81448">Nine Star Enterprise</option><option value="2286">North Star Hostital</option><option value="2213">Polaris K-12 School</option><option value="2293">Providence Heights School</option><option value="1815">Qugcuun Memorial High</option><option value="2214">S.A.V.E. High School</option><option value="23002">Service High School</option><option value="13940">South Anchorage H S</option><option value="40260">Steller Secondary School</option><option value="2241">Walden Pond Charter School</option><option value="22932">West Anchorage High School</option><option value="2223">Whaley Center</option></select>
No HS Attended: <input type="checkbox" name="NeverAttended" id="chkNoHSAttended" />
</fieldset>
<fieldset>
IS MILITARY: <input type="radio" name="isMilitary" id="isMilitaryYes" value="true" data-validation="requiredYesNo" data-validation-element="#errIsMilitary" /><label for="isMilitaryYes">Yes</label>
Mil Sep <input type="radio" name="isMilitary" id="isMilitaryNo" value="false" data-validation="requiredYesNo" data-validation-element="#errIsMilitary" /><label for="isMilitaryNo">No</label>
<select class="Dropdown" name="MilitarySeparation[Month]" disabled="disabled" data-validation="required" data-validator-disp-options="NormalRed input-error inline">
<option selected="selected" value="">Month:</option>
<option value="01">Jan</option>
<option value="02">Feb</option>
</select>
Mil Year: <select id="select-choice-military-year" class="Dropdown" name="MilitarySeparation[Year]" disabled="disabled" data-validation="required" data-validator-disp-options="NormalRed input-error inline">
<option selected="selected" value="">Year:</option>
</select>
Mil States: <select id="milStates" name="MilitaryStates" data-validation="required"></select>
Mil City:<select id="milCities" name="MilitaryCities" data-validation="required"></select>
</fieldset>