<div class="wpforms-container wpforms-container-full" id="wpforms-7913"><form id="wpforms-form-7913" class="wpforms-validate wpforms-form" data-formid="7913" method="post" enctype="multipart/form-data" action="/regional-development-council-1/"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-field-container"><div id="wpforms-7913-field_2-container" class="wpforms-field wpforms-field-text" data-field-id="2"><label class="wpforms-field-label" for="wpforms-7913-field_2">Name <span class="wpforms-required-label">*</span></label><input type="text" id="wpforms-7913-field_2" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][2]" required></div><div id="wpforms-7913-field_3-container" class="wpforms-field wpforms-field-text" data-field-id="3"><label class="wpforms-field-label" for="wpforms-7913-field_3">Age <span class="wpforms-required-label">*</span></label><input type="text" id="wpforms-7913-field_3" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][3]" required></div><div id="wpforms-7913-field_4-container" class="wpforms-field wpforms-field-text" data-field-id="4"><label class="wpforms-field-label" for="wpforms-7913-field_4">Birthdate <span class="wpforms-required-label">*</span></label><input type="text" id="wpforms-7913-field_4" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][4]" placeholder="mm/dd/yyyy" required></div><div id="wpforms-7913-field_5-container" class="wpforms-field wpforms-field-text" data-field-id="5"><label class="wpforms-field-label" for="wpforms-7913-field_5">Address <span class="wpforms-required-label">*</span></label><input type="text" id="wpforms-7913-field_5" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][5]" required></div><div id="wpforms-7913-field_7-container" class="wpforms-field wpforms-field-email" data-field-id="7"><label 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class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][10]" required="required"><option value="Single" >Single</option><option value="Married" >Married</option><option value="Divorced" >Divorced</option><option value="Separated" >Separated</option><option value="Widowed" >Widowed</option></select></div><div id="wpforms-7913-field_11-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="11"><label class="wpforms-field-label" for="wpforms-7913-field_11">Sex <span class="wpforms-required-label">*</span></label><select id="wpforms-7913-field_11" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][11]" required="required"><option value="Male" >Male</option><option value="Female" >Female</option></select></div><div id="wpforms-7913-field_13-container" class="wpforms-field wpforms-field-text" data-field-id="13"><label class="wpforms-field-label" for="wpforms-7913-field_13">Educational Attainment <span class="wpforms-required-label">*</span></label><input type="text" id="wpforms-7913-field_13" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][13]" required></div><div id="wpforms-7913-field_14-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="14"><label class="wpforms-field-label" for="wpforms-7913-field_14">Occupation <span class="wpforms-required-label">*</span></label><select id="wpforms-7913-field_14" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][14]" required="required"><option value="OFW" >OFW</option><option value="OFW Dependent" >OFW Dependent</option></select></div><div id="wpforms-7913-field_15-container" class="wpforms-field wpforms-field-text" data-field-id="15"><label class="wpforms-field-label" for="wpforms-7913-field_15">Host Country of OFW <span class="wpforms-required-label">*</span></label><input type="text" id="wpforms-7913-field_15" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][15]" required></div><div id="wpforms-7913-field_16-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="16"><label class="wpforms-field-label" for="wpforms-7913-field_16">Migration Status <span class="wpforms-required-label">*</span></label><select id="wpforms-7913-field_16" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][16]" required="required"><option value="Active OFW" >Active OFW</option><option value="Ex-OFW" >Ex-OFW</option></select></div><div id="wpforms-7913-field_17-container" class="wpforms-field wpforms-field-radio" data-field-id="17"><label class="wpforms-field-label" for="wpforms-7913-field_17">Are you an OWWA member? <span class="wpforms-required-label">*</span></label><ul id="wpforms-7913-field_17" class="wpforms-field-required"><li class="choice-1 depth-1"><input type="radio" id="wpforms-7913-field_17_1" name="wpforms[fields][17]" value="Yes" 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