{"id":240,"date":"2019-01-07T05:43:43","date_gmt":"2019-01-07T05:43:43","guid":{"rendered":"http:\/\/springstage.com.au\/makibe\/?page_id=240"},"modified":"2019-03-28T23:48:47","modified_gmt":"2019-03-28T23:48:47","slug":"candidate-registration-pack","status":"publish","type":"page","link":"https:\/\/makibeaustralia.com.au\/portal\/candidate-registration-pack\/","title":{"rendered":"Candidate Registration Pack"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column width=&#8221;3\/4&#8243;][vc_empty_space height=&#8221;10px&#8221;][vc_column_text]<\/p>\n<h3 class=\"gform_title\"><strong>Candidate Registration Form<\/strong><\/h3>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;10px&#8221;][vc_column_text]Please fill your details in the form below to submit an online application <strong>-OR-<br \/>\n<\/strong>download the PDF and send it via email to Makibe Australia.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][vc_empty_space height=&#8221;10px&#8221;]\n\n\t<a href=\"http:\/\/makibeaustralia.com.au\/portal\/wp-content\/uploads\/2019\/03\/Candidate-Registration-Pack-Part-1-UPDATED.pdf\" target=\"_blank\" style=\"color: #ffffff;background-color: #30b6f0\" class=\"qode-btn qode-btn-medium qode-btn-solid qode-btn-custom-hover-color qode-btn-icon qode-btn-shadow-hover\" data-hover-color=\"#ffffff\" >\n\t    <span class=\"qode-btn-text\">Download PDF<\/span><span class=\"qode-button-v2-icon-holder\"  ><i class=\"qode_icon_font_awesome fa fa-file-pdf-o qode-button-v2-icon-holder-inner\" ><\/i><\/span>\t<\/a>\n\n[\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column]<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/portal\/wp-json\/wp\/v2\/pages\/240#gf_1' data-formid='1' novalidate>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>9<\/span> - Right to Work in Australia\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_11' style='width:11%; color:; background-color:#30b6f0;'><span>11%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_168\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_168\" ><h2 class=\"gsection_title\">RIGHT TO WORK IN AUSTRALIA<\/h2><\/li><li id=\"field_1_171\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_171\" ><label class='gfield_label gform-field-label' >I confirm I am legally entitled to work in Australia and agree to cooperate fully in relation to all matters pertaining to my work rights including notifying Makibe Australia Pty Ltd immediately should my entitlements to work change in any way.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_171'>\n\t\t\t<li class='gchoice gchoice_1_171_0'>\n\t\t\t\t<input name='input_171' type='radio' value='Yes'  id='choice_1_171_0'    \/>\n\t\t\t\t<label for='choice_1_171_0' id='label_1_171_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_171_1'>\n\t\t\t\t<input name='input_171' type='radio' value='No'  id='choice_1_171_1'    \/>\n\t\t\t\t<label for='choice_1_171_1' id='label_1_171_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_172\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_172\" ><label class='gfield_label gform-field-label' >Are you an Australian Citizen or Permanent Resident?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_172'>\n\t\t\t<li class='gchoice gchoice_1_172_0'>\n\t\t\t\t<input name='input_172' type='radio' value='Yes'  id='choice_1_172_0'    \/>\n\t\t\t\t<label for='choice_1_172_0' id='label_1_172_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_172_1'>\n\t\t\t\t<input name='input_172' type='radio' value='No'  id='choice_1_172_1'    \/>\n\t\t\t\t<label for='choice_1_172_1' id='label_1_172_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_173\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_173\" ><label class='gfield_label gform-field-label' >Do you have a current working Visa for Australia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_173'>\n\t\t\t<li class='gchoice gchoice_1_173_0'>\n\t\t\t\t<input name='input_173' type='radio' value='Yes'  id='choice_1_173_0'    \/>\n\t\t\t\t<label for='choice_1_173_0' id='label_1_173_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_173_1'>\n\t\t\t\t<input name='input_173' type='radio' value='No'  id='choice_1_173_1'    \/>\n\t\t\t\t<label for='choice_1_173_1' id='label_1_173_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_174\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_174\" ><label class='gfield_label gform-field-label' for='input_1_174'>Please enter your visa expiry date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_174' id='input_1_174' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_174_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_174_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_174' class='gform_hidden' value='https:\/\/makibeaustralia.com.au\/portal\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_1_170\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_170\" ><h5><span style=\"color: #ff0000;\">We\u2019re sorry, you have indicated that you are not able to legally work in Australia.<br>Due to this information we are not able to progress you further with your registration.<\/span><\/h5><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_167' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_2_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-167' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_69\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_69\" ><h2 class=\"gsection_title\">PERSONAL DETAILS<\/h2><\/li><li id=\"field_1_2\" class=\"gfield gfield--type-date gfield--input-type-datefield gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_1_2' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_2_2_container'>\n                                            <input type='number' maxlength='2' name='input_2[]' id='input_1_2_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_2_1_container'>\n                                        <input type='number' maxlength='2' name='input_2[]' id='input_1_2_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_1_2_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_2_3_container'>\n                                        <input type='number' maxlength='4' name='input_2[]' id='input_1_2_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_1_2_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><li id=\"field_1_312\" class=\"gfield gfield--type-radio gfield--type-choice gf_right_half gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_312\" ><label class='gfield_label gform-field-label' >Do you have a Job Seeker ID?:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_312'>\n\t\t\t<li class='gchoice gchoice_1_312_0'>\n\t\t\t\t<input name='input_312' type='radio' value='Yes'  id='choice_1_312_0'    \/>\n\t\t\t\t<label for='choice_1_312_0' id='label_1_312_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_312_1'>\n\t\t\t\t<input name='input_312' type='radio' value='No'  id='choice_1_312_1'    \/>\n\t\t\t\t<label for='choice_1_312_1' id='label_1_312_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_313\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_313\" ><label class='gfield_label gform-field-label' for='input_1_313'>Date of Birth:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_313' id='input_1_313' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_313_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_313_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_313' class='gform_hidden' value='https:\/\/makibeaustralia.com.au\/portal\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_1_314\" class=\"gfield gfield--type-number gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_314\" ><label class='gfield_label gform-field-label' for='input_1_314'>Job Seeker ID#:<\/label><div class='ginput_container ginput_container_number'><input name='input_314' id='input_1_314' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_1_3\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_3\" ><label class='gfield_label gform-field-label' for='input_1_3'>Title:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_1_3' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Mr' >Mr<\/option><option value='Mrs' >Mrs<\/option><option value='Ms' >Ms<\/option><option value='Miss' >Miss<\/option><\/select><\/div><\/li><li id=\"field_1_110\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_110\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_110'>\n                            \n                            <span id='input_1_110_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_110.3' id='input_1_110_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_110_3' class='gform-field-label gform-field-label--type-sub '>Given Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_110_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_110.6' id='input_1_110_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_110_6' class='gform-field-label gform-field-label--type-sub '>Surname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_6\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_6\" ><label class='gfield_label gform-field-label' for='input_1_6'>Position Applied for:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_7\" ><label class='gfield_label gform-field-label' for='input_1_7'>Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_1_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_8\" class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_8\" ><label class='gfield_label gform-field-label' for='input_1_8'>Suburb:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_437\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_437\" ><label class='gfield_label gform-field-label' for='input_1_437'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_437' id='input_1_437' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='New South Wales' >New South Wales<\/option><option value='Queensland' >Queensland<\/option><option value='South Australia' >South Australia<\/option><option value='Tasmania' >Tasmania<\/option><option value='Victoria' >Victoria<\/option><option value='Western Australia' >Western Australia<\/option><option value='Australian Capital Territory' >Australian Capital Territory<\/option><option value='Northern Territory' >Northern Territory<\/option><\/select><\/div><\/li><li id=\"field_1_158\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_158\" ><label class='gfield_label gform-field-label' for='input_1_158'>Postcode:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_158' id='input_1_158' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_159\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_159\" ><label class='gfield_label gform-field-label' for='input_1_159'>Home Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_1_159' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_160\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_160\" ><label class='gfield_label gform-field-label' for='input_1_160'>Mobile Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_160' id='input_1_160' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_14\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_14\" ><label class='gfield_label gform-field-label' for='input_1_14'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_14' id='input_1_14' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_1_70\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_70\" ><p style=\"font-size: 1.25em; color: #777777;\"><strong>EMERGENCY CONTACT<\/strong><\/p><\/li><li id=\"field_1_16\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_16\" ><label class='gfield_label gform-field-label' for='input_1_16'>Title:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_1_16' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Mr' >Mr<\/option><option value='Mrs' >Mrs<\/option><option value='Ms' >Ms<\/option><option value='Miss' >Miss<\/option><\/select><\/div><\/li><li id=\"field_1_117\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_117\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_1_117'>\n                            \n                            <span id='input_1_117_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_117.3' id='input_1_117_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_117_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/li><li id=\"field_1_18\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_18\" ><label class='gfield_label gform-field-label' for='input_1_18'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_1_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_19\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_19\" ><label class='gfield_label gform-field-label' for='input_1_19'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_1_19' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_20\" class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_20\" ><label class='gfield_label gform-field-label' for='input_1_20'>Suburb:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_1_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_438\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_438\" ><label class='gfield_label gform-field-label' for='input_1_438'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_438' id='input_1_438' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='New South Wales' >New South Wales<\/option><option value='Queensland' >Queensland<\/option><option value='South Australia' >South Australia<\/option><option value='Tasmania' >Tasmania<\/option><option value='Victoria' >Victoria<\/option><option value='Western Australia' >Western Australia<\/option><option value='Australian Capital Territory' >Australian Capital Territory<\/option><option value='Northern Territory' >Northern Territory<\/option><\/select><\/div><\/li><li id=\"field_1_161\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_161\" ><label class='gfield_label gform-field-label' for='input_1_161'>Postcode:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_161' id='input_1_161' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_162\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_162\" ><label class='gfield_label gform-field-label' for='input_1_162'>Home Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_162' id='input_1_162' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_163\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_163\" ><label class='gfield_label gform-field-label' for='input_1_163'>Mobile Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_163' id='input_1_163' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_1' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_3_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_25\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_25\" ><h2 class=\"gsection_title\">AVAILABILITY<\/h2><\/li><li id=\"field_1_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_4col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_26\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Days available for work:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_26'><li class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input' type='checkbox' id='choice_26_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' \/>\n\t\t\t\t\t\t<label for='choice_26_select_all' id='label_26_select_all' class='gform-field-label  gform-field-label--type-inline' data-label-select='Select All' data-label-deselect='Deselect All'>Select All<\/label>\n\t\t\t\t\t<\/li><li class='gchoice gchoice_1_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Monday'  id='choice_1_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_26_1' id='label_1_26_1' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Tuesday'  id='choice_1_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_26_2' id='label_1_26_2' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Wednesday'  id='choice_1_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_26_3' id='label_1_26_3' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_26_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.4' type='checkbox'  value='Thursday'  id='choice_1_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_26_4' id='label_1_26_4' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_26_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.5' type='checkbox'  value='Friday'  id='choice_1_26_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_26_5' id='label_1_26_5' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_26_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.6' type='checkbox'  value='Saturday'  id='choice_1_26_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_26_6' id='label_1_26_6' class='gform-field-label gform-field-label--type-inline'>Saturday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_26_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.7' type='checkbox'  value='Sunday'  id='choice_1_26_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_26_7' id='label_1_26_7' class='gform-field-label gform-field-label--type-inline'>Sunday<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_4col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_28\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Available for the following shift:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_28'><li class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input' type='checkbox' id='choice_28_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' \/>\n\t\t\t\t\t\t<label for='choice_28_select_all' id='label_28_select_all' class='gform-field-label  gform-field-label--type-inline' data-label-select='Select All' data-label-deselect='Deselect All'>Select All<\/label>\n\t\t\t\t\t<\/li><li class='gchoice gchoice_1_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Morning'  id='choice_1_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_28_1' id='label_1_28_1' class='gform-field-label gform-field-label--type-inline'>Morning<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Afternoon'  id='choice_1_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_28_2' id='label_1_28_2' class='gform-field-label gform-field-label--type-inline'>Afternoon<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_28_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.3' type='checkbox'  value='Night'  id='choice_1_28_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_28_3' id='label_1_28_3' class='gform-field-label gform-field-label--type-inline'>Night<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_5col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_29\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Ares you would be willing to work:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_29'><li class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input' type='checkbox' id='choice_29_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' \/>\n\t\t\t\t\t\t<label for='choice_29_select_all' id='label_29_select_all' class='gform-field-label  gform-field-label--type-inline' data-label-select='Select All' data-label-deselect='Deselect All'>Select All<\/label>\n\t\t\t\t\t<\/li><li class='gchoice gchoice_1_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='South of City area'  id='choice_1_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_29_1' id='label_1_29_1' class='gform-field-label gform-field-label--type-inline'>South of City area<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='North of City area'  id='choice_1_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_29_2' id='label_1_29_2' class='gform-field-label gform-field-label--type-inline'>North of City area<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_29_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.3' type='checkbox'  value='All City area'  id='choice_1_29_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_29_3' id='label_1_29_3' class='gform-field-label gform-field-label--type-inline'>All City area<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_29_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.4' type='checkbox'  value='Interstate'  id='choice_1_29_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_29_4' id='label_1_29_4' class='gform-field-label gform-field-label--type-inline'>Interstate<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_29_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.5' type='checkbox'  value='Overseas'  id='choice_1_29_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_29_5' id='label_1_29_5' class='gform-field-label gform-field-label--type-inline'>Overseas<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_29_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.6' type='checkbox'  value='Other'  id='choice_1_29_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_29_6' id='label_1_29_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_131\" class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_131\" ><label class='gfield_label gform-field-label' for='input_1_131'>Other (Please Indicate)<\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_1_131' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_30\" ><label class='gfield_label gform-field-label' >Are you available fo work now?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_30'>\n\t\t\t<li class='gchoice gchoice_1_30_0'>\n\t\t\t\t<input name='input_30' type='radio' value='Yes'  id='choice_1_30_0'    \/>\n\t\t\t\t<label for='choice_1_30_0' id='label_1_30_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_30_1'>\n\t\t\t\t<input name='input_30' type='radio' value='No'  id='choice_1_30_1'    \/>\n\t\t\t\t<label for='choice_1_30_1' id='label_1_30_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_31\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_31\" ><label class='gfield_label gform-field-label' for='input_1_31'>lf not, when would you be available?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_31' id='input_1_31' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_31_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_31_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_31' class='gform_hidden' value='https:\/\/makibeaustralia.com.au\/portal\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_1_320\" class=\"gfield gfield--type-html minus-margin gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_320\" >Transport:<\/li><li id=\"field_1_32\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_5col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_32\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >What is your main method of transport?:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_32'><li class='gchoice gchoice_1_32_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.1' type='checkbox'  value='Car'  id='choice_1_32_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_32_1' id='label_1_32_1' class='gform-field-label gform-field-label--type-inline'>Car<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_32_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.2' type='checkbox'  value='Ute'  id='choice_1_32_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_32_2' id='label_1_32_2' class='gform-field-label gform-field-label--type-inline'>Ute<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_32_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.3' type='checkbox'  value='Van'  id='choice_1_32_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_32_3' id='label_1_32_3' class='gform-field-label gform-field-label--type-inline'>Van<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_32_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.4' type='checkbox'  value='Motorbike'  id='choice_1_32_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_32_4' id='label_1_32_4' class='gform-field-label gform-field-label--type-inline'>Motorbike<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_32_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.5' type='checkbox'  value='Bike'  id='choice_1_32_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_32_5' id='label_1_32_5' class='gform-field-label gform-field-label--type-inline'>Bike<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_32_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.6' type='checkbox'  value='Public Transport'  id='choice_1_32_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_32_6' id='label_1_32_6' class='gform-field-label gform-field-label--type-inline'>Public Transport<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_370\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_370\" ><label class='gfield_label gform-field-label' for='input_1_370'>Drivers Licence Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_370' id='input_1_370' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_371\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_371\" ><label class='gfield_label gform-field-label' for='input_1_371'>Type:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_371' id='input_1_371' type='text' value='' class='medium'    placeholder='(C, HR etc) State' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_71\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_71\" ><p style=\"font-size: 1.25em; color: #777777;\"><strong>PERSONAL PROTECTIVE EQUIPMENT (PPE) CHECKLIST<\/strong><\/p><\/li><li id=\"field_1_39\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_4col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_39\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please tick all items that you currently own:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_39'><li class='gchoice gchoice_1_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='Hi Visibility Shirt'  id='choice_1_39_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_1' id='label_1_39_1' class='gform-field-label gform-field-label--type-inline'>Hi Visibility Shirt<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='Long Pants'  id='choice_1_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_2' id='label_1_39_2' class='gform-field-label gform-field-label--type-inline'>Long Pants<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_39_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.3' type='checkbox'  value='Hard Hat'  id='choice_1_39_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_3' id='label_1_39_3' class='gform-field-label gform-field-label--type-inline'>Hard Hat<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_39_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.4' type='checkbox'  value='Safey Boots'  id='choice_1_39_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_4' id='label_1_39_4' class='gform-field-label gform-field-label--type-inline'>Safey Boots<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_39_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.5' type='checkbox'  value='Safey Glasses'  id='choice_1_39_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_5' id='label_1_39_5' class='gform-field-label gform-field-label--type-inline'>Safey Glasses<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_39_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.6' type='checkbox'  value='Harness'  id='choice_1_39_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_6' id='label_1_39_6' class='gform-field-label gform-field-label--type-inline'>Harness<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_39_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.7' type='checkbox'  value='Safey Gloves'  id='choice_1_39_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_7' id='label_1_39_7' class='gform-field-label gform-field-label--type-inline'>Safey Gloves<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_39_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.8' type='checkbox'  value='Ear Plugs'  id='choice_1_39_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_8' id='label_1_39_8' class='gform-field-label gform-field-label--type-inline'>Ear Plugs<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_24' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_24' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_4_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' data-js='page-field-id-24' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_93\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_93\" ><h2 class=\"gsection_title\">SKILLS CHECKLIST<\/h2><\/li><li id=\"field_1_94\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_4col gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_94\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please only tick the skills that are relevant to your work experience<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_94'>Please tick at least one<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_94'><li class='gchoice gchoice_1_94_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.1' type='checkbox'  value='1st Aid Certificate'  id='choice_1_94_1'   aria-describedby=\"gfield_description_1_94\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_1' id='label_1_94_1' class='gform-field-label gform-field-label--type-inline'>1st Aid Certificate<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.2' type='checkbox'  value='Accounting Assistant'  id='choice_1_94_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_2' id='label_1_94_2' class='gform-field-label gform-field-label--type-inline'>Accounting Assistant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.3' type='checkbox'  value='Accounts Clerk'  id='choice_1_94_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_3' id='label_1_94_3' class='gform-field-label gform-field-label--type-inline'>Accounts Clerk<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.4' type='checkbox'  value='Accounts Payable'  id='choice_1_94_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_4' id='label_1_94_4' class='gform-field-label gform-field-label--type-inline'>Accounts Payable<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.5' type='checkbox'  value='Accounts Receivable'  id='choice_1_94_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_5' id='label_1_94_5' class='gform-field-label gform-field-label--type-inline'>Accounts Receivable<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.6' type='checkbox'  value='Administration'  id='choice_1_94_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_6' id='label_1_94_6' class='gform-field-label gform-field-label--type-inline'>Administration<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.7' type='checkbox'  value='Air Conditioning'  id='choice_1_94_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_7' id='label_1_94_7' class='gform-field-label gform-field-label--type-inline'>Air Conditioning<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.8' type='checkbox'  value='Air Freight Industry'  id='choice_1_94_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_8' id='label_1_94_8' class='gform-field-label gform-field-label--type-inline'>Air Freight Industry<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.9' type='checkbox'  value='ANSTO Clearance'  id='choice_1_94_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_9' id='label_1_94_9' class='gform-field-label gform-field-label--type-inline'>ANSTO Clearance<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.11' type='checkbox'  value='Assembly Worker'  id='choice_1_94_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_11' id='label_1_94_11' class='gform-field-label gform-field-label--type-inline'>Assembly Worker<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.12' type='checkbox'  value='Baines Masonry Induction'  id='choice_1_94_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_12' id='label_1_94_12' class='gform-field-label gform-field-label--type-inline'>Baines Masonry Induction<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.13' type='checkbox'  value='Banking'  id='choice_1_94_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_13' id='label_1_94_13' class='gform-field-label gform-field-label--type-inline'>Banking<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.14' type='checkbox'  value='Bar Coding'  id='choice_1_94_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_14' id='label_1_94_14' class='gform-field-label gform-field-label--type-inline'>Bar Coding<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.15' type='checkbox'  value='Barista'  id='choice_1_94_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_15' id='label_1_94_15' class='gform-field-label gform-field-label--type-inline'>Barista<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.16' type='checkbox'  value='Bas Counting'  id='choice_1_94_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_16' id='label_1_94_16' class='gform-field-label gform-field-label--type-inline'>Bas Counting<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.17' type='checkbox'  value='Basic Office Skills'  id='choice_1_94_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_17' id='label_1_94_17' class='gform-field-label gform-field-label--type-inline'>Basic Office Skills<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.18' type='checkbox'  value='Blender'  id='choice_1_94_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_18' id='label_1_94_18' class='gform-field-label gform-field-label--type-inline'>Blender<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.19' type='checkbox'  value='Blow Moulding'  id='choice_1_94_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_19' id='label_1_94_19' class='gform-field-label gform-field-label--type-inline'>Blow Moulding<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.21' type='checkbox'  value='Blue Print Drawings read'  id='choice_1_94_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_21' id='label_1_94_21' class='gform-field-label gform-field-label--type-inline'>Blue Print Drawings read<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.22' type='checkbox'  value='Boilermaker - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_22' id='label_1_94_22' class='gform-field-label gform-field-label--type-inline'>Boilermaker - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.23' type='checkbox'  value='Boilermaker experience'  id='choice_1_94_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_23' id='label_1_94_23' class='gform-field-label gform-field-label--type-inline'>Boilermaker experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.24' type='checkbox'  value='Bond Stores Experience'  id='choice_1_94_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_24' id='label_1_94_24' class='gform-field-label gform-field-label--type-inline'>Bond Stores Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.25' type='checkbox'  value='Book Keeping'  id='choice_1_94_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_25' id='label_1_94_25' class='gform-field-label gform-field-label--type-inline'>Book Keeping<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.26' type='checkbox'  value='Brickies Labourer'  id='choice_1_94_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_26' id='label_1_94_26' class='gform-field-label gform-field-label--type-inline'>Brickies Labourer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.27' type='checkbox'  value='Bricklayer - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_27' id='label_1_94_27' class='gform-field-label gform-field-label--type-inline'>Bricklayer - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.28' type='checkbox'  value='Budgeting Experience'  id='choice_1_94_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_28' id='label_1_94_28' class='gform-field-label gform-field-label--type-inline'>Budgeting Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.29' type='checkbox'  value='Bundling Experience'  id='choice_1_94_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_29' id='label_1_94_29' class='gform-field-label gform-field-label--type-inline'>Bundling Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.31' type='checkbox'  value='Call Centre Skills'  id='choice_1_94_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_31' id='label_1_94_31' class='gform-field-label gform-field-label--type-inline'>Call Centre Skills<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.32' type='checkbox'  value='Card - Construction White'  id='choice_1_94_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_32' id='label_1_94_32' class='gform-field-label gform-field-label--type-inline'>Card - Construction White<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.33' type='checkbox'  value='Card- Warehouse Blue'  id='choice_1_94_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_33' id='label_1_94_33' class='gform-field-label gform-field-label--type-inline'>Card- Warehouse Blue<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.34' type='checkbox'  value='Carpenter - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_34' id='label_1_94_34' class='gform-field-label gform-field-label--type-inline'>Carpenter - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.35' type='checkbox'  value='Carpenter Experience'  id='choice_1_94_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_35' id='label_1_94_35' class='gform-field-label gform-field-label--type-inline'>Carpenter Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_36'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.36' type='checkbox'  value='Cattle Yard Experience'  id='choice_1_94_36'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_36' id='label_1_94_36' class='gform-field-label gform-field-label--type-inline'>Cattle Yard Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_37'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.37' type='checkbox'  value='Claim Experience - Accounting'  id='choice_1_94_37'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_37' id='label_1_94_37' class='gform-field-label gform-field-label--type-inline'>Claim Experience - Accounting<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_38'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.38' type='checkbox'  value='Cleaner'  id='choice_1_94_38'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_38' id='label_1_94_38' class='gform-field-label gform-field-label--type-inline'>Cleaner<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_39'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.39' type='checkbox'  value='Cleaning Experience'  id='choice_1_94_39'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_39' id='label_1_94_39' class='gform-field-label gform-field-label--type-inline'>Cleaning Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_41'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.41' type='checkbox'  value='Clerical Duties'  id='choice_1_94_41'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_41' id='label_1_94_41' class='gform-field-label gform-field-label--type-inline'>Clerical Duties<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_42'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.42' type='checkbox'  value='CNC Machine Operator'  id='choice_1_94_42'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_42' id='label_1_94_42' class='gform-field-label gform-field-label--type-inline'>CNC Machine Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_43'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.43' type='checkbox'  value='CNC Programmer'  id='choice_1_94_43'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_43' id='label_1_94_43' class='gform-field-label gform-field-label--type-inline'>CNC Programmer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_44'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.44' type='checkbox'  value='Cold Storage'  id='choice_1_94_44'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_44' id='label_1_94_44' class='gform-field-label gform-field-label--type-inline'>Cold Storage<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_45'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.45' type='checkbox'  value='Coles Induction Card'  id='choice_1_94_45'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_45' id='label_1_94_45' class='gform-field-label gform-field-label--type-inline'>Coles Induction Card<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_46'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.46' type='checkbox'  value='Communications Skills'  id='choice_1_94_46'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_46' id='label_1_94_46' class='gform-field-label gform-field-label--type-inline'>Communications Skills<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_47'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.47' type='checkbox'  value='Computer Literate'  id='choice_1_94_47'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_47' id='label_1_94_47' class='gform-field-label gform-field-label--type-inline'>Computer Literate<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_48'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.48' type='checkbox'  value='Concrete Work'  id='choice_1_94_48'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_48' id='label_1_94_48' class='gform-field-label gform-field-label--type-inline'>Concrete Work<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_49'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.49' type='checkbox'  value='Confined Space'  id='choice_1_94_49'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_49' id='label_1_94_49' class='gform-field-label gform-field-label--type-inline'>Confined Space<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_51'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.51' type='checkbox'  value='Consignment Notes'  id='choice_1_94_51'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_51' id='label_1_94_51' class='gform-field-label gform-field-label--type-inline'>Consignment Notes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_52'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.52' type='checkbox'  value='Container unload\/load by hand'  id='choice_1_94_52'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_52' id='label_1_94_52' class='gform-field-label gform-field-label--type-inline'>Container unload\/load by hand<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_53'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.53' type='checkbox'  value='Core Drilling'  id='choice_1_94_53'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_53' id='label_1_94_53' class='gform-field-label gform-field-label--type-inline'>Core Drilling<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_54'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.54' type='checkbox'  value='Customer Service'  id='choice_1_94_54'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_54' id='label_1_94_54' class='gform-field-label gform-field-label--type-inline'>Customer Service<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_55'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.55' type='checkbox'  value='Dangerous Goods Cert'  id='choice_1_94_55'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_55' id='label_1_94_55' class='gform-field-label gform-field-label--type-inline'>Dangerous Goods Cert<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_56'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.56' type='checkbox'  value='Data Entry'  id='choice_1_94_56'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_56' id='label_1_94_56' class='gform-field-label gform-field-label--type-inline'>Data Entry<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_57'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.57' type='checkbox'  value='Database Experience'  id='choice_1_94_57'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_57' id='label_1_94_57' class='gform-field-label gform-field-label--type-inline'>Database Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_58'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.58' type='checkbox'  value='Despatch Experience'  id='choice_1_94_58'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_58' id='label_1_94_58' class='gform-field-label gform-field-label--type-inline'>Despatch Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_59'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.59' type='checkbox'  value='Diesel Mechanic - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_59'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_59' id='label_1_94_59' class='gform-field-label gform-field-label--type-inline'>Diesel Mechanic - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_61'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.61' type='checkbox'  value='Dogman Ticket'  id='choice_1_94_61'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_61' id='label_1_94_61' class='gform-field-label gform-field-label--type-inline'>Dogman Ticket<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_62'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.62' type='checkbox'  value='Drill Operator'  id='choice_1_94_62'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_62' id='label_1_94_62' class='gform-field-label gform-field-label--type-inline'>Drill Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_63'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.63' type='checkbox'  value='Electrical Component knowledge'  id='choice_1_94_63'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_63' id='label_1_94_63' class='gform-field-label gform-field-label--type-inline'>Electrical Component knowledge<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_64'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.64' type='checkbox'  value='Electrician - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_64'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_64' id='label_1_94_64' class='gform-field-label gform-field-label--type-inline'>Electrician - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_65'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.65' type='checkbox'  value='Electrician Experience'  id='choice_1_94_65'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_65' id='label_1_94_65' class='gform-field-label gform-field-label--type-inline'>Electrician Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_66'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.66' type='checkbox'  value='Electronics Process Work'  id='choice_1_94_66'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_66' id='label_1_94_66' class='gform-field-label gform-field-label--type-inline'>Electronics Process Work<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_67'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.67' type='checkbox'  value='Elevated Platform Licence'  id='choice_1_94_67'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_67' id='label_1_94_67' class='gform-field-label gform-field-label--type-inline'>Elevated Platform Licence<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_68'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.68' type='checkbox'  value='Excavator Licence'  id='choice_1_94_68'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_68' id='label_1_94_68' class='gform-field-label gform-field-label--type-inline'>Excavator Licence<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_69'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.69' type='checkbox'  value='Explosives Experience'  id='choice_1_94_69'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_69' id='label_1_94_69' class='gform-field-label gform-field-label--type-inline'>Explosives Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_71'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.71' type='checkbox'  value='Extruder Operator'  id='choice_1_94_71'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_71' id='label_1_94_71' class='gform-field-label gform-field-label--type-inline'>Extruder Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_72'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.72' type='checkbox'  value='Fencing Experience'  id='choice_1_94_72'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_72' id='label_1_94_72' class='gform-field-label gform-field-label--type-inline'>Fencing Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_73'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.73' type='checkbox'  value='Fitter - Dye'  id='choice_1_94_73'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_73' id='label_1_94_73' class='gform-field-label gform-field-label--type-inline'>Fitter - Dye<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_74'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.74' type='checkbox'  value='Fitter\/Turner'  id='choice_1_94_74'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_74' id='label_1_94_74' class='gform-field-label gform-field-label--type-inline'>Fitter\/Turner<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_75'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.75' type='checkbox'  value='Fitter-Mining Equipment'  id='choice_1_94_75'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_75' id='label_1_94_75' class='gform-field-label gform-field-label--type-inline'>Fitter-Mining Equipment<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_76'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.76' type='checkbox'  value='Food Industry Experience'  id='choice_1_94_76'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_76' id='label_1_94_76' class='gform-field-label gform-field-label--type-inline'>Food Industry Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_77'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.77' type='checkbox'  value='Fork 40 Tonne Container Exp'  id='choice_1_94_77'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_77' id='label_1_94_77' class='gform-field-label gform-field-label--type-inline'>Fork 40 Tonne Container Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_78'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.78' type='checkbox'  value='Fork Attachments Experience'  id='choice_1_94_78'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_78' id='label_1_94_78' class='gform-field-label gform-field-label--type-inline'>Fork Attachments Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_79'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.79' type='checkbox'  value='Fork Experience \u2013 Warehouse'  id='choice_1_94_79'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_79' id='label_1_94_79' class='gform-field-label gform-field-label--type-inline'>Fork Experience \u2013 Warehouse<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_81'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.81' type='checkbox'  value='Fork Experience Production'  id='choice_1_94_81'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_81' id='label_1_94_81' class='gform-field-label gform-field-label--type-inline'>Fork Experience Production<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_82'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.82' type='checkbox'  value='Fork Grab Experience'  id='choice_1_94_82'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_82' id='label_1_94_82' class='gform-field-label gform-field-label--type-inline'>Fork Grab Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_83'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.83' type='checkbox'  value='Fork NSW Licence\/AUS'  id='choice_1_94_83'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_83' id='label_1_94_83' class='gform-field-label gform-field-label--type-inline'>Fork NSW Licence\/AUS<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_84'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.84' type='checkbox'  value='Fork Skid Steer (LS) Licence'  id='choice_1_94_84'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_84' id='label_1_94_84' class='gform-field-label gform-field-label--type-inline'>Fork Skid Steer (LS) Licence<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_85'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.85' type='checkbox'  value='Fork\/Double Deep Tynes Exp'  id='choice_1_94_85'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_85' id='label_1_94_85' class='gform-field-label gform-field-label--type-inline'>Fork\/Double Deep Tynes Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_86'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.86' type='checkbox'  value='Fork-Axle Weight Loading Exp'  id='choice_1_94_86'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_86' id='label_1_94_86' class='gform-field-label gform-field-label--type-inline'>Fork-Axle Weight Loading Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_87'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.87' type='checkbox'  value='Forklift Driver- Process'  id='choice_1_94_87'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_87' id='label_1_94_87' class='gform-field-label gform-field-label--type-inline'>Forklift Driver- Process<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_88'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.88' type='checkbox'  value='Forklift High Reach Experience'  id='choice_1_94_88'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_88' id='label_1_94_88' class='gform-field-label gform-field-label--type-inline'>Forklift High Reach Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_89'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.89' type='checkbox'  value='Freezer Experience'  id='choice_1_94_89'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_89' id='label_1_94_89' class='gform-field-label gform-field-label--type-inline'>Freezer Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_91'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.91' type='checkbox'  value='Freight Control'  id='choice_1_94_91'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_91' id='label_1_94_91' class='gform-field-label gform-field-label--type-inline'>Freight Control<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_92'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.92' type='checkbox'  value='Freight Forwarding Exp'  id='choice_1_94_92'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_92' id='label_1_94_92' class='gform-field-label gform-field-label--type-inline'>Freight Forwarding Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_93'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.93' type='checkbox'  value='Freight Sorter'  id='choice_1_94_93'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_93' id='label_1_94_93' class='gform-field-label gform-field-label--type-inline'>Freight Sorter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_94'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.94' type='checkbox'  value='Garden\/Parks &amp; Garden'  id='choice_1_94_94'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_94' id='label_1_94_94' class='gform-field-label gform-field-label--type-inline'>Garden\/Parks & Garden<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_95'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.95' type='checkbox'  value='General Office Duties'  id='choice_1_94_95'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_95' id='label_1_94_95' class='gform-field-label gform-field-label--type-inline'>General Office Duties<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_96'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.96' type='checkbox'  value='GMP Trained'  id='choice_1_94_96'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_96' id='label_1_94_96' class='gform-field-label gform-field-label--type-inline'>GMP Trained<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_97'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.97' type='checkbox'  value='Guillotine Worker'  id='choice_1_94_97'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_97' id='label_1_94_97' class='gform-field-label gform-field-label--type-inline'>Guillotine Worker<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_98'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.98' type='checkbox'  value='HACCP Trained'  id='choice_1_94_98'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_98' id='label_1_94_98' class='gform-field-label gform-field-label--type-inline'>HACCP Trained<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_99'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.99' type='checkbox'  value='HACCP Trained'  id='choice_1_94_99'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_99' id='label_1_94_99' class='gform-field-label gform-field-label--type-inline'>HACCP Trained<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_101'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.101' type='checkbox'  value='Hazardous Chemicals'  id='choice_1_94_101'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_101' id='label_1_94_101' class='gform-field-label gform-field-label--type-inline'>Hazardous Chemicals<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_102'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.102' type='checkbox'  value='Hazardous Chemicals'  id='choice_1_94_102'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_102' id='label_1_94_102' class='gform-field-label gform-field-label--type-inline'>Hazardous Chemicals<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_103'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.103' type='checkbox'  value='Heavy Lifting'  id='choice_1_94_103'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_103' id='label_1_94_103' class='gform-field-label gform-field-label--type-inline'>Heavy Lifting<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_104'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.104' type='checkbox'  value='Heavy Vehicle Mechanic - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_104'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_104' id='label_1_94_104' class='gform-field-label gform-field-label--type-inline'>Heavy Vehicle Mechanic - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_105'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.105' type='checkbox'  value='Import\/Export Freight'  id='choice_1_94_105'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_105' id='label_1_94_105' class='gform-field-label gform-field-label--type-inline'>Import\/Export Freight<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_106'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.106' type='checkbox'  value='Industrial Cleaning'  id='choice_1_94_106'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_106' id='label_1_94_106' class='gform-field-label gform-field-label--type-inline'>Industrial Cleaning<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_107'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.107' type='checkbox'  value='Injection Mould Operator'  id='choice_1_94_107'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_107' id='label_1_94_107' class='gform-field-label gform-field-label--type-inline'>Injection Mould Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_108'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.108' type='checkbox'  value='Internet Experience'  id='choice_1_94_108'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_108' id='label_1_94_108' class='gform-field-label gform-field-label--type-inline'>Internet Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_109'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.109' type='checkbox'  value='Internet Experience'  id='choice_1_94_109'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_109' id='label_1_94_109' class='gform-field-label gform-field-label--type-inline'>Internet Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_111'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.111' type='checkbox'  value='Inventory Controller'  id='choice_1_94_111'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_111' id='label_1_94_111' class='gform-field-label gform-field-label--type-inline'>Inventory Controller<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_112'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.112' type='checkbox'  value='Invoicing'  id='choice_1_94_112'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_112' id='label_1_94_112' class='gform-field-label gform-field-label--type-inline'>Invoicing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_113'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.113' type='checkbox'  value='Joy Mining Induction'  id='choice_1_94_113'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_113' id='label_1_94_113' class='gform-field-label gform-field-label--type-inline'>Joy Mining Induction<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_114'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.114' type='checkbox'  value='Knife Experience'  id='choice_1_94_114'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_114' id='label_1_94_114' class='gform-field-label gform-field-label--type-inline'>Knife Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_115'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.115' type='checkbox'  value='Knife Experience'  id='choice_1_94_115'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_115' id='label_1_94_115' class='gform-field-label gform-field-label--type-inline'>Knife Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_116'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.116' type='checkbox'  value='Labelling'  id='choice_1_94_116'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_116' id='label_1_94_116' class='gform-field-label gform-field-label--type-inline'>Labelling<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_117'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.117' type='checkbox'  value='Laboratory Assistant'  id='choice_1_94_117'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_117' id='label_1_94_117' class='gform-field-label gform-field-label--type-inline'>Laboratory Assistant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_118'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.118' type='checkbox'  value='Laboratory Assistant'  id='choice_1_94_118'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_118' id='label_1_94_118' class='gform-field-label gform-field-label--type-inline'>Laboratory Assistant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_119'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.119' type='checkbox'  value='Labourer'  id='choice_1_94_119'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_119' id='label_1_94_119' class='gform-field-label gform-field-label--type-inline'>Labourer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_121'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.121' type='checkbox'  value='Landscaping Experience - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_121'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_121' id='label_1_94_121' class='gform-field-label gform-field-label--type-inline'>Landscaping Experience - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_122'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.122' type='checkbox'  value='Leading Hand'  id='choice_1_94_122'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_122' id='label_1_94_122' class='gform-field-label gform-field-label--type-inline'>Leading Hand<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_123'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.123' type='checkbox'  value='Licence - Manual Car'  id='choice_1_94_123'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_123' id='label_1_94_123' class='gform-field-label gform-field-label--type-inline'>Licence - Manual Car<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_124'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.124' type='checkbox'  value='Licence C'  id='choice_1_94_124'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_124' id='label_1_94_124' class='gform-field-label gform-field-label--type-inline'>Licence C<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_125'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.125' type='checkbox'  value='Licence HC'  id='choice_1_94_125'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_125' id='label_1_94_125' class='gform-field-label gform-field-label--type-inline'>Licence HC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_126'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.126' type='checkbox'  value='Licence HR'  id='choice_1_94_126'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_126' id='label_1_94_126' class='gform-field-label gform-field-label--type-inline'>Licence HR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_127'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.127' type='checkbox'  value='Licence LR'  id='choice_1_94_127'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_127' id='label_1_94_127' class='gform-field-label gform-field-label--type-inline'>Licence LR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_128'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.128' type='checkbox'  value='Licence MC'  id='choice_1_94_128'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_128' id='label_1_94_128' class='gform-field-label gform-field-label--type-inline'>Licence MC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_129'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.129' type='checkbox'  value='Licence MR'  id='choice_1_94_129'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_129' id='label_1_94_129' class='gform-field-label gform-field-label--type-inline'>Licence MR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_131'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.131' type='checkbox'  value='LO Stock pickers licence'  id='choice_1_94_131'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_131' id='label_1_94_131' class='gform-field-label gform-field-label--type-inline'>LO Stock pickers licence<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_132'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.132' type='checkbox'  value='Load\/Unload Semi Trailers'  id='choice_1_94_132'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_132' id='label_1_94_132' class='gform-field-label gform-field-label--type-inline'>Load\/Unload Semi Trailers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_133'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.133' type='checkbox'  value='Logistics Experience'  id='choice_1_94_133'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_133' id='label_1_94_133' class='gform-field-label gform-field-label--type-inline'>Logistics Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_134'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.134' type='checkbox'  value='Machine Operator'  id='choice_1_94_134'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_134' id='label_1_94_134' class='gform-field-label gform-field-label--type-inline'>Machine Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_135'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.135' type='checkbox'  value='Macros Experience'  id='choice_1_94_135'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_135' id='label_1_94_135' class='gform-field-label gform-field-label--type-inline'>Macros Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_136'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.136' type='checkbox'  value='Maintenance Experience'  id='choice_1_94_136'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_136' id='label_1_94_136' class='gform-field-label gform-field-label--type-inline'>Maintenance Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_137'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.137' type='checkbox'  value='Management Logistics Exp.'  id='choice_1_94_137'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_137' id='label_1_94_137' class='gform-field-label gform-field-label--type-inline'>Management Logistics Exp.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_138'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.138' type='checkbox'  value='Manufacturing Experience'  id='choice_1_94_138'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_138' id='label_1_94_138' class='gform-field-label gform-field-label--type-inline'>Manufacturing Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_139'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.139' type='checkbox'  value='Masonry Experience'  id='choice_1_94_139'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_139' id='label_1_94_139' class='gform-field-label gform-field-label--type-inline'>Masonry Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_141'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.141' type='checkbox'  value='Meat Industry Experience'  id='choice_1_94_141'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_141' id='label_1_94_141' class='gform-field-label gform-field-label--type-inline'>Meat Industry Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_142'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.142' type='checkbox'  value='Mechanical Aptitude'  id='choice_1_94_142'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_142' id='label_1_94_142' class='gform-field-label gform-field-label--type-inline'>Mechanical Aptitude<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_143'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.143' type='checkbox'  value='Microsoft Access'  id='choice_1_94_143'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_143' id='label_1_94_143' class='gform-field-label gform-field-label--type-inline'>Microsoft Access<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_144'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.144' type='checkbox'  value='Microsoft Excel'  id='choice_1_94_144'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_144' id='label_1_94_144' class='gform-field-label gform-field-label--type-inline'>Microsoft Excel<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_145'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.145' type='checkbox'  value='Microsoft Word'  id='choice_1_94_145'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_145' id='label_1_94_145' class='gform-field-label gform-field-label--type-inline'>Microsoft Word<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_146'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.146' type='checkbox'  value='Mining Experience'  id='choice_1_94_146'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_146' id='label_1_94_146' class='gform-field-label gform-field-label--type-inline'>Mining Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_147'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.147' type='checkbox'  value='Motor Mechanic'  id='choice_1_94_147'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_147' id='label_1_94_147' class='gform-field-label gform-field-label--type-inline'>Motor Mechanic<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_148'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.148' type='checkbox'  value='Moulding Plastics'  id='choice_1_94_148'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_148' id='label_1_94_148' class='gform-field-label gform-field-label--type-inline'>Moulding Plastics<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_149'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.149' type='checkbox'  value='MYOB'  id='choice_1_94_149'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_149' id='label_1_94_149' class='gform-field-label gform-field-label--type-inline'>MYOB<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_151'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.151' type='checkbox'  value='OHS Experience \/Knowledge'  id='choice_1_94_151'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_151' id='label_1_94_151' class='gform-field-label gform-field-label--type-inline'>OHS Experience \/Knowledge<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_152'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.152' type='checkbox'  value='Operations Manager'  id='choice_1_94_152'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_152' id='label_1_94_152' class='gform-field-label gform-field-label--type-inline'>Operations Manager<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_153'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.153' type='checkbox'  value='Packer'  id='choice_1_94_153'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_153' id='label_1_94_153' class='gform-field-label gform-field-label--type-inline'>Packer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_154'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.154' type='checkbox'  value='Pallet Jack Electric Exp'  id='choice_1_94_154'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_154' id='label_1_94_154' class='gform-field-label gform-field-label--type-inline'>Pallet Jack Electric Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_155'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.155' type='checkbox'  value='Pallet Jack Experience'  id='choice_1_94_155'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_155' id='label_1_94_155' class='gform-field-label gform-field-label--type-inline'>Pallet Jack Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_156'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.156' type='checkbox'  value='Pallet wrapping by hand'  id='choice_1_94_156'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_156' id='label_1_94_156' class='gform-field-label gform-field-label--type-inline'>Pallet wrapping by hand<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_157'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.157' type='checkbox'  value='Pallets - stacking'  id='choice_1_94_157'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_157' id='label_1_94_157' class='gform-field-label gform-field-label--type-inline'>Pallets - stacking<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_158'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.158' type='checkbox'  value='Payroll'  id='choice_1_94_158'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_158' id='label_1_94_158' class='gform-field-label gform-field-label--type-inline'>Payroll<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_159'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.159' type='checkbox'  value='Personal Assistant'  id='choice_1_94_159'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_159' id='label_1_94_159' class='gform-field-label gform-field-label--type-inline'>Personal Assistant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_161'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.161' type='checkbox'  value='Petty Cash Handling'  id='choice_1_94_161'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_161' id='label_1_94_161' class='gform-field-label gform-field-label--type-inline'>Petty Cash Handling<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_162'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.162' type='checkbox'  value='Pick\/Packer'  id='choice_1_94_162'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_162' id='label_1_94_162' class='gform-field-label gform-field-label--type-inline'>Pick\/Packer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_163'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.163' type='checkbox'  value='Planograms'  id='choice_1_94_163'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_163' id='label_1_94_163' class='gform-field-label gform-field-label--type-inline'>Planograms<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_164'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.164' type='checkbox'  value='Plant Mechanic'  id='choice_1_94_164'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_164' id='label_1_94_164' class='gform-field-label gform-field-label--type-inline'>Plant Mechanic<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_165'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.165' type='checkbox'  value='Plastics Industry Experience'  id='choice_1_94_165'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_165' id='label_1_94_165' class='gform-field-label gform-field-label--type-inline'>Plastics Industry Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_166'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.166' type='checkbox'  value='Power Point Presentation'  id='choice_1_94_166'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_166' id='label_1_94_166' class='gform-field-label gform-field-label--type-inline'>Power Point Presentation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_167'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.167' type='checkbox'  value='Process Worker'  id='choice_1_94_167'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_167' id='label_1_94_167' class='gform-field-label gform-field-label--type-inline'>Process Worker<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_168'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.168' type='checkbox'  value='Project Manager'  id='choice_1_94_168'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_168' id='label_1_94_168' class='gform-field-label gform-field-label--type-inline'>Project Manager<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_169'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.169' type='checkbox'  value='Purchasing Administrator'  id='choice_1_94_169'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_169' id='label_1_94_169' class='gform-field-label gform-field-label--type-inline'>Purchasing Administrator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_171'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.171' type='checkbox'  value='Quality Assurance'  id='choice_1_94_171'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_171' id='label_1_94_171' class='gform-field-label gform-field-label--type-inline'>Quality Assurance<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_172'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.172' type='checkbox'  value='Quality Control'  id='choice_1_94_172'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_172' id='label_1_94_172' class='gform-field-label gform-field-label--type-inline'>Quality Control<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_173'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.173' type='checkbox'  value='Rail industry safety induction'  id='choice_1_94_173'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_173' id='label_1_94_173' class='gform-field-label gform-field-label--type-inline'>Rail industry safety induction<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_174'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.174' type='checkbox'  value='Rail Safe Tracks Operator'  id='choice_1_94_174'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_174' id='label_1_94_174' class='gform-field-label gform-field-label--type-inline'>Rail Safe Tracks Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_175'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.175' type='checkbox'  value='Receiving Experience'  id='choice_1_94_175'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_175' id='label_1_94_175' class='gform-field-label gform-field-label--type-inline'>Receiving Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_176'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.176' type='checkbox'  value='Receptionist'  id='choice_1_94_176'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_176' id='label_1_94_176' class='gform-field-label gform-field-label--type-inline'>Receptionist<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_177'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.177' type='checkbox'  value='Renderer Experience'  id='choice_1_94_177'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_177' id='label_1_94_177' class='gform-field-label gform-field-label--type-inline'>Renderer Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_178'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.178' type='checkbox'  value='Retail Shop Work'  id='choice_1_94_178'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_178' id='label_1_94_178' class='gform-field-label gform-field-label--type-inline'>Retail Shop Work<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_179'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.179' type='checkbox'  value='RF Scanning Experience'  id='choice_1_94_179'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_179' id='label_1_94_179' class='gform-field-label gform-field-label--type-inline'>RF Scanning Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_181'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.181' type='checkbox'  value='Riggers Ticket'  id='choice_1_94_181'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_181' id='label_1_94_181' class='gform-field-label gform-field-label--type-inline'>Riggers Ticket<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_182'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.182' type='checkbox'  value='Rope - Tying knots'  id='choice_1_94_182'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_182' id='label_1_94_182' class='gform-field-label gform-field-label--type-inline'>Rope - Tying knots<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_183'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.183' type='checkbox'  value='Roster Preparation'  id='choice_1_94_183'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_183' id='label_1_94_183' class='gform-field-label gform-field-label--type-inline'>Roster Preparation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_184'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.184' type='checkbox'  value='Sales Representative'  id='choice_1_94_184'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_184' id='label_1_94_184' class='gform-field-label gform-field-label--type-inline'>Sales Representative<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_185'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.185' type='checkbox'  value='SAP Inventory System'  id='choice_1_94_185'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_185' id='label_1_94_185' class='gform-field-label gform-field-label--type-inline'>SAP Inventory System<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_186'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.186' type='checkbox'  value='Secretarial'  id='choice_1_94_186'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_186' id='label_1_94_186' class='gform-field-label gform-field-label--type-inline'>Secretarial<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_187'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.187' type='checkbox'  value='Sewing Machine Industrial Exp'  id='choice_1_94_187'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_187' id='label_1_94_187' class='gform-field-label gform-field-label--type-inline'>Sewing Machine Industrial Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_188'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.188' type='checkbox'  value='Sheet Metal Operator'  id='choice_1_94_188'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_188' id='label_1_94_188' class='gform-field-label gform-field-label--type-inline'>Sheet Metal Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_189'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.189' type='checkbox'  value='Shrink-wrap Machine Operator'  id='choice_1_94_189'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_189' id='label_1_94_189' class='gform-field-label gform-field-label--type-inline'>Shrink-wrap Machine Operator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_191'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.191' type='checkbox'  value='Soldering'  id='choice_1_94_191'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_191' id='label_1_94_191' class='gform-field-label gform-field-label--type-inline'>Soldering<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_192'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.192' type='checkbox'  value='Spray-painting - &lt;span style=&quot;color: #ff0000&quot;&gt;TQ&lt;\/span&gt;'  id='choice_1_94_192'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_192' id='label_1_94_192' class='gform-field-label gform-field-label--type-inline'>Spray-painting - <span style=\"color: #ff0000;\">TQ<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_193'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.193' type='checkbox'  value='Spray-painting Exp'  id='choice_1_94_193'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_193' id='label_1_94_193' class='gform-field-label gform-field-label--type-inline'>Spray-painting Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_194'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.194' type='checkbox'  value='Spreadsheet Creation Exp.'  id='choice_1_94_194'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_194' id='label_1_94_194' class='gform-field-label gform-field-label--type-inline'>Spreadsheet Creation Exp.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_195'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.195' type='checkbox'  value='Staff Training'  id='choice_1_94_195'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_195' id='label_1_94_195' class='gform-field-label gform-field-label--type-inline'>Staff Training<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_196'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.196' type='checkbox'  value='Stocktaking'  id='choice_1_94_196'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_196' id='label_1_94_196' class='gform-field-label gform-field-label--type-inline'>Stocktaking<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_197'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.197' type='checkbox'  value='Store person'  id='choice_1_94_197'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_197' id='label_1_94_197' class='gform-field-label gform-field-label--type-inline'>Store person<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_198'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.198' type='checkbox'  value='Supermarkets Experience'  id='choice_1_94_198'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_198' id='label_1_94_198' class='gform-field-label gform-field-label--type-inline'>Supermarkets Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_199'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.199' type='checkbox'  value='Supervisory Skills\/Exp'  id='choice_1_94_199'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_199' id='label_1_94_199' class='gform-field-label gform-field-label--type-inline'>Supervisory Skills\/Exp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_201'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.201' type='checkbox'  value='Switchboard Experience'  id='choice_1_94_201'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_201' id='label_1_94_201' class='gform-field-label gform-field-label--type-inline'>Switchboard Experience<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_202'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.202' type='checkbox'  value='Tarps - Semi Trailers'  id='choice_1_94_202'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_202' id='label_1_94_202' class='gform-field-label gform-field-label--type-inline'>Tarps - Semi Trailers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_203'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.203' type='checkbox'  value='Trades Assistant'  id='choice_1_94_203'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_203' id='label_1_94_203' class='gform-field-label gform-field-label--type-inline'>Trades Assistant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_204'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.204' type='checkbox'  value='Trades AssistantEngineering'  id='choice_1_94_204'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_204' id='label_1_94_204' class='gform-field-label gform-field-label--type-inline'>Trades AssistantEngineering<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_205'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.205' type='checkbox'  value='Trades Assistant-Mining'  id='choice_1_94_205'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_205' id='label_1_94_205' class='gform-field-label gform-field-label--type-inline'>Trades Assistant-Mining<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_206'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.206' type='checkbox'  value='Traffic Control Certificate'  id='choice_1_94_206'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_206' id='label_1_94_206' class='gform-field-label gform-field-label--type-inline'>Traffic Control Certificate<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_207'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.207' type='checkbox'  value='Transport Allocator'  id='choice_1_94_207'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_207' id='label_1_94_207' class='gform-field-label gform-field-label--type-inline'>Transport Allocator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_208'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.208' type='checkbox'  value='Typing wpm 50 +'  id='choice_1_94_208'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_208' id='label_1_94_208' class='gform-field-label gform-field-label--type-inline'>Typing wpm 50 +<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_209'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.209' type='checkbox'  value='Welder - 2nd Class'  id='choice_1_94_209'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_209' id='label_1_94_209' class='gform-field-label gform-field-label--type-inline'>Welder - 2nd Class<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_211'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.211' type='checkbox'  value='Welder - Licenced'  id='choice_1_94_211'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_211' id='label_1_94_211' class='gform-field-label gform-field-label--type-inline'>Welder - Licenced<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_212'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.212' type='checkbox'  value='Welder - MIG'  id='choice_1_94_212'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_212' id='label_1_94_212' class='gform-field-label gform-field-label--type-inline'>Welder - MIG<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_213'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.213' type='checkbox'  value='Welder - Stick'  id='choice_1_94_213'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_213' id='label_1_94_213' class='gform-field-label gform-field-label--type-inline'>Welder - Stick<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_214'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.214' type='checkbox'  value='Welder - TIG'  id='choice_1_94_214'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_214' id='label_1_94_214' class='gform-field-label gform-field-label--type-inline'>Welder - TIG<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_215'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.215' type='checkbox'  value='Windows Vista'  id='choice_1_94_215'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_215' id='label_1_94_215' class='gform-field-label gform-field-label--type-inline'>Windows Vista<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_94_216'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.216' type='checkbox'  value='Windows XP'  id='choice_1_94_216'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_94_216' id='label_1_94_216' class='gform-field-label gform-field-label--type-inline'>Windows XP<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_337\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_337\" >*<span style=\"color: #ff0000\">TQ<\/span> = Trade Qualified<\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_321' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_321' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_5_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_5' class='gform_page' data-js='page-field-id-321' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_202\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_202\" ><h2 class=\"gsection_title\">WORKPLACE HEALTH AND SAFETY INDUSTRIAL QUESTIONNAIRE<\/h2><\/li><li id=\"field_1_177\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_177\" ><strong>Please complete the following questionnaire in full:<\/strong><\/li><li id=\"field_1_366\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_4col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_366\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >1. If you have sustained a work-related injury, you should immediately report it to:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_366'><li class='gchoice gchoice_1_366_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_366.1' type='checkbox'  value='My supervisor'  id='choice_1_366_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_366_1' id='label_1_366_1' class='gform-field-label gform-field-label--type-inline'>My supervisor<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_366_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_366.2' type='checkbox'  value='The person next to me'  id='choice_1_366_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_366_2' id='label_1_366_2' class='gform-field-label gform-field-label--type-inline'>The person next to me<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_366_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_366.3' type='checkbox'  value='Makibe Aust.'  id='choice_1_366_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_366_3' id='label_1_366_3' class='gform-field-label gform-field-label--type-inline'>Makibe Aust.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_366_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_366.4' type='checkbox'  value='My private insurance'  id='choice_1_366_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_366_4' id='label_1_366_4' class='gform-field-label gform-field-label--type-inline'>My private insurance<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_179\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_179\" ><strong>Please indicate the correct answer by ticking YES or NO to following questions;<\/strong><\/li><li id=\"field_1_180\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_180\" ><label class='gfield_label gform-field-label' >2. You are covered for Workers Compensation by Makibe Aust.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='2. You are covered for Workers Compensation by Makibe Aust.' class='gsurvey-likert' id='input_1_180'><thead><tr><th id='likert_col_1_1_180' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_180' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_180' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_180_1'    aria-labelledby='likert_col_1_1_180'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_180' type='radio' value='glikertcol8edd3710f'  id='choice_1_180_2'    aria-labelledby='likert_col_2_1_180'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_181\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_181\" ><label class='gfield_label gform-field-label' >3. You should report hazards that you find at a client\u2019s\nworkplace.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='3. You should report hazards that you find at a client\u2019s\nworkplace.' class='gsurvey-likert' id='input_1_181'><thead><tr><th id='likert_col_1_1_181' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_181' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_181' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_181_1'    aria-labelledby='likert_col_1_1_181'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_181' type='radio' value='glikertcol8edd3710f'  id='choice_1_181_2'    aria-labelledby='likert_col_2_1_181'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_182\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_182\" ><label class='gfield_label gform-field-label' >4. Housekeeping can assist with the prevention of fires.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='4. Housekeeping can assist with the prevention of fires.' class='gsurvey-likert' id='input_1_182'><thead><tr><th id='likert_col_1_1_182' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_182' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_182' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_182_1'    aria-labelledby='likert_col_1_1_182'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_182' type='radio' value='glikertcol8edd3710f'  id='choice_1_182_2'    aria-labelledby='likert_col_2_1_182'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_183\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_183\" ><label class='gfield_label gform-field-label' >5. Electrical tools and\/or appliances that do not have a current inspection tag are allowed to be brought on site.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='5. Electrical tools and\/or appliances that do not have a current inspection tag are allowed to be brought on site.' class='gsurvey-likert' id='input_1_183'><thead><tr><th id='likert_col_1_1_183' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_183' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_183' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_183_1'    aria-labelledby='likert_col_1_1_183'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_183' type='radio' value='glikertcol8edd3710f'  id='choice_1_183_2'    aria-labelledby='likert_col_2_1_183'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_184\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_184\" ><label class='gfield_label gform-field-label' >6. You can enter a confined space if you have not been trained in confined space entry.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='6. You can enter a confined space if you have not been trained in confined space entry.' class='gsurvey-likert' id='input_1_184'><thead><tr><th id='likert_col_1_1_184' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_184' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_184' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_184_1'    aria-labelledby='likert_col_1_1_184'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_184' type='radio' value='glikertcol8edd3710f'  id='choice_1_184_2'    aria-labelledby='likert_col_2_1_184'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_186\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_186\" ><label class='gfield_label gform-field-label' >7. All workers have an obligation to ensure their own safety and that of their fellow workers.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='7. All workers have an obligation to ensure their own safety and that of their fellow workers.' class='gsurvey-likert' id='input_1_186'><thead><tr><th id='likert_col_1_1_186' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_186' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_186' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_186_1'    aria-labelledby='likert_col_1_1_186'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_186' type='radio' value='glikertcol8edd3710f'  id='choice_1_186_2'    aria-labelledby='likert_col_2_1_186'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_187\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_187\" ><label class='gfield_label gform-field-label' >8. In the case of a serious injury to a fellow worker, it is very important not to panic.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='8. In the case of a serious injury to a fellow worker, it is very important not to panic.' class='gsurvey-likert' id='input_1_187'><thead><tr><th id='likert_col_1_1_187' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_187' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_187' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_187_1'    aria-labelledby='likert_col_1_1_187'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_187' type='radio' value='glikertcol8edd3710f'  id='choice_1_187_2'    aria-labelledby='likert_col_2_1_187'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_188\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_188\" ><label class='gfield_label gform-field-label' >9. Only permanent employees are required to wear eye and\nhearing protection.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='9. Only permanent employees are required to wear eye and\nhearing protection.' class='gsurvey-likert' id='input_1_188'><thead><tr><th id='likert_col_1_1_188' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_188' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_188' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_188_1'    aria-labelledby='likert_col_1_1_188'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_188' type='radio' value='glikertcol8edd3710f'  id='choice_1_188_2'    aria-labelledby='likert_col_2_1_188'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_189\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_189\" ><label class='gfield_label gform-field-label' >10. Casual employees do not have to follow safe work procedures.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='10. Casual employees do not have to follow safe work procedures.' class='gsurvey-likert' id='input_1_189'><thead><tr><th id='likert_col_1_1_189' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_189' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_189' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_189_1'    aria-labelledby='likert_col_1_1_189'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_189' type='radio' value='glikertcol8edd3710f'  id='choice_1_189_2'    aria-labelledby='likert_col_2_1_189'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_190\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_190\" ><label class='gfield_label gform-field-label' >11. Using drugs and\/or alcohol is not permitted in the workplace.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='11. Using drugs and\/or alcohol is not permitted in the workplace.' class='gsurvey-likert' id='input_1_190'><thead><tr><th id='likert_col_1_1_190' scope='col' role='presentation' class='gsurvey-likert-choice-label'>TRUE<\/th><th id='likert_col_2_1_190' scope='col' role='presentation' class='gsurvey-likert-choice-label'>FALSE<\/th><\/tr><\/thead><tbody><tr><td data-label='TRUE' class='gsurvey-likert-choice'><input name='input_190' type='radio' value='glikertcol8ffcbeca8'  id='choice_1_190_1'    aria-labelledby='likert_col_1_1_190'\/><\/td><td data-label='FALSE' class='gsurvey-likert-choice'><input name='input_190' type='radio' value='glikertcol8edd3710f'  id='choice_1_190_2'    aria-labelledby='likert_col_2_1_190'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_1_191\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_191\" ><strong><i>**Please tick the correct answer<\/i><\/strong><\/li><li id=\"field_1_192\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_192\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >12. You are packing items into boxes, after a time you feel soreness in your back. Do you:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_192'><li class='gchoice gchoice_1_192_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_192.1' type='checkbox'  value='gsurvey196432f1d5'  id='choice_1_192_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_192_1' id='label_1_192_1' class='gform-field-label gform-field-label--type-inline'>Keep working as you don\u2019t want to jeopardize your job?<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_192_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_192.2' type='checkbox'  value='gsurvey19cc64ab37'  id='choice_1_192_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_192_2' id='label_1_192_2' class='gform-field-label gform-field-label--type-inline'>Slow down a bit and hope that the pain will go away?<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_192_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_192.3' type='checkbox'  value='gsurvey1970298fe3'  id='choice_1_192_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_192_3' id='label_1_192_3' class='gform-field-label gform-field-label--type-inline'>Notify your supervisor and Makibe Aust. consultant and obey their instructions?<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_193\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_193\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >13. You are working at a worksite and your supervisor tells you to perform a task you feel to be unsafe or that you are not trained to do. Do you:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_193'><li class='gchoice gchoice_1_193_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_193.1' type='checkbox'  value='gsurvey196432f1d5'  id='choice_1_193_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_193_1' id='label_1_193_1' class='gform-field-label gform-field-label--type-inline'>Perform the task as you do not want to jeopardize your job?<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_193_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_193.2' type='checkbox'  value='gsurvey19cc64ab37'  id='choice_1_193_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_193_2' id='label_1_193_2' class='gform-field-label gform-field-label--type-inline'>Advise your supervisor that the task is unsafe or that you are not trained to perform it and contact Makibe Aust.?<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_194\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_194\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >14. When lifting and carrying material you should:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_194'><li class='gchoice gchoice_1_194_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_194.1' type='checkbox'  value='gsurvey196432f1d5'  id='choice_1_194_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_194_1' id='label_1_194_1' class='gform-field-label gform-field-label--type-inline'>Work as quickly as you can.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_194_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_194.2' type='checkbox'  value='gsurvey19cc64ab37'  id='choice_1_194_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_194_2' id='label_1_194_2' class='gform-field-label gform-field-label--type-inline'>Lift more than you are capable of to get the job finished faster.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_194_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_194.3' type='checkbox'  value='gsurvey237ab6bdfc'  id='choice_1_194_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_194_3' id='label_1_194_3' class='gform-field-label gform-field-label--type-inline'>Lift correctly with your legs, not with your back and only lift what you can comfortably handle, carrying the load close to your body and cease if you feel pain.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_367\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_367\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >15. Two types of Personal Protective Equipment that should be worn when operating a hand-held grinder are:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_367'><li class='gchoice gchoice_1_367_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_367.1' type='checkbox'  value='gsurvey196432f1d5'  id='choice_1_367_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_367_1' id='label_1_367_1' class='gform-field-label gform-field-label--type-inline'>Safety Glasses<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_367_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_367.2' type='checkbox'  value='gsurvey19cc64ab37'  id='choice_1_367_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_367_2' id='label_1_367_2' class='gform-field-label gform-field-label--type-inline'>Hard Hat<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_367_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_367.3' type='checkbox'  value='gsurvey237ab6bdfc'  id='choice_1_367_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_367_3' id='label_1_367_3' class='gform-field-label gform-field-label--type-inline'>High-Vis Vest<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_367_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_367.4' type='checkbox'  value='gsurvey367917ddb88'  id='choice_1_367_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_367_4' id='label_1_367_4' class='gform-field-label gform-field-label--type-inline'>Wedding Ring<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_367_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_367.5' type='checkbox'  value='gsurvey3673872a987'  id='choice_1_367_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_367_5' id='label_1_367_5' class='gform-field-label gform-field-label--type-inline'>Safety Gloves<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_368\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_1_368\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >16. The main person responsible for your health and safety is:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_368'><li class='gchoice gchoice_1_368_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_368.1' type='checkbox'  value='gsurvey196432f1d5'  id='choice_1_368_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_368_1' id='label_1_368_1' class='gform-field-label gform-field-label--type-inline'>Mum & Dad<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_368_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_368.2' type='checkbox'  value='gsurvey19cc64ab37'  id='choice_1_368_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_368_2' id='label_1_368_2' class='gform-field-label gform-field-label--type-inline'>Yourself<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_368_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_368.3' type='checkbox'  value='gsurvey237ab6bdfc'  id='choice_1_368_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_368_3' id='label_1_368_3' class='gform-field-label gform-field-label--type-inline'>Spouse\/Partner<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_368_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_368.4' type='checkbox'  value='gsurvey367917ddb88'  id='choice_1_368_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_368_4' id='label_1_368_4' class='gform-field-label gform-field-label--type-inline'>The person next to you<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_292' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_292' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_6_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_6' class='gform_page' data-js='page-field-id-292' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_369\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_369\" ><h2 class=\"gsection_title\">HEALTH HISTORY<\/h2><\/li><li id=\"field_1_203\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_203\" >Are you now suffering from or have you ever suffered from any of the following conditions, injuries or disabilities?\nIf you answer yes, to any of the below, you must legally notify Makibe Aust., (thereafter referred to as Makibe\nAust., in this documentation), contact in writing before commencing work.<\/li><li id=\"field_1_372\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_372\" ><label class='gfield_label gform-field-label' >1. Heart disease?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_372'>\n\t\t\t<li class='gchoice gchoice_1_372_0'>\n\t\t\t\t<input name='input_372' type='radio' value='Yes'  id='choice_1_372_0'    \/>\n\t\t\t\t<label for='choice_1_372_0' id='label_1_372_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_372_1'>\n\t\t\t\t<input name='input_372' type='radio' value='No'  id='choice_1_372_1'    \/>\n\t\t\t\t<label for='choice_1_372_1' id='label_1_372_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_373\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_373\" ><label class='gfield_label gform-field-label' for='input_1_373'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_373' id='input_1_373' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_381\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_381\" ><label class='gfield_label gform-field-label' >2. High blood pressure?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_381'>\n\t\t\t<li class='gchoice gchoice_1_381_0'>\n\t\t\t\t<input name='input_381' type='radio' value='Yes'  id='choice_1_381_0'    \/>\n\t\t\t\t<label for='choice_1_381_0' id='label_1_381_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_381_1'>\n\t\t\t\t<input name='input_381' type='radio' value='No'  id='choice_1_381_1'    \/>\n\t\t\t\t<label for='choice_1_381_1' id='label_1_381_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_207\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_207\" ><label class='gfield_label gform-field-label' for='input_1_207'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_207' id='input_1_207' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_382\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_382\" ><label class='gfield_label gform-field-label' >3. Abnormal shortness of breath, leg pain or chest pain or exertion?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_382'>\n\t\t\t<li class='gchoice gchoice_1_382_0'>\n\t\t\t\t<input name='input_382' type='radio' value='Yes'  id='choice_1_382_0'    \/>\n\t\t\t\t<label for='choice_1_382_0' id='label_1_382_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_382_1'>\n\t\t\t\t<input name='input_382' type='radio' value='No'  id='choice_1_382_1'    \/>\n\t\t\t\t<label for='choice_1_382_1' id='label_1_382_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_209\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_209\" ><label class='gfield_label gform-field-label' for='input_1_209'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_209' id='input_1_209' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_383\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_383\" ><label class='gfield_label gform-field-label' >4. Lung disease (e.g. asthma, bronchitis, emphysema, tuberculosis)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_383'>\n\t\t\t<li class='gchoice gchoice_1_383_0'>\n\t\t\t\t<input name='input_383' type='radio' value='Yes'  id='choice_1_383_0'    \/>\n\t\t\t\t<label for='choice_1_383_0' id='label_1_383_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_383_1'>\n\t\t\t\t<input name='input_383' type='radio' value='No'  id='choice_1_383_1'    \/>\n\t\t\t\t<label for='choice_1_383_1' id='label_1_383_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_211\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_211\" ><label class='gfield_label gform-field-label' for='input_1_211'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_211' id='input_1_211' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_384\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_384\" ><label class='gfield_label gform-field-label' >5. Epilepsy, fainting attacks, fits, blackouts or head injury?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_384'>\n\t\t\t<li class='gchoice gchoice_1_384_0'>\n\t\t\t\t<input name='input_384' type='radio' value='Yes'  id='choice_1_384_0'    \/>\n\t\t\t\t<label for='choice_1_384_0' id='label_1_384_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_384_1'>\n\t\t\t\t<input name='input_384' type='radio' value='No'  id='choice_1_384_1'    \/>\n\t\t\t\t<label for='choice_1_384_1' id='label_1_384_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_213\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_213\" ><label class='gfield_label gform-field-label' for='input_1_213'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_213' id='input_1_213' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_385\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_385\" ><label class='gfield_label gform-field-label' >6. Problem with balance or coordination?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_385'>\n\t\t\t<li class='gchoice gchoice_1_385_0'>\n\t\t\t\t<input name='input_385' type='radio' value='Yes'  id='choice_1_385_0'    \/>\n\t\t\t\t<label for='choice_1_385_0' id='label_1_385_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_385_1'>\n\t\t\t\t<input name='input_385' type='radio' value='No'  id='choice_1_385_1'    \/>\n\t\t\t\t<label for='choice_1_385_1' id='label_1_385_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_215\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_215\" ><label class='gfield_label gform-field-label' for='input_1_215'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_215' id='input_1_215' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_386\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_386\" ><label class='gfield_label gform-field-label' >7. Migraine or frequent headaches?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_386'>\n\t\t\t<li class='gchoice gchoice_1_386_0'>\n\t\t\t\t<input name='input_386' type='radio' value='Yes'  id='choice_1_386_0'    \/>\n\t\t\t\t<label for='choice_1_386_0' id='label_1_386_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_386_1'>\n\t\t\t\t<input name='input_386' type='radio' value='No'  id='choice_1_386_1'    \/>\n\t\t\t\t<label for='choice_1_386_1' id='label_1_386_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_217\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_217\" ><label class='gfield_label gform-field-label' for='input_1_217'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_217' id='input_1_217' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_387\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_387\" ><label class='gfield_label gform-field-label' >8. Hernia or rupture?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_387'>\n\t\t\t<li class='gchoice gchoice_1_387_0'>\n\t\t\t\t<input name='input_387' type='radio' value='Yes'  id='choice_1_387_0'    \/>\n\t\t\t\t<label for='choice_1_387_0' id='label_1_387_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_387_1'>\n\t\t\t\t<input name='input_387' type='radio' value='No'  id='choice_1_387_1'    \/>\n\t\t\t\t<label for='choice_1_387_1' id='label_1_387_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_219\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_219\" ><label class='gfield_label gform-field-label' for='input_1_219'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_219' id='input_1_219' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_388\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_388\" ><label class='gfield_label gform-field-label' >9. Diabetes?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_388'>\n\t\t\t<li class='gchoice gchoice_1_388_0'>\n\t\t\t\t<input name='input_388' type='radio' value='Yes'  id='choice_1_388_0'    \/>\n\t\t\t\t<label for='choice_1_388_0' id='label_1_388_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_388_1'>\n\t\t\t\t<input name='input_388' type='radio' value='No'  id='choice_1_388_1'    \/>\n\t\t\t\t<label for='choice_1_388_1' id='label_1_388_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_221\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_221\" ><label class='gfield_label gform-field-label' for='input_1_221'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_221' id='input_1_221' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_389\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_389\" ><label class='gfield_label gform-field-label' >10. Thyroid disease?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_389'>\n\t\t\t<li class='gchoice gchoice_1_389_0'>\n\t\t\t\t<input name='input_389' type='radio' value='Yes'  id='choice_1_389_0'    \/>\n\t\t\t\t<label for='choice_1_389_0' id='label_1_389_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_389_1'>\n\t\t\t\t<input name='input_389' type='radio' value='No'  id='choice_1_389_1'    \/>\n\t\t\t\t<label for='choice_1_389_1' id='label_1_389_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_223\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_223\" ><label class='gfield_label gform-field-label' for='input_1_223'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_223' id='input_1_223' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_390\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_390\" ><label class='gfield_label gform-field-label' >11. Hearing loss or deafness?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_390'>\n\t\t\t<li class='gchoice gchoice_1_390_0'>\n\t\t\t\t<input name='input_390' type='radio' value='Yes'  id='choice_1_390_0'    \/>\n\t\t\t\t<label for='choice_1_390_0' id='label_1_390_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_390_1'>\n\t\t\t\t<input name='input_390' type='radio' value='No'  id='choice_1_390_1'    \/>\n\t\t\t\t<label for='choice_1_390_1' id='label_1_390_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_225\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_225\" ><label class='gfield_label gform-field-label' for='input_1_225'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_225' id='input_1_225' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_391\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_391\" ><label class='gfield_label gform-field-label' >12. Eye\/vision problems (including wearing glasses or contact lenses)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_391'>\n\t\t\t<li class='gchoice gchoice_1_391_0'>\n\t\t\t\t<input name='input_391' type='radio' value='Yes'  id='choice_1_391_0'    \/>\n\t\t\t\t<label for='choice_1_391_0' id='label_1_391_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_391_1'>\n\t\t\t\t<input name='input_391' type='radio' value='No'  id='choice_1_391_1'    \/>\n\t\t\t\t<label for='choice_1_391_1' id='label_1_391_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_227\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_227\" ><label class='gfield_label gform-field-label' for='input_1_227'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_227' id='input_1_227' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_392\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_392\" ><label class='gfield_label gform-field-label' >13. Do you have any colour blindness?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_392'>\n\t\t\t<li class='gchoice gchoice_1_392_0'>\n\t\t\t\t<input name='input_392' type='radio' value='Yes'  id='choice_1_392_0'    \/>\n\t\t\t\t<label for='choice_1_392_0' id='label_1_392_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_392_1'>\n\t\t\t\t<input name='input_392' type='radio' value='No'  id='choice_1_392_1'    \/>\n\t\t\t\t<label for='choice_1_392_1' id='label_1_392_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_229\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_229\" ><label class='gfield_label gform-field-label' for='input_1_229'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_229' id='input_1_229' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_394\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_394\" ><label class='gfield_label gform-field-label' >14. Any sensitivity to chemicals, dust, fumes, solvents or other substances?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_394'>\n\t\t\t<li class='gchoice gchoice_1_394_0'>\n\t\t\t\t<input name='input_394' type='radio' value='Yes'  id='choice_1_394_0'    \/>\n\t\t\t\t<label for='choice_1_394_0' id='label_1_394_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_394_1'>\n\t\t\t\t<input name='input_394' type='radio' value='No'  id='choice_1_394_1'    \/>\n\t\t\t\t<label for='choice_1_394_1' id='label_1_394_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_231\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_231\" ><label class='gfield_label gform-field-label' for='input_1_231'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_231' id='input_1_231' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_395\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_395\" ><label class='gfield_label gform-field-label' >15. Anxiety, stress reaction or depression?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_395'>\n\t\t\t<li class='gchoice gchoice_1_395_0'>\n\t\t\t\t<input name='input_395' type='radio' value='Yes'  id='choice_1_395_0'    \/>\n\t\t\t\t<label for='choice_1_395_0' id='label_1_395_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_395_1'>\n\t\t\t\t<input name='input_395' type='radio' value='No'  id='choice_1_395_1'    \/>\n\t\t\t\t<label for='choice_1_395_1' id='label_1_395_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_233\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_233\" ><label class='gfield_label gform-field-label' for='input_1_233'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_233' id='input_1_233' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_396\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_396\" ><label class='gfield_label gform-field-label' >16. Any fractures?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_396'>\n\t\t\t<li class='gchoice gchoice_1_396_0'>\n\t\t\t\t<input name='input_396' type='radio' value='Yes'  id='choice_1_396_0'    \/>\n\t\t\t\t<label for='choice_1_396_0' id='label_1_396_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_396_1'>\n\t\t\t\t<input name='input_396' type='radio' value='No'  id='choice_1_396_1'    \/>\n\t\t\t\t<label for='choice_1_396_1' id='label_1_396_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_235\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_235\" ><label class='gfield_label gform-field-label' for='input_1_235'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_235' id='input_1_235' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_398\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_398\" ><label class='gfield_label gform-field-label' >17. Do you have difficulty with standing for long periods?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_398'>\n\t\t\t<li class='gchoice gchoice_1_398_0'>\n\t\t\t\t<input name='input_398' type='radio' value='Yes'  id='choice_1_398_0'    \/>\n\t\t\t\t<label for='choice_1_398_0' id='label_1_398_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_398_1'>\n\t\t\t\t<input name='input_398' type='radio' value='No'  id='choice_1_398_1'    \/>\n\t\t\t\t<label for='choice_1_398_1' id='label_1_398_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_237\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_237\" ><label class='gfield_label gform-field-label' for='input_1_237'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_237' id='input_1_237' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_400\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_400\" ><label class='gfield_label gform-field-label' >18. Have you ever had any claims under Workers Compensation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_400'>\n\t\t\t<li class='gchoice gchoice_1_400_0'>\n\t\t\t\t<input name='input_400' type='radio' value='Yes'  id='choice_1_400_0'    \/>\n\t\t\t\t<label for='choice_1_400_0' id='label_1_400_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_400_1'>\n\t\t\t\t<input name='input_400' type='radio' value='No'  id='choice_1_400_1'    \/>\n\t\t\t\t<label for='choice_1_400_1' id='label_1_400_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_239\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_239\" ><label class='gfield_label gform-field-label' for='input_1_239'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_239' id='input_1_239' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_401\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_401\" ><label class='gfield_label gform-field-label' >19. Do you have difficulty with bending repeatedly?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_401'>\n\t\t\t<li class='gchoice gchoice_1_401_0'>\n\t\t\t\t<input name='input_401' type='radio' value='Yes'  id='choice_1_401_0'    \/>\n\t\t\t\t<label for='choice_1_401_0' id='label_1_401_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_401_1'>\n\t\t\t\t<input name='input_401' type='radio' value='No'  id='choice_1_401_1'    \/>\n\t\t\t\t<label for='choice_1_401_1' id='label_1_401_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_241\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_241\" ><label class='gfield_label gform-field-label' for='input_1_241'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_241' id='input_1_241' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_402\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_402\" ><label class='gfield_label gform-field-label' >20. Do you have difficulty with lifting heavy objects?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_402'>\n\t\t\t<li class='gchoice gchoice_1_402_0'>\n\t\t\t\t<input name='input_402' type='radio' value='Yes'  id='choice_1_402_0'    \/>\n\t\t\t\t<label for='choice_1_402_0' id='label_1_402_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_402_1'>\n\t\t\t\t<input name='input_402' type='radio' value='No'  id='choice_1_402_1'    \/>\n\t\t\t\t<label for='choice_1_402_1' id='label_1_402_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_243\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_243\" ><label class='gfield_label gform-field-label' for='input_1_243'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_243' id='input_1_243' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_403\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_403\" ><label class='gfield_label gform-field-label' >21. Back pain lasting more than two weeks?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_403'>\n\t\t\t<li class='gchoice gchoice_1_403_0'>\n\t\t\t\t<input name='input_403' type='radio' value='Yes'  id='choice_1_403_0'    \/>\n\t\t\t\t<label for='choice_1_403_0' id='label_1_403_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_403_1'>\n\t\t\t\t<input name='input_403' type='radio' value='No'  id='choice_1_403_1'    \/>\n\t\t\t\t<label for='choice_1_403_1' id='label_1_403_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_245\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_245\" ><label class='gfield_label gform-field-label' for='input_1_245'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_245' id='input_1_245' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_405\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_405\" ><label class='gfield_label gform-field-label' >22. Joint problems, pains, injuries or arthritis?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_405'>\n\t\t\t<li class='gchoice gchoice_1_405_0'>\n\t\t\t\t<input name='input_405' type='radio' value='Yes'  id='choice_1_405_0'    \/>\n\t\t\t\t<label for='choice_1_405_0' id='label_1_405_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_405_1'>\n\t\t\t\t<input name='input_405' type='radio' value='No'  id='choice_1_405_1'    \/>\n\t\t\t\t<label for='choice_1_405_1' id='label_1_405_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_247\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_247\" ><label class='gfield_label gform-field-label' for='input_1_247'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_247' id='input_1_247' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_406\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_406\" ><label class='gfield_label gform-field-label' >23. Tennis elbow or golfer\u2019s elbow?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_406'>\n\t\t\t<li class='gchoice gchoice_1_406_0'>\n\t\t\t\t<input name='input_406' type='radio' value='Yes'  id='choice_1_406_0'    \/>\n\t\t\t\t<label for='choice_1_406_0' id='label_1_406_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_406_1'>\n\t\t\t\t<input name='input_406' type='radio' value='No'  id='choice_1_406_1'    \/>\n\t\t\t\t<label for='choice_1_406_1' id='label_1_406_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_249\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_249\" ><label class='gfield_label gform-field-label' for='input_1_249'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_249' id='input_1_249' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_435\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_435\" ><label class='gfield_label gform-field-label' >24. Occupational overuse syndrome (OOS) or repetitive strain injury (RSI) e.g. Tendonitis, Carpel Tunnel Syndrome?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_435'>\n\t\t\t<li class='gchoice gchoice_1_435_0'>\n\t\t\t\t<input name='input_435' type='radio' value='Yes'  id='choice_1_435_0'    \/>\n\t\t\t\t<label for='choice_1_435_0' id='label_1_435_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_435_1'>\n\t\t\t\t<input name='input_435' type='radio' value='No'  id='choice_1_435_1'    \/>\n\t\t\t\t<label for='choice_1_435_1' id='label_1_435_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_436\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_436\" ><label class='gfield_label gform-field-label' for='input_1_436'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_436' id='input_1_436' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_408\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_408\" ><label class='gfield_label gform-field-label' >25. Foot problems or problems with footwear?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_408'>\n\t\t\t<li class='gchoice gchoice_1_408_0'>\n\t\t\t\t<input name='input_408' type='radio' value='Yes'  id='choice_1_408_0'    \/>\n\t\t\t\t<label for='choice_1_408_0' id='label_1_408_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_408_1'>\n\t\t\t\t<input name='input_408' type='radio' value='No'  id='choice_1_408_1'    \/>\n\t\t\t\t<label for='choice_1_408_1' id='label_1_408_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_253\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_253\" ><label class='gfield_label gform-field-label' for='input_1_253'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_253' id='input_1_253' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_410\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_410\" ><label class='gfield_label gform-field-label' >26. Allergies (hay fever, sinusitis, urticarial\/hives)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_410'>\n\t\t\t<li class='gchoice gchoice_1_410_0'>\n\t\t\t\t<input name='input_410' type='radio' value='Yes'  id='choice_1_410_0'    \/>\n\t\t\t\t<label for='choice_1_410_0' id='label_1_410_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_410_1'>\n\t\t\t\t<input name='input_410' type='radio' value='No'  id='choice_1_410_1'    \/>\n\t\t\t\t<label for='choice_1_410_1' id='label_1_410_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_255\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_255\" ><label class='gfield_label gform-field-label' for='input_1_255'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_255' id='input_1_255' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_411\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_411\" ><label class='gfield_label gform-field-label' >27. Liver disease (e.g. jaundice, hepatitis, cirrhosis)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_411'>\n\t\t\t<li class='gchoice gchoice_1_411_0'>\n\t\t\t\t<input name='input_411' type='radio' value='Yes'  id='choice_1_411_0'    \/>\n\t\t\t\t<label for='choice_1_411_0' id='label_1_411_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_411_1'>\n\t\t\t\t<input name='input_411' type='radio' value='No'  id='choice_1_411_1'    \/>\n\t\t\t\t<label for='choice_1_411_1' id='label_1_411_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_257\" class=\"gfield gfield--type-text gf_right_half left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_257\" ><label class='gfield_label gform-field-label' for='input_1_257'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_257' id='input_1_257' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_413\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_413\" ><label class='gfield_label gform-field-label' >28. Kidney or bladder disease?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_413'>\n\t\t\t<li class='gchoice gchoice_1_413_0'>\n\t\t\t\t<input name='input_413' type='radio' value='Yes'  id='choice_1_413_0'    \/>\n\t\t\t\t<label for='choice_1_413_0' id='label_1_413_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_413_1'>\n\t\t\t\t<input name='input_413' type='radio' value='No'  id='choice_1_413_1'    \/>\n\t\t\t\t<label for='choice_1_413_1' id='label_1_413_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_259\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_259\" ><label class='gfield_label gform-field-label' for='input_1_259'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_259' id='input_1_259' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_414\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_414\" ><label class='gfield_label gform-field-label' >29. Skin disease (e.g. psoriasis, dermatitis, eczema)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_414'>\n\t\t\t<li class='gchoice gchoice_1_414_0'>\n\t\t\t\t<input name='input_414' type='radio' value='Yes'  id='choice_1_414_0'    \/>\n\t\t\t\t<label for='choice_1_414_0' id='label_1_414_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_414_1'>\n\t\t\t\t<input name='input_414' type='radio' value='No'  id='choice_1_414_1'    \/>\n\t\t\t\t<label for='choice_1_414_1' id='label_1_414_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_261\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_261\" ><label class='gfield_label gform-field-label' for='input_1_261'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_261' id='input_1_261' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_415\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_415\" ><label class='gfield_label gform-field-label' >30. Any form of cancer or tumour?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_415'>\n\t\t\t<li class='gchoice gchoice_1_415_0'>\n\t\t\t\t<input name='input_415' type='radio' value='Yes'  id='choice_1_415_0'    \/>\n\t\t\t\t<label for='choice_1_415_0' id='label_1_415_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_415_1'>\n\t\t\t\t<input name='input_415' type='radio' value='No'  id='choice_1_415_1'    \/>\n\t\t\t\t<label for='choice_1_415_1' id='label_1_415_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_263\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_263\" ><label class='gfield_label gform-field-label' for='input_1_263'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_263' id='input_1_263' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_417\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_417\" ><label class='gfield_label gform-field-label' >31. Any abnormal blood or pathology test?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_417'>\n\t\t\t<li class='gchoice gchoice_1_417_0'>\n\t\t\t\t<input name='input_417' type='radio' value='Yes'  id='choice_1_417_0'    \/>\n\t\t\t\t<label for='choice_1_417_0' id='label_1_417_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_417_1'>\n\t\t\t\t<input name='input_417' type='radio' value='No'  id='choice_1_417_1'    \/>\n\t\t\t\t<label for='choice_1_417_1' id='label_1_417_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_265\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_265\" ><label class='gfield_label gform-field-label' for='input_1_265'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_265' id='input_1_265' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_420\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_420\" ><label class='gfield_label gform-field-label' >32. Night blindness or problem seeing at low levels of illumination?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_420'>\n\t\t\t<li class='gchoice gchoice_1_420_0'>\n\t\t\t\t<input name='input_420' type='radio' value='Yes'  id='choice_1_420_0'    \/>\n\t\t\t\t<label for='choice_1_420_0' id='label_1_420_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_420_1'>\n\t\t\t\t<input name='input_420' type='radio' value='No'  id='choice_1_420_1'    \/>\n\t\t\t\t<label for='choice_1_420_1' id='label_1_420_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_267\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_267\" ><label class='gfield_label gform-field-label' for='input_1_267'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_267' id='input_1_267' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_422\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_422\" ><label class='gfield_label gform-field-label' >33. Upper limb or shoulder pain?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_422'>\n\t\t\t<li class='gchoice gchoice_1_422_0'>\n\t\t\t\t<input name='input_422' type='radio' value='Yes'  id='choice_1_422_0'    \/>\n\t\t\t\t<label for='choice_1_422_0' id='label_1_422_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_422_1'>\n\t\t\t\t<input name='input_422' type='radio' value='No'  id='choice_1_422_1'    \/>\n\t\t\t\t<label for='choice_1_422_1' id='label_1_422_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_269\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_269\" ><label class='gfield_label gform-field-label' for='input_1_269'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_269' id='input_1_269' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_423\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_423\" ><label class='gfield_label gform-field-label' >34. Have you ever worked under conditions or with substances, which may have been hazardous to your health (e.g. toxic chemicals, noise, dusts, asbestos, and radiation)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_423'>\n\t\t\t<li class='gchoice gchoice_1_423_0'>\n\t\t\t\t<input name='input_423' type='radio' value='Yes'  id='choice_1_423_0'    \/>\n\t\t\t\t<label for='choice_1_423_0' id='label_1_423_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_423_1'>\n\t\t\t\t<input name='input_423' type='radio' value='No'  id='choice_1_423_1'    \/>\n\t\t\t\t<label for='choice_1_423_1' id='label_1_423_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_271\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_271\" ><label class='gfield_label gform-field-label' for='input_1_271'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_271' id='input_1_271' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_425\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_425\" ><label class='gfield_label gform-field-label' >35. Do you suffer from fear of heights?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_425'>\n\t\t\t<li class='gchoice gchoice_1_425_0'>\n\t\t\t\t<input name='input_425' type='radio' value='Yes'  id='choice_1_425_0'    \/>\n\t\t\t\t<label for='choice_1_425_0' id='label_1_425_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_425_1'>\n\t\t\t\t<input name='input_425' type='radio' value='No'  id='choice_1_425_1'    \/>\n\t\t\t\t<label for='choice_1_425_1' id='label_1_425_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_273\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_273\" ><label class='gfield_label gform-field-label' for='input_1_273'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_273' id='input_1_273' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_426\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_426\" ><label class='gfield_label gform-field-label' >36. Have you ever had any operations or surgical treatment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_426'>\n\t\t\t<li class='gchoice gchoice_1_426_0'>\n\t\t\t\t<input name='input_426' type='radio' value='Yes'  id='choice_1_426_0'    \/>\n\t\t\t\t<label for='choice_1_426_0' id='label_1_426_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_426_1'>\n\t\t\t\t<input name='input_426' type='radio' value='No'  id='choice_1_426_1'    \/>\n\t\t\t\t<label for='choice_1_426_1' id='label_1_426_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_275\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_275\" ><label class='gfield_label gform-field-label' for='input_1_275'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_275' id='input_1_275' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_427\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_427\" ><label class='gfield_label gform-field-label' >37. Have you been absent from work or full time education through illness or injury for two or more weeks at any time?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_427'>\n\t\t\t<li class='gchoice gchoice_1_427_0'>\n\t\t\t\t<input name='input_427' type='radio' value='Yes'  id='choice_1_427_0'    \/>\n\t\t\t\t<label for='choice_1_427_0' id='label_1_427_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_427_1'>\n\t\t\t\t<input name='input_427' type='radio' value='No'  id='choice_1_427_1'    \/>\n\t\t\t\t<label for='choice_1_427_1' id='label_1_427_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_277\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_277\" ><label class='gfield_label gform-field-label' for='input_1_277'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_277' id='input_1_277' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_429\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_429\" ><label class='gfield_label gform-field-label' >38. If the answer to Q 35 is yes, do you have any current restrictions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_429'>\n\t\t\t<li class='gchoice gchoice_1_429_0'>\n\t\t\t\t<input name='input_429' type='radio' value='Yes'  id='choice_1_429_0'    \/>\n\t\t\t\t<label for='choice_1_429_0' id='label_1_429_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_429_1'>\n\t\t\t\t<input name='input_429' type='radio' value='No'  id='choice_1_429_1'    \/>\n\t\t\t\t<label for='choice_1_429_1' id='label_1_429_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_279\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_279\" ><label class='gfield_label gform-field-label' for='input_1_279'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_279' id='input_1_279' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_430\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_430\" ><label class='gfield_label gform-field-label' >39. Do you have difficulty with lifting repeatedly?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_430'>\n\t\t\t<li class='gchoice gchoice_1_430_0'>\n\t\t\t\t<input name='input_430' type='radio' value='Yes'  id='choice_1_430_0'    \/>\n\t\t\t\t<label for='choice_1_430_0' id='label_1_430_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_430_1'>\n\t\t\t\t<input name='input_430' type='radio' value='No'  id='choice_1_430_1'    \/>\n\t\t\t\t<label for='choice_1_430_1' id='label_1_430_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_281\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_281\" ><label class='gfield_label gform-field-label' for='input_1_281'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_281' id='input_1_281' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_433\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_433\" ><label class='gfield_label gform-field-label' >40. Do you have a social drug or alcohol medical problem?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_433'>\n\t\t\t<li class='gchoice gchoice_1_433_0'>\n\t\t\t\t<input name='input_433' type='radio' value='Yes'  id='choice_1_433_0'    \/>\n\t\t\t\t<label for='choice_1_433_0' id='label_1_433_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_433_1'>\n\t\t\t\t<input name='input_433' type='radio' value='No'  id='choice_1_433_1'    \/>\n\t\t\t\t<label for='choice_1_433_1' id='label_1_433_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_283\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_283\" ><label class='gfield_label gform-field-label' for='input_1_283'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_283' id='input_1_283' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_434\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_434\" ><label class='gfield_label gform-field-label' >41. Do you have any allergies to medications or chemical substances?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_434'>\n\t\t\t<li class='gchoice gchoice_1_434_0'>\n\t\t\t\t<input name='input_434' type='radio' value='Yes'  id='choice_1_434_0'    \/>\n\t\t\t\t<label for='choice_1_434_0' id='label_1_434_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_434_1'>\n\t\t\t\t<input name='input_434' type='radio' value='No'  id='choice_1_434_1'    \/>\n\t\t\t\t<label for='choice_1_434_1' id='label_1_434_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_285\" class=\"gfield gfield--type-text left-label-date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_285\" ><label class='gfield_label gform-field-label' for='input_1_285'>Details\/Year Occurred<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_285' id='input_1_285' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_288\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_288\" ><br\/>\n<strong>NOTE:<\/strong> People with certain medical conditions are at risk of aggravating their conditions when working on certain sites. To help us identify and advise appropriate supervisors, you are asked to complete this questionnaire. The questionnaire will be reviewed and you will, if necessary, be advised of any specific precautions that you may need to observe during your employment on site.<\/li><li id=\"field_1_378\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_378\" ><label class='gfield_label gform-field-label' >1. Have you had any allergies in the past ten 10 years that are not mentioned or included in the above questions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_378'>\n\t\t\t<li class='gchoice gchoice_1_378_0'>\n\t\t\t\t<input name='input_378' type='radio' value='Yes'  id='choice_1_378_0'    \/>\n\t\t\t\t<label for='choice_1_378_0' id='label_1_378_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_378_1'>\n\t\t\t\t<input name='input_378' type='radio' value='No'  id='choice_1_378_1'    \/>\n\t\t\t\t<label for='choice_1_378_1' id='label_1_378_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_287\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_287\" ><label class='gfield_label gform-field-label' for='input_1_287'>If YES, please provide details:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_287' id='input_1_287' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_374\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_374\" ><label class='gfield_label gform-field-label' >2. Have you had any injuries in the past 10 years that have required more than 5 days off work, related to workers comp and\/or required hospitalisation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_374'>\n\t\t\t<li class='gchoice gchoice_1_374_0'>\n\t\t\t\t<input name='input_374' type='radio' value='Yes'  id='choice_1_374_0'    \/>\n\t\t\t\t<label for='choice_1_374_0' id='label_1_374_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_374_1'>\n\t\t\t\t<input name='input_374' type='radio' value='No'  id='choice_1_374_1'    \/>\n\t\t\t\t<label for='choice_1_374_1' id='label_1_374_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_376\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_376\" ><label class='gfield_label gform-field-label' for='input_1_376'>If YES, please provide details:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_376' id='input_1_376' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_379\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_379\" ><label class='gfield_label gform-field-label' >3. Do you have a health condition that has not been marked\/ mentioned, that would restrict you from working in a particular area? If so, please indicate here and discuss with your Makibe Aust. registration officer at the interview:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_379'>\n\t\t\t<li class='gchoice gchoice_1_379_0'>\n\t\t\t\t<input name='input_379' type='radio' value='Yes'  id='choice_1_379_0'    \/>\n\t\t\t\t<label for='choice_1_379_0' id='label_1_379_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_379_1'>\n\t\t\t\t<input name='input_379' type='radio' value='No'  id='choice_1_379_1'    \/>\n\t\t\t\t<label for='choice_1_379_1' id='label_1_379_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_377\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_377\" ><label class='gfield_label gform-field-label' for='input_1_377'>If YES, please provide details:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_377' id='input_1_377' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_380\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_380\" ><label class='gfield_label gform-field-label' >4. Are there specific work environments or industries you do not wish to be considered for?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_380'>\n\t\t\t<li class='gchoice gchoice_1_380_0'>\n\t\t\t\t<input name='input_380' type='radio' value='Yes'  id='choice_1_380_0'    \/>\n\t\t\t\t<label for='choice_1_380_0' id='label_1_380_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_380_1'>\n\t\t\t\t<input name='input_380' type='radio' value='No'  id='choice_1_380_1'    \/>\n\t\t\t\t<label for='choice_1_380_1' id='label_1_380_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_375\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_375\" ><label class='gfield_label gform-field-label' for='input_1_375'>If YES, please provide details:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_375' id='input_1_375' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_293\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_293\" ><strong>** Failure to disclose existing conditions MAY limit your access to Workers Compensation.<\/strong><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_286' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_286' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_7_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_7' class='gform_page' data-js='page-field-id-286' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_102\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_102\" ><h2 class=\"gsection_title\">TEMPORARY EMPLOYMENT AGREEMENT<\/h2><\/li><li id=\"field_1_151\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_151\" ><p style=\"font-size: 1.25em; color: #777777; text-decoration: underline; margin-bottom: 15px;\"><strong>EMPLOYMENT STATUS AND ENGAGEMENT<\/strong><\/p>\n<p style=\"font-weight: 500;\">You are employed as a casual on-hire employee, which means that:<\/p>\n\n<ul>\n<li style=\"font-weight: 500;\">you are employed as a casual employee;<\/li>\n<li style=\"font-weight: 500;\">the termination of an Assignment for whatever reason does not of itself constitute the termination of your employment;<\/li>\n<li style=\"font-weight: 500;\">the employment relationship is and remains between the Parties to this Agreement and no employment relationship exists, or shall be created, between you and any Client; and employment relationship exists, or shall be created, between you and any Client<\/li>\n<\/ul>\n<br\/>\n<p style=\"font-size: 1.25em; color: #777777; text-decoration: underline; margin-bottom: 15px;\"><strong>TERMINATION OF EMPLOYMENT<\/strong><\/p>\n\n<p style=\"font-weight: 500;\">As a casual employee, you are employed on a day to day basis. Your employment terminates at the end of each day\/shift.<\/p>\n\n<ul>\n<li style=\"font-weight: 500;\">We may terminate your employment and this Agreement at any time by notifying you that you will not be offered any further casual engagements or Assignments. You will not be entitled to any notice of termination or payment in lieu;<\/li>\n<\/ul>\n<br\/>\n<p style=\"font-size: 1.25em; color: #777777; text-decoration: underline;\"><strong>OBSERVANCE OF POLICIES AND PROCEDURES<\/strong><\/p>\n\n<ul>\n<li style=\"font-weight: 500;\">You are required to fully comply with our internal policies, or those of a Client, which apply to your employment or Assignment as varied and amended from time to time. You acknowledge and agree that any such policies and procedures take effect as directions given by us and not as mutually enforceable obligations.<br\/>A link to the policies and procedures can be found here - <u><a href = \"https:\/\/makibeaustralia.com.au\/portal\/policies-procedures\/\" target=\"_blank\">Policies and Procedures<\/a><\/u><\/li>\n<\/ul>\n<br\/>\n<p style=\"font-size: 1.25em; color: #777777; text-decoration: underline;\"><strong>ACKNOWLEDGEMENT OF RECEIPT & COMPLIANCE<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 500;\">You acknowledge and understand that you are a casual employee of Makibe Aust., subject to the terms and conditions of this Agreement.<\/li>\n<li style=\"font-weight: 500;\">You acknowledge and understand that you are not an employee of any Client company that you are placed at on Assignment at from time to time.<\/li>\n<\/ul><\/li><li id=\"field_1_103\" class=\"gfield gfield--type-html gf_inline gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_103\" ><br\/>\nI<\/li><li id=\"field_1_143\" class=\"gfield gfield--type-name gf_inline add-margin gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_143\" ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_1_143'>\n                            \n                            <span id='input_1_143_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_143.3' id='input_1_143_3' value=''   aria-required='true'   placeholder='Enter Full Name'  \/>\n                                                    <label for='input_1_143_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/li><li id=\"field_1_146\" class=\"gfield gfield--type-html gf_inline gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_146\" ><br\/>\nhereby apply for temporary employment through Makibe Aust., on a per assignment basis,<\/li><li id=\"field_1_144\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_144\" >\n<ul>\n<li style=\"font-weight: 500;\">I understand the conditions of temporary employment are as follows,\n<ul>\n<li style=\"font-weight: 500;\">I will only be paid for actual hours worked and that each assignment will represent a discreet period of employment<\/li>\n<li style=\"font-weight: 500;\">Depending on my availability, I may accept or reject your offer of employment<\/li>\n<li style=\"font-weight: 500;\">My rate of pay will be the rate as determined at the commencement and acceptance of each assignment<\/li>\n<li style=\"font-weight: 500;\">Included in my hourly pay is a component of the Work Choices award which compensates me for Sick Leave, Annual Leave, and Public Holidays<\/li>\n<li style=\"font-weight: 500;\">Once my earnings exceed $450.00 per month, I will be eligible to have supernnuation contributed on my behalf to the appropriate supernnuation fund. The amount paid on my befalf will be 9.5% of my gross ordinary time earnings (In accordance with ATO Superannuation guide lines)<\/li>\n<li style=\"font-weight: 500;\">I must notify Makibe Aust., at least 2 hours prior to the commencement, if I am unable to attend an assignment during any period of my employment.<\/li>\n<\/li>\n<\/ul>\n<li style=\"font-weight: 500;\">I agree to keep confidential any information obtained during any assignment.<\/li>\n<li style=\"font-weight: 500;\">I agree that my payment for the previous week's work may be adjusted should my timesheet not agree to wages paid.<\/li>\n<li style=\"font-weight: 500;\">I agree that I will not under any circumstances seek or accept a direct offer of employment whether temporary or permanent from any employer to whom I am introduced without first notifying Makibe Aust.,<\/li>\n<li style=\"font-weight: 500;\">I have read and understood the WH&S requirements as outlined in the Candidate Guidelines.<\/li>\n<li style=\"font-weight: 500;\"><strong>I acknowledge that my work week is from Monday to Sunday. My payroll will be processed the following Wednesday and payment will be made by Makibe Aust., by Friday.<\/strong><\/li>\n<\/ul><\/li><li id=\"field_1_295\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_295\" ><h2 class=\"gsection_title\">Temporary Employment Agreement Acknowledgement<\/h2><\/li><li id=\"field_1_296\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_296\" >I have read and understood the Makibe Aust. document as above.<\/li><li id=\"field_1_149\" class=\"gfield gfield--type-name gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_149\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_149'>\n                            \n                            <span id='input_1_149_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_149.3' id='input_1_149_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_149_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_149_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_149.6' id='input_1_149_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_149_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_129\" class=\"gfield gfield--type-signature field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_129\" ><label class='gfield_label gform-field-label' for='input_1_129'>Signature<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_1_129_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_1_129_valid' id='input_1_129_valid' \/><canvas id='input_1_129' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_1_112\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_112\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_1_112' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_112_2_container'>\n                                            <input type='number' maxlength='2' name='input_112[]' id='input_1_112_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_1_112_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_112_1_container'>\n                                        <input type='number' maxlength='2' name='input_112[]' id='input_1_112_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_1_112_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_112_3_container'>\n                                        <input type='number' maxlength='4' name='input_112[]' id='input_1_112_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_1_112_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_104' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_104' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_8_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_8' class='gform_page' data-js='page-field-id-104' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_96\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_96\" ><h2 class=\"gsection_title\">Makibe Australia Casual Employee Information<\/h2><\/li><li id=\"field_1_97\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_97\" ><p style=\"font-size: 1.25em; color: #777777;\"><strong>Office Details:<\/strong><\/p>\n\n<ul>\n<li style=\"font-weight: 500;\"><strong>Address:<\/strong> 4\/17 Warby St. Campbelltown<\/li>\n<li style=\"font-weight: 500;\"><strong>Hours:<\/strong> Monday to Friday 9.00am - 4.30pm<\/li>\n<li style=\"font-weight: 500;\"><strong>Phone:<\/strong> (02) 4631 6700<\/li>\n<li style=\"font-weight: 500;\"><strong>Fax:<\/strong> (02) 4631 1945<\/li>\n<li style=\"font-weight: 500;\"><strong>After hours service:<\/strong> Please call the main office number (02) 4631 6700, (not a consultants\u2019 mobile) this number is diverted to the staff member on call.<\/li>\n<\/ul>\n\n<p style=\"font-size: 1.25em; color: #777777;\"><strong>Payment Details:<\/strong><\/p>\n<p style=\"font-size: 1.25em; color: #777777;\"><strong>The working week is Monday to Sunday.<\/strong><\/p>\n\n<ul>\n<li style=\"font-weight: 500;\">Please ensure your bank account details are correct and you have supplied your tax file number and superannuation details (if any) before you commence work.<\/li>\n<li style=\"font-weight: 500;\">Please note it is <strong>your<\/strong> responsibility to ensure your hours are correct so your supervisor can authorise them.<\/li>\n<li style=\"font-weight: 500;\"><strong>NB: Pay day is Thursday for the previous working week.<\/strong> If you have not received your pay by the Friday please contact payroll (02) 4631 6700.<\/li>\n<\/ul>\n\n<p style=\"font-size: 1.25em; color: #777777;\"><strong>Work Assignments:<\/strong><\/p>\n\n<ul>\n<li style=\"font-weight: 500;\">You are employed by Makibe Australia Pty Ltd and <u>not<\/u> the host employer.<\/li>\n<li style=\"font-weight: 500;\"><strong>Punctuality:<\/strong> please ensure you arrive for work 10 - 15 minutes early.<\/li>\n<li style=\"font-weight: 500;\"><strong>You must call the office for the following reasons:<\/strong>\n<ul>\n<li style=\"font-weight: 500;\">You cannot attend work for any reason. Please give as much notice as possible to enable us to find a replacement.<\/li>\n<li style=\"font-weight: 500;\">The client wishes to extend your replacement.<\/li>\n<li style=\"font-weight: 500;\">The client offers you a permanent position.<\/li>\n<li style=\"font-weight: 500;\">You have finished your assignment.<\/li>\n<li style=\"font-weight: 500;\">You have been involved in an accident or on site \"incident\".<\/li>\n<\/li>\n<\/ul>\n<li style=\"font-weight: 500;\"><strong>If you fail to show up for your assignment and do not contact us we will deem that you have terminated your employment with Makibe Australia Pty Ltd.<\/strong><\/li>\n<\/ul>\n\n<p style=\"font-size: 1.25em; color: #777777;\"><strong>Work Health & Safety:<\/strong><\/p>\n\n<ul>\n<li style=\"font-weight: 500;\">Correct (PPE) must be worn at all times on any site. Failure to do so will result in you being asked to leave the site.<\/li>\n<\/ul><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_299' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_299' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"9\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"9\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_9_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_9' class='gform_page' data-js='page-field-id-299' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_302\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_302\" ><h2 class=\"gsection_title\">ACKNOWLEDGEMENT<\/h2><\/li><li id=\"field_1_303\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_303\" >I (undersigned) acknowledge that I have received the Makibe Australia Pty Ltd, (also referred to as Makibe Aust. in this documentation), Registration Pack along with their Policies, Principals and Procedures documentation. I hereby concede that I have read through and fully understand all that has been presented to me and further understand all points covered in the induction process. I fully agree to comply with all procedures and instructions given to me by Makibe Aust. and I understand that as a Makibe Aust. temporary employee my responsibilities are as follows:\n\n<ul>\n<li>To work in a safe manner, in accordance with on-site instructions and procedures;<\/li>\n<li>Where required be qualified and licensed for work undertaken;<\/li>\n<li>To be fit for work and to disclose any health problems or issues;<\/li>\n<li>Notify Makibe Aust., if my job changes or assignment is extended and I will not commence until I gain Makibe Aust.'s approval;<\/li>\n<li>If unable to commence an assignment on time, I will notify Makibe Aust., prior to the commencement date;<\/li>\n<li>Should I sustain an injury or illness on the job, I will immediately notify my on-site supervisor and Makibe Aust., as soon as possible.<\/li>\n<\/ul>\nA link to the policies and procedures can be found here - <u><a href = \"https:\/\/makibeaustralia.com.au\/portal\/policies-procedures\/\" target=\"_blank\">Policies and Procedures<\/a><\/u><\/li><li id=\"field_1_309\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_309\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >I hereby concede that I have read through and fully understand all that has been presented to me and further understand all points covered in the induction process.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_309'><li class='gchoice gchoice_1_309_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_309.1' type='checkbox'  value='I agree'  id='choice_1_309_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_309_1' id='label_1_309_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_310\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_310\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >I fully agree to comply with all procedures, policies and instructions given to me by Makibe Aust.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_310'><li class='gchoice gchoice_1_310_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_310.1' type='checkbox'  value='I agree'  id='choice_1_310_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_310_1' id='label_1_310_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_311\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_311\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >I understand that as a Makibe Aust. temporary employee what my responsibilities are<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_311'><li class='gchoice gchoice_1_311_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_311.1' type='checkbox'  value='I agree'  id='choice_1_311_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_311_1' id='label_1_311_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_305\" class=\"gfield gfield--type-name gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_305\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_305'>\n                            \n                            <span id='input_1_305_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_305.3' id='input_1_305_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_305_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_305_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_305.6' id='input_1_305_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_305_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_306\" class=\"gfield gfield--type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_306\" ><label class='gfield_label gform-field-label' for='input_1_306'>Signature of Employee<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_1_306_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_1_306_valid' id='input_1_306_valid' \/><canvas id='input_1_306' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_1_307\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_307\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_1_307' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_307_2_container'>\n                                            <input type='number' maxlength='2' name='input_307[]' id='input_1_307_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_1_307_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_307_1_container'>\n                                        <input type='number' maxlength='2' name='input_307[]' id='input_1_307_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_1_307_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_307_3_container'>\n                                        <input type='number' maxlength='4' name='input_307[]' id='input_1_307_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_1_307_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_1_footer_link' class='gform_save_link gform-theme-button gform-theme-button--secondary'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;} jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' id='gform_save_1' value='' \/>\n                             <input type='hidden' class='gform_hidden' name='gform_resume_token' id='gform_resume_token_1' value='' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJbXSIsImFkNGY5ZTZiZTc2MTQ0NzQxNDMyMTA2MThmYzcxYzM0Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <p style=\"display: none 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