{"id":1283,"date":"2020-09-15T18:40:08","date_gmt":"2020-09-16T01:40:08","guid":{"rendered":"https:\/\/www.palomar.edu\/pages\/ets\/?page_id=1283"},"modified":"2026-03-20T15:46:25","modified_gmt":"2026-03-20T22:46:25","slug":"program-application-spanish-version","status":"publish","type":"page","link":"https:\/\/www.palomar.edu\/ets\/program-application-spanish-version\/","title":{"rendered":"Solicitud del Programa"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Complete los pasos 1-5<\/h2>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\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_20' ><div id='gf_20' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_20'  action='\/ets\/wp-json\/wp\/v2\/pages\/1283#gf_20' data-formid='20' novalidate>\n        <div id='gf_progressbar_wrapper_20' class='gf_progressbar_wrapper' data-start-at-zero='1'>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>5<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_0' style='width:0%;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_20_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_20' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_20_42\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Paso 1 &#8211; Informacion Del Estudiante<\/h2><\/li><li id=\"field_20_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nombre del Estudiante<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 has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_1'>\n                            \n                            <span id='input_20_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_20_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            <span id='input_20_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.4' id='input_20_1_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_1_4' class='gform-field-label gform-field-label--type-sub '>Inicial<\/label>\n                                                <\/span>\n                            <span id='input_20_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_20_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_20_12\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Direcci\u00f3n Postal del Estudiante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_20_12' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_20_12_1_container' >\n                                        <input type='text' name='input_12.1' id='input_20_12_1' value=''    aria-required='true'    \/>\n                                        <label for='input_20_12_1' id='input_20_12_1_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_20_12_2_container' >\n                                        <input type='text' name='input_12.2' id='input_20_12_2' value=''     aria-required='false'   \/>\n                                        <label for='input_20_12_2' id='input_20_12_2_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n Linea 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_20_12_3_container' >\n                                    <input type='text' name='input_12.3' id='input_20_12_3' value=''    aria-required='true'    \/>\n                                    <label for='input_20_12_3' id='input_20_12_3_label' class='gform-field-label gform-field-label--type-sub '>Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_20_12_4_container' >\n                                        <select name='input_12.4' id='input_20_12_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' selected='selected'>California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_20_12_4' id='input_20_12_4_label' class='gform-field-label gform-field-label--type-sub '>Estado<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_20_12_5_container' >\n                                    <input type='text' name='input_12.5' id='input_20_12_5' value=''    aria-required='true'    \/>\n                                    <label for='input_20_12_5' id='input_20_12_5_label' class='gform-field-label gform-field-label--type-sub '>C\u00f3digo postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_12.6' id='input_20_12_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_20_2\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_2'>N\u00famero de Tel\u00e9fono Celular del Estudiante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_20_2' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_20_2\"  \/><\/div><div class='gfield_description' id='gfield_description_20_2'>Se utilizar\u00e1 para proporcionar informaci\u00f3n sobre los pr\u00f3ximos eventos. Si el estudiante no tiene un n\u00famero de tel\u00e9fono celular, ingrese &#8220;(000) 000-0000&#8221;. Por favor, no ingrese un n\u00famero de padre en esta secci\u00f3n, esto se puede ingresar en la secci\u00f3n &#8220;Informaci\u00f3n de padre&#8221;.<\/div><\/li><li id=\"field_20_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_10'>\u00bfPodemos enviarle un mensaje de texto sobre los pr\u00f3ximos eventos \/ informaci\u00f3n importante?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_20_10' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Si' >Si<\/option><option value='No' >No<\/option><option value='N\/A' >N\/A<\/option><\/select><\/div><\/li><li id=\"field_20_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Direcci\u00f3n de Correo Electr\u00f3nico del Estudiante (indique un correo electr\u00f3nico que consulte con frecuencia)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_20_4_container'>\n                                <span id='input_20_4_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_4' id='input_20_4' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_20_4' class='gform-field-label gform-field-label--type-sub '>Ingrese correo electr\u00f3nico<\/label>\n                                <\/span>\n                                <span id='input_20_4_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_4_2' id='input_20_4_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_20_4_2' class='gform-field-label gform-field-label--type-sub '>Confirme correo electr\u00f3nico<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_20_67\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u00bfCu\u00e1l es la Raza\/Etnia del Estudiante?<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_20_67'><li class='gchoice gchoice_20_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='Indio\/a Americano\/a o Nativo\/a de Alaska'  id='choice_20_67_1'   aria-describedby=\"gfield_description_20_67\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_20_67_1' id='label_20_67_1' class='gform-field-label gform-field-label--type-inline'>Indio\/a Americano\/a o Nativo\/a de Alaska<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_67_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.2' type='checkbox'  value='Asi\u00e1tico\/a'  id='choice_20_67_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_67_2' id='label_20_67_2' class='gform-field-label gform-field-label--type-inline'>Asi\u00e1tico\/a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_67_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.3' type='checkbox'  value='Negro\/a o Afroamericano\/a'  id='choice_20_67_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_67_3' id='label_20_67_3' class='gform-field-label gform-field-label--type-inline'>Negro\/a o Afroamericano\/a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_67_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.4' type='checkbox'  value='Hispano\/a o Latino\/a'  id='choice_20_67_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_67_4' id='label_20_67_4' class='gform-field-label gform-field-label--type-inline'>Hispano\/a o Latino\/a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_67_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.5' type='checkbox'  value='Nativo Hawaiano\/a u Otro Isle\u00f1o\/a del Pac\u00edfico'  id='choice_20_67_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_67_5' id='label_20_67_5' class='gform-field-label gform-field-label--type-inline'>Nativo Hawaiano\/a u Otro Isle\u00f1o\/a del Pac\u00edfico<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_67_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.6' type='checkbox'  value='Blanco\/a'  id='choice_20_67_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_67_6' id='label_20_67_6' class='gform-field-label gform-field-label--type-inline'>Blanco\/a<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_20_67'>Por favor seleccione todas las respuestas v\u00e1lidas.<\/div><\/li><li id=\"field_20_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_36'>G\u00e9nero del Estudiante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_20_36' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Masculino' >Masculino<\/option><option value='Femenino' >Femenino<\/option><\/select><\/div><\/li><li id=\"field_20_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_37'>Estado de Ciudadan\u00eda del Estudiante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_20_37' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Ciudadania Estadounidense' >Ciudadania Estadounidense<\/option><option value='Residente Permanente' >Residente Permanente<\/option><option value='Ninguna de las anteriores' >Ninguna de las anteriores<\/option><\/select><\/div><\/li><li id=\"field_20_25\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Informaci\u00f3n de la Escuela<\/h2><\/li><li id=\"field_20_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_7'>Escuela<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_20_7' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Una-<\/option><option value='Hidden Valley Middle School' >Hidden Valley Middle School<\/option><option value='Mission Middle School' >Mission Middle School<\/option><option value='Del Dios Academy of Arts &amp; Sciences' >Del Dios Academy of Arts &amp; Sciences<\/option><option value='Orange Glen High School' >Orange Glen High School<\/option><option value='Escondido High School' >Escondido High School<\/option><option value='San Pasqual High School' >San Pasqual High School<\/option><option value='Del Lago Academy' >Del Lago Academy<\/option><option value='Vista Innovation &amp; Design Academy' >Vista Innovation &amp; Design Academy<\/option><option value='Vista High School' >Vista High School<\/option><option value='Rancho Buena Vista High School' >Rancho Buena Vista High School<\/option><\/select><\/div><\/li><li id=\"field_20_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_8'>Nivel de Grado<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_20_8' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Grado 6' >Grado 6<\/option><option value='Grado 7' >Grado 7<\/option><option value='Grado 8' >Grado 8<\/option><option value='Grado 9' >Grado 9<\/option><option value='Grado 10' >Grado 10<\/option><option value='Grado 11' >Grado 11<\/option><option value='Grado 12' >Grado 12<\/option><\/select><\/div><\/li><li id=\"field_20_33\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_33'>N\u00famero de Identificaci\u00f3n Estudiantil<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_20_33' type='text' value='' class='medium' maxlength='10' aria-describedby=\"gfield_description_20_33\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_20_33'>D\u00e9jelo en blanco si no lo sabe. Podemos encontrar esto m\u00e1s tarde.<\/div><\/li><li id=\"field_20_68\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_68'>GPA Actual<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_20_68' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_20_39\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u00bfEl estudiante participa actualmente en alguno de los siguientes programas?<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_20_39'><li class='gchoice gchoice_20_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='Upward Bound de Palomar College'  id='choice_20_39_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_39_1' id='label_20_39_1' class='gform-field-label gform-field-label--type-inline'>Upward Bound de Palomar College<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='Upward Bound de Cal State San Marcos'  id='choice_20_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_39_2' id='label_20_39_2' class='gform-field-label gform-field-label--type-inline'>Upward Bound de Cal State San Marcos<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_39_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.3' type='checkbox'  value='ETS de Wahupa'  id='choice_20_39_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_39_3' id='label_20_39_3' class='gform-field-label gform-field-label--type-inline'>ETS de Wahupa<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_39_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.4' type='checkbox'  value='AVID'  id='choice_20_39_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_39_4' id='label_20_39_4' class='gform-field-label gform-field-label--type-inline'>AVID<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_20_39_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.5' type='checkbox'  value='Ninguna de las anteriores'  id='choice_20_39_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_39_5' id='label_20_39_5' class='gform-field-label gform-field-label--type-inline'>Ninguna de las anteriores<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_20_41' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='PASO 2 - INFORMACI\u00d3N DE LOS PADRES'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_2' class='gform_page' data-js='page-field-id-41' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_20_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_20_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PASO 2 &#8211; INFORMACI\u00d3N DEL PADRE \/ TUTOR<\/h2><\/li><li id=\"field_20_43\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Padre\/Tutor 1 (Requirido)<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_20_43'>\n                            \n                            <span id='input_20_43_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.3' id='input_20_43_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_43_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_43_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.6' id='input_20_43_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_43_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_20_21\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_21'>Relaci\u00f3n al Estudiante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_20_21' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Madre' >Madre<\/option><option value='Padre' >Padre<\/option><option value='Padrastro\/Madrasta' >Padrastro\/Madrasta<\/option><option value='Otro Pariente' >Otro Pariente<\/option><option value='Guardi\u00e1n legal' >Guardi\u00e1n legal<\/option><\/select><\/div><\/li><li id=\"field_20_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_6'>Padre\/Tutor 1 &#8211; N\u00famero de Tel\u00e9fono Celular<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_20_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_20_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_14'>\u00bfPodemos enviarle un mensaje de texto sobre los pr\u00f3ximos eventos \/ informaci\u00f3n importante?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_20_14' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Selecione Uno-<\/option><option value='Si' >Si<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_20_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Padre\/Tutor 1 -Direcci\u00f3n de Correo Electr\u00f3nico (indique un correo electr\u00f3nico que consulte con frecuencia)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_20_15_container'>\n                                <span id='input_20_15_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_15' id='input_20_15' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_20_15' class='gform-field-label gform-field-label--type-sub '>Ingrese correo electr\u00f3nico<\/label>\n                                <\/span>\n                                <span id='input_20_15_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_15_2' id='input_20_15_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_20_15_2' class='gform-field-label gform-field-label--type-sub '>Confirme correo electr\u00f3nico<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_20_9\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Padre\/Tutor 2 (Opcional)<\/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_20_9'>\n                            \n                            <span id='input_20_9_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.3' id='input_20_9_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_9_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_9_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.6' id='input_20_9_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_9_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_20_22\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_22'>Relaci\u00f3n al Estudiante<\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_20_22' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Madre' >Madre<\/option><option value='Padre' >Padre<\/option><option value='Padrastro\/Madrasta' >Padrastro\/Madrasta<\/option><option value='Otro Pariente' >Otro Pariente<\/option><option value='Guardi\u00e1n legal' >Guardi\u00e1n legal<\/option><\/select><\/div><\/li><li id=\"field_20_18\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_18'>Padre\/Tutor 2 &#8211; N\u00famero de Tel\u00e9fono Celular<\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_20_18' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_20_19\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_19'>\u00bfPodemos enviarle un mensaje de texto sobre los pr\u00f3ximos eventos \/ informaci\u00f3n importante?<\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_20_19' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Si' >Si<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_20_20\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Padre\/Tutor 2 -Direcci\u00f3n de Correo Electr\u00f3nico (indique un correo electr\u00f3nico que consulte con frecuencia)<\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_20_20_container'>\n                                <span id='input_20_20_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_20' id='input_20_20' value=''     aria-invalid=\"false\"  \/>\n                                    <label for='input_20_20' class='gform-field-label gform-field-label--type-sub '>Ingrese correo electr\u00f3nico<\/label>\n                                <\/span>\n                                <span id='input_20_20_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_20_2' id='input_20_20_2' value=''     aria-invalid=\"false\"  \/>\n                                    <label for='input_20_20_2' class='gform-field-label gform-field-label--type-sub '>Confirme correo electr\u00f3nico<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_45' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='PASO 1 - INFORMACI\u00d3N DEL ESTUDIANTE'  \/> <input type='button' id='gform_next_button_20_45' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='PASO 3 - ELEGIBILIDAD'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_3' class='gform_page' data-js='page-field-id-45' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_20_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_20_44\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PASO 3 &#8211; INFORMACI\u00d3N DE ELEGIBILIDAD<\/h2><\/li><li id=\"field_20_56\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Nivel de Educaci\u00f3n de los Padres<\/h2><\/li><li id=\"field_20_46\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_46'>\u00bfHa recibido la madre del estudiante una licenciatura o superior otorgada en los Estados Unidos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_20_46' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Si' >Si<\/option><option value='No' >No<\/option><option value='Desconocido' >Desconocido<\/option><\/select><\/div><\/li><li id=\"field_20_47\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_47'>\u00bfHa recibido el padre del estudiante una licenciatura o superior otorgada en los Estados Unidos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_47' id='input_20_47' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Si' >Si<\/option><option value='No' >No<\/option><option value='Desconocido' >Desconocido<\/option><\/select><\/div><\/li><li id=\"field_20_48\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_48'>\u00bfCon qui\u00e9n reside habitualmente el estudiante y de qui\u00e9n recibe apoyo?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_48' id='input_20_48' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Madre y Padre' >Madre y Padre<\/option><option value='Madre solamente' >Madre solamente<\/option><option value='Padre solamente' >Padre solamente<\/option><option value='Otro familiar\/tutor' >Otro familiar\/tutor<\/option><\/select><\/div><\/li><li id=\"field_20_50\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Informaci\u00f3n sobre los Ingresos del Hogar<\/h2><\/li><li id=\"field_20_49\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_49'>\u00bfCu\u00e1l es el n\u00famero total de personas que viven en el hogar? (incluido el estudiante)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_20_49' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><\/li><li id=\"field_20_53\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_53'>Seleccione la declaraci\u00f3n que mejor se aplique a usted:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_20_53' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-Seleccione Uno-<\/option><option value='Present\u00e9 mis impuestos, ingresar\u00e9 mis ingresos anuales tributables a continuaci\u00f3n.' >Present\u00e9 mis impuestos, ingresar\u00e9 mis ingresos anuales tributables a continuaci\u00f3n.<\/option><option value='No present\u00e9 mis impuestos, ingresar\u00e9 mi ingreso anual imponible aproximado a continuaci\u00f3n.' >No present\u00e9 mis impuestos, ingresar\u00e9 mi ingreso anual imponible aproximado a continuaci\u00f3n.<\/option><option value='Presentar\u00e9 mis impuestos, ingresar\u00e9 mi ingreso anual imponible aproximado a continuaci\u00f3n.' >Presentar\u00e9 mis impuestos, ingresar\u00e9 mi ingreso anual imponible aproximado a continuaci\u00f3n.<\/option><option value='Mi familia no tuvo ingresos tributables durante el \u00faltimo a\u00f1o calendario (ingrese &quot;0&quot; a continuaci\u00f3n).' >Mi familia no tuvo ingresos tributables durante el \u00faltimo a\u00f1o calendario (ingrese &quot;0&quot; a continuaci\u00f3n).<\/option><\/select><\/div><\/li><li id=\"field_20_52\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_52'>Total de ingresos imponibles del \u00faltimo a\u00f1o calendario:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_52' id='input_20_52' type='text' step='any' min='0' max='1000000' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_20_52 gfield_description_20_52\" \/><div class='gfield_description instruction ' id='gfield_instruction_20_52'>Please enter a number from <strong>0<\/strong> to <strong>1000000<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_20_52'>Ingrese un n\u00famero del 0 al 1000000.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_57' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='PASO 2 - INFORMACI\u00d3N DE LOS PADRES'  \/> <input type='button' id='gform_next_button_20_57' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='PASO 4 - CONTACTO DE EMERGENCIA'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_4' class='gform_page' data-js='page-field-id-57' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_20_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_20_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PASO 4 &#8211; INFORMACI\u00d3N DE CONTACTO EN CASO DE EMERGENCIA<\/h2><div class='gsection_description' id='gfield_description_20_58'>Deben ser personas distintas de los padres\/tutores del estudiante con quienes se pueda contactar si alguna vez es necesario y no se puede localizar al padre\/tutor.<\/div><\/li><li id=\"field_20_61\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contacto de Emergencia #1 (obligatorio)<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_20_61'>\n                            \n                            <span id='input_20_61_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_61.3' id='input_20_61_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_61_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_61_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_61.6' id='input_20_61_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_61_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_20_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_65'>Relaci\u00f3n al Estudiante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_20_65' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_20_62\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_62'>N\u00famero de Tel\u00e9fono\/Celular<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_62' id='input_20_62' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_20_63\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contacto de Emergencia #2 (opcional)<\/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_20_63'>\n                            \n                            <span id='input_20_63_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_63.3' id='input_20_63_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_63_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_63_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_63.6' id='input_20_63_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_63_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_20_66\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_66'>Relaci\u00f3n al Estudiante<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_20_66' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_20_64\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_64'>N\u00famero de Tel\u00e9fono\/Celular<\/label><div class='ginput_container ginput_container_phone'><input name='input_64' id='input_20_64' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_60' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='PASO 3 - ELEGIBILIDAD'  \/> <input type='button' id='gform_next_button_20_60' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='PASO 5 - CONSENTIMIENTO Y ENV\u00cdO'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_5' class='gform_page' data-js='page-field-id-60' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_20_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_20_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PASO 5 &#8211; CONSENTIMIENTO Y ENV\u00cdO<\/h2><\/li><li id=\"field_20_54\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Consentimiento<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_20_54' tabindex='0'>Al firmar esta solicitud, doy fe de que toda la informaci\u00f3n en esta solicitud es verdadera y precisa a mi leal saber y entender.<br \/>\n<br \/>\nAdem\u00e1s, autorizo \u200b\u200bla divulgaci\u00f3n de los registros acad\u00e9micos oficiales del estudiante a los Programas Estudiantiles Financiados por Subsidios (GFSP) en Palomar College, entendiendo que la informaci\u00f3n en estos registros se utilizar\u00e1 solo para evaluar la necesidad del estudiante de los servicios del programa TRIO, discernir el nivel educativo del estudiante. progreso, evaluar la efectividad de las actividades del programa TRIO y cumplir con los requisitos de informes del programa TRIO.<br \/>\n<br \/>\nAdem\u00e1s, autorizo \u200b\u200ba GFSP a utilizar el nombre, las declaraciones y la imagen del estudiante, sin cargo, con fines promocionales en publicaciones, publicidad, videos y otros formatos de GFSP.<br \/>\n<br \/>\nFinalmente, mi hijo y yo acordamos indemnizar, salvar y eximir de responsabilidad y liberar y despedir para siempre a Palomar College y a sus empleados y agentes por motivos de actos, enfermedades, lesiones u otras consecuencias que surjan o resulten directa o indirectamente de la participaci\u00f3n de mi hijo en el programa antes mencionado, o en cualquier momento posterior al mismo.<br \/>\n<br \/>\nPor la presente doy mi consentimiento a Palomar College y sus empleados y agentes para brindar tratamiento m\u00e9dico y asistencia a mi hijo si la prestaci\u00f3n de dicho tratamiento fuera necesario o deseable durante el curso del programa.<\/div><div class='ginput_container ginput_container_consent'><input name='input_54.1' id='input_20_54_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_20_54\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_20_54_1' >Estoy de acuerdo con la declaraci\u00f3n anterior.<\/label><input type='hidden' name='input_54.2' value='Estoy de acuerdo con la declaraci\u00f3n anterior.' class='gform_hidden' \/><input type='hidden' name='input_54.3' value='8' class='gform_hidden' \/><\/div><\/li><li id=\"field_20_23\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_23'>Firma del Padre\/Tutor<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_23' id='input_20_23_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_20_23_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_20_23' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #000; background-color:#FFFFFF; cursor: url(https:\/\/www.palomar.edu\/ets\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_20_23_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_20_23_resetbutton' 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