{"id":201711,"date":"2016-05-17T13:21:02","date_gmt":"2016-05-17T18:21:02","guid":{"rendered":"http:\/\/siouxlandweb.com\/ios\/?page_id=201711"},"modified":"2024-03-19T07:26:15","modified_gmt":"2024-03-19T12:26:15","slug":"join-residents-and-fellows-membership","status":"publish","type":"page","link":"https:\/\/iowaorthopaedic.org\/join-residents-and-fellows-membership\/","title":{"rendered":"Join-Residents and Fellows Membership"},"content":{"rendered":"<h1 style=\"text-align: center;\">APPLICATION FOR MEMBERSHIP<br \/>\nRESIDENTS AND FELLOWS<\/h1>\n<div class=\"frm_forms  with_frm_style frm_style_divi\" id=\"frm_form_26_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_frmprocontact223\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">Residents and Fellows Membership<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"26\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_26\" id=\"frm_hide_fields_26\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"frmprocontact223\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_26\" name=\"frm_submit_entry_26\" value=\"ee45ae7916\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/201711\" \/><div id=\"frm_field_218_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_wwtp3033\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wwtp3033\" name=\"item_meta[218]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_wwtp3033\"\/>\r\n    <div id=\"frm_desc_field_wwtp3033\" class=\"frm_description\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_219_container\" class=\"frm_form_field form-field  frm_required_field frm_hidden_container frm_half\">\r\n    <label for=\"field_oag1ms33\" class=\"frm_primary_label\">Last\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oag1ms33\" name=\"item_meta[219]\" value=\"\"  data-reqmsg=\"Last cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_oag1ms33\"\/>\r\n    <div id=\"frm_desc_field_oag1ms33\" class=\"frm_description\">Last<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_229_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_clha34\" class=\"frm_primary_label\">Home Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <fieldset aria-labelledby=\"field_clha34_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tHome Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_229-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_clha34_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha34_line1\" value=\"\" name=\"item_meta[229][line1]\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_229-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_clha34_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha34_line2\" value=\"\" name=\"item_meta[229][line2]\"  data-invmsg=\"Home Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_229-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_clha34_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha34_city\" value=\"\" name=\"item_meta[229][city]\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_229-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_clha34_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[229][state]\" id=\"field_clha34_state\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">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=\"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=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/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=\"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>\t\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_229-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_clha34_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha34_zip\" value=\"\" name=\"item_meta[229][zip]\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_230_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_third\">\r\n    <label for=\"field_te354\" class=\"frm_primary_label\">Cell Phone Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_te354\" name=\"item_meta[230]\" value=\"\"  style=\"width:160px !important\" data-invmsg=\"Home Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_227_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_uxbbh4\" class=\"frm_primary_label\">Fax Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_uxbbh4\" name=\"item_meta[227]\" value=\"\"  style=\"width:160px !important\" data-invmsg=\"Fax Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_228_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_xnkv8k33\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_xnkv8k33\" name=\"item_meta[228]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_232_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_third\">\r\n    <label for=\"field_3koqz3\" class=\"frm_primary_label\">Medical School\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3koqz3\" name=\"item_meta[232]\" value=\"\"  data-invmsg=\"Medical School is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_233_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_j1eig4\" class=\"frm_primary_label\">Degree\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j1eig4\" name=\"item_meta[233]\" value=\"\"  data-invmsg=\"Degree is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_234_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_xygdl4\" class=\"frm_primary_label\">Date of Graduation\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xygdl4\" name=\"item_meta[234]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date of Graduation is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_235_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Internship(s):<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[235][form]\" value=\"27\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_235-0\" class=\"frm_repeat_sec frm_repeat_235 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[235][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[235][0][0]\" value=\"\" \/><div id=\"frm_field_236-235-0_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_fourth frm_field_236_container\">\r\n    <label for=\"field_v0egg3-0\" class=\"frm_primary_label\">Hospital\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_v0egg3-0\" name=\"item_meta[235][0][236]\" value=\"\"  data-sectionid=\"235\" data-invmsg=\"Hospital is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_237-235-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_237_container\">\r\n    <label for=\"field_7zd0t3-0\" class=\"frm_primary_label\">Type of Internship\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7zd0t3-0\" name=\"item_meta[235][0][237]\" value=\"\"  data-sectionid=\"235\" data-invmsg=\"Type of Internship is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_238-235-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_238_container\">\r\n    <label for=\"field_77uhf3-0\" class=\"frm_primary_label\">Start\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_77uhf3-0\" name=\"item_meta[235][0][238]\" value=\"\"  data-sectionid=\"235\" maxlength=\"10\" data-invmsg=\"Start is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_239-235-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_239_container\">\r\n    <label for=\"field_iwmjl3-0\" class=\"frm_primary_label\">End\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_iwmjl3-0\" name=\"item_meta[235][0][239]\" value=\"\"  data-sectionid=\"235\" maxlength=\"10\" data-invmsg=\"End is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"235\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"235\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_241_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Residencies:<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[241][form]\" value=\"28\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_241-0\" class=\"frm_repeat_sec frm_repeat_241 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[241][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[241][0][0]\" value=\"\" \/><div id=\"frm_field_242-241-0_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_fourth frm_field_242_container\">\r\n    <label for=\"field_jot0k3-0\" class=\"frm_primary_label\">Hospital\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jot0k3-0\" name=\"item_meta[241][0][242]\" value=\"\"  data-sectionid=\"241\" data-invmsg=\"Hospital is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_243-241-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_243_container\">\r\n    <label for=\"field_glgzm3-0\" class=\"frm_primary_label\">Type of Residency\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_glgzm3-0\" name=\"item_meta[241][0][243]\" value=\"\"  data-sectionid=\"241\" data-invmsg=\"Type of Residency is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_244-241-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_244_container\">\r\n    <label for=\"field_bpoeb3-0\" class=\"frm_primary_label\">Start\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bpoeb3-0\" name=\"item_meta[241][0][244]\" value=\"\"  data-sectionid=\"241\" maxlength=\"10\" data-invmsg=\"Start is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_245-241-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_245_container\">\r\n    <label for=\"field_98dfd3-0\" class=\"frm_primary_label\">End\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_98dfd3-0\" name=\"item_meta[241][0][245]\" value=\"\"  data-sectionid=\"241\" maxlength=\"10\" data-invmsg=\"End is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"241\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"241\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_247_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Fellowship:<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[247][form]\" value=\"29\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_247-0\" class=\"frm_repeat_sec frm_repeat_247 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[247][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[247][0][0]\" value=\"\" \/><div id=\"frm_field_248-247-0_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_third frm_field_248_container\">\r\n    <label for=\"field_hbv7f3-0\" class=\"frm_primary_label\">Type of Fellowship\/Institution\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hbv7f3-0\" name=\"item_meta[247][0][248]\" value=\"\"  data-invmsg=\"Type of Fellowship\/Institution is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_249-247-0_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_field_249_container\">\r\n    <label for=\"field_ss4o13-0\" class=\"frm_primary_label\">Start\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ss4o13-0\" name=\"item_meta[247][0][249]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Start is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_250-247-0_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_field_250_container\">\r\n    <label for=\"field_z3d633-0\" class=\"frm_primary_label\">End\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z3d633-0\" name=\"item_meta[247][0][250]\" value=\"\"  maxlength=\"10\" data-invmsg=\"End is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"247\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"247\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_258_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ltfh4\" class=\"frm_primary_label\">Membership in Medical Societies\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[258]\" id=\"field_ltfh4\" rows=\"5\"  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