{"id":795,"date":"2015-09-09T02:18:27","date_gmt":"2015-09-09T06:18:27","guid":{"rendered":"http:\/\/mccdemosite1.devsiteurl.com\/admissions\/?page_id=795"},"modified":"2017-01-09T11:15:26","modified_gmt":"2017-01-09T15:15:26","slug":"teas-testing-for-students-with-disabilities","status":"publish","type":"page","link":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/teas-testing-for-students-with-disabilities\/","title":{"rendered":"TEAS Testing for Students with Disabilities"},"content":{"rendered":"<p>Welcome to the TEAS Testing Registration Process for Students with Disabilities. Please complete the registration form below.<br \/>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_13_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form disabilities-form frm_pro_form \" id=\"form_6ubl4b\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">Students with Disabilities<\/legend>\r\n\r\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"13\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_13\" id=\"frm_hide_fields_13\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"6ubl4b\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_13\" name=\"frm_submit_entry_13\" value=\"e9c9547924\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/admissions\/wp-json\/wp\/v2\/pages\/795\" \/><input type=\"text\" class=\"frm_hidden frm_verify\" id=\"frm_verify_13\" name=\"frm_verify\" value=\"\"  \/>\n\n<div id=\"frm_field_161_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label  class=\"frm_primary_label\">Do you have any documented disabilities?\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t\t<div class=\"frm_radio\"><label for=\"field_6pam83-0\">            <input type=\"radio\" name=\"item_meta[161]\" id=\"field_6pam83-0\" value=\"Yes\"     \/> Yes<\/label><\/div>\n\t\t\t<div class=\"frm_radio\"><label for=\"field_6pam83-1\">            <input type=\"radio\" name=\"item_meta[161]\" id=\"field_6pam83-1\" value=\"No\"     \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_163_container\" class=\"frm_form_field  frm_top_container frm_html_container form-field\">This form is only for individuals with documented disabilities.<\/p>\n<p>All others should register for a standard time-slot available here - <a href=\"http:\/\/www.eventbrite.com\/o\/teas-testing-center-1650815380?s=6239078\/\" target=\"_blank\">http:\/\/www.eventbrite.com\/o\/teas-testing-center-1650815380?s=6239078\/<\/a><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_144_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_xra2eo\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xra2eo\" name=\"item_meta[144]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_145_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_xoyev\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xoyev\" name=\"item_meta[145]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_146_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_7fhnrv\" class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_7fhnrv\" name=\"item_meta[146]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Email Address is invalid\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_147_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_7bos30\" class=\"frm_primary_label\">Country\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7bos30\" name=\"item_meta[147]\" value=\"United States\"  data-frmval=\"United States\" data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_148_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_wq7x8q\" class=\"frm_primary_label\">Address Line 1\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wq7x8q\" name=\"item_meta[148]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_149_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_uu9myx\" class=\"frm_primary_label\">Address Line 2\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_uu9myx\" name=\"item_meta[149]\" value=\"\"    \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_150_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_2t9shc\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2t9shc\" name=\"item_meta[150]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_151_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_pz3n33\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_pz3n33\" name=\"item_meta[151]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_152_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_ie7qyi\" class=\"frm_primary_label\">ZIP Code\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ie7qyi\" name=\"item_meta[152]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_154_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_chib03\" class=\"frm_primary_label\">Birth Date (mm\/dd\/yyyy)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_chib03\" name=\"item_meta[154]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_155_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_enfntm\" class=\"frm_primary_label\">MCC Student ID Number (located on your status email)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_enfntm\" name=\"item_meta[155]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_156_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_z38c93\" class=\"frm_primary_label\">Middle Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z38c93\" name=\"item_meta[156]\" value=\"\"    \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_157_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_gu2zsf\" class=\"frm_primary_label\">Former Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gu2zsf\" name=\"item_meta[157]\" value=\"\"    \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_158_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_nrtt5n\" class=\"frm_primary_label\">Best Contact Phone Number\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_nrtt5n\" name=\"item_meta[158]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_159_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label  class=\"frm_primary_label\">Program(s) applying to:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_159-0\"><label for=\"field_rguih8-0\"><input type=\"checkbox\" name=\"item_meta[159][]\" id=\"field_rguih8-0\" value=\"Dental Hygiene\"   data-reqmsg=\"This field cannot be blank.\"   \/> Dental Hygiene<\/label><\/div>\n\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_159-1\"><label for=\"field_rguih8-1\"><input type=\"checkbox\" name=\"item_meta[159][]\" id=\"field_rguih8-1\" value=\"Nursing\"   data-reqmsg=\"This field cannot be blank.\"   \/> Nursing<\/label><\/div>\n\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_159-2\"><label for=\"field_rguih8-2\"><input type=\"checkbox\" name=\"item_meta[159][]\" id=\"field_rguih8-2\" value=\"Radiography\"   data-reqmsg=\"This field cannot be blank.\"   \/> Radiography<\/label><\/div>\n\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_159-3\"><label for=\"field_rguih8-3\"><input type=\"checkbox\" name=\"item_meta[159][]\" id=\"field_rguih8-3\" value=\"Respiratory Care\"   data-reqmsg=\"This field cannot be blank.\"   \/> Respiratory Care<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_164_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_gubxx\" class=\"frm_primary_label\">Additional Comments\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <textarea name=\"item_meta[164]\" id=\"field_gubxx\" rows=\"5\"    ><\/textarea>\n\n    \n    \n<\/div>\n<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n<div id=\"frm_field_cptch_number_container\" class=\"form-field frm_top_container auto_width\"><label class=\"frm_primary_label\">Please help us fight SPAM by answering this question: <span class=\"frm_required\">*<\/span><\/label><span class=\"cptch_wrap cptch_math_actions\">\r\n\t\t\t\t<label class=\"cptch_label\" for=\"cptch_input_6\"><span class=\"cptch_span\">3<\/span>\r\n\t\t\t\t\t<span class=\"cptch_span\">&nbsp;&#43;&nbsp;<\/span>\r\n\t\t\t\t\t<span class=\"cptch_span\"><input id=\"cptch_input_6\" class=\"cptch_input \" type=\"text\" autocomplete=\"off\" name=\"cptch_number\" value=\"\" maxlength=\"2\" size=\"2\" aria-required=\"true\" required=\"required\" style=\"margin-bottom:0;display:inline;font-size: 12px;width: 40px;\" \/><\/span>\r\n\t\t\t\t\t<span class=\"cptch_span\">&nbsp;=&nbsp;<\/span>\r\n\t\t\t\t\t<span class=\"cptch_span\">9<\/span>\r\n\t\t\t\t\t<input type=\"hidden\" name=\"cptch_result\" value=\"TD4=\" \/><input type=\"hidden\" name=\"cptch_time\" value=\"1777748665\" \/>\r\n\t\t\t\t\t<input type=\"hidden\" name=\"cptch_form\" value=\"general\" \/>\r\n\t\t\t\t<\/label><span class=\"cptch_reload_button_wrap hide-if-no-js\">\r\n\t\t\t\t\t<noscript>\r\n\t\t\t\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t\t\t\t.hide-if-no-js {\r\n\t\t\t\t\t\t\t\tdisplay: none !important;\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t<\/style>\r\n\t\t\t\t\t<\/noscript>\r\n\t\t\t\t\t<span class=\"cptch_reload_button dashicons dashicons-update\"><\/span>\r\n\t\t\t\t<\/span><\/span><\/div><div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Complete Registration\"  class=\"frm_final_submit\" formnovalidate=\"formnovalidate\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/>\r\n\r\n<\/div><\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n<p>If you have questions about this form or the process, please email <a href=\"mailto:Healthtech@middlesexcc.edu\">Healthtech@middlesexcc.edu<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to the TEAS Testing Registration Process for Students with Disabilities. Please complete the registration form below. If you have questions about this form or the process, please email Healthtech@middlesexcc.edu.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":44,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-795","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/pages\/795","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/comments?post=795"}],"version-history":[{"count":2,"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/pages\/795\/revisions"}],"predecessor-version":[{"id":798,"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/pages\/795\/revisions\/798"}],"wp:attachment":[{"href":"https:\/\/mccdemosite1.devsiteurl.com\/admissions\/wp-json\/wp\/v2\/media?parent=795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}