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<div class="control-group ticket_section"> <label class=" required control-label cf_program_202287-label " for="helpdesk_ticket_cf_program_202287">Program</label> <div class="controls nested_field "> <select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_program_202287_5002685791" name="helpdesk_ticket[custom_field][cf_program_202287]"><option value="">...</option> <option value="Summer Academy">Summer Academy</option> <option value="AYP">AYP</option> <option value="Rising">Rising</option> <option value="Persist">Persist</option> <option value="Admit">Admit</option> <option value="No Program">No Program</option></select><div class="level_2"><label class="required">Select a site</label><select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_internship_202287_5002685791" name="helpdesk_ticket[custom_field][cf_internship_202287]"><option value="">...</option> </select></div><script type="text/javascript"> //<![CDATA[ jQuery('#helpdesk_ticket_custom_field_cf_program_202287_5002685791').nested_select_tag({"data_tree":[["Summer Academy","Summer Academy",[["Berkeley","Berkeley",[]],["Davis","Davis",[]],["Detroit","Detroit",[]],["Illinois","Illinois",[]],["Morehouse","Morehouse",[]],["Northeastern","Northeastern",[]],["Philadelphia","Philadelphia",[]],["Spelman","Spelman",[]],["Stanford","Stanford",[]],["UCLA","UCLA",[]],["University of Michigan","University of Michigan",[]]]],["AYP","AYP",[["Berkeley","Berkeley",[]],["Davis","Davis",[]],["Illinois","Illinois",[]],["Morehouse","Morehouse",[]],["Northeastern","Northeastern",[]],["University of Michigan","University of Michigan",[]],["Wayne State","Wayne State",[]],["Wharton","Wharton",[]]]],["Rising","Rising",[]],["Persist","Persist",[]],["Admit","Admit",[]],["No Program","No Program",[]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"5002685791","subcategory_id":"helpdesk_ticket_custom_field_cf_internship_202287_5002685791"}); //]]> </script> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_cohort_202287-label " for="helpdesk_ticket_cf_cohort_202287">Year of High School Graduation</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_cohort_202287" name="helpdesk_ticket[custom_field][cf_cohort_202287]"><option value="">...</option> <option value="2022" data-id="5002684299">2022</option> <option value="2023" data-id="5002684300">2023</option> <option value="2024" data-id="5002684301">2024</option> <option value="2025" data-id="5002684302">2025</option> <option value="Other Year" data-id="5002684303">Other Year</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_student_support_categories_202287-label " for="helpdesk_ticket_cf_student_support_categories_202287">Support Category</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_student_support_categories_202287" name="helpdesk_ticket[custom_field][cf_student_support_categories_202287]"><option value="">...</option> <option value="Canvas Support" data-id="5002684304">Canvas Support</option> <option value="Document Completion Difficulties" data-id="5002684305">Document Completion Difficulties</option> <option value="Email Password Reset" data-id="5002684306">Email Password Reset</option> <option value="Incentive Cards" data-id="5002684307">Incentive Cards</option> <option value="Laptop Hardware Issues" data-id="5002684308">Laptop Hardware Issues</option> <option value="Laptop Login Problems" data-id="5002684309">Laptop Login Problems</option> <option value="Laptop Software (Zoom, SLACK)" data-id="5002684310">Laptop Software (Zoom, SLACK)</option> <option value="Toolkits" data-id="5002684311">Toolkits</option> <option value="Other" data-id="5002684312">Other</option> <option value="Covid-19 Requirements" data-id="5002695295">Covid-19 Requirements</option> <option value="Intern Payroll" data-id="5002695967">Intern Payroll</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_full_name_202287-label " for="helpdesk_ticket_cf_full_name_202287">Full Name</label> <div class="controls "> <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_full_name_202287" name="helpdesk_ticket[custom_field][cf_full_name_202287]" placeholder="" size="30" type="text" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_applicant_site_202287-label " for="helpdesk_ticket_cf_applicant_site_202287">Site Applying to</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_applicant_site_202287" name="helpdesk_ticket[custom_field][cf_applicant_site_202287]"><option value="">...</option> <option value="Berkeley" data-id="5002684321">Berkeley</option> <option value="Davis" data-id="5002684322">Davis</option> <option value="Illinois" data-id="5002684324">Illinois</option> <option value="Morehouse" data-id="5002684327">Morehouse</option> <option value="Northeastern" data-id="5002684328">Northeastern</option> <option value="Spelman" data-id="5002691587">Spelman</option> <option value="Stanford" data-id="5002684323">Stanford</option> <option value="Philadelphia" data-id="5002684329">Philadelphia</option> <option value="University of Michigan" data-id="5002684325">University of Michigan</option> <option value="Wayne State" data-id="5002684326">Wayne State</option> <option value="Undecided" data-id="5002684330">Undecided</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_student_applicant_support_categories_202287-label " for="helpdesk_ticket_cf_student_applicant_support_categories_202287">Support Category</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_student_applicant_support_categories_202287" name="helpdesk_ticket[custom_field][cf_student_applicant_support_categories_202287]"><option value="">...</option> <option value="Eligibility Requirements" data-id="5002684331">Eligibility Requirements</option> <option value="SMASH Application" data-id="5002684313">SMASH Application</option> <option value="Program Information" data-id="5002684332">Program Information</option> <option value="Other" data-id="5002684315">Other</option></select> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_program_202287-label " for="helpdesk_ticket_cf_program_202287">Program</label> <div class="controls nested_field "> <select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_program_202287_5002685189" name="helpdesk_ticket[custom_field][cf_program_202287]"><option value="">...</option> <option value="Summer Academy">Summer Academy</option> <option value="AYP">AYP</option> <option value="Rising">Rising</option> <option value="Persist">Persist</option> <option value="Admit">Admit</option> <option value="No Program">No Program</option></select><div class="level_2"><label class="required">Select a site</label><select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_internship_202287_5002685189" name="helpdesk_ticket[custom_field][cf_internship_202287]"><option value="">...</option> </select></div><script type="text/javascript"> //<![CDATA[ jQuery('#helpdesk_ticket_custom_field_cf_program_202287_5002685189').nested_select_tag({"data_tree":[["Summer Academy","Summer Academy",[["Berkeley","Berkeley",[]],["Davis","Davis",[]],["Detroit","Detroit",[]],["Illinois","Illinois",[]],["Morehouse","Morehouse",[]],["Northeastern","Northeastern",[]],["Philadelphia","Philadelphia",[]],["Spelman","Spelman",[]],["Stanford","Stanford",[]],["UCLA","UCLA",[]],["University of Michigan","University of Michigan",[]]]],["AYP","AYP",[["Berkeley","Berkeley",[]],["Davis","Davis",[]],["Illinois","Illinois",[]],["Morehouse","Morehouse",[]],["Northeastern","Northeastern",[]],["University of Michigan","University of Michigan",[]],["Wayne State","Wayne State",[]],["Wharton","Wharton",[]]]],["Rising","Rising",[]],["Persist","Persist",[]],["Admit","Admit",[]],["No Program","No Program",[]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"5002685189","subcategory_id":"helpdesk_ticket_custom_field_cf_internship_202287_5002685189"}); //]]> </script> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_payroll_categories_202287-label " for="helpdesk_ticket_cf_payroll_categories_202287">Support Category</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." id="helpdesk_ticket_custom_field_cf_payroll_categories_202287" name="helpdesk_ticket[custom_field][cf_payroll_categories_202287]"><option value="">...</option> <option value="Timesheet: Hours/Forgot" data-id="5002675215">Timesheet: Hours/Forgot</option> <option value="Timesheet: Correction Needed" data-id="5002675216">Timesheet: Correction Needed</option> <option value="Tax Related" data-id="5002675217">Tax Related</option> <option value="Direct Deposit/Paycheck" data-id="5002675218">Direct Deposit/Paycheck</option> <option value="Canvas Support" data-id="5002684316">Canvas Support</option> <option value="Email Password Reset" data-id="5002684317">Email Password Reset</option> <option value="Platform Issues (GSuite, Zoom, Slack)" data-id="5002684318">Platform Issues (GSuite, Zoom, Slack)</option> <option value="Toolkits" data-id="5002684319">Toolkits</option> <option value="Onboarding" data-id="5002694068">Onboarding</option> <option value="Curriculum Tools (Figma, Hoverlay, Glide, Teachable Machine)" data-id="5002694353">Curriculum Tools (Figma, Hoverlay, Glide, Teachable Machine)</option> <option value="Other" data-id="5002684320">Other</option> <option value="Covid-19 Requirements" data-id="5002695296">Covid-19 Requirements</option></select> </div> </div>
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