1743 lines
115 KiB
HTML
1743 lines
115 KiB
HTML
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<!DOCTYPE html>
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<html lang="en">
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<!-- Mirrored from www.russellcountyva.us/FormCenter/Board-and-Committee-Applications-6/Board-and-Commissions-Application-Form-51 by HTTrack Website Copier/3.x [XR&CO'2014], Mon, 12 Feb 2024 21:26:12 GMT -->
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<title>Form Center • Board and Commissions Application Form</title>
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|
||
var urlToGetHiddenMenus = '/Pages/MenuMain/HiddenMainSubMenus?pageID=1&moduleID=71&themeID=1&menuContainerID=mainNav';
|
||
|
||
menuManager.setupMenu(menuID, 'mainNav', menuType, setupDraggable, urlToGetHiddenMenus);
|
||
menuManager.mainMenuInit = true;
|
||
menuManager.mainMenuTextResizer = false;
|
||
if (0.50 > 0)
|
||
menuManager.mainMenuTextResizerRatio = 0.50;
|
||
if (window.isResponsiveEnabled)
|
||
menuManager.mainMenuReady.resolve();
|
||
|
||
});
|
||
</script>
|
||
|
||
|
||
<aside data-cpRole="megaMenu" id="megaMenu" class="megaMenu" style="display: none;"><input type="hidden" id="megaMenuPopupDirection" value="0"><input type="hidden" id="megaMenuWidthReference" value="0"><aside data-cpRole="contentContainer" id="mainNavMegaMenu27" class="contentTop mainNavMegaMenu megaMenuContainer pageID_27 hidden" data-orientation="horizontal"> <div id="cc88e1f2de-d6eb-48f1-bc3c-f7baa961f4aa" data-containerid="88e1f2de-d6eb-48f1-bc3c-f7baa961f4aa" class="pageContent cpGrid cpGrid24 showInMobile">
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</aside><aside data-cpRole="contentContainer" id="mainNavMegaMenu101" class="contentTop mainNavMegaMenu megaMenuContainer pageID_101 hidden" data-orientation="horizontal"> <div id="cc868bb4b4-65de-44f8-bae1-e60ac87d1c3d" data-containerid="868bb4b4-65de-44f8-bae1-e60ac87d1c3d" class="pageContent cpGrid cpGrid24 showInMobile">
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</aside><aside data-cpRole="contentContainer" id="mainNavMegaMenu31" class="contentTop mainNavMegaMenu megaMenuContainer pageID_31 hidden" data-orientation="horizontal"> <div id="ccef9163e1-9d61-4cea-bd6a-bf8c0ea29617" data-containerid="ef9163e1-9d61-4cea-bd6a-bf8c0ea29617" class="pageContent cpGrid cpGrid24 showInMobile">
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</aside><aside data-cpRole="contentContainer" id="mainNavMegaMenu35" class="contentTop mainNavMegaMenu megaMenuContainer pageID_35 hidden" data-orientation="horizontal"> <div id="cceba6f494-34ff-4562-8eb7-fb0a14b0f70b" data-containerid="eba6f494-34ff-4562-8eb7-fb0a14b0f70b" class="pageContent cpGrid cpGrid24 showInMobile">
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</aside><aside data-cpRole="contentContainer" id="mainNavMegaMenu9" class="contentTop mainNavMegaMenu megaMenuContainer pageID_9 hidden" data-orientation="horizontal"> <div id="cc69e17bd7-2824-4ac8-ad5b-71eff113880b" data-containerid="69e17bd7-2824-4ac8-ad5b-71eff113880b" class="pageContent cpGrid cpGrid24 showInMobile">
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</aside></aside></nav></header></div>
|
||
</div><div data-cpRole="structuralContainer" id="structuralContainer3">
|
||
<div class="siteWrap"><div data-cpRole="structuralContainer" id="structuralContainer4" class="mainWrap" role="main">
|
||
<div data-cpRole="structuralContainer" id="structuralContainer5" class="outerContentWrap">
|
||
<div data-cpRole="structuralContainer" id="structuralContainer6" class="contentWrap">
|
||
<div data-cpRole="breadCrumbs" class="breadCrumbContainer" id="breadCrumbs"> <ol class="semanticList breadCrumbs">
|
||
<li><a class="breadCrumb" href="../../index.html">Home</a></li><li>Form Center</li>
|
||
</ol>
|
||
|
||
|
||
|
||
</div><div data-cpRole="mainContentContainer" id="moduleContent">
|
||
<a id="contentarea"></a>
|
||
<div id="FormCenterContent" class="newCP moduleContentNew">
|
||
<div class="contentMain selfClear">
|
||
<div class="header selfClear">
|
||
<div class="text">
|
||
<h1>Form Center</h1>
|
||
|
||
</div>
|
||
|
||
<div class="search selfClear" id="divMasterSearchContainer">
|
||
<h3>Search Forms:</h3>
|
||
<label class="screenRead" for="inputFCTerm">Search Forms</label>
|
||
<input type="search" id="inputFCTerm" name="term" cp5ph="true" placeholder="Word or Phrase" title = "Search Terms" value="">
|
||
<a href="#categoryList" class="button mega"><span>Select a Category</span></a>
|
||
<input type="image" src="../../Common/Images/SearchButton-2.png" id="inputFCSearch" alt="Search" title="Search">
|
||
<div id="categoryList" class="categoryList" style="display: none;">
|
||
<div>
|
||
|
||
<ol>
|
||
|
||
<li>
|
||
<input type="checkbox" name="categoryFilter" id="categoryFilter_0" value="0" checked>
|
||
<label for="categoryFilter_0">All Categories</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
|
||
</li>
|
||
|
||
<li>
|
||
<input type="checkbox" name="categoryFilter" id="categoryFilter_6" value="6" checked>
|
||
<label for="categoryFilter_6">Board and Committee Applications</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
|
||
</li>
|
||
|
||
</ol>
|
||
|
||
<ol>
|
||
|
||
<li>
|
||
<input type="checkbox" name="categoryFilter" id="categoryFilter_5" value="5" checked>
|
||
<label for="categoryFilter_5">Employment</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
|
||
</li>
|
||
|
||
</ol>
|
||
|
||
<ol>
|
||
|
||
<li>
|
||
<input type="checkbox" name="categoryFilter" id="categoryFilter_7" value="7" checked>
|
||
<label for="categoryFilter_7">Road Condition Report</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
|
||
</li>
|
||
|
||
</ol>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="formLogin" style="border-radius: 5px;border: 1px solid goldenrod;background-color: #FEF7CB;color: #333;margin: 10px 0px -10px; padding: .75em 1em;">
|
||
By <a href="Board-and-Commissions-Application-Form-51.html" class="requireSignIn">signing in or creating an account</a>, some fields will auto-populate with your information.
|
||
</div>
|
||
<form name="aspnetForm" method="post" action="https://www.russellcountyva.us/FormCenter/Board-and-Committee-Applications-6/Board-and-Commissions-Application-Form-51" id="aspnetForm">
|
||
<div>
|
||
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="" />
|
||
</div>
|
||
|
||
|
||
|
||
<link type="text/css" href="../../asset1908.css?id=kgAAAB-LCAAAAAAABABVjTEKhDAURO8ydYj5K1qk9RiLxRIjiCZZzF8RJHf34xZiN_PewBwYYN8HvrDoUmQfGQrjxaIw9otfp1m7FEKK2uUsOsGaop6Dbcr8uT2VvvQKjq_JztXfbFJfhkjXmogaIU7-67aRAMvrz5cTeII6tJIAAAA%3d" rel="stylesheet"/>
|
||
|
||
|
||
|
||
|
||
<input type="hidden" id="submitRedirect" name="submitRedirect" />
|
||
<input type="hidden" id="categoryID" name="categoryID" value="6" />
|
||
<input id="hdnFileUploadWarning" name="hdnFileUploadWarning" type="hidden" value="Any files uploaded to the form will not be saved. Please upload files before you submit the form." />
|
||
<!-- This form tag should never be merged back in V4. This is here just to make facilities work in V5. Vishal -->
|
||
<form name="aspnetForm" method="post">
|
||
<div id="formWrap" class="formWrap">
|
||
<div class="formHeader">
|
||
<h2>Board and Commissions Application Form</h2>
|
||
|
||
<div class="saveProgress">
|
||
<a id="saveFormProgress" role="button" href="Board-and-Commissions-Application-Form-51.html" class="modern-button" style=" right: 0;">
|
||
|
||
<span>Sign in to Save Progress</span>
|
||
|
||
</a>
|
||
</div>
|
||
<input id="hdnSavedProgressMessage" name="hdnSavedProgressMessage" type="hidden" value="Your form progress has been saved." />
|
||
|
||
</div>
|
||
<input id="hdnFormID" name="hdnFormID" type="hidden" value="51" />
|
||
<input id="hdnSavedProgressID" name="hdnSavedProgressID" type="hidden" value="" />
|
||
<div class="formErrors hidden">
|
||
This form has been modified since it was saved. Please review all fields before submitting.
|
||
</div>
|
||
|
||
|
||
<ol class="selfClear cpForm">
|
||
<input id="Item_FormType" name="Item.FormType" type="hidden" value="Regular" />
|
||
<input id="Item_ExternalSubmissionURL" name="Item.ExternalSubmissionURL" type="hidden" value="" />
|
||
<input id="Item_ConfirmationPage" name="Item.ConfirmationPage" type="hidden" value="" />
|
||
<input id="Item_FormID" name="Item.FormID" type="hidden" value="51" />
|
||
<input id="hdnIsCalledFromBackEnd" name="hdnIsCalledFromBackEnd" type="hidden" value="False" />
|
||
<li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer Dropdown " data-external-submission-name="e_1" ><label class="labelForFieldElement" for="e_1" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Select Board, Commission, or Committee applying for:<span class="moduleContentNew">*</span></label><div><input id="h_1" name="fields[0].Key" type="hidden" value="1" /><select aria-describedby="errorMsge_1" id="e_1" name="fields[0].Value" required="true" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"><option value="">-- Select One --</option><option data-price="Appalachian Agency for Senior Citizens" value="Appalachian Agency for Senior Citizens">Appalachian Agency for Senior Citizens</option><option data-price="Appalachian Juvenile Commission" value="Appalachian Juvenile Commission">Appalachian Juvenile Commission</option><option data-price="Chief Local Elected Officials Board" value="Chief Local Elected Officials Board">Chief Local Elected Officials Board</option><option data-price="Coal Hauling Road Commission" value="Coal Hauling Road Commission">Coal Hauling Road Commission</option><option data-price="Community Policy Management Team" value="Community Policy Management Team">Community Policy Management Team</option><option data-price="Cumberland Industrial Facilities Authority" value="Cumberland Industrial Facilities Authority">Cumberland Industrial Facilities Authority</option><option data-price="Cumberland Mountain Community Service Board" value="Cumberland Mountain Community Service Board">Cumberland Mountain Community Service Board</option><option data-price="Cumberland Plateau Economic Development Commission" value="Cumberland Plateau Economic Development Commission">Cumberland Plateau Economic Development Commission</option><option data-price="Cumberland Plateau Regional Housing Authority" value="Cumberland Plateau Regional Housing Authority">Cumberland Plateau Regional Housing Authority</option><option data-price="Dante Community Center Board" value="Dante Community Center Board">Dante Community Center Board</option><option data-price="Department of Social Services Board" value="Department of Social Services Board">Department of Social Services Board</option><option data-price="Drill Community Center Board" value="Drill Community Center Board">Drill Community Center Board</option><option data-price="Finney Community Center Board" value="Finney Community Center Board">Finney Community Center Board</option><option data-price="Heart of Appalachia Tourism Development Authority" value="Heart of Appalachia Tourism Development Authority">Heart of Appalachia Tourism Development Authority</option><option data-price="Industrial Development Authority" value="Industrial Development Authority">Industrial Development Authority</option><option data-price="Oak Grove Community Center" value="Oak Grove Community Center">Oak Grove Community Center</option><option data-price="People Inc. Board of Directors" value="People Inc. Board of Directors">People Inc. Board of Directors</option><option data-price="People Inc. Financial Board" value="People Inc. Financial Board">People Inc. Financial Board</option><option data-price="Russell County Library Board" value="Russell County Library Board">Russell County Library Board</option><option data-price="Russell County Planning Commission" value="Russell County Planning Commission">Russell County Planning Commission</option><option data-price="Russell County Public Service Authority" value="Russell County Public Service Authority">Russell County Public Service Authority</option><option data-price="Russell County Tourism Advisory Committee" value="Russell County Tourism Advisory Committee">Russell County Tourism Advisory Committee</option><option data-price="Southwest Community College Advisory Board" value="Southwest Community College Advisory Board">Southwest Community College Advisory Board</option><option data-price="Southwest Virginia Community Corrections" value="Southwest Virginia Community Corrections">Southwest Virginia Community Corrections</option><option data-price="Southwest Virginia EMS Council" value="Southwest Virginia EMS Council">Southwest Virginia EMS Council</option><option data-price="Southwest Virginia Health Authority" value="Southwest Virginia Health Authority">Southwest Virginia Health Authority</option><option data-price="Southwest Virginia Regional Jail" value="Southwest Virginia Regional Jail">Southwest Virginia Regional Jail</option><option data-price="Spearhead Trails" value="Spearhead Trails">Spearhead Trails</option><option data-price="Spearhead Trails - Trailblazers" value="Spearhead Trails - Trailblazers">Spearhead Trails - Trailblazers</option><option data-price="Upper Tennessee River Roundtable" value="Upper Tennessee River Roundtable">Upper Tennessee River Roundtable</option></select><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_2" ><label class="labelForFieldElement" for="e_2" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Name:*<span class="moduleContentNew">*</span></label><div><input id="h_2" name="fields[1].Key" type="hidden" value="2" /><textarea aria-describedby="errorMsge_2" class="textarea" id="e_2" name="fields[1].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_3" ><label class="labelForFieldElement" for="e_3" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Street Address:*<span class="moduleContentNew">*</span></label><div><input id="h_3" name="fields[2].Key" type="hidden" value="3" /><textarea aria-describedby="errorMsge_3" class="textarea" id="e_3" name="fields[2].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_4" ><label class="labelForFieldElement" for="e_4" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Town:*<span class="moduleContentNew">*</span></label><div><input id="h_4" name="fields[3].Key" type="hidden" value="4" /><textarea aria-describedby="errorMsge_4" class="textarea" id="e_4" name="fields[3].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="half left formFieldContainer ShortAnswer " data-external-submission-name="e_5" ><label class="labelForFieldElement" for="e_5" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Zip:*<span class="moduleContentNew">*</span></label><div><input id="h_5" name="fields[4].Key" type="hidden" value="5" /><input aria-describedby="errorMsge_5" id="e_5" name="fields[4].Value" required="true" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal" type="text" value="" /><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_6" ><label class="labelForFieldElement" for="e_6" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Phone Number:*<span class="moduleContentNew">*</span></label><div><input id="h_6" name="fields[5].Key" type="hidden" value="6" /><textarea aria-describedby="errorMsge_6" class="textarea" id="e_6" name="fields[5].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_7" ><label class="labelForFieldElement" for="e_7" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Email Address:*<span class="moduleContentNew">*</span></label><div><input id="h_7" name="fields[6].Key" type="hidden" value="7" /><textarea aria-describedby="errorMsge_7" class="textarea" id="e_7" name="fields[6].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_12" ><label class="labelForFieldElement" for="e_12" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Occupation:*<span class="moduleContentNew">*</span></label><div><input id="h_12" name="fields[7].Key" type="hidden" value="12" /><textarea aria-describedby="errorMsge_12" class="textarea" id="e_12" name="fields[7].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_10" ><label class="labelForFieldElement" for="e_10" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Business Name and Address:*<span class="moduleContentNew">*</span></label><div><input id="h_10" name="fields[8].Key" type="hidden" value="10" /><textarea aria-describedby="errorMsge_10" class="textarea" id="e_10" name="fields[8].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_11" ><label class="labelForFieldElement" for="e_11" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Business Phone Number:*<span class="moduleContentNew">*</span></label><div><input id="h_11" name="fields[9].Key" type="hidden" value="11" /><textarea aria-describedby="errorMsge_11" class="textarea" id="e_11" name="fields[9].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_13" ><label class="labelForFieldElement" for="e_13" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Length of Residency in Russell County:*<span class="moduleContentNew">*</span></label><div><input id="h_13" name="fields[10].Key" type="hidden" value="13" /><textarea aria-describedby="errorMsge_13" class="textarea" id="e_13" name="fields[10].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="half left formFieldContainer Dropdown " data-external-submission-name="e_14" ><label class="labelForFieldElement" for="e_14" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Are you a registered voter:*<span class="moduleContentNew">*</span></label><div><input id="h_14" name="fields[11].Key" type="hidden" value="14" /><select aria-describedby="errorMsge_14" id="e_14" name="fields[11].Value" required="true" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"><option value="">-- Select One --</option><option data-price="Yes" value="Yes">Yes</option><option data-price="No" value="No">No</option></select><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="fourth left formFieldContainer HeaderInstructions " data-external-submission-name="e_15" ><span class="label" for="e_15" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Education</span><div><input id="h_15" name="fields[12].Key" type="hidden" value="15" /><textarea aria-hidden="true" id="e_15" name="fields[12].Value" style="display: none;"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_16" ><label class="labelForFieldElement" for="e_16" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">High School:*<span class="moduleContentNew">*</span></label><div><input id="h_16" name="fields[13].Key" type="hidden" value="16" /><textarea aria-describedby="errorMsge_16" class="textarea" id="e_16" name="fields[13].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_17" ><label class="labelForFieldElement" for="e_17" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">College (If Applicable):</label><div><input id="h_17" name="fields[14].Key" type="hidden" value="17" /><textarea aria-describedby="errorMsge_17" class="textarea" id="e_17" name="fields[14].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_18" ><label class="labelForFieldElement" for="e_18" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Trade or Business School:</label><div><input id="h_18" name="fields[15].Key" type="hidden" value="18" /><textarea aria-describedby="errorMsge_18" class="textarea" id="e_18" name="fields[15].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="fourth left formFieldContainer HeaderInstructions " data-external-submission-name="e_19" ><span class="label" for="e_19" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Civic Activities</span><div><input id="h_19" name="fields[16].Key" type="hidden" value="19" /><textarea aria-hidden="true" id="e_19" name="fields[16].Value" style="display: none;"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_20" ><label class="labelForFieldElement" for="e_20" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Please list organization memberships and positions held:</label><div><input id="h_20" name="fields[17].Key" type="hidden" value="20" /><textarea aria-describedby="errorMsge_20" class="textarea" id="e_20" name="fields[17].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer Dropdown " data-external-submission-name="e_21" ><label class="labelForFieldElement" for="e_21" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Are you currently serving on other Russell County Boards, Commissions, or Committees?<span class="moduleContentNew">*</span></label><div><input id="h_21" name="fields[18].Key" type="hidden" value="21" /><select aria-describedby="errorMsge_21" id="e_21" name="fields[18].Value" required="true" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"><option value="">-- Select One --</option><option data-price="Yes" value="Yes">Yes</option><option data-price="No" value="No">No</option></select><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_22" ><label class="labelForFieldElement" for="e_22" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">If yes, which:</label><div><input id="h_22" name="fields[19].Key" type="hidden" value="22" /><textarea aria-describedby="errorMsge_22" class="textarea" id="e_22" name="fields[19].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer Dropdown " data-external-submission-name="e_24" ><label class="labelForFieldElement" for="e_24" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Have you served on a Board, Commission, or Committee before?<span class="moduleContentNew">*</span></label><div><input id="h_24" name="fields[20].Key" type="hidden" value="24" /><select aria-describedby="errorMsge_24" id="e_24" name="fields[20].Value" required="true" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"><option value="">-- Select One --</option><option data-price="Yes" value="Yes">Yes</option><option data-price="No" value="No">No</option></select><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_25" ><label class="labelForFieldElement" for="e_25" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">If yes, which:</label><div><input id="h_25" name="fields[21].Key" type="hidden" value="25" /><textarea aria-describedby="errorMsge_25" class="textarea" id="e_25" name="fields[21].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer Dropdown " data-external-submission-name="e_26" ><label class="labelForFieldElement" for="e_26" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Do you have a valid Virginia driver's license?*<span class="moduleContentNew">*</span></label><div><input id="h_26" name="fields[22].Key" type="hidden" value="26" /><select aria-describedby="errorMsge_26" id="e_26" name="fields[22].Value" required="true" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"><option value="">-- Select One --</option><option data-price="Yes" value="Yes">Yes</option><option data-price="No" value="No">No</option></select><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_27" ><label class="labelForFieldElement" for="e_27" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">If no, please explain:</label><div><input id="h_27" name="fields[23].Key" type="hidden" value="27" /><textarea aria-describedby="errorMsge_27" class="textarea" id="e_27" name="fields[23].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer Dropdown " data-external-submission-name="e_28" ><label class="labelForFieldElement" for="e_28" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Are your accounts current with the County (Taxes, Utilities, etc.?)*<span class="moduleContentNew">*</span></label><div><input id="h_28" name="fields[24].Key" type="hidden" value="28" /><select aria-describedby="errorMsge_28" id="e_28" name="fields[24].Value" required="true" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"><option value="">-- Select One --</option><option data-price="Yes" value="Yes">Yes</option><option data-price="No" value="No">No</option></select><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_29" ><label class="labelForFieldElement" for="e_29" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">If no, please explain:</label><div><input id="h_29" name="fields[25].Key" type="hidden" value="29" /><textarea aria-describedby="errorMsge_29" class="textarea" id="e_29" name="fields[25].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="fourth left formFieldContainer HeaderInstructions " data-external-submission-name="e_30" ><span class="label" for="e_30" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">References</span><div><input id="h_30" name="fields[26].Key" type="hidden" value="30" /><textarea aria-hidden="true" id="e_30" name="fields[26].Value" style="display: none;"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="twoThirds left formFieldContainer HeaderInstructions " data-external-submission-name="e_32" ><span class="label" for="e_32" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Persons who are not relatives. List name, address and phone number(s).</span><div><input id="h_32" name="fields[27].Key" type="hidden" value="32" /><textarea aria-hidden="true" id="e_32" name="fields[27].Value" style="display: none;"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_33" ><label class="labelForFieldElement" for="e_33" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">1.*<span class="moduleContentNew">*</span></label><div><input id="h_33" name="fields[28].Key" type="hidden" value="33" /><textarea aria-describedby="errorMsge_33" class="textarea" id="e_33" name="fields[28].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_34" ><label class="labelForFieldElement" for="e_34" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">2.*<span class="moduleContentNew">*</span></label><div><input id="h_34" name="fields[29].Key" type="hidden" value="34" /><textarea aria-describedby="errorMsge_34" class="textarea" id="e_34" name="fields[29].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_35" ><label class="labelForFieldElement" for="e_35" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">3.*<span class="moduleContentNew">*</span></label><div><input id="h_35" name="fields[30].Key" type="hidden" value="35" /><textarea aria-describedby="errorMsge_35" class="textarea" id="e_35" name="fields[30].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_36" ><label class="labelForFieldElement" for="e_36" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Additional Information (Time available, interests, unique qualifications, etc.)</label><div><input id="h_36" name="fields[31].Key" type="hidden" value="36" /><textarea aria-describedby="errorMsge_36" class="textarea" id="e_36" name="fields[31].Value" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="half left formFieldContainer HeaderInstructions " data-external-submission-name="e_37" ><span class="label" for="e_37" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">Criminal Record and Child Protective Service Information</span><div><input id="h_37" name="fields[32].Key" type="hidden" value="37" /><textarea aria-hidden="true" id="e_37" name="fields[32].Value" style="display: none;"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer HeaderInstructions " data-external-submission-name="e_38" ><span class="label" for="e_38" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">(Provide information regarding the nature of the convictions and approximate date(s) of "Yes" answers.)</span><div><input id="h_38" name="fields[33].Key" type="hidden" value="38" /><textarea aria-hidden="true" id="e_38" name="fields[33].Value" style="display: none;"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_39" ><label class="labelForFieldElement" for="e_39" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">1. Except for minor traffic violations, have you been convicted of any violation of law?*<span class="moduleContentNew">*</span></label><div><input id="h_39" name="fields[34].Key" type="hidden" value="39" /><textarea aria-describedby="errorMsge_39" class="textarea" id="e_39" name="fields[34].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_40" ><label class="labelForFieldElement" for="e_40" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">2. Have you ever been convicted of a felony?*<span class="moduleContentNew">*</span></label><div><input id="h_40" name="fields[35].Key" type="hidden" value="40" /><textarea aria-describedby="errorMsge_40" class="textarea" id="e_40" name="fields[35].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_41" ><label class="labelForFieldElement" for="e_41" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">3. Have you ever been convicted of a misdemeanor involving moral turpitude (any offense involving lying, stealing, or cheating) since your 18th birthday?<span class="moduleContentNew">*</span></label><div><input id="h_41" name="fields[36].Key" type="hidden" value="41" /><textarea aria-describedby="errorMsge_41" class="textarea" id="e_41" name="fields[36].Value" required="true" rows="2" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer LongAnswer " data-external-submission-name="e_42" ><label class="labelForFieldElement" for="e_42" style="font-family:Arial;font-size:10pt;color:#215486;font-weight:bold">4. 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IF YOU DO NOT WISH TO SUBMIT AN ELECTORNIC SIGNATURE, PLEASE USE THE CANCEL BUTTON TO EXIT THE APPLICATION.</span><div><input id="h_44" name="fields[39].Key" type="hidden" value="44" /><textarea aria-hidden="true" id="e_44" name="fields[39].Value" style="display: none;"></textarea><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></div></div></li><li class="IePrintFormCenterField"></li><li class="whole left Checkboxes formFieldContainer " data-external-submission-name="e_2" ><fieldset><legend style="font-family:Arial;font-size:10pt;color:#54241C;font-weight:bold">Electronic Signature Agreement<span class="moduleContentNew">*</span></legend><input id="h_45" name="fields[40].Key" type="hidden" value="45"></input><input id="e_45" name="fields[40].Value" type="hidden"></input><div class="fr-view tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"><p fr-original-style="" style="margin: 0px 0px 1.4em; box-sizing: inherit; border: 0px none; font-style: normal; font-weight: 400; font-family: Arial; color: rgb(57, 62, 67);">By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.</p></div><div class="selfClear"><ol class="whole left"><li><input aria-describedby="errorMsge_45_0" id="e_45_0" name="e_45" required="true" type="checkbox" value="I agree."></input><label for="e_45_0" style="font-family:Arial;font-size:10pt;font-weight:normal">I agree.</label><empty></empty></li></ol></div></fieldset></li><li class="IePrintFormCenterField"></li><li class="twoThirds left formFieldContainer ShortAnswer " data-external-submission-name="e_3" ><label class="labelForFieldElement" for="e_46" style="font-family:Arial;font-size:10pt;color:#54241C;font-weight:bold">Electronic Signature<span class="moduleContentNew">*</span></label><div><input id="h_46" name="fields[41].Key" type="hidden" value="46" /><input aria-describedby="errorMsge_46" cp5ph="true" id="e_46" name="fields[41].Value" placeholder="First M. 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Le<!--15a�-->ave T<!--his-->his Bla<!--3fa-->nk: <input name="e_empty1" type="text" value="" aria-hidden="true">
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||
<input type="checkbox" id="wantCopy" name="wantCopy" value="True" checked>
|
||
<label for="wantCopy">Receive an email copy of this form.</label>
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<script type="text/javascript">function getFormConditionData(validators){return[{elemInput:'e_1',id:1,fieldType:5,isInternal:false,condList:[]},{elemInput:'e_2',id:2,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_3',id:3,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_4',id:4,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_5',id:5,fieldType:1,isInternal:false,condList:[]},{elemInput:'e_6',id:6,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_7',id:7,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_12',id:12,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_10',id:10,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_11',id:11,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_13',id:13,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_14',id:14,fieldType:5,isInternal:false,condList:[]},{elemInput:'e_15',id:15,fieldType:8,isInternal:false,condList:[]},{elemInput:'e_16',id:16,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_17',id:17,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_18',id:18,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_19',id:19,fieldType:8,isInternal:false,condList:[]},{elemInput:'e_20',id:20,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_21',id:21,fieldType:5,isInternal:false,condList:[]},{elemInput:'e_22',id:22,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_24',id:24,fieldType:5,isInternal:false,condList:[]},{elemInput:'e_25',id:25,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_26',id:26,fieldType:5,isInternal:false,condList:[]},{elemInput:'e_27',id:27,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_28',id:28,fieldType:5,isInternal:false,condList:[]},{elemInput:'e_29',id:29,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_30',id:30,fieldType:8,isInternal:false,condList:[]},{elemInput:'e_32',id:32,fieldType:8,isInternal:false,condList:[]},{elemInput:'e_33',id:33,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_34',id:34,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_35',id:35,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_36',id:36,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_37',id:37,fieldType:8,isInternal:false,condList:[]},{elemInput:'e_38',id:38,fieldType:8,isInternal:false,condList:[]},{elemInput:'e_39',id:39,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_40',id:40,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_41',id:41,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_42',id:42,fieldType:2,isInternal:false,condList:[]},{elemInput:'e_43',id:43,fieldType:5,isInternal:false,condList:[]},{elemInput:'e_44',id:44,fieldType:8,isInternal:false,condList:[]},{elemInput:['e_45_0'],id:45,fieldType:3,isInternal:false,condList:[]},{elemInput:'e_46',id:46,fieldType:1,isInternal:false,condList:[]}];};</script>
|
||
|
||
|
||
|
||
|
||
|
||
<script type="text/javascript" src="../../Assets/Scripts/Store.js"></script>
|
||
<script type="text/javascript">
|
||
$(document).ready(function () {
|
||
initForm();
|
||
var externalIntegration = new ExternalIntegration('externalIntegration');
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||
externalIntegration.initialize();
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||
FormCenterHomeJS.submissionURL = '../Item9fbe.html?formID=51';
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||
});
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||
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||
function maxLength(field, maxChars) {
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|
||
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||
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||
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||
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||
function maxLengthPaste(field, maxChars) {
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||
var copyText = field.value + window.clipboardData.getData("Text");
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||
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if ((copyText.length) > maxChars) {
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||
return false;
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||
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|
||
event.returnValue = true;
|
||
}
|
||
|
||
</script>
|
||
|
||
</form>
|
||
</div>
|
||
</div>
|
||
|
||
|
||
<div class="newCP">
|
||
|
||
</div>
|
||
</div>
|
||
</div><aside data-cpRole="contentContainer" id="featureColumn" class="secondaryContent"> <div id="ccd6923f64-2522-4bce-8783-61ad1b416b69" data-containerid="d6923f64-2522-4bce-8783-61ad1b416b69" class="pageContent cpGrid cpGrid24 showInMobile" data-contentcontainerbreakpoint="40">
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</aside>
|
||
</div><div data-cpRole="structuralContainer" id="structuralContainer7" class="siteSidebar">
|
||
<div data-cpRole="structuralContainer" id="structuralContainer8">
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<aside data-cpRole="contentContainer" id="contentContainer2"> <div id="cc2d4efe34-b6d1-4011-8364-8c965bcf7d03" data-containerid="2d4efe34-b6d1-4011-8364-8c965bcf7d03" class="pageContent cpGrid cpGrid24 showInMobile">
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</aside><nav data-cpRole="nav" id="secondaryNav" class="siteNav secondaryNav">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<script type="text/javascript">
|
||
$(document).ready(function () {
|
||
//setup menu manager properties for secondary menu
|
||
menuManager.isSideMenuEditable = false;
|
||
menuManager.sideMenuMaxSubMenuLevels = 4;
|
||
menuManager.sideMenuHasCustomLinks = true;
|
||
});
|
||
</script>
|
||
<script type="text/javascript">
|
||
$(document).ready(function () {
|
||
//Init secondary menu
|
||
var setupDraggable = menuManager.isSideMenuEditable;
|
||
var urlToGetHiddenMenus = '/Pages/MenuSecondary/HiddenSecondarySubMenus?pageID=1&moduleID=71&themeID=1&menuContainerID=secondaryNav';
|
||
var menuID = 'secondaryMenusecondaryNav';
|
||
menuManager.setMOMMode(2, SIDE_MENU);
|
||
menuManager.setupMenu(menuID, 'secondaryNav', SIDE_MENU, setupDraggable, urlToGetHiddenMenus);
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||
});
|
||
</script>
|
||
|
||
|
||
|
||
|
||
</nav>
|
||
</div><aside data-cpRole="contentContainer" id="contentContainer3"> <div id="cc17fc1b17-a660-41d3-b47a-b7691b8b110a" data-containerid="17fc1b17-a660-41d3-b47a-b7691b8b110a" class="pageContent cpGrid cpGrid24 isLockedContainer showInMobile" data-contentcontainerbreakpoint="40">
|
||
|
||
|
||
<div class="row outer wide"><!--
|
||
--><div class="outer col col24 first last" style="" data-widgetcontainerid="d3c17661-ad37-4354-8a7d-169faa8fb16a">
|
||
|
||
<div class="row nest first last wide">
|
||
|
||
|
||
<div class="inner col col24 first last id4a271e60-cdd8-4435-ad82-023328d9fbe7" style="" data-widgetcontainerid="4a271e60-cdd8-4435-ad82-023328d9fbe7">
|
||
|
||
<div data-widget-id="059bf834-a651-45f1-9534-49ecb038a760" data-widget-controller-path="/GraphicLinks/Widget">
|
||
|
||
|
||
|
||
|
||
<div id="graphicLinkWidget059bf834-a651-45f1-9534-49ecb038a760" class="widget widgetGraphicLinks skin45 widgetOptionSet4 wide" data-elementqueryclasses='{"wide-narrow":"min-width:25em"}' data-elementquerymatch='matchMultiColumn' data-elementqueryunmatch='unmatchMultiColumn' data-modulewidgettype="graphicLinks">
|
||
<div class="widgetHeader">
|
||
<div class="">
|
||
</div>
|
||
</div>
|
||
<div class="widgetBody cpGrid cpGrid1 ">
|
||
<div class="semanticList"><!--
|
||
--><div class="widgetItem GraphicLinks">
|
||
|
||
<div>
|
||
<a href="../../259/Russell-County-VDOT-Repair-Request.html" target="_blank" class="fancyButton fancyButton39 " aria-label="Road Condition Reporting Opens in new window">
|
||
<span>
|
||
<span><span class="text">Road Condition Reporting<br></span></span>
|
||
</span>
|
||
</a>
|
||
</div>
|
||
<style scoped="scoped">.fancyButton39.fancyButton:link,.fancyButton39.fancyButton:visited, .fancyButton39div.fancyButton{
|
||
background-color: rgb(114, 146, 6);
|
||
padding-left: 1em;
|
||
background: -webkit-gradient(linear, 0% 0%, 0% 100%, from(rgb(114, 146, 6)), to(rgb(114, 146, 6)));
|
||
background: -webkit-linear-gradient(top, rgb(114, 146, 6), rgb(114, 146, 6));
|
||
background: -moz-linear-gradient(top, rgb(114, 146, 6), rgb(114, 146, 6) );
|
||
background: -ms-linear-gradient(top, rgb(114, 146, 6), rgb(114, 146, 6) );
|
||
background: -o-linear-gradient(top, rgb(114, 146, 6), rgb(114, 146, 6));
|
||
filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='rgb(114, 146, 6)', endColorstr='rgb(114, 146, 6)');
|
||
-ms-filter: "progid:DXImageTransform.Microsoft.gradient(startColorstr='rgb(114, 146, 6)', endColorstr='rgb(114, 146, 6)')";
|
||
background-repeat: no-repeat;
|
||
background-position: left top;
|
||
border-top: 1px solid rgb(114, 146, 6);
|
||
border-left: 1px solid rgb(114, 146, 6);
|
||
border-right: 1px solid rgb(114, 146, 6);
|
||
border-bottom: 1px solid rgb(114, 146, 6);
|
||
}
|
||
.fancyButton39.fancyButton:hover,.fancyButton39.fancyButton:focus,.fancyButton39.fancyButton:active,.fancyButton39.fancyButton.hover{
|
||
background: -webkit-gradient(linear, 0% 0%, 0% 100%, from(#064892), to(#142f6b));
|
||
background: -webkit-linear-gradient(top, #064892, #142f6b);
|
||
background: -moz-linear-gradient(top, #064892, #142f6b );
|
||
background: -ms-linear-gradient(top, #064892, #142f6b );
|
||
background: -o-linear-gradient(top, #064892, #142f6b);
|
||
filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#142f6b', endColorstr='#064892');
|
||
-ms-filter: "progid:DXImageTransform.Microsoft.gradient(startColorstr='#142f6b', endColorstr='#064892')";
|
||
background-repeat: no-repeat;
|
||
background-position: left top;
|
||
border-top: 1px solid #404aab;
|
||
border-left: 1px solid #404aab;
|
||
border-right: 1px solid #404aab;
|
||
border-bottom: 1px solid #404aab;
|
||
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|
||
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|
||
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|
||
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|
||
}
|
||
.fancyButton39.fancyButton .text{
|
||
color: #e8f1ff;
|
||
font-size: 1.1em;
|
||
font-family: "Noto Sans";
|
||
text-align: left;
|
||
padding-top: 0.8em;
|
||
padding-bottom: 0.8em;
|
||
padding-right: 0.8em;
|
||
padding-left: 3em;
|
||
font-style: normal;
|
||
text-decoration: none;
|
||
background-color: rgb(114, 146, 6);
|
||
padding-top: 0.8em;
|
||
padding-bottom: 0.8em;
|
||
padding-right: 0.8em;
|
||
padding-left: 3em;
|
||
background-image: url('../../ImageRepository/Document2c5b.png?documentID=51');
|
||
background-repeat: no-repeat;
|
||
background-position: left center;
|
||
|
||
|
||
}
|
||
.fancyButton39.fancyButton:hover .text,.fancyButton39.fancyButton:focus .text,.fancyButton39.fancyButton:active .text,.fancyButton39.fancyButton.hover .text{
|
||
text-decoration: none;
|
||
background-repeat: no-repeat;
|
||
background-position: left center;
|
||
|
||
|
||
}
|
||
.fancyButton39.fancyButton .textStyle1{
|
||
color: rgb(232, 241, 255);
|
||
font-size: 1.1em;
|
||
font-style: normal;
|
||
text-decoration: none;
|
||
|
||
}
|
||
.fancyButton39.fancyButton:hover .textStyle1, .fancyButton39.fancyButton.hover .textStyle1{
|
||
text-decoration: none;
|
||
|
||
}
|
||
.fancyButton39.fancyButton .textStyle2{
|
||
color: rgb(232, 241, 255);
|
||
font-size: 1.1em;
|
||
font-style: normal;
|
||
text-decoration: none;
|
||
|
||
}
|
||
.fancyButton39.fancyButton:hover .textStyle2, .fancyButton39.fancyButton.hover .textStyle2{
|
||
text-decoration: none;
|
||
|
||
}
|
||
</style>
|
||
|
||
</div><!--
|
||
--><div class="widgetItem GraphicLinks">
|
||
|
||
<div>
|
||
<a href="../../agendacenter-2.html" target="_self" class="fancyButton fancyButton35 " >
|
||
<span>
|
||
<span><span class="text">Agendas and Minutes</span></span>
|
||
</span>
|
||
</a>
|
||
</div>
|
||
<style scoped="scoped">.fancyButton35.fancyButton:link,.fancyButton35.fancyButton:visited, .fancyButton35div.fancyButton{
|
||
padding-left: 1em;
|
||
background: -webkit-gradient(linear, 0% 0%, 0% 100%, from(#729206), to(#4e6405));
|
||
background: -webkit-linear-gradient(top, #729206, #4e6405);
|
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background: -moz-linear-gradient(top, #729206, #4e6405 );
|
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background: -ms-linear-gradient(top, #729206, #4e6405 );
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background: -o-linear-gradient(top, #729206, #4e6405);
|
||
filter: progid:DXImageTransform.Microsoft.gradient(startColorstr=#4e6405, endColorstr=#729206);
|
||
-ms-filter: "progid:DXImageTransform.Microsoft.gradient(startColorstr=#4e6405, endColorstr=#729206)";
|
||
background-repeat: no-repeat;
|
||
background-position: left top;
|
||
border-top: 1px solid #627e06;
|
||
border-left: 1px solid #627e06;
|
||
border-right: 1px solid #627e06;
|
||
border-bottom: 1px solid #627e06;
|
||
}
|
||
.fancyButton35.fancyButton:hover,.fancyButton35.fancyButton:focus,.fancyButton35.fancyButton:active,.fancyButton35.fancyButton.hover{
|
||
background: -webkit-gradient(linear, 0% 0%, 0% 100%, from(#064892), to(#142f6b));
|
||
background: -webkit-linear-gradient(top, #064892, #142f6b);
|
||
background: -moz-linear-gradient(top, #064892, #142f6b );
|
||
background: -ms-linear-gradient(top, #064892, #142f6b );
|
||
background: -o-linear-gradient(top, #064892, #142f6b);
|
||
filter: progid:DXImageTransform.Microsoft.gradient(startColorstr=#142f6b, endColorstr=#064892);
|
||
-ms-filter: "progid:DXImageTransform.Microsoft.gradient(startColorstr=#142f6b, endColorstr=#064892)";
|
||
background-repeat: no-repeat;
|
||
background-position: left top;
|
||
border-top: 1px solid #404aab;
|
||
border-left: 1px solid #404aab;
|
||
border-right: 1px solid #404aab;
|
||
border-bottom: 1px solid #404aab;
|
||
}
|
||
.fancyButton35.fancyButton:link > span,.fancyButton35.fancyButton:visited > span, .fancyButton35div.fancyButton > span{
|
||
}
|
||
.fancyButton35.fancyButton:hover > span,.fancyButton35.fancyButton:focus > span,.fancyButton35.fancyButton:active > span,.fancyButton35.fancyButton.hover > span{
|
||
}
|
||
.fancyButton35.fancyButton .text{
|
||
color: #e8f1ff;
|
||
font-size: 1.1em;
|
||
font-family: "Noto Sans";
|
||
text-align: left;
|
||
padding-top: 0.8em;
|
||
padding-bottom: 0.8em;
|
||
padding-right: 0.8em;
|
||
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|
||
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|
||
text-decoration: none;
|
||
padding-top: 0.8em;
|
||
padding-bottom: 0.8em;
|
||
padding-right: 0.8em;
|
||
padding-left: 3em;
|
||
background-image: url(../../ImageRepository/Document32c7.png?documentID=50);
|
||
background-repeat: no-repeat;
|
||
background-position: left center;
|
||
|
||
|
||
}
|
||
.fancyButton35.fancyButton:hover .text,.fancyButton35.fancyButton:focus .text,.fancyButton35.fancyButton:active .text,.fancyButton35.fancyButton.hover .text{
|
||
text-decoration: none;
|
||
background-repeat: no-repeat;
|
||
background-position: left center;
|
||
|
||
|
||
}
|
||
.fancyButton35.fancyButton .textStyle1{
|
||
color: #e8f1ff;
|
||
font-size: 1.1em;
|
||
font-style: normal;
|
||
text-decoration: none;
|
||
|
||
}
|
||
.fancyButton35.fancyButton:hover .textStyle1, .fancyButton35.fancyButton.hover .textStyle1{
|
||
text-decoration: none;
|
||
|
||
}
|
||
</style>
|
||
|
||
</div><!--
|
||
--><div class="widgetItem GraphicLinks">
|
||
|
||
<div>
|
||
<a href="https://secure.webfeepay.com/" target="_self" class="fancyButton fancyButton40 " >
|
||
<span>
|
||
<span><span class="text">Online Bill Pay</span></span>
|
||
</span>
|
||
</a>
|
||
</div>
|
||
<style scoped="scoped">.fancyButton40.fancyButton:link,.fancyButton40.fancyButton:visited, .fancyButton40div.fancyButton{
|
||
padding-left: 1em;
|
||
background: -webkit-gradient(linear, 0% 0%, 0% 100%, from(#729206), to(#4e6405));
|
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<div style="text-align: center;"><a title="The Seal of the County of Russell, Virginia" class="Hyperlink" href="../../index.html" target="_self"><img title="The Seal of the County of Russell, Virginia" alt="The Seal of the County of Russell, Virginia" src="../../ImageRepository/Documentee75.png?documentID=54"></a><br></div>
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<div style="text-align: center;"><span><br>137 Highland Drive | Lebanon, VA, 24266 | Phone: 276-889-8000 | Fax: 276-889-8011</span></div><div style="text-align: center;"><br></div><div style="text-align: center;"><a class="Hyperlink" href="../../index.html" target="_self">Home</a> | <a class="Hyperlink" href="../../accessibility.html" target="_self">Accessibility</a> | <a class="Hyperlink" href="../../sitemap-2.html" target="_self">Site Map</a> | <a class="Hyperlink" href="../../directory.html" target="_self">Contact Us</a> | <a class="Hyperlink" href="../../site/copyright.html" target="_self">Copyright</a></div><a title="Government Websites by CivicPlus" class="Hyperlink" href="http://www.civicplus.com/" target="_blank"></a>
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