Apply - Dennene's Preschool Inc.

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{"contact_email":"dennenespreschool@gmail.com, p46consulting@gmail.com","showCustomForm":"on","custom_form_html":"<div class=\"custom-form-steps\" data-total-steps=\"1\"><div class=\"custom-form-step step-1\" data-step=\"1\"><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3>Group Tutoring Request Form<\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1767368541362\">Name of Requester<\/label><span>*<\/span><input type=\"text\"  name=\"text-1767368541362\" placeholder=\"Name of Requester\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"datePicker\"><div class=\"form-group\"><label for=\"datePicker-1767368549277\">Date<\/label><div class=\"input-group f-b-date-timePicker\"><div data-related-id=\"datePicker-1767368549277\" class=\"fake-input form-control date-time-picker\" data-date-format=\"m\/d\/Y\"><span class=\"s123-calendar-handler-placeholder\">Date<\/span><\/div><input type=\"hidden\" data-id=\"datePicker-1767368549277\" name=\"datePicker-1767368549277\" value=\"\"><span class=\"input-group-addon f-b-date-timePicker-icon s123-calendar-handler-icon\"><i class=\"svg-m s123-icon-converter \" data-icon-name=\"calendar\" style=\" mask: url('https:\/\/images.cdn-files-a.com\/ready_uploads\/svg\/calendar.svg?v=3'); -webkit-mask: url('https:\/\/images.cdn-files-a.com\/ready_uploads\/svg\/calendar.svg?v=3');\" data-ie11-classes=\"\" alt=\"calendar\"> <\/i><\/span><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1767370288364\">Phone#<\/label><span>*<\/span><input type=\"text\"  name=\"text-1767370288364\" placeholder=\"Phone#\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"email\"><div class=\"form-group\"><label for=\"email-1767368551227\">Email<\/label><span>*<\/span><input type=\"email\"  name=\"email-1767368551227\" placeholder=\"Email\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"radio-group\"><div class=\"form-group\"><label for=\"radio-group-1767369681612\">Grade Level<\/label><div class=\"\"><input type=\"radio\" id=\"radio-group-1767369681612-0\"  value=\"Kindergarten\" name=\"radio-group-1767369681612[]\" class=\"\" required data-msg-required=\"This field is required.\"> <label for=\"radio-group-1767369681612-0\" class=\"radio-label\">Kindergarten<\/label><br><input type=\"radio\" id=\"radio-group-1767369681612-1\"  value=\"1st Grade\" name=\"radio-group-1767369681612[]\" class=\"\" required data-msg-required=\"This field is required.\"> <label for=\"radio-group-1767369681612-1\" class=\"radio-label\">1st Grade<\/label><br><input type=\"radio\" id=\"radio-group-1767369681612-2\"  value=\"2nd Grade\" name=\"radio-group-1767369681612[]\" class=\"\" required data-msg-required=\"This field is required.\"> <label for=\"radio-group-1767369681612-2\" class=\"radio-label\">2nd Grade<\/label><br><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"textarea\"><div class=\"form-group\"><label for=\"textarea-1767369839743\">Area(s) of Concern<\/label><textarea  name=\"textarea-1767369839743\" placeholder=\"Area(s) of Concern\" class=\"form-control\" rows=\"5\"><\/textarea><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3>Please Note: All group times are predetermined by DPI. Please request individual tutoring if you are not able to attend group sessions due to scheduling conflicts.<\/h3><\/div><\/div><\/div><\/div><\/div><button type=\"submit\" class=\"btn btn-primary btn-block submit-single-step-btn\" aria-label=\"SUBMIT\">SUBMIT<\/button><\/div>","thankYouMsg":"","buttonNum":1}