<form-template> <fields> <field type="header" subtype="h1" label="Community Conversations Application Form" class="header"></field> <field type="text" subtype="text" required="true" label="Your Name:" class="form-control text-input" name="text-1650299636681"></field> <field type="text" subtype="text" required="true" label="Which email address would you like us to use to contact you about community conversations?" class="form-control text-input" name="text-1650299644622"></field> <field type="checkbox-group" required="true" label="Please indicate which of the following apply to you:" class="checkbox-group" name="checkbox-group-1650299669722"> <option value="I am attending on behalf of a business/organization/agency" selected="true">I am attending on behalf of a business/organization/agency</option> <option value="I will attend as a community member">I will attend as a community member</option> <option value="Other">Other</option> </field> <field type="textarea" label="If you selected other, please specify:" class="form-control text-area" name="textarea-1650299752905"></field> <field type="textarea" label="If you are attending Community Conversations on behalf of a business, organization or agency, please tell us which one(s):" class="form-control text-area" name="textarea-1650299773655"></field> <field type="checkbox-group" label="Please help us to understand why you want to attend Community Conversations*" class="checkbox-group" name="checkbox-group-1650299910956"> <option value="To feel more connected to the community" selected="true">To feel more connected to the community</option> <option value="To learn about what other organizations/businesses in the community are doing">To learn about what other organizations/businesses in the community are doing</option> <option value="To connect with others who care about community and topics of mutual interest">To connect with others who care about community and topics of mutual interest</option> <option value="To help spread the word about programs, initiatives or events that are happening in Jasper">To help spread the word about programs, initiatives or events that are happening in Jasper</option> <option value="Other">Other</option> </field> <field type="textarea" label="If you selected other, please specify:" class="form-control text-area" name="textarea-1650299973867"></field> <field type="textarea" label="Code of Conduct: This is a shared space where agencies, organizations, and individuals come together to listen, learn, and collaborate on the challenges and opportunities facing our community. We’re here to build connections, strengthen relationships and explore ways to work together for a better future. To ensure a respectful and productive dialogue, we ask all participants to embrace the following values: Respect – We listen to understand, speak thoughtfully, and value all voices at the table. Inclusivity – We welcome diverse perspectives and strive to create a space where everyone feels heard and valued. Collaboration – We focus on solutions and support one another in identifying opportunities for positive change. This is a space rooted in mutual respect and safety. Harassment, discrimination, or abusive behavior of any kind will not be tolerated. We are committed to maintaining an environment where all participants feel safe to share openly and authentically. Thank you for your interest in being a part of Community Conversations. If you agree with the above, please type your name in the space below. " class="form-control text-area" name="textarea-1744909114224"></field> </fields> </form-template> Submit Submitting...
