{"id":2138,"date":"2020-09-14T02:37:23","date_gmt":"2020-09-14T02:37:23","guid":{"rendered":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/?page_id=2138"},"modified":"2020-11-03T02:50:30","modified_gmt":"2020-11-03T02:50:30","slug":"history-project-form","status":"publish","type":"page","link":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/purdue-aged-history-project\/history-project-form\/","title":{"rendered":"32.2 History Project Form"},"content":{"rendered":"<h2>Purdue AgEd History Project &#8211; Form<\/h2>\n<p>Please fill in all applicable fields and submit the information to be included in the History Project<\/p>\n<p>&nbsp;<\/p>\n<!-- HTML Forms v1.6.4 - https:\/\/wordpress.org\/plugins\/html-forms\/ -->\n<form method=\"post\"  class=\"hf-form hf-form-2189 \" data-id=\"2189\" data-title=\"Centennial History Project \u2013 Data\" data-slug=\"centennial-history-project-data\" data-message-success=\"Thank you for your submission!\" data-message-invalid-email=\"Sorry, that email address looks invalid.\" data-message-required-field-missing=\"Please fill in the required fields.\" data-message-error=\"Oops. An error occurred.\" data-message-recaptcha-failed=\"reCAPTCHA verification failed. Please try again.\" data-message-recaptcha-low-score=\"Your submission appears to be spam. Please try again.\"><input type=\"hidden\" name=\"_hf_form_id\" value=\"2189\" \/><div style=\"display: none;\"><input type=\"text\" name=\"_hf_h2189\" value=\"\" \/><\/div><div class=\"hf-fields-wrap\"><style>\r\n  textarea { width:75%; height:100px; margin-bottom:25px; background: #f8f8f1;}\r\n  input { background: #f8f8f1; }\r\n  .wide { width:300px; }\r\n  .submit { background-color: #000; color: #CFB991; border-radius: 5px; font-size: 20px; font-weight: bold; padding: 5px 15px 5px 15px;}\r\n<\/style>\r\n\r\n<p>\r\n\t<label>My name is: <\/label>\r\n\t<input type=\"text\" name=\"full_name\" required class=\"wide\" \/>\r\n<\/p>\r\n<p>\r\n\t<label>I currently work at: <\/label>\r\n\t<input type=\"text\" name=\"currently_work_at\" class=\"wide\" \/>\r\n<\/p>\r\n<p>\r\n\t<label>I retired from: <\/label>\r\n\t<input type=\"text\" name=\"retired_from\" class=\"wide\" \/>\r\n<\/p>\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n<p>\r\n\t<label>My education journey started with: <\/label>\r\n  \r\n  <table>\r\n    <tr style=\"font-weight:bold; text-align:center\">\r\n      <td>Degree<\/td><td>Institution<\/td><td>Year Completed<\/td><td>Major\/Discipline Area<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td><input type=\"text\" name=\"degree_1\" placeholder=\"Bachelor\u2019s\" required \/><\/td><td><input type=\"text\" name=\"institution_1\" \/><\/td><td><input type=\"text\" name=\"year_1\" \/><\/td><td><input type=\"text\" name=\"major_1\" \/><\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td><input type=\"text\" name=\"degree_2\" \/><\/td><td><input type=\"text\" name=\"institution_2\" \/><\/td><td><input type=\"text\" name=\"year_2\" \/><\/td><td><input type=\"text\" name=\"major_2\" \/><\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td><input type=\"text\" name=\"degree_3\" \/><\/td><td><input type=\"text\" name=\"institution_3\" \/><\/td><td><input type=\"text\" name=\"year_3\" \/><\/td><td><input type=\"text\" name=\"major_3\" \/><\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td><input type=\"text\" name=\"degree_4\" \/><\/td><td><input type=\"text\" name=\"institution_4\" \/><\/td><td><input type=\"text\" name=\"year_4\" \/><\/td><td><input type=\"text\" name=\"major_4\" \/><\/td>\r\n    <\/tr>\r\n<\/table>\r\n  \r\n<\/p>\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n<p>\r\n\t<label>Please describe your career path (If possible, please include names and dates of professional work\r\nexperiences). <\/label>\r\n\t<textarea name=\"career_path\"><\/textarea>\r\n<\/p>\r\n<p>\r\n\t<label>Which individual most influenced your decision to teach agriculture? Briefly describe what he\/she said or did to\r\ninfluence your decision. <\/label>\r\n\t<textarea name=\"influenced_by\"><\/textarea>\r\n<\/p>\r\n<p>\r\n\t<label>Describe some of your most memorable agricultural education experiences as a student at Purdue.<\/label>\r\n\t<textarea name=\"at_purdue\"><\/textarea>\r\n<\/p>\r\n<p>\r\n\t<label>Describe some of your most memorable experiences as a classroom teacher of agriculture. <\/label>\r\n\t<textarea name=\"as_teacher\"><\/textarea>\r\n<\/p>\r\n<p>\r\n\t<label>Describe some of your most memorable experiences in agribusiness that made you think back to your\r\npreparation as an agriculture teacher. <\/label>\r\n\t<textarea name=\"in_agribusiness\"><\/textarea>\r\n<\/p>\r\n<p>\r\n\t<label>What advice would you have for young people entering the agriculture teaching profession today?<\/label>\r\n\t<textarea name=\"advice\"><\/textarea>\r\n<\/p>\r\n<p>\r\n\t<label>Please include any additional information you have.<\/label>\r\n\t<textarea name=\"notes\"><\/textarea>\r\n<\/p>\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n<p>\r\n\t<label>I hereby grant Purdue University a non-exclusive perpetual royalty free license to use, duplicate and distribute the information and work(s) listed above. \r\n      <br>I further grant Purdue University the right to transfer the information and work(s) to any format or medium now known or later developed for preservation and access.<\/label>\r\n\t<input type=\"checkbox\" name=\"grant_permission\" value=\"True\" required>\r\n<\/p>\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n<p>\r\n\t<input type=\"submit\" value=\"Submit\" class=\"submit\" \/>\r\n<\/p>\r\n<noscript>Please enable JavaScript for this form to work.<\/noscript><\/div><\/form><!-- \/ HTML Forms -->\n","protected":false},"excerpt":{"rendered":"<p>Purdue AgEd History Project &#8211; Form Please fill in all applicable fields and submit the information to be included in the History Project &nbsp;<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":2154,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2138","page","type-page","status-publish","hentry"],"aioseo_notices":[],"acf":[],"_links":{"self":[{"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/pages\/2138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/comments?post=2138"}],"version-history":[{"count":12,"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/pages\/2138\/revisions"}],"predecessor-version":[{"id":2227,"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/pages\/2138\/revisions\/2227"}],"up":[{"embeddable":true,"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/pages\/2154"}],"wp:attachment":[{"href":"https:\/\/ag.purdue.edu\/asec\/indianaagedhistory\/wp-json\/wp\/v2\/media?parent=2138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}