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" class="stylingblock-content-wrapper"><tr><td class="stylingblock-content-wrapper camarker-inner"><div class="smartcapture-controls"><div class="sc-formfield-label">Affiliation</div> <div class="sc-formfield-input-wrapper"> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Student"> Student</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Alumni"> Alumni</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Parent"> Parent</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Research partner or collaborator"> Research partner or collaborator</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Faculty/staff"> Faculty/staff</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Retired faculty/staff"> Retired faculty/staff</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Health and wellness professional"> Health and wellness professional</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Fellow"> Fellow</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Government"> Government</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Media"> Media</label></div> <div class="sc-formfield-input"><label><input type="checkbox" name="Affiliation" data-field-type="Text" value="Other"> Other</label></div> </div> </div></td></tr></table><table cellpadding="0" cellspacing="0" width="100%" role="presentation" style="min-width: 100%; " class="stylingblock-content-wrapper"><tr><td class="stylingblock-content-wrapper camarker-inner"><div class="smartcapture-controls"><div class="sc-formfield-label"><label for="Graduation Year">Rutgers Graduation Year</label></div> <div class="sc-formfield-input"><input type="text" name="Graduation Year" data-field-type="Number" data-validation="number"></div> </div></td></tr></table><table cellpadding="0" cellspacing="0" width="100%" role="presentation" style="min-width: 100%; " class="stylingblock-content-wrapper"><tr><td class="stylingblock-content-wrapper camarker-inner"><div class="smartcapture-controls"><div class="sc-formfield-label"></div> <div class="sc-formfield-input-wrapper"> <div class="sc-formfield-input"><label><input type="checkbox" name="all_stories" data-field-type="Boolean"> I'm interested in all stories</label></div> </div> </div></td></tr></table><table cellpadding="0" cellspacing="0" width="100%" role="presentation" style="min-width: 100%; " class="stylingblock-content-wrapper"><tr><td class="stylingblock-content-wrapper camarker-inner"><div class="smartcapture-controls"><div class="sc-formfield-label"></div> <div class="sc-formfield-input-wrapper"> <div class="sc-formfield-input"><label><input type="checkbox" name="research" data-field-type="Boolean"> Research and Innovation</label></div> </div> </div></td></tr></table><table cellpadding="0" cellspacing="0" width="100%" role="presentation" style="min-width: 100%; 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" class="stylingblock-content-wrapper"><tr><td class="stylingblock-content-wrapper camarker-inner"><div class="smartcapture-controls"><div class="sc-formfield-label"></div> <div class="sc-formfield-input-wrapper"> <div class="sc-formfield-input"><label><input type="checkbox" name="community" data-field-type="Boolean"> Community Impact</label></div> </div> </div></td></tr></table><table cellpadding="0" cellspacing="0" width="100%" role="presentation" style="min-width: 100%; " class="stylingblock-content-wrapper"><tr><td class="stylingblock-content-wrapper camarker-inner"><div class="smartcapture-controls"><div class="sc-formfield-label"><label for="HearAboutUs">How did you hear about Rutgers Today?</label></div> <div class="sc-formfield-input"><input type="text" name="HearAboutUs" data-field-type="Text"></div> </div></td></tr></table><table cellpadding="0" cellspacing="0" width="100%" role="presentation" style="min-width: 100%; " class="stylingblock-content-wrapper"><tr><td class="stylingblock-content-wrapper camarker-inner"><div class="smartcapture-controls"><div class="sc-formfield-label"></div> <div class="sc-formfield-input-wrapper"> <div class="sc-formfield-input"><label><input type="checkbox" name="eu_resident" data-field-type="Boolean"> Check here if you are a resident or citizen of the EU.</label></div> </div> </div></td></tr></table> <div class="smartcapture-submit-button-wrapper"> <button type="submit" class="sc-button">Submit</button> </div> <script id="smartcapture-script-efmjg51z9jn"> var scFormLoaded = function () { window.ScForm.init({"gearID":"efmjg51z9jn","smartCaptureFormID":0,"sourceKey":"75F6432B-8152-45EE-A8F7-1A7350C493FE","source":"dataExtension","triggeredSend":"","confirmationMessage":"Thank you for your submission.","buttonText":"Submit","formStyling":{"background-color":"transparent","margin-top":"0px","margin-right":"0px","margin-bottom":"0px","margin-left":"0px","padding-top":"0px","padding-right":"0px","padding-bottom":"0px","padding-left":"0px","text-align":"left","margin":"0px","padding":"0px 0px 0px 10px"},"fieldStyling":{"width":"200px"},"buttonStyling":{"background-color":"#009DDC","border-color":"#009DDC","border-radius":"3px","border-style":"solid","-webkit-border-radius":"3px","-moz-border-radius":"3px","color":"#FFFFFF","font-family":"Arial, Helvetica, sans-serif","font-size":"16px","line-height":"normal","padding":"10px"}}); 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