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a{font-size:13px;line-height:1.4em;color:#fff;text-decoration:none;width:100%}header section nav .menu>li>a{padding:15px}header section nav .menu li ul{padding:15px 0 19px;margin:0;position:absolute;width:220px;height:auto;top:44px;left:0;z-index:1;background-color:#1d6596;text-align:left;list-style-type:none;opacity:0;visibility:hidden;-webkit-transition:.2s;-moz-transition:.2s;-o-transition:.2s;transition:all .2s ease}header section nav .menu li:hover ul{visibility:visible;opacity:1;top:48px}header section nav .menu>li a:focus,header section nav .menu>li a:hover,header section nav .menu>li:hover a{background-color:#1d6596}header section nav .menu li ul li a{font-size:calc(1.8rem*.85);padding:12px 25px}header section nav .menu li ul li a:focus,header section nav .menu li ul li a:hover{color:#fff;text-decoration:underline}section.flex>div.menu-language-nav-container{height:auto;margin-left:auto;margin-right:0;margin-top:auto;margin-bottom:auto}ul#menu-language-nav{list-style-type:none;display:inline-block;width:60px;margin:0}ul#menu-language-nav li{list-style-type:none;display:inline-block;font-size:inherit;margin:0}ul#menu-language-nav li.lang-item-en{margin-right:4px}ul#menu-language-nav li.lang-item-en a{border-right:1px solid #428cb0;padding-right:7px}ul#menu-language-nav li a:hover{text-decoration:underline}ul#menu-language-nav li a{font-size:calc(1.8rem*.75);text-decoration:none;color:#fff}ul#menu-language-nav li.current-lang a{text-decoration:none;font-weight:700;color:#fff}section.flex>.maple-leaf{width:16px;height:auto;margin-top:15px;margin-right:10px;margin-left:20px}body section.flex>.maple-leaf+div.menu-language-nav-container{margin-left:0}.search-form{display:-webkit-box;display:-moz-box;display:-ms-flexbox;display:-webkit-flex;display:flex;align-items:center;justify-content:space-between;background-color:#1d6596;box-shadow:inset 1px 1px 0 rgba(0,0,0,.75);margin:auto;-moz-border-radius:2px;-webkit-border-radius:2px;border-radius:2px;-khtml-border-radius:2px;max-width:150px;height:28px;margin-right:20px}.search-form .search-field,.search-form .search-field:active{font-size:14px;line-height:1;width:100%;outline:0;border:none;padding:6px 9px;background-color:transparent;color:#fff;-moz-border-radius:2px 0 0 2px;-webkit-border-radius:2px 0 0 2px;border-radius:2px 0 0 2px;-khtml-border-radius:2px 0 0 2px}@media screen and (-webkit-min-device-pixel-ratio:0){.search-form .search-field{font-size:14px}}.search-form ::-webkit-input-placeholder{color:#fff}.search-form :-ms-input-placeholder{color:#fff}.search-form ::placeholder{color:#fff}.search-form 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span{display:block;position:absolute;height:3px;width:100%;background:#fff;opacity:1;left:0;-webkit-transform:rotate(0);-moz-transform:rotate(0);-o-transform:rotate(0);transform:rotate(0);-webkit-transition:.15s ease-in-out;-moz-transition:.15s ease-in-out;-o-transition:.15s ease-in-out;transition:.15s ease-in-out}.mobile-menu-icon span:first-child{top:0;-webkit-transition:ease-in-out;-moz-transition:ease-in-out;-o-transition:ease-in-out;transition:0s ease-in-out}.mobile-menu-icon span:nth-child(2),.mobile-menu-icon span:nth-child(3){top:11px}.mobile-menu-icon span:nth-child(4){top:21px;-webkit-transition:ease-in-out;-moz-transition:ease-in-out;-o-transition:ease-in-out;transition:0s ease-in-out}.mobile-menu-icon.open span:first-child{top:11px;opacity:0}.mobile-menu-icon.open span:nth-child(2){-webkit-transform:rotate(45deg);-moz-transform:rotate(45deg);-o-transform:rotate(45deg);transform:rotate(45deg)}.mobile-menu-icon.open span:nth-child(3){-webkit-transform:rotate(-45deg);-moz-transform:rotate(-45deg);-o-transform:rotate(-45deg);transform:rotate(-45deg)}.mobile-menu-icon.open span:nth-child(4){top:11px;opacity:0}@keyframes mobile-nav-in{0%{top:28px}100%{top:48px}}#mobile-nav{position:fixed;width:100%;max-width:100%;height:100%;min-height:100%;z-index:997;background-color:#1d6596;right:100%;top:48px;opacity:0;-webkit-transition:opacity .4s;-moz-transition:opacity .4s;-ms-transition:opacity .4s;-o-transition:opacity .4s;transition:opacity .4s}body.showMobileMenu{overflow:hidden;min-height:100%;height:auto}body.showMobileMenu div#header{position:fixed}body.showMobileMenu #mobile-nav{right:0;opacity:1;display:block;z-index:700;float:none;padding:0;height:100%;min-height:100%;overflow-y:scroll;-webkit-overflow-scrolling:touch;animation-duration:.25s;animation-name:mobile-nav-in}#mobile-nav ul{list-style-type:none;margin:0 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ease}a.button:hover:after{opacity:.15}a.button:before{background-color:#053676}a.button.blue:before{background-color:#1d75a2}a.button.white{color:#0d2463}a.button.white:before{background-color:#fff}button,input[type=button],input[type=submit]{font-family:inherit;font-size:calc(1.8rem*1);padding:9px 20px;display:inline-block;text-align:center;text-decoration:none;width:auto;height:auto;margin:0;-moz-border-radius:3px;-webkit-border-radius:3px;border-radius:3px;-khtml-border-radius:3px;background-color:#98b234;border:none;color:#fff;-webkit-appearance:none;position:relative;z-index:0}ul.checklist{list-style-type:none;padding-left:20px;max-width:450px;text-align:left;margin-left:auto;margin-right:auto}ul.checklist.wide{max-width:100%;margin-left:auto;margin-right:auto;padding-left:0}ul.checklist li{padding-left:28px;position:relative;line-height:1.4em;margin-bottom:1.4em}ul.checklist li:before{font-family:'Font Awesome 5 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p.faq-question.ui-state-default:hover{cursor:pointer}.faq-group p.faq-question:hover .ui-accordion-header-icon:after{color:#fff}.faq-group p.faq-question.ui-state-focus{border:0;outline:0}.faq-group p.faq-question.ui-state-active{border:0;outline:0;font-family:CentraleSans-Bold,sans-serif;font-weight:700;background-color:#1d75a2;color:#fff}.faq-group p.faq-question.ui-state-default .ui-accordion-header-icon:after{font-family:'Font Awesome 5 Free';content:"\f067";font-size:1.6rem;font-weight:900;color:#1d75a2;padding:0;margin:0 12px 0 0;position:relative;right:0;width:30px;height:30px}.faq-group p.faq-question.ui-state-active 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ul{list-style-type:none;margin:0;padding:0}footer .footer-columns ul li{text-align:left;line-height:1.2;margin-bottom:1em}footer .footer-columns ul li.title{margin-bottom:1.5em}footer .footer-columns ul li.title a{font-size:2rem;line-height:1.2;font-family:CentraleSans-Bold,sans-serif;font-weight:700}footer .footer-columns ul li a{font-size:calc( 1.8rem*.8);text-align:left;color:#fff;text-decoration:none}footer .footer-columns .row-block{padding-right:20px}ul.social-icons{width:100%;list-style-type:none;margin:0;padding:0;justify-content:center}ul.social-icons li{width:40px;height:40px;border-radius:20px;text-align:center;margin:10px}ul.social-icons li a{display:inline-block;background-color:transparent;width:40px;height:40px;-webkit-transition:.25s;-moz-transition:.25s;-ms-transition:.25s;-o-transition:.25s;transition:all .25s}ul.social-icons li a span{color:#fff;font-size:150%;margin:6px 0 0}#subscribe-form{border-bottom:1px solid rgba(255,255,255,.18);border-bottom:10px solid rgba(15,38,98,.2);padding-bottom:0;width:100%;max-width:100%}#subscribe-form .inner-wrapper{padding:0}#subscribe-form .newsletter-form{width:100%;max-width:800px;margin-left:auto;margin-right:auto;margin-bottom:70px}#subscribe-form .newsletter-form .h3{color:#fff}#subscribe-form .newsletter-form form>div.flex{flex-wrap:wrap;justify-content:space-between}#subscribe-form .newsletter-form form>div.flex>div{text-align:left}#subscribe-form .newsletter-form form>div.flex>div label{font-size:1.5rem;margin-bottom:8px;display:inline-block}#subscribe-form .newsletter-form form>div.flex>div:first-child,#subscribe-form .newsletter-form form>div.flex>div:nth-child(2){width:48%}#subscribe-form .newsletter-form form>div.flex>div:nth-child(3){width:100%;padding:20px 0;text-align:center}#subscribe-form .newsletter-form input[type=checkbox]{border:none!important;margin-right:10px}@media only screen and (min-width:1400px){.hero{-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover}}@media only screen and (max-width:1200px){header section{padding:0 30px}}@media only screen and (max-width:1090px){.hero{background-position:55% 0}header section nav .menu>li>a{padding:15px}header>section>nav{display:none}.mobile-menu-icon{display:block;margin-left:25px}.search-form{max-width:250px;margin-left:auto;margin-right:0}section.flex>div.menu-language-nav-container{margin-left:5px}}@media only screen and (max-width:980px){.row-items-4{max-width:600px;margin-left:auto;margin-right:auto}.row-items-4 .row-block{width:47%;max-width:260px;margin-right:6%;margin-bottom:6%;flex:auto}.row-items-4 .row-block:nth-child(2),.row-items-4 .row-block:nth-child(4){margin-right:0}.row-items-4 .row-block:nth-child(3),.row-items-4 .row-block:nth-child(4){margin-bottom:0}}@media only screen and (max-width:900px){.hero .hero-inner .hero-half{margin-left:0}.hero 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.hero-half{background-color:#fff;width:100%;max-width:100%;padding:6%;padding-top:7%}.hero .hero-inner .hero-half h1{padding-top:0;text-align:center;margin-bottom:0}.hero .hero-inner .hero-half h1.white,.hero .hero-inner .hero-half h2.white,.hero .hero-inner .hero-half p.white{color:#0d2463;text-shadow:none}.hero .hero-inner .hero-half p{text-align:center}.hero .hero-inner .hero-half .h2,.hero .hero-inner .hero-half h2{text-align:center;margin-left:auto;margin-right:auto;margin-top:15px}.hero .hero-inner .hero-half h3{justify-content:center;margin-right:0}.hero .hero-inner .hero-half h3 a{text-decoration:none}.hero .hero-inner .hero-half .button-row{margin:30px 0 0;text-align:center}.hero .hero-inner .hero-half .button-row .button:first-child{margin-right:auto}.row-items-4{display:block}.row-items-4 .row-block{width:100%;margin-bottom:12%;margin-left:auto;margin-right:auto}.row-items-4 .row-block:nth-child(n+5){margin-top:0}.row-items-4 .row-block:nth-child(2),.row-items-4 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(max-width:500px){h1{font-size:2.7rem}.h2,h2{font-size:2.2rem}.h3,h3{font-size:2rem}.h4{font-size:1.8rem}h1,h2,h3{line-height:1.3em}li,p{font-size:1.6rem;line-height:1.6em}.hero .hero-inner .hero-half h2{font-size:calc( 1.8rem*.9 )}header>section>nav{display:none}header .main-logo{width:120px;height:68px}header .alert-bar>div p{font-size:calc( 1.8rem*.8 )}header .alert-bar>div p a.button{font-size:1.4rem;padding:8px 15px 7px}}@media only screen and (max-width:470px){#input_1_10{display:block;padding-left:15px}#input_1_10 li{margin:0;width:100%}.contact-overlay.show{padding-top:30px;z-index:999}}@media only screen and (max-width:400px){.gform_wrapper form{padding:30px 20px}}@media only screen and (max-width:380px){section{padding:30px 20px}.contact-overlay.show .gform_wrapper h3{font-size:2.7rem;line-height:1.1em;margin-top:30px}.contact-overlay .gform_wrapper ul.gform_fields #field_1_10 .gfield_label{font-size:calc( 1.8rem*1 )}}@media only screen and (max-width:360px){ul{margin-left:calc(1.4em + 1vw)}}@media only screen and (max-width:320px){header .alert-bar>div.flex{padding:0 14px}}@media only screen and (max-width:705px){header.has-announcement-bar{height:110px}}@media only screen and (max-width:355px){header.has-announcement-bar{height:105px}}.contact-overlay.show .gform_wrapper #input_40_10 li input[type=radio]+label:before{font-family:"Font Awesome 5 Free";content:"\f00c";font-style:normal;font-weight:900;font-size:1.8rem;position:absolute;left:0;width:24px;height:24px;line-height:24px;text-align:center;background-color:#fff;-moz-border-radius:2px;-webkit-border-radius:2px;border-radius:2px;-khtml-border-radius:2px;border:1px solid #666;background-color:#f7f7f7}.contact-overlay.show .gform_wrapper #input_40_10 li input[type=radio]:checked+label:before{color:#003478}.checklist td{padding:6px 15px;font-weight:400}.announcement-bar .flex p{font-size:28px!important;padding:0 10px!important}header.has-announcement-bar{height:108px!important}@media only screen and (min-width:1091px){header section{max-width:1200px}}@media only screen and (min-width:1091px) and (max-width:1152px){header section nav{width:100%}}main{top:80px}#breadcrumbs{font-size:14px}#breadcrumbs a{color:#1d1d1d}.breadcrumb_last{color:#1d75a2;font-weight:700}@media (max-width:600px){.newsletter-form p:not(.h3),a.button,footer .copyright,footer .footer-address,footer .menu-footer-nav-en-container a{font-size:16px}.newsletter-form label,footer .disclaimers li,footer .footer-columns li a{font-size:16px!important}footer>section nav ul li{border-right:none}footer nav .menu{column-count:2}footer .footer-columns .title a{font-size:20px!important}.menu-language-nav-container .lang-item a{font-size:16px!important}#menu-language-nav{width:100px!important}}body section.flex div.menu-language-nav-container{margin-left:0}#hero{position:relative}header.has-announcement-bar{height:85px}.announcement-bar{background-color:#c83200;color:#fff;height:auto;padding:5px 0}.announcement-bar .flex{flex-direction:column}.announcement-bar .flex p{color:#fff;margin:0;font-size:14px;text-align:center;font-weight:700}.announcement-bar .flex p a{color:#fff}.announcement-bar .flex p.small{font-size:12px}@media only screen and (max-width:705px){header.has-announcement-bar{height:125px}}@media only screen and (max-width:500px){header.has-announcement-bar{height:105px}}@media only screen and (max-width:439px){header.has-announcement-bar{height:125px}}.swiper-pagination{bottom:0!important}#disclaimers p{font-size:18px}#field_1_20,#field_40_20{margin-bottom:10px}#field_1_10,#field_40_20{margin-top:15px;padding-bottom:0}#field_1_8,#field_1_9,#field_40_8,#field_40_9{padding-bottom:15px;border-bottom:1px solid rgba(255,255,255,.18)}#field_1_8 p,#field_1_9 p,#field_40_8 p,#field_40_9 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href="https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1249786b-e2b7-4f06-b2f8-097907c915ef&ccId=19000101_000001&lang=en_CA" title="Search for Jobs" >Search for Jobs</a> </div> </div> </div> </section> <section class="col1" style="padding-top: 0; padding-bottom: 0;"><div class="" style="margin-top: 1.8em;"><p id="breadcrumbs"><span><span><a href="https://www.lifeline.ca/en/">Accueil</a></span> » <span class="breadcrumb_last" aria-current="page">Employment</span></span></p></div></section> <section class="col1" style="background-color:#FFFFFF;"> <div style="text-align:left;"> <h2><strong>Employment</strong></h2> <p class="h4"><a href="https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1249786b-e2b7-4f06-b2f8-097907c915ef&ccId=19000101_000001&lang=en_CA">Search and apply for positions at Lifeline.</a></p> <p class="h3">What We Do</p> <p>Lifeline connects individuals to the support of neighbours, friends and emergency services in the community. The individual served is able to directly contact trained Lifeline staff 24 hours a day from around their home and yard by simply pressing a button. A Lifeline Personal Response Associate assesses the individual’s needs and quickly sends the appropriate support. Over the years, Lifeline has provided this service to more than 4 million people across North America.</p> <p>Our success is directly related to our ability to stay focused on our mission, which is to work closely with healthcare providers, social service and other organizations that provide elders with the ability to live in their own homes. We are passionate about those we serve and strive to provide reassurance, peace of mind, and a caring response to those who depend on our service.</p> <p>The Response Centre is the voice of Lifeline. It represents the core service of Lifeline. Through the caring and skilled response of monitors and staff members, Lifeline enables its subscribers to lead independent lives.</p> <p class="h3">Where We’ve Been</p> <p>Lifeline became the industry leader by selling personal emergency response systems to hospitals. Initially, hospitals monitored their own subscribers and purchased or leased our equipment.</p> <p class="h3">Where We Are Today</p> <p>Our focus is on our customer: the subscriber. Lifeline now monitors more than 700,000 subscribers from its response centres. Some hospitals still monitor subscribers. We are well-positioned to implement a number of strategic initiatives that will increase market share, increase margin and sustain our leadership position.</p> <p>We are continually evolving and growing but remain focused on total quality initiatives that enhance customer and shareholder value.</p> <h3>Why Lifeline</h3> <p>We just don’t talk about PRINCIPLES, we live them. At Lifeline, you’ll be joining a community of people who are passionate about their work. Here, everyone is important.</p> <p class="h4">Principles</p> <ul class="checklist wide"> <li>We respect one another</li> <li>We practice caring behaviour</li> <li>We encourage learning and growth</li> <li>We take the initiative to make things better</li> </ul> <p class="h3">Benefits</p> <p>Lifeline offers competitive benefits. Apply today to learn more about these benefits.</p> </div> </section> </main> <section class="contact-overlay"> <div class="inner-panel"> <a href="#" class="close-overlay"><svg xmlns="http://www.w3.org/2000/svg" width="18" height="18" viewBox="0 0 24 24"><path d="M23.954 21.03l-9.184-9.095 9.092-9.174-2.832-2.807-9.09 9.179-9.176-9.088-2.81 2.81 9.186 9.105-9.095 9.184 2.81 2.81 9.112-9.192 9.18 9.1z"/></svg></a> <script type="text/javascript">var 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gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_8" ><p style="text-align:center;margin:0;">Step 1 of 2</p></li><li id="field_1_10" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_10" ><label class='gfield_label gform-field-label' >How can we help you today?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_10'> <li class='gchoice gchoice_1_10_0'> <input name='input_10' type='radio' value='interested in services' id='choice_1_10_0' /> <label for='choice_1_10_0' 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MutationObserver( ( mutations ) => { mutations.forEach( ( mutation ) => { if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) { debouncedTriggerPostRender(); observer.disconnect(); } }); }); observer.observe( document.body, { attributes: true, childList: false, subtree: true, attributeFilter: [ 'style', 'class' ], }); } else { triggerPostRender(); } } );} ); /* ]]> */ </script> <div class='gf_browser_chrome gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_40' style='display:none'><style></style><div id='gf_40' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_40' id='gform_40' action='/en/employment/#gf_40' data-formid='40' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LfNyikpAAAAAGo93ZY4E0cr56tnDCJz4bQbZH7N' data-tabindex='0'><input id="input_8f433423e80fb1f8de61e6b877ec8ef9" class="gfield_recaptcha_response" type="hidden" name="input_8f433423e80fb1f8de61e6b877ec8ef9" value=""/></div> <div class='gform-body gform_body'><div id='gform_page_40_1' class='gform_page ' data-js='page-field-id-1' > <div class='gform_page_fields'><fieldset class="gfieldset gform_fieldset_begin gform_fieldset "><ul class="gform_fields top_label form_sublabel_below description_below validation_below"><li id="field_40_20" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_20" ><p class="h3"><strong>Send Us a Message</strong></p></li><li id="field_40_8" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_8" ><p style="text-align:center;margin:0;">Step 1 of 2</p></li><li id="field_40_10" class="gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_10" ><label class='gfield_label gform-field-label' >How can we help you today?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_10'> <li class='gchoice gchoice_40_10_0'> <input name='input_10' type='radio' value='interested in services' id='choice_40_10_0' /> <label for='choice_40_10_0' id='label_40_10_0' class='gform-field-label gform-field-label--type-inline'>I'm interested in Lifeline products & services</label> </li> <li class='gchoice gchoice_40_10_1'> <input name='input_10' type='radio' value='existing customer' id='choice_40_10_1' /> <label for='choice_40_10_1' id='label_40_10_1' class='gform-field-label gform-field-label--type-inline'>I'm a Lifeline customer in need of support</label> </li></ul></div></li><li id="field_40_1" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_1" ><label class='gfield_label gform-field-label' for='input_40_1'>The Lifeline service is for<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_40_1' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='' >Select</option><option value='For myself' >For myself</option><option value='For a relative or friend' >For a relative or friend</option><option value='For a patient or client' >For a patient or client</option></select></div></li><li id="field_40_2" class="gfield gfield--type-text field-icon-postal gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_2" ><label class='gfield_label gform-field-label' for='input_40_2'>Postal code where service is needed<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_40_2' type='text' value='' class='medium' aria-describedby="gfield_description_40_2" aria-required="true" aria-invalid="false" /> </div><div class='gfield_description' id='gfield_description_40_2'>This allows us to look up your local Lifeline program, in order to see which services are available to you. </div></li><li id="field_40_26" class="gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_26" ><label class='gfield_label gform-field-label' for='input_40_26'>How may we help you today?</label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_40_26' class='large gfield_select' aria-invalid="false" ><option value='Please choose one of the following' >Please choose one of the following</option><option value='I need help with billing and payments' >I need help with billing and payments</option><option value='I want to cancel the Lifeline service' >I want to cancel the Lifeline service</option><option value='I need to update my information' >I need to update my information</option><option value='I have question about my equipment or service' >I have question about my equipment or service</option><option value='I need to follow up or change my appointment' >I need to follow up or change my appointment</option></select></div></li><li id="field_40_11" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_11" ><label class='gfield_label gform-field-label' for='input_40_11'>Message for Customer Support<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_40_11' class='textarea medium' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_40_3" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_3" ><label class='gfield_label gform-field-label' for='input_40_3'>Message</label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_40_3' class='textarea medium' aria-invalid="false" rows='10' cols='50'></textarea></div></li></ul> </div> <div class='gform_page_footer top_label'> <input type='button' id='gform_next_button_40_4' class='gform_next_button gform-theme-button button' value='Next' onclick='jQuery("#gform_target_page_number_40").val("2"); jQuery("#gform_40").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_40").val("2"); jQuery("#gform_40").trigger("submit",[true]); } ' /> </div> </div> <div id='gform_page_40_2' class='gform_page' data-js='page-field-id-4' style='display:none;'> <div class='gform_page_fields'> <ul id='gform_fields_40_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id="field_40_21" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_21" ><p class="h3"><strong>Send Us a Message</strong></p></li><li id="field_40_9" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_9" ><p style="text-align:center;margin:0;">Step 2 of 2</p></li><li id="field_40_12" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_12" ><p class="form-section-title">Contact Info</p></li><li id="field_40_5" class="gfield gfield--type-text field-icon-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" 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aria-invalid="false" aria-describedby="gfield_description_40_6" /></div><div class='gfield_description' id='gfield_description_40_6'>Enter your number in the following format: (###) ###-####</div></li><li id="field_40_7" class="gfield gfield--type-email field-icon-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_7" ><label class='gfield_label gform-field-label' for='input_40_7'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_7' id='input_40_7' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_40_13" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_13" ><p class="form-section-title">Subscriber Info</p></li><li id="field_40_14" class="gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_14" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Same as contact info?</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_14'><li class='gchoice gchoice_40_14_1'> <input class='gfield-choice-input' name='input_14.1' type='checkbox' value='Same as Contact Info?' id='choice_40_14_1' /> <label for='choice_40_14_1' id='label_40_14_1' class='gform-field-label gform-field-label--type-inline'>Same as Contact Info?</label> </li></ul></div></li><li id="field_40_15" class="gfield gfield--type-text field-icon-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_15" ><label class='gfield_label gform-field-label' for='input_40_15'>Full Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_40_15' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_40_16" class="gfield gfield--type-phone field-icon-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_16" ><label class='gfield_label gform-field-label' for='input_40_16'>Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_40_16' type='tel' value='' class='medium' aria-required="true" aria-invalid="false" /></div></li><li id="field_40_17" class="gfield gfield--type-email field-icon-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_17" ><label class='gfield_label gform-field-label' for='input_40_17'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_17' id='input_40_17' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li></ul></fieldset><ul class="gform_fields top_label form_sublabel_below description_below validation_below"><li id="field_40_19" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_40_19" ><p class="small">The information you provide here is used only by Lifeline. It is never sold to or shared with third parties.</p></li></ul></fieldset></div> <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_40' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous' onclick='if(window["gf_submitting_40"]){return false;} if( !jQuery("#gform_40")[0].checkValidity || jQuery("#gform_40")[0].checkValidity()){window["gf_submitting_40"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_40"]){return false;} if( !jQuery("#gform_40")[0].checkValidity || jQuery("#gform_40")[0].checkValidity()){window["gf_submitting_40"]=true;} jQuery("#gform_40").trigger("submit",[true]); }' /> <input type="submit" id="gform_submit_button_40" class="gform_button button" value="Contact Us" onclick="if(window["gf_submitting_40"]){return false;} if( !jQuery("#gform_40")[0].checkValidity || jQuery("#gform_40")[0].checkValidity()){window["gf_submitting_40"]=true;} pushToDataLayer(40, '1 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id='gform_source_page_number_40' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </div></div> </form> </div> <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_40' id='gform_ajax_frame_40' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe> <script type="text/javascript"> /* <![CDATA[ */ gform.initializeOnLoaded( function() {gformInitSpinner( 40, 'https://www.lifeline.ca/wp-content/plugins/gravityforms/images/spinner.svg', true );jQuery('#gform_ajax_frame_40').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_40');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_40').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = 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