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page-item-287"> <a class="level_2" href="https://www.bu.edu/alumni/news/blog/" title="Navigate to: Terrier Dispatch">Terrier Dispatch</a> </li> <li class="page_item page-item-314"> <a class="level_2" href="https://www.bu.edu/alumni/news/bostonia/" title="Navigate to: Bostonia magazine">Bostonia magazine</a> </li> <li class="page_item page-item-360"> <a class="level_2" href="https://www.bu.edu/alumni/news/proud-to-bu-podcast/" title="Navigate to: Proud to BU podcast">Proud to BU podcast</a> </li> <li class="page_item page-item-3608"> <a class="level_2" href="https://www.bu.edu/alumni/news/web-cams/" title="Navigate to: Web cam">Web cam</a> </li> </ul> </li> <li class="page_item page-item-269 current_page_ancestor current_page_parent"> <a class="level_1 active_section" href="https://www.bu.edu/alumni/contact/" title="Navigate to: About">About</a> <ul> <li class="page_item page-item-289 current_page_item"> <a class="level_2 active" href="https://www.bu.edu/alumni/contact/update-info/" title="Navigate to: Update your BU info">Update your BU info</a> </li> <li class="page_item page-item-300"> <a class="level_2" href="https://www.bu.edu/alumni/contact/staff/" title="Navigate to: Our staff">Our staff</a> </li> <li class="page_item page-item-312"> <a class="level_2" href="https://www.bu.edu/alumni/contact/work-at-bu/" title="Navigate to: Work at BU">Work at BU</a> </li> <li class="page_item page-item-315"> <a class="level_2" href="https://www.bu.edu/alumni/contact/faq/" title="Navigate to: FAQ">FAQ</a> </li> <li class="page_item page-item-4803"> <a class="level_2" href="https://www.bu.edu/alumni/contact/privacy-policy/" title="Navigate to: Privacy Policy">Privacy Policy</a> </li> </ul> </li> <li class="page_item page-item-156"> <a class="level_1" href="https://trusted.bu.edu/s/1759/2-bu/giving/interior.aspx?sid=1759&gid=2&pgid=412&cid=1044&dids=1&amount=25&appealcode=WEBAGC-CSWG" title="Navigate to: Give now">Give now</a> </li> </ul> </nav> </div> </header> <div class="wrapper"> <main id="main" role="main" class="content"> <div class="content-container"> <article id="post-289" class="content-area post-289 page type-page status-publish hentry"> <h1 class="page-title">Update your contact information</h1> <div class='gf_browser_ie gf_browser_ie7 gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_65' style='display:none'><div id='gf_65' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' id='gform_65' action='/alumni/contact/update-info/#gf_65' data-formid='65' > <div id='gf_progressbar_wrapper_65' class='gf_progressbar_wrapper'> <h3 class="gf_progressbar_title">Step <span class='gf_step_current_page'>1</span> of <span class='gf_step_page_count'>3</span> </h3> <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'> <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%</span></div> </div></div> <div class='gform-body gform_body'><div id='gform_page_65_1' class='gform_page ' data-js='page-field-id-64' > <div class='gform_page_fields'><ul id='gform_fields_65' class='gform_fields top_label form_sublabel_below description_below'><li id="field_65_2" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_2"><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_65_2'> <span id='input_65_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_2.3' id='input_65_2_3' value='' aria-required='true' /> <label for='input_65_2_3' class='gform-field-label gform-field-label--type-sub '>First</label> </span> <span id='input_65_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_2.6' id='input_65_2_6' value='' aria-required='true' /> <label for='input_65_2_6' class='gform-field-label gform-field-label--type-sub '>Last</label> </span> </div></li><li id="field_65_62" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_62"><label class='gfield_label gform-field-label gfield_label_before_complex' >School/college and class year<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_65_62'> <span id='input_65_62_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_62.3' id='input_65_62_3' value='' aria-required='true' placeholder='(CAS, COM, ENG, Questrom, etc.)' /> <label for='input_65_62_3' class='gform-field-label gform-field-label--type-sub '>School/College</label> </span> <span id='input_65_62_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_62.6' id='input_65_62_6' value='' aria-required='true' /> <label for='input_65_62_6' class='gform-field-label gform-field-label--type-sub '>Class year</label> </span> </div></li><li id="field_65_52" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_52"><label class='gfield_label gform-field-label' for='input_65_52' >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_52' id='input_65_52' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_65_48" class="gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_48"><label class='gfield_label gform-field-label gfield_label_before_complex' >I would like to update my...<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_65_48'><li class='gchoice gchoice_65_48_1'> <input class='gfield-choice-input' name='input_48.1' type='checkbox' value='Name' id='choice_65_48_1' /> <label for='choice_65_48_1' id='label_65_48_1' class='gform-field-label gform-field-label--type-inline'>Name</label> </li><li class='gchoice gchoice_65_48_2'> <input class='gfield-choice-input' name='input_48.2' type='checkbox' value='Email Address' id='choice_65_48_2' /> <label for='choice_65_48_2' id='label_65_48_2' class='gform-field-label gform-field-label--type-inline'>Email Address</label> </li><li class='gchoice gchoice_65_48_3'> <input class='gfield-choice-input' name='input_48.3' type='checkbox' value='Business Information' id='choice_65_48_3' /> <label for='choice_65_48_3' id='label_65_48_3' class='gform-field-label gform-field-label--type-inline'>Business Information</label> </li><li class='gchoice gchoice_65_48_4'> <input class='gfield-choice-input' name='input_48.4' type='checkbox' value='Mailing Address' id='choice_65_48_4' /> <label for='choice_65_48_4' id='label_65_48_4' class='gform-field-label gform-field-label--type-inline'>Mailing Address</label> </li><li class='gchoice gchoice_65_48_5'> <input class='gfield-choice-input' name='input_48.5' type='checkbox' value='Mobile Phone Number' id='choice_65_48_5' /> <label for='choice_65_48_5' id='label_65_48_5' class='gform-field-label gform-field-label--type-inline'>Mobile Phone Number</label> </li><li class='gchoice gchoice_65_48_6'> <input class='gfield-choice-input' name='input_48.6' type='checkbox' value='Social Media URLs' id='choice_65_48_6' /> <label for='choice_65_48_6' id='label_65_48_6' class='gform-field-label gform-field-label--type-inline'>Social Media URLs</label> </li></ul></div></li></ul> </div> <div class='gform_page_footer top_label'> <input type='button' id='gform_next_button_65_44' class='gform_next_button gform-theme-button button' value='Next' onclick='jQuery("#gform_target_page_number_65").val("2"); jQuery("#gform_65").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_65").val("2"); jQuery("#gform_65").trigger("submit",[true]); } ' /> </div> </div> <div id='gform_page_65_2' class='gform_page' data-js='page-field-id-44' style='display:none;'> <div class='gform_page_fields'> <ul id='gform_fields_65_2' class='gform_fields top_label form_sublabel_below description_below'><li id="field_65_4" class="gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_4"><label class='gfield_label gform-field-label gfield_label_before_complex' >New name</label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_65_4'> <span id='input_65_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_4.3' id='input_65_4_3' value='' aria-required='false' /> <label for='input_65_4_3' class='gform-field-label gform-field-label--type-sub '>First</label> </span> <span id='input_65_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_4.6' id='input_65_4_6' value='' aria-required='false' /> <label for='input_65_4_6' class='gform-field-label gform-field-label--type-sub '>Last</label> </span> </div></li><li id="field_65_43" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_43"><label class='gfield_label gform-field-label' for='input_65_43' >Pronouns</label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_65_43' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_65_51" class="gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_51"><label class='gfield_label gform-field-label gfield_label_before_complex' >New Email Address</label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_65_51_container'> <span id='input_65_51_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'> <input class='' type='text' name='input_51' id='input_65_51' value='' aria-invalid="false" /> <label for='input_65_51' class='gform-field-label gform-field-label--type-sub '>Enter Email</label> </span> <span id='input_65_51_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'> <input class='' type='text' name='input_51_2' id='input_65_51_2' value='' aria-invalid="false" /> <label for='input_65_51_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email</label> </span> <div class='gf_clear gf_clear_complex'></div> </div></li><li id="field_65_50" class="gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_50"><label class='gfield_label gform-field-label' >Please resubscribe me to BU alumni emails</label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_50'> <li class='gchoice gchoice_65_50_0'> <input name='input_50' type='radio' value='Yes' id='choice_65_50_0' /> <label for='choice_65_50_0' id='label_65_50_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </li> <li class='gchoice gchoice_65_50_1'> <input name='input_50' type='radio' value='No' id='choice_65_50_1' /> <label for='choice_65_50_1' id='label_65_50_1' class='gform-field-label gform-field-label--type-inline'>No</label> </li></ul></div></li><li id="field_65_8" class="gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_8"><label class='gfield_label gform-field-label gfield_label_before_complex' >New Mailing Address</label> <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_65_8' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_65_8_1_container' > <input type='text' name='input_8.1' id='input_65_8_1' value='' aria-required='false' /> <label for='input_65_8_1' id='input_65_8_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label> </span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_65_8_2_container' > <input type='text' name='input_8.2' id='input_65_8_2' value='' aria-required='false' /> <label for='input_65_8_2' id='input_65_8_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2</label> </span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_65_8_3_container' > <input type='text' name='input_8.3' id='input_65_8_3' value='' aria-required='false' /> <label for='input_65_8_3' id='input_65_8_3_label' class='gform-field-label gform-field-label--type-sub '>City</label> </span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_65_8_4_container' > <input type='text' name='input_8.4' id='input_65_8_4' value='' aria-required='false' /> <label for='input_65_8_4' id='input_65_8_4_label' class='gform-field-label gform-field-label--type-sub '>State / Province / Region</label> </span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_65_8_5_container' > <input type='text' name='input_8.5' id='input_65_8_5' value='' aria-required='false' /> <label for='input_65_8_5' id='input_65_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP / Postal Code</label> </span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_65_8_6_container' > <select name='input_8.6' id='input_65_8_6' aria-required='false' ><option value='' ></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cabo Verde' >Cabo Verde</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cura莽ao' >Cura莽ao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='C么te d'Ivoire' >C么te d'Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='R茅union' >R茅union</option><option value='Saint Barth茅lemy' >Saint Barth茅lemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='T眉rkiye' >T眉rkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' selected='selected'>United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='脜land Islands' >脜land Islands</option></select> <label for='input_65_8_6' id='input_65_8_6_label' class='gform-field-label gform-field-label--type-sub '>Country</label> </span> <div class='gf_clear gf_clear_complex'></div> </div></li><li id="field_65_9" class="gfield gfield--type-phone gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_65_9"><label class='gfield_label gform-field-label' for='input_65_9' >New Mobile Phone Number</label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_65_9' type='text' value='' class='medium' aria-invalid="false" aria-describedby="gfield_description_65_9" /></div><div class='gfield_description' id='gfield_description_65_9'>You can opt out from future SMS/text messages at any time by texting STOP to any messages you receive from us. To get help or support, or to opt out, you may also contact us at alumni@bu.edu or 617-353-9511. Review Boston University Alumni & Friends <a href="https://www.bu.edu/alumni/contact/privacy-policy/">privacy policy</a>.</div></li><li id="field_65_64" class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_64"><label class='gfield_label gform-field-label gfield_label_before_complex' >Consent</label><div class='ginput_container ginput_container_consent'><input name='input_64.1' id='input_65_64_1' type='checkbox' value='1' aria-invalid="false" /> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label" for='input_65_64_1' >Yes, I would like to receive messages to this mobile number from and on behalf of Boston University Alumni & Friends. I may opt out from these communications at any time. By checking this box, I am providing my digital signature.</label><input type='hidden' name='input_64.2' value='Yes, I would like to receive messages to this mobile number from and on behalf of Boston University Alumni & Friends. I may opt out from these communications at any time. By checking this box, I am providing my digital signature.' class='gform_hidden' /><input type='hidden' name='input_64.3' value='3' class='gform_hidden' /></div></li><li id="field_65_49" class="gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_49"><label class='gfield_label gform-field-label' for='input_65_49' >Social Media URLs</label><div class='ginput_container ginput_container_textarea'><textarea name='input_49' id='input_65_49' class='textarea medium' aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_65_14" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_14"><h2 class="gsection_title">New Business Information</h2></li><li id="field_65_15" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_15"><label class='gfield_label gform-field-label' for='input_65_15' >Title</label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_65_15' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_65_16" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_16"><label class='gfield_label gform-field-label' for='input_65_16' >Employer</label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_65_16' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_65_17" class="gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_17"><label class='gfield_label gform-field-label gfield_label_before_complex' >Business Address</label> <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_65_17' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_65_17_1_container' > <input type='text' name='input_17.1' id='input_65_17_1' value='' aria-required='false' /> <label for='input_65_17_1' id='input_65_17_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label> </span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_65_17_2_container' > <input type='text' name='input_17.2' id='input_65_17_2' value='' aria-required='false' /> <label for='input_65_17_2' id='input_65_17_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2</label> </span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_65_17_3_container' > <input type='text' name='input_17.3' id='input_65_17_3' value='' aria-required='false' /> <label for='input_65_17_3' id='input_65_17_3_label' class='gform-field-label gform-field-label--type-sub '>City</label> </span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_65_17_4_container' > <input type='text' name='input_17.4' id='input_65_17_4' value='' aria-required='false' /> <label for='input_65_17_4' id='input_65_17_4_label' class='gform-field-label gform-field-label--type-sub '>State / Province / Region</label> </span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_65_17_5_container' > <input type='text' name='input_17.5' id='input_65_17_5' value='' aria-required='false' /> <label for='input_65_17_5' id='input_65_17_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP / Postal Code</label> </span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_65_17_6_container' > <select name='input_17.6' id='input_65_17_6' aria-required='false' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cabo Verde' >Cabo Verde</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cura莽ao' >Cura莽ao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='C么te d'Ivoire' >C么te d'Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='R茅union' >R茅union</option><option value='Saint Barth茅lemy' >Saint Barth茅lemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='T眉rkiye' >T眉rkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='脜land Islands' >脜land Islands</option></select> <label for='input_65_17_6' id='input_65_17_6_label' class='gform-field-label gform-field-label--type-sub '>Country</label> </span> <div class='gf_clear gf_clear_complex'></div> </div></li><li id="field_65_19" class="gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_19"><label class='gfield_label gform-field-label' for='input_65_19' >Business Phone</label><div class='ginput_container ginput_container_phone'><input name='input_19' id='input_65_19' type='text' value='' class='medium' aria-invalid="false" /></div></li><li id="field_65_22" class="gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_22"><label class='gfield_label gform-field-label' for='input_65_22' >Business Email</label><div class='ginput_container ginput_container_email'> <input name='input_22' id='input_65_22' type='text' value='' class='medium' aria-invalid="false" /> </div></li></ul> </div> <div class='gform_page_footer top_label'> <input type='button' id='gform_previous_button_65_54' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous' onclick='jQuery("#gform_target_page_number_65").val("1"); jQuery("#gform_65").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_65").val("1"); jQuery("#gform_65").trigger("submit",[true]); } ' /> <input type='button' id='gform_next_button_65_54' class='gform_next_button gform-theme-button button' value='Next' onclick='jQuery("#gform_target_page_number_65").val("3"); jQuery("#gform_65").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_65").val("3"); jQuery("#gform_65").trigger("submit",[true]); } ' /> </div> </div> <div id='gform_page_65_3' class='gform_page' data-js='page-field-id-54' style='display:none;'> <div class='gform_page_fields'> <ul id='gform_fields_65_3' class='gform_fields top_label form_sublabel_below description_below'><li id="field_65_59" class="gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_59"><label class='gfield_label gform-field-label' >Do you want to join a group and/or network<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_65_59'> <li class='gchoice gchoice_65_59_0'> <input name='input_59' type='radio' value='Yes' id='choice_65_59_0' /> <label for='choice_65_59_0' id='label_65_59_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </li> <li class='gchoice gchoice_65_59_1'> <input name='input_59' type='radio' value='No' id='choice_65_59_1' /> <label for='choice_65_59_1' id='label_65_59_1' class='gform-field-label gform-field-label--type-inline'>No</label> </li></ul></div></li><li id="field_65_58" class="gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_58"><label class='gfield_label gform-field-label gfield_label_before_complex' >Groups</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_65_58'><li class='gchoice gchoice_65_58_1'> <input class='gfield-choice-input' name='input_58.1' type='checkbox' value='Black Affinity' id='choice_65_58_1' /> <label for='choice_65_58_1' id='label_65_58_1' class='gform-field-label gform-field-label--type-inline'>Black Affinity</label> </li><li class='gchoice gchoice_65_58_2'> <input class='gfield-choice-input' name='input_58.2' type='checkbox' value='First-Generation' id='choice_65_58_2' /> <label for='choice_65_58_2' id='label_65_58_2' class='gform-field-label gform-field-label--type-inline'>First-Generation</label> </li><li class='gchoice gchoice_65_58_3'> <input class='gfield-choice-input' name='input_58.3' type='checkbox' value='LA Entertainment, Film & TV' id='choice_65_58_3' /> <label for='choice_65_58_3' id='label_65_58_3' class='gform-field-label gform-field-label--type-inline'>LA Entertainment, Film & TV</label> </li><li class='gchoice gchoice_65_58_4'> <input class='gfield-choice-input' name='input_58.4' type='checkbox' value='Latino & Hispanic' id='choice_65_58_4' /> <label for='choice_65_58_4' id='label_65_58_4' class='gform-field-label gform-field-label--type-inline'>Latino & Hispanic</label> </li><li class='gchoice gchoice_65_58_5'> <input class='gfield-choice-input' name='input_58.5' type='checkbox' value='LGBTIQA+' id='choice_65_58_5' /> <label for='choice_65_58_5' id='label_65_58_5' class='gform-field-label gform-field-label--type-inline'>LGBTIQA+</label> </li><li class='gchoice gchoice_65_58_6'> <input class='gfield-choice-input' name='input_58.6' type='checkbox' value='Scarlet Key Alumni' id='choice_65_58_6' /> <label for='choice_65_58_6' id='label_65_58_6' class='gform-field-label gform-field-label--type-inline'>Scarlet Key Alumni</label> </li><li class='gchoice gchoice_65_58_7'> <input class='gfield-choice-input' name='input_58.7' type='checkbox' value='Society of Terrier Alumni Retirees (STAR)' id='choice_65_58_7' /> <label for='choice_65_58_7' id='label_65_58_7' class='gform-field-label gform-field-label--type-inline'>Society of Terrier Alumni Retirees (STAR)</label> </li><li class='gchoice gchoice_65_58_8'> <input class='gfield-choice-input' name='input_58.8' type='checkbox' value='Terrier Alumni Parents (TAP)' id='choice_65_58_8' /> <label for='choice_65_58_8' id='label_65_58_8' class='gform-field-label gform-field-label--type-inline'>Terrier Alumni Parents (TAP)</label> </li><li class='gchoice gchoice_65_58_9'> <input class='gfield-choice-input' name='input_58.9' type='checkbox' value='Veterans' id='choice_65_58_9' /> <label for='choice_65_58_9' id='label_65_58_9' class='gform-field-label gform-field-label--type-inline'>Veterans</label> </li></ul></div></li><li id="field_65_55" class="gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_65_55"><label class='gfield_label gform-field-label gfield_label_before_complex' >United States networks</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_65_55'><li class='gchoice gchoice_65_55_1'> <input class='gfield-choice-input' name='input_55.1' type='checkbox' value='Boston, MA' id='choice_65_55_1' /> <label for='choice_65_55_1' id='label_65_55_1' class='gform-field-label gform-field-label--type-inline'>Boston, MA</label> </li><li class='gchoice 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