{"id":831,"date":"2026-06-18T04:08:41","date_gmt":"2026-06-18T04:08:41","guid":{"rendered":"https:\/\/mylovencare.com\/?page_id=831"},"modified":"2026-06-20T06:41:28","modified_gmt":"2026-06-20T06:41:28","slug":"application-form","status":"publish","type":"page","link":"https:\/\/mylovencare.com\/es\/application-form\/","title":{"rendered":"Application form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"831\" class=\"elementor elementor-831\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9bcae5b e-con e-atomic-element e-flexbox-base e-94955e3 \" data-id=\"9bcae5b\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"9bcae5b\" data-e-type=\"e-flexbox\" data-id=\"9bcae5b\">\n    <div class=\"elementor-element elementor-element-172d69b e-con e-atomic-element e-flexbox-base e-d2a04a9 \" data-id=\"172d69b\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"172d69b\" data-e-type=\"e-flexbox\" data-id=\"172d69b\">\n    \n<\/div>\n<div class=\"elementor-element elementor-element-f8a8c77 e-con e-atomic-element e-flexbox-base e-2569560 \" data-id=\"f8a8c77\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"f8a8c77\" data-e-type=\"e-flexbox\" data-id=\"f8a8c77\">\n    \t\t<div class=\"elementor-element elementor-element-be86abd elementor-widget elementor-widget-shortcode\" data-id=\"be86abd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">    <style>\n    .lnc-app-wrapper{max-width:800px;margin:0 auto;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,sans-serif}\n    .lnc-tabs{display:flex;gap:0;margin-bottom:30px;border-bottom:2px solid #e0e0e0}\n    .lnc-tab{padding:14px 28px;cursor:pointer;font-weight:600;font-size:15px;color:#555;border-bottom:3px solid transparent;transition:all .2s;background:none;border-top:none;border-left:none;border-right:none}\n    .lnc-tab.active{color:#0d9488;border-bottom-color:#0d9488}\n    .lnc-tab:hover{color:#fff;background:#e11d48;border-bottom-color:#e11d48}\n    .lnc-progress{display:flex;justify-content:space-between;margin-bottom:32px;position:relative}\n    .lnc-progress::before{content:'';position:absolute;top:16px;left:0;right:0;height:2px;background:#e0e0e0;z-index:0}\n    .lnc-step-dot{width:34px;height:34px;border-radius:50%;background:#e0e0e0;color:#999;display:flex;align-items:center;justify-content:center;font-size:13px;font-weight:700;z-index:1;transition:all .3s}\n    .lnc-step-dot.active{background:#0d9488;color:#fff}\n    .lnc-step-dot.done{background:#0d9488;color:#fff}\n    .lnc-step-label{font-size:10px;color:#999;text-align:center;margin-top:6px;white-space:nowrap}\n    .lnc-step-label.active{color:#0d9488;font-weight:600}\n    .lnc-step{display:flex;flex-direction:column;align-items:center;flex:1}\n    .lnc-form-step{display:none;animation:lncFadeIn .3s ease}\n    .lnc-form-step.active{display:block;min-height:calc(100vh - 120px)}\n    @keyframes lncFadeIn{from{opacity:0;transform:translateY(8px)}to{opacity:1;transform:translateY(0)}}\n    .lnc-section-title{font-size:20px;font-weight:700;color:#1a1a1a;margin-bottom:6px}\n    .lnc-section-desc{font-size:13px;color:#888;margin-bottom:24px}\n    .lnc-row{display:grid;grid-template-columns:1fr 1fr;gap:16px;margin-bottom:16px}\n    .lnc-row.full{grid-template-columns:1fr}\n    .lnc-row.triple{grid-template-columns:1fr 1fr 1fr}\n    .lnc-field label{display:block;font-size:12px;font-weight:600;color:#555;margin-bottom:5px;text-transform:uppercase;letter-spacing:.5px}\n    .lnc-field label .req{color:#e11d48}\n    .lnc-field input,.lnc-field select,.lnc-field textarea{width:100%;padding:11px 14px;border:1.5px solid #ddd;border-radius:8px;font-size:14px;transition:border-color .2s;background:#fafafa;font-family:inherit;box-sizing:border-box}\n    .lnc-field input:focus,.lnc-field select:focus,.lnc-field textarea:focus{outline:none;border-color:#0d9488;background:#fff;box-shadow:0 0 0 3px rgba(13,148,136,.1)}\n    .lnc-field textarea{resize:vertical;min-height:80px}\n    .lnc-checkbox-grid{display:flex;flex-wrap:wrap;gap:10px}\n    .lnc-checkbox-grid label{display:flex;align-items:center;gap:6px;font-size:14px;font-weight:400;text-transform:none;letter-spacing:0;cursor:pointer;padding:8px 14px;border:1.5px solid #ddd;border-radius:8px;transition:all .2s;background:#fafafa}\n    .lnc-checkbox-grid label:hover{border-color:#0d9488;background:#f0fdfa}\n    .lnc-checkbox-grid label:has(input:checked){border-color:#0d9488;background:#f0fdfa}\n    .lnc-checkbox-grid input:checked+span{color:#0d9488;font-weight:600}\n    .lnc-radio-group{display:flex;gap:12px;flex-wrap:wrap}\n    .lnc-radio-group label{display:flex;align-items:center;gap:6px;cursor:pointer;padding:8px 16px;border:1.5px solid #ddd;border-radius:8px;font-size:14px;transition:all .2s;background:#fafafa}\n    .lnc-radio-group label:hover{border-color:#0d9488}\n    .lnc-radio-group label:has(input:checked){border-color:#0d9488;background:#f0fdfa;color:#0d9488;font-weight:600}\n    .lnc-conditional{display:none;margin-top:12px;padding:16px;background:#fef2f2;border-radius:8px;border:1px solid #fecaca}\n    .lnc-conditional.show{display:block}\n    .lnc-employer-block{background:#f8f9fa;border:1px solid #e5e7eb;border-radius:10px;padding:20px;margin-bottom:20px}\n    .lnc-employer-block h4{font-size:15px;font-weight:700;color:#0d9488;margin:0 0 14px 0}\n    .lnc-edu-table{width:100%;border-collapse:separate;border-spacing:0;border:1px solid #e5e7eb;border-radius:8px;overflow:hidden}\n    .lnc-edu-table th{background:#f0fdfa;padding:10px 12px;font-size:11px;text-transform:uppercase;letter-spacing:.5px;color:#0d9488;text-align:left;font-weight:700}\n    .lnc-edu-table td{padding:6px 8px;border-top:1px solid #f0f0f0}\n    .lnc-edu-table input{border:1px solid #e5e7eb;border-radius:6px;padding:8px 10px;font-size:13px;width:100%;box-sizing:border-box}\n    .lnc-ref-block{display:grid;grid-template-columns:1fr 1fr 80px 1fr;gap:10px;margin-bottom:12px;padding:14px;background:#f8f9fa;border-radius:8px;border:1px solid #e5e7eb}\n    .lnc-ref-block label{font-size:11px}\n    .lnc-agreement{background:#f8f9fa;border:1px solid #e5e7eb;border-radius:10px;padding:20px;margin-bottom:20px;font-size:13px;line-height:1.7;color:#555;max-height:200px;overflow-y:auto}\n    .lnc-agreement p{margin:0 0 10px 0}\n    .lnc-sig-field{display:grid;grid-template-columns:1fr 1fr;gap:16px;margin-top:16px}\n    .lnc-nav{display:flex;justify-content:space-between;margin-top:28px;padding-top:20px;border-top:1px solid #eee}\n    .lnc-btn{padding:12px 28px;border-radius:8px;font-size:14px;font-weight:600;cursor:pointer;transition:all .2s;border:none;font-family:inherit}\n    .lnc-btn-prev{background:#f3f4f6;color:#555}\n    .lnc-btn-prev:hover{background:#e5e7eb}\n    .lnc-btn-next{background:#0d9488;color:#fff}\n    .lnc-btn-next:hover{background:#0f766e}\n    .lnc-btn-submit{background:#e11d48;color:#fff;padding:14px 36px;font-size:15px}\n    .lnc-btn-submit:hover{background:#be123c}\n    .lnc-success{text-align:center;padding:60px 20px}\n    .lnc-success h2{color:#0d9488;font-size:24px;margin-bottom:10px}\n    .lnc-success p{color:#666;font-size:15px}\n    .lnc-upload-zone{border:2px dashed #ddd;border-radius:10px;padding:40px 20px;text-align:center;cursor:pointer;transition:all .2s;background:#fafafa}\n    .lnc-upload-zone:hover{border-color:#0d9488;background:#f0fdfa}\n    .lnc-upload-zone p{margin:8px 0;color:#888;font-size:14px}\n    .lnc-upload-zone .icon{font-size:36px;color:#0d9488}\n    .lnc-pdf-download{display:inline-flex;align-items:center;gap:8px;padding:12px 24px;background:#0d9488;color:#fff;border-radius:8px;text-decoration:none;font-weight:600;font-size:14px;transition:background .2s;margin-bottom:20px}\n    .lnc-pdf-download:hover{background:#0f766e;color:#fff}\n    .lnc-divider{text-align:center;margin:30px 0;position:relative}\n    .lnc-divider::before{content:'';position:absolute;top:50%;left:0;right:0;height:1px;background:#ddd}\n    .lnc-divider span{background:#fff;padding:0 16px;position:relative;color:#999;font-size:13px;font-weight:600}\n    .lnc-panel{display:none}\n    .lnc-panel.active{display:block}\n    @media(max-width:768px){\n        .lnc-app-wrapper{padding:0 12px}\n        .lnc-row,.lnc-row.triple{grid-template-columns:1fr;gap:12px}\n        .lnc-ref-block{grid-template-columns:1fr;gap:12px}\n        .lnc-sig-field{grid-template-columns:1fr;gap:12px}\n        .lnc-employer-block{padding:14px}\n        .lnc-section-title{font-size:18px}\n        .lnc-tabs{flex-direction:row;border-bottom:2px solid #e0e0e0;gap:0}\n        .lnc-tab{padding:12px 16px;font-size:13px;flex:1;text-align:center}\n        .lnc-progress{overflow-x:auto;overflow-y:hidden;padding-bottom:8px;gap:0;-webkit-overflow-scrolling:touch;scrollbar-width:none;-ms-overflow-style:none}\n        .lnc-progress::-webkit-scrollbar{display:none}\n        .lnc-progress::before{top:17px}\n        .lnc-step{min-width:52px;flex:0 0 auto}\n        .lnc-step-dot{width:30px;height:30px;font-size:12px}\n        .lnc-step-label{font-size:9px;margin-top:4px;white-space:nowrap}\n        .lnc-field input,.lnc-field select,.lnc-field textarea{padding:10px 12px;font-size:15px}\n        .lnc-field label{font-size:11px;margin-bottom:4px}\n        .lnc-checkbox-grid{gap:8px}\n        .lnc-checkbox-grid label{padding:7px 12px;font-size:13px}\n        .lnc-radio-group{gap:8px}\n        .lnc-radio-group label{padding:7px 12px;font-size:13px}\n        .lnc-nav{flex-direction:column;gap:10px}\n        .lnc-nav .lnc-btn{width:100%;text-align:center}\n        .lnc-btn-next,.lnc-btn-submit{order:-1}\n        .lnc-edu-table{display:block;overflow-x:auto}\n        .lnc-edu-table th,.lnc-edu-table td{padding:6px;font-size:12px}\n        .lnc-edu-table input{padding:7px 8px;font-size:12px}\n        .lnc-upload-zone{padding:24px 16px}\n        .lnc-pdf-download{width:100%;justify-content:center;box-sizing:border-box}\n        .lnc-agreement{font-size:12px;padding:14px;max-height:160px}\n    }\n    @media(max-width:400px){\n        .lnc-tab{padding:10px 10px;font-size:12px}\n        .lnc-step{min-width:44px}\n        .lnc-step-dot{width:26px;height:26px;font-size:11px}\n        .lnc-step-label{font-size:8px}\n        .lnc-section-title{font-size:16px}\n        .lnc-section-desc{font-size:12px}\n        .lnc-field input,.lnc-field select,.lnc-field textarea{font-size:14px}\n        .lnc-checkbox-grid label,.lnc-radio-group label{font-size:12px;padding:6px 10px}\n    }\n    <\/style>\n    \n    <div class=\"lnc-app-wrapper\">\n        <div class=\"lnc-tabs\">\n            <button class=\"lnc-tab active\" data-tab=\"online\">Apply Online<\/button>\n            <button class=\"lnc-tab\" data-tab=\"upload\">Download & Upload PDF<\/button>\n        <\/div>\n        \n        <!-- ONLINE FORM PANEL -->\n        <div class=\"lnc-panel active\" id=\"lnc-online-panel\">\n            <div class=\"lnc-progress\" id=\"lnc-progress\">\n                <div class=\"lnc-step\"><div class=\"lnc-step-dot active\">1<\/div><div class=\"lnc-step-label active\">Personal<\/div><\/div>\n                <div class=\"lnc-step\"><div class=\"lnc-step-dot\">2<\/div><div class=\"lnc-step-label\">Availability<\/div><\/div>\n                <div class=\"lnc-step\"><div class=\"lnc-step-dot\">3<\/div><div class=\"lnc-step-label\">Background<\/div><\/div>\n                <div class=\"lnc-step\"><div class=\"lnc-step-dot\">4<\/div><div class=\"lnc-step-label\">Education<\/div><\/div>\n                <div class=\"lnc-step\"><div class=\"lnc-step-dot\">5<\/div><div class=\"lnc-step-label\">Employment<\/div><\/div>\n                <div class=\"lnc-step\"><div class=\"lnc-step-dot\">6<\/div><div class=\"lnc-step-label\">References<\/div><\/div>\n                <div class=\"lnc-step\"><div class=\"lnc-step-dot\">7<\/div><div class=\"lnc-step-label\">Submit<\/div><\/div>\n            <\/div>\n            \n            <form id=\"lnc-application-form\">\n                <input type=\"hidden\" name=\"action\" value=\"lnc_submit_application\">\n                <input type=\"hidden\" name=\"nonce\" value=\"d64beb9bd5\">\n                \n                <!-- STEP 1 -->\n                <div class=\"lnc-form-step active\" data-step=\"1\">\n                    <div class=\"lnc-section-title\">Personal Information<\/div>\n                    <div class=\"lnc-section-desc\">All fields marked with * are required.<\/div>\n                    <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Position Applied For <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"position\" required><\/div><div class=\"lnc-field\"><label>Date of Application<\/label><input type=\"date\" name=\"application_date\" value=\"2026-10-12\" readonly><\/div><\/div>\n                    <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Full Name <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"full_name\" required><\/div><\/div>\n                    <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Social Security # <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ssn\" placeholder=\"XXX-XX-XXXX\" maxlength=\"11\" required><\/div><div class=\"lnc-field\"><label>Date of Birth <span class=\"req\">*<\/span><\/label><input type=\"date\" name=\"date_of_birth\" required><\/div><\/div>\n                    <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Phone # <span class=\"req\">*<\/span><\/label><input type=\"tel\" name=\"phone\" required><\/div><div class=\"lnc-field\"><label>Email <span class=\"req\">*<\/span><\/label><input type=\"email\" name=\"email\" required><\/div><\/div>\n                    <div style=\"margin-top:20px\"><div class=\"lnc-section-title\" style=\"font-size:16px\">Physical Address<\/div><\/div>\n                    <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Street Address <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"physical_address\" required><\/div><\/div>\n                    <div class=\"lnc-row\"><div class=\"lnc-field\"><label>City <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"city\" required><\/div><div class=\"lnc-field\"><label>Zip Code <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"zip_code\" required><\/div><\/div>\n                    <div style=\"margin:16px 0\"><label style=\"display:flex;align-items:center;gap:8px;cursor:pointer;font-size:14px\"><input type=\"checkbox\" id=\"lnc-same-address\" checked> Mailing address same as physical address<\/label><\/div>\n                    <div id=\"lnc-mailing-fields\" style=\"display:none\">\n                        <div class=\"lnc-section-title\" style=\"font-size:16px\">Mailing Address<\/div>\n                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Mailing Address<\/label><input type=\"text\" name=\"mailing_address\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>City<\/label><input type=\"text\" name=\"mailing_city\"><\/div><div class=\"lnc-field\"><label>Zip Code<\/label><input type=\"text\" name=\"mailing_zip\"><\/div><\/div>\n                    <\/div>\n                <\/div>\n                \n                <!-- STEP 2 -->\n                <div class=\"lnc-form-step\" data-step=\"2\">\n                    <div class=\"lnc-section-title\">Availability & Schedule<\/div>\n                    <div class=\"lnc-section-desc\">When can you start and what schedule works for you?<\/div>\n                    <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Available Start Date <span class=\"req\">*<\/span><\/label><input type=\"date\" name=\"available_start_date\" required><\/div><div class=\"lnc-field\"><label>Schedule Preference <span class=\"req\">*<\/span><\/label><select name=\"schedule_preference\" required><option value=\"\">Select...<\/option><option>Morning<\/option><option>Afternoon<\/option><option>Evening<\/option><option>Night<\/option><option>Flexible \/ Any<\/option><\/select><\/div><\/div>\n                    <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Cities Available to Work In <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"available_cities\" placeholder=\"e.g., Edinburg, Houston, Dallas\" required><\/div><\/div>\n                    <div class=\"lnc-field\" style=\"margin-bottom:20px\"><label>Days Available <span class=\"req\">*<\/span><\/label><div class=\"lnc-checkbox-grid\"><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Sunday\"><span>Sun<\/span><\/label><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Monday\"><span>Mon<\/span><\/label><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Tuesday\"><span>Tue<\/span><\/label><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Wednesday\"><span>Wed<\/span><\/label><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Thursday\"><span>Thu<\/span><\/label><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Friday\"><span>Fri<\/span><\/label><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Saturday\"><span>Sat<\/span><\/label><label><input type=\"checkbox\" name=\"available_days[]\" value=\"Everyday\" id=\"lnc-everyday\"><span>Everyday<\/span><\/label><\/div><\/div>\n                    <div class=\"lnc-field\"><label>Employment Type <span class=\"req\">*<\/span><\/label><div class=\"lnc-checkbox-grid\"><label><input type=\"checkbox\" name=\"employment_type[]\" value=\"Full-time\"><span>Full-time<\/span><\/label><label><input type=\"checkbox\" name=\"employment_type[]\" value=\"Part-time\"><span>Part-time<\/span><\/label><label><input type=\"checkbox\" name=\"employment_type[]\" value=\"Temporary\"><span>Temporary<\/span><\/label><label><input type=\"checkbox\" name=\"employment_type[]\" value=\"Seasonal\"><span>Seasonal<\/span><\/label><\/div><\/div>\n                <\/div>\n                \n                <!-- STEP 3 -->\n                <div class=\"lnc-form-step\" data-step=\"3\">\n                    <div class=\"lnc-section-title\">Background Information<\/div>\n                    <div class=\"lnc-section-desc\">Please answer honestly. Responses will not automatically disqualify you.<\/div>\n                    <div class=\"lnc-field\" style=\"margin-bottom:20px\"><label>Previously worked at Love 'N Care? <span class=\"req\">*<\/span><\/label><div class=\"lnc-radio-group\"><label><input type=\"radio\" name=\"previously_worked\" value=\"Yes\" required> Yes<\/label><label><input type=\"radio\" name=\"previously_worked\" value=\"No\"> No<\/label><\/div><div class=\"lnc-conditional\" id=\"lnc-prev-work-detail\"><div class=\"lnc-field\"><label>When and reason<\/label><textarea name=\"previous_work_details\" rows=\"2\"><\/textarea><\/div><\/div><\/div>\n                    <div class=\"lnc-field\" style=\"margin-bottom:20px\"><label>Convicted of a crime in the past 7 years? <span class=\"req\">*<\/span><\/label><div class=\"lnc-radio-group\"><label><input type=\"radio\" name=\"criminal_record\" value=\"Yes\" required> Yes<\/label><label><input type=\"radio\" name=\"criminal_record\" value=\"No\"> No<\/label><\/div><div class=\"lnc-conditional\" id=\"lnc-criminal-detail\"><div class=\"lnc-field\"><label>Explain (dates and charges)<\/label><textarea name=\"criminal_details\" rows=\"2\"><\/textarea><\/div><\/div><p style=\"font-size:12px;color:#888;margin-top:6px;font-style:italic\">Conviction will not necessarily disqualify you.<\/p><\/div>\n                    <div class=\"lnc-field\" style=\"margin-bottom:20px\"><label>Languages Spoken <span class=\"req\">*<\/span><\/label><div class=\"lnc-radio-group\"><label><input type=\"radio\" name=\"languages\" value=\"Spanish only\" required> Spanish only<\/label><label><input type=\"radio\" name=\"languages\" value=\"English only\"> English only<\/label><label><input type=\"radio\" name=\"languages\" value=\"Both Spanish and English\"> Both<\/label><\/div><\/div>\n                    <div class=\"lnc-section-title\" style=\"font-size:16px;margin-top:24px\">Emergency Contact<\/div>\n                    <div class=\"lnc-row triple\"><div class=\"lnc-field\"><label>Name <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"emergency_name\" required><\/div><div class=\"lnc-field\"><label>Relationship <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"emergency_relationship\" required><\/div><div class=\"lnc-field\"><label>Phone <span class=\"req\">*<\/span><\/label><input type=\"tel\" name=\"emergency_phone\" required><\/div><\/div>\n                <\/div>\n                \n                <!-- STEP 4 -->\n                <div class=\"lnc-form-step\" data-step=\"4\">\n                    <div class=\"lnc-section-title\">Educational Background<\/div>\n                    <div class=\"lnc-section-desc\">Fill in what applies. Leave blank if not applicable.<\/div>\n                    <table class=\"lnc-edu-table\"><thead><tr><th>School Type<\/th><th>Name \/ City<\/th><th>Course or Major<\/th><\/tr><\/thead><tbody>\n                    <tr><td style=\"font-weight:600;font-size:13px\">High School<\/td><td><input type=\"text\" name=\"edu_high_school_name\"><\/td><td><input type=\"text\" name=\"edu_high_school_major\"><\/td><\/tr>\n                    <tr><td style=\"font-weight:600;font-size:13px\">College<\/td><td><input type=\"text\" name=\"edu_college_name\"><\/td><td><input type=\"text\" name=\"edu_college_major\"><\/td><\/tr>\n                    <tr><td style=\"font-weight:600;font-size:13px\">Postgraduate<\/td><td><input type=\"text\" name=\"edu_postgrad_name\"><\/td><td><input type=\"text\" name=\"edu_postgrad_major\"><\/td><\/tr>\n                    <tr><td style=\"font-weight:600;font-size:13px\">Business\/Trade<\/td><td><input type=\"text\" name=\"edu_trade_name\"><\/td><td><input type=\"text\" name=\"edu_trade_major\"><\/td><\/tr>\n                    <tr><td style=\"font-weight:600;font-size:13px\">Other<\/td><td><input type=\"text\" name=\"edu_other_name\"><\/td><td><input type=\"text\" name=\"edu_other_major\"><\/td><\/tr>\n                    <\/tbody><\/table>\n                <\/div>\n                \n                <!-- STEP 5 -->\n                <div class=\"lnc-form-step\" data-step=\"5\">\n                    <div class=\"lnc-section-title\">Employment History<\/div>\n                    <div class=\"lnc-section-desc\">List your last 3 employers, starting with the most recent.<\/div>\n                                        <div class=\"lnc-employer-block\">\n                        <h4>Employer 1 (Most Recent)<\/h4>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Employer <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"emp1_employer\" required><\/div><div class=\"lnc-field\"><label>Phone<\/label><input type=\"tel\" name=\"emp1_phone\"><\/div><\/div>\n                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Address<\/label><input type=\"text\" name=\"emp1_address\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>From<\/label><input type=\"month\" name=\"emp1_from\"><\/div><div class=\"lnc-field\"><label>To<\/label><input type=\"month\" name=\"emp1_to\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Job Title<\/label><input type=\"text\" name=\"emp1_title\"><\/div><div class=\"lnc-field\"><label>Supervisor<\/label><input type=\"text\" name=\"emp1_supervisor\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Starting Salary<\/label><input type=\"text\" name=\"emp1_salary_start\" placeholder=\"$\"><\/div><div class=\"lnc-field\"><label>Final Salary<\/label><input type=\"text\" name=\"emp1_salary_end\" placeholder=\"$\"><\/div><\/div>\n                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Duties & Responsibilities<\/label><textarea name=\"emp1_duties\" rows=\"2\"><\/textarea><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Reason for Leaving<\/label><input type=\"text\" name=\"emp1_reason_leaving\"><\/div><div class=\"lnc-field\"><label>Contact for Reference?<\/label><select name=\"emp1_contact_reference\"><option value=\"\">Select...<\/option><option>Yes<\/option><option>No<\/option><option>Later<\/option><\/select><\/div><\/div>\n                    <\/div>\n                                        <div class=\"lnc-employer-block\">\n                        <h4>Employer 2 (Optional)<\/h4>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Employer<\/label><input type=\"text\" name=\"emp2_employer\" ><\/div><div class=\"lnc-field\"><label>Phone<\/label><input type=\"tel\" name=\"emp2_phone\"><\/div><\/div>\n                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Address<\/label><input type=\"text\" name=\"emp2_address\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>From<\/label><input type=\"month\" name=\"emp2_from\"><\/div><div class=\"lnc-field\"><label>To<\/label><input type=\"month\" name=\"emp2_to\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Job Title<\/label><input type=\"text\" name=\"emp2_title\"><\/div><div class=\"lnc-field\"><label>Supervisor<\/label><input type=\"text\" name=\"emp2_supervisor\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Starting Salary<\/label><input type=\"text\" name=\"emp2_salary_start\" placeholder=\"$\"><\/div><div class=\"lnc-field\"><label>Final Salary<\/label><input type=\"text\" name=\"emp2_salary_end\" placeholder=\"$\"><\/div><\/div>\n                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Duties & Responsibilities<\/label><textarea name=\"emp2_duties\" rows=\"2\"><\/textarea><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Reason for Leaving<\/label><input type=\"text\" name=\"emp2_reason_leaving\"><\/div><div class=\"lnc-field\"><label>Contact for Reference?<\/label><select name=\"emp2_contact_reference\"><option value=\"\">Select...<\/option><option>Yes<\/option><option>No<\/option><option>Later<\/option><\/select><\/div><\/div>\n                    <\/div>\n                                        <div class=\"lnc-employer-block\">\n                        <h4>Employer 3 (Optional)<\/h4>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Employer<\/label><input type=\"text\" name=\"emp3_employer\" ><\/div><div class=\"lnc-field\"><label>Phone<\/label><input type=\"tel\" name=\"emp3_phone\"><\/div><\/div>\n                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Address<\/label><input type=\"text\" name=\"emp3_address\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>From<\/label><input type=\"month\" name=\"emp3_from\"><\/div><div class=\"lnc-field\"><label>To<\/label><input type=\"month\" name=\"emp3_to\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Job Title<\/label><input type=\"text\" name=\"emp3_title\"><\/div><div class=\"lnc-field\"><label>Supervisor<\/label><input type=\"text\" name=\"emp3_supervisor\"><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Starting Salary<\/label><input type=\"text\" name=\"emp3_salary_start\" placeholder=\"$\"><\/div><div class=\"lnc-field\"><label>Final Salary<\/label><input type=\"text\" name=\"emp3_salary_end\" placeholder=\"$\"><\/div><\/div>\n                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Duties & Responsibilities<\/label><textarea name=\"emp3_duties\" rows=\"2\"><\/textarea><\/div><\/div>\n                        <div class=\"lnc-row\"><div class=\"lnc-field\"><label>Reason for Leaving<\/label><input type=\"text\" name=\"emp3_reason_leaving\"><\/div><div class=\"lnc-field\"><label>Contact for Reference?<\/label><select name=\"emp3_contact_reference\"><option value=\"\">Select...<\/option><option>Yes<\/option><option>No<\/option><option>Later<\/option><\/select><\/div><\/div>\n                    <\/div>\n                                        <div class=\"lnc-row full\"><div class=\"lnc-field\"><label>Skills, Qualifications & Comments<\/label><textarea name=\"skills_comments\" rows=\"3\" placeholder=\"Include gaps in employment...\"><\/textarea><\/div><\/div>\n                <\/div>\n                \n                <!-- STEP 6 -->\n                <div class=\"lnc-form-step\" data-step=\"6\">\n                    <div class=\"lnc-section-title\">References (3 Required)<\/div>\n                    <div class=\"lnc-section-desc\">You must provide 3 references (not immediate family) who know your work ethic and abilities. All 3 are required.<\/div>\n                                        <div class=\"lnc-ref-block\">\n                        <div class=\"lnc-field\"><label>Name <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref1_name\" required><\/div>\n                        <div class=\"lnc-field\"><label>Phone <span class=\"req\">*<\/span><\/label><input type=\"tel\" name=\"ref1_phone\" required><\/div>\n                        <div class=\"lnc-field\"><label>Years <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref1_years\" required><\/div>\n                        <div class=\"lnc-field\"><label>Relation <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref1_relationship\" required><\/div>\n                    <\/div>\n                                        <div class=\"lnc-ref-block\">\n                        <div class=\"lnc-field\"><label>Name <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref2_name\" required><\/div>\n                        <div class=\"lnc-field\"><label>Phone <span class=\"req\">*<\/span><\/label><input type=\"tel\" name=\"ref2_phone\" required><\/div>\n                        <div class=\"lnc-field\"><label>Years <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref2_years\" required><\/div>\n                        <div class=\"lnc-field\"><label>Relation <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref2_relationship\" required><\/div>\n                    <\/div>\n                                        <div class=\"lnc-ref-block\">\n                        <div class=\"lnc-field\"><label>Name <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref3_name\" required><\/div>\n                        <div class=\"lnc-field\"><label>Phone <span class=\"req\">*<\/span><\/label><input type=\"tel\" name=\"ref3_phone\" required><\/div>\n                        <div class=\"lnc-field\"><label>Years <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref3_years\" required><\/div>\n                        <div class=\"lnc-field\"><label>Relation <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"ref3_relationship\" required><\/div>\n                    <\/div>\n                                    <\/div>\n                \n                <!-- STEP 7 -->\n                <div class=\"lnc-form-step\" data-step=\"7\">\n                    <div class=\"lnc-section-title\">Certification & Signature<\/div>\n                    <div class=\"lnc-section-desc\">Please read and agree to the following.<\/div>\n                    <div class=\"lnc-agreement\">\n                        <p>I certify that the facts in this application are true and complete. Misrepresentation will be cause for rejection or dismissal.<\/p>\n                        <p>I understand my employment is not guaranteed for any term and may be terminated at any time by either party.<\/p>\n                        <p>If employed, I agree to comply with Love 'N Care's safety, health rules, and code of conduct.<\/p>\n                        <p>This application remains active for one year. I authorize investigation of all statements made herein.<\/p>\n                        <p>If required, I agree to drug testing. Love 'N Care is an Equal Opportunity Employer.<\/p>\n                    <\/div>\n                    <div class=\"lnc-sig-field\">\n                        <div class=\"lnc-field\"><label>Type Full Name as Signature <span class=\"req\">*<\/span><\/label><input type=\"text\" name=\"signature_name\" required style=\"font-family:'Dancing Script',cursive;font-size:22px;padding:14px\" placeholder=\"Your full legal name\"><\/div>\n                        <div class=\"lnc-field\"><label>Date<\/label><input type=\"date\" name=\"signature_date\" value=\"2026-10-12\" readonly><\/div>\n                    <\/div>\n                    <div style=\"margin-top:16px\"><label style=\"display:flex;align-items:center;gap:8px;font-size:14px;cursor:pointer\"><input type=\"checkbox\" id=\"lnc-agree\" required> <span>I have read and agree to the terms above <span style=\"color:#e11d48\">*<\/span><\/span><\/label><\/div>\n                <\/div>\n                \n                <div class=\"lnc-nav\">\n                    <button type=\"button\" class=\"lnc-btn lnc-btn-prev\" id=\"lnc-prev\" style=\"display:none\">\u2190 Previous<\/button>\n                    <div><\/div>\n                    <button type=\"button\" class=\"lnc-btn lnc-btn-next\" id=\"lnc-next\">Next Step \u2192<\/button>\n                    <button type=\"submit\" class=\"lnc-btn lnc-btn-submit\" id=\"lnc-submit\" style=\"display:none\">Submit Application<\/button>\n                <\/div>\n            <\/form>\n            <div class=\"lnc-success\" id=\"lnc-success\" style=\"display:none\"><div style=\"font-size:48px;margin-bottom:16px\">\u2705<\/div><h2>Application Submitted!<\/h2><p>Thank you! 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