{"id":237255,"date":"2026-09-15T13:52:57","date_gmt":"2026-09-15T17:52:57","guid":{"rendered":"https:\/\/www.eascarpenterstech.edu\/philadelphia\/?page_id=237255"},"modified":"2026-09-15T13:53:02","modified_gmt":"2026-09-15T17:53:02","slug":"course-refresher-request-form","status":"publish","type":"page","link":"https:\/\/www.eascarpenterstech.edu\/philadelphia\/course-refresher-request-form\/","title":{"rendered":"Course Refresher Request Form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.22.0&#8243; _module_preset=&#8221;default&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;rgba(0,32,91,0.5) 0%|rgba(0,32,91,0.5) 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_image=&#8221;https:\/\/www.eascarpenterstech.edu\/philadelphia\/wp-content\/uploads\/sites\/4\/2023\/08\/IMG_3424.jpg&#8221; custom_padding=&#8221;100px||100px||true|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text quote_border_color=&#8221;#d31245&#8243; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; quote_text_color=&#8221;RGBA(255,255,255,0)&#8221; header_font=&#8221;Open Sans|700|||||||&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;72px&#8221; width=&#8221;50%&#8221; width_tablet=&#8221;50%&#8221; width_phone=&#8221;100%&#8221; width_last_edited=&#8221;on|phone&#8221; hover_enabled=&#8221;0&#8243; header_text_align_tablet=&#8221;&#8221; header_text_align_phone=&#8221;center&#8221; header_text_align_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;72px&#8221; header_font_size_phone=&#8221;55px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<blockquote>\n<h1>COURSE REFRESHER REQUEST FORM<\/h1>\n<\/blockquote>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; width=&#8221;50%&#8221; width_tablet=&#8221;50%&#8221; width_phone=&#8221;100%&#8221; width_last_edited=&#8221;on|phone&#8221; hover_enabled=&#8221;0&#8243; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;center&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Please use the following form to request to be added to a refresher courses waitlist. You will be notified as soon as one is available for you to take.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; theme_builder_area=&#8221;post_content&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221;][et_pb_row _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; type=&#8221;4_4&#8243; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<script>\nvar 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aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_4'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_33_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_33_6\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description 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You will be notified as soon as one is available for you to take.\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_33' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Waitlist for Refresher Classes<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_33'  action='\/philadelphia\/wp-json\/wp\/v2\/pages\/237255' data-formid='33' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LeNGtAqAAAAAEGpZYDXzTrSWqMosY7Wgmf_aW-s' data-tabindex='0'><input id=\"input_14b3a2e7fde2c6d1e9b0a98b11e3bfc0\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_14b3a2e7fde2c6d1e9b0a98b11e3bfc0\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_33' class='gform_fields top_label form_sublabel_above description_above validation_above'><div id=\"field_33_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_1'><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_33_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_3'><span class='gform-field-label__text'>U Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_33_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_4'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_33_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_33_6\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Refresher Needed:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_33_6'>Please select all the refresher courses that you need.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' 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