{"id":1087,"date":"2016-07-22T15:15:22","date_gmt":"2016-07-22T15:15:22","guid":{"rendered":"http:\/\/mitchellhamline.edu\/health-law-institute\/?page_id=1087"},"modified":"2016-07-22T15:15:22","modified_gmt":"2016-07-22T15:15:22","slug":"online-health-care-compliance-certificate-application","status":"publish","type":"page","link":"https:\/\/mitchellhamline.edu\/health-law-institute\/online-health-care-compliance-certificate-application\/","title":{"rendered":"Online Health Care Compliance Certificate Application"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_10_container\" ><form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_frmprocontact2\" ><div class=\"frm_form_fields  frm_page_num_1\"><fieldset><legend class=\"frm_hidden\">Online Health Care Compliance Certificate Application<\/legend><div class=\"frm_description\"><p>Admission Requirements: Applicants for admission to the Online Health Care Compliance Certificate Program at Mitchell Hamline School of Law\u2019s Health Law Institute must have earned an undergraduate degree from an accredited institution of higher education, with a cumulative grade point average (GPA) of 3.0 or higher. Applicants with an undergraduate GPA of less than 3.0 may still be considered and admitted based on other admission criteria, including professional experience, graduate coursework, and a personal interview conducted by the Program Director.<\/p><\/div><div class=\"frm_fields_container\"><input type=\"hidden\" name=\"frm_action\" value=\"create\" \/><input type=\"hidden\" name=\"form_id\" value=\"10\" \/><input type=\"hidden\" name=\"frm_hide_fields_10\" id=\"frm_hide_fields_10\" value=\"\" \/><input type=\"hidden\" name=\"form_key\" value=\"frmprocontact2\" \/><input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/><input type=\"hidden\" id=\"frm_submit_entry_10\" name=\"frm_submit_entry_10\" value=\"787f2bccbc\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/health-law-institute\/wp-json\/wp\/v2\/pages\/1087\" \/><div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\"><label for=\"field_wwtp302\" class=\"frm_primary_label\">Name<span class=\"frm_required\">*<\/span><\/label><input  type=\"text\" id=\"field_wwtp302\" name=\"item_meta[114]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_wwtp302\" \/><div id=\"frm_desc_field_wwtp302\" class=\"frm_description\">First<\/div><\/div><div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_required_field frm_hidden_container frm_half\"><label for=\"field_oag1ms2\" class=\"frm_primary_label\">Last<span class=\"frm_required\">*<\/span><\/label><input  type=\"text\" id=\"field_oag1ms2\" name=\"item_meta[115]\" value=\"\"  data-reqmsg=\"Last cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_oag1ms2\" \/><div id=\"frm_desc_field_oag1ms2\" class=\"frm_description\">Last<\/div><\/div><div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\"><label for=\"field_xnkv8k2\" class=\"frm_primary_label\">Email<span class=\"frm_required\">*<\/span><\/label><input type=\"email\" id=\"field_xnkv8k2\" name=\"item_meta[116]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/><\/div><div id=\"frm_field_125_container\" class=\"frm_form_field form-field  frm_top_container\"><label for=\"field_6dsgq\" class=\"frm_primary_label\">Last 4-digits of Your Social Security Number<span class=\"frm_required\"><\/span><\/label><input  type=\"text\" id=\"field_6dsgq\" name=\"item_meta[125]\" value=\"\"  data-invmsg=\"Last 4-digits of Your Social Security Number is invalid\" aria-invalid=\"false\"   \/><\/div><div id=\"frm_field_126_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\"><label for=\"field_i4e25\" class=\"frm_primary_label\">Phone Number<span class=\"frm_required\">*<\/span><\/label><input type=\"tel\" id=\"field_i4e25\" name=\"item_meta[126]\" value=\"\"  style=\"width:115px\" data-reqmsg=\"Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/><\/div><div id=\"frm_field_118_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\"><label for=\"field_3l3cwp2\" class=\"frm_primary_label\">Address<span class=\"frm_required\">*<\/span><\/label><input  type=\"text\" id=\"field_3l3cwp2\" name=\"item_meta[118]\" value=\"\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   \/><\/div><div id=\"frm_field_119_container\" class=\"frm_form_field form-field  frm_top_container frm_full\"><label for=\"field_puitbx2\" class=\"frm_primary_label\">Address Line 2<span class=\"frm_required\"><\/span><\/label><input  type=\"text\" id=\"field_puitbx2\" name=\"item_meta[119]\" value=\"\"  data-invmsg=\"Address Line 2 is invalid\" aria-invalid=\"false\"   \/><\/div><div id=\"frm_field_120_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\"><label for=\"field_w8z3lb2\" class=\"frm_primary_label\">City<span class=\"frm_required\">*<\/span><\/label><input  type=\"text\" id=\"field_w8z3lb2\" name=\"item_meta[120]\" value=\"\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"City is invalid\" aria-invalid=\"false\"   \/><\/div><div id=\"frm_field_121_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth frm_other_container\"><label for=\"field_9c57wk2\" class=\"frm_primary_label\">State<span class=\"frm_required\">*<\/span><\/label><select name=\"item_meta[121]\" id=\"field_9c57wk2\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  ><option  value=\"AL\">AL<\/option><option  value=\"AK\">AK<\/option><option  value=\"AR\">AR<\/option><option  value=\"AZ\">AZ<\/option><option  value=\"CA\">CA<\/option><option  value=\"CO\">CO<\/option><option  value=\"CT\">CT<\/option><option  value=\"DE\">DE<\/option><option  value=\"DC\">DC<\/option><option  value=\"FL\">FL<\/option><option  value=\"GA\">GA<\/option><option  value=\"HI\">HI<\/option><option  value=\"ID\">ID<\/option><option  value=\"IL\">IL<\/option><option  value=\"IN\">IN<\/option><option  value=\"IA\">IA<\/option><option  value=\"KS\">KS<\/option><option  value=\"KY\">KY<\/option><option  value=\"LA\">LA<\/option><option  value=\"ME\">ME<\/option><option  value=\"MH\">MH<\/option><option  value=\"MD\">MD<\/option><option  value=\"MA\">MA<\/option><option  value=\"MI\">MI<\/option><option  value=\"MN\">MN<\/option><option  value=\"MS\">MS<\/option><option  value=\"MO\">MO<\/option><option  value=\"MT\">MT<\/option><option  value=\"NE\">NE<\/option><option  value=\"NV\">NV<\/option><option  value=\"NH\">NH<\/option><option  value=\"NJ\">NJ<\/option><option  value=\"NM\">NM<\/option><option  value=\"NY\">NY<\/option><option  value=\"NC\">NC<\/option><option  value=\"ND\">ND<\/option><option  value=\"OH\">OH<\/option><option  value=\"OK\">OK<\/option><option  value=\"OR\">OR<\/option><option  value=\"PA\">PA<\/option><option  value=\"RI\">RI<\/option><option  value=\"SC\">SC<\/option><option  value=\"SD\">SD<\/option><option  value=\"TN\">TN<\/option><option  value=\"TX\">TX<\/option><option  value=\"UT\">UT<\/option><option  value=\"VT\">VT<\/option><option  value=\"VA\">VA<\/option><option  value=\"WA\">WA<\/option><option  value=\"WV\">WV<\/option><option  value=\"WI\">WI<\/option><option  value=\"WY\">WY<\/option><option  value=\"Outside of the US\" class=\"frm_other_trigger\">Outside of the US<\/option><\/select><label for=\"field_9c57wk2-otext\" class=\"frm_screen_reader frm_hidden\">State<\/label><input type=\"text\" id=\"field_9c57wk2-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][121]\" value=\"\" \/><\/div><div id=\"frm_field_122_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth\"><label for=\"field_xk12lc2\" class=\"frm_primary_label\">Postal Code<span class=\"frm_required\">*<\/span><\/label><input  type=\"text\" id=\"field_xk12lc2\" name=\"item_meta[122]\" value=\"\"  data-reqmsg=\"Postal Code cannot be blank.\" aria-required=\"true\" data-invmsg=\"Postal Code is invalid\" aria-invalid=\"false\"   \/><\/div><div id=\"frm_field_489_container\" class=\"frm_form_field form-field  frm_top_container frm_first_half\"><label for=\"field_bh2ha\" class=\"frm_primary_label\">Country (If outside of the US)<span class=\"frm_required\"><\/span><\/label><input  type=\"text\" id=\"field_bh2ha\" name=\"item_meta[489]\" value=\"\"  data-invmsg=\"City is invalid\" aria-invalid=\"false\"   \/><\/div><div id=\"frm_field_128_container\" class=\"frm_form_field form-field  frm_top_container\"><label for=\"field_8nf8s\" class=\"frm_primary_label\">Anticipated Certificate Completion Date<span class=\"frm_required\"><\/span><\/label><input type=\"text\" id=\"field_8nf8s\" name=\"item_meta[128]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Anticipated Certificate Completion Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/><\/div><div id=\"frm_field_202_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\"><label for=\"field_25egi\" class=\"frm_primary_label\">Date of Birth<span class=\"frm_required\">*<\/span><\/label><input type=\"text\" id=\"field_25egi\" name=\"item_meta[202]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Date of Birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date of Birth is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/><\/div><div id=\"frm_field_131_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\"><label class=\"frm_primary_label\">Gender<span class=\"frm_required\"><\/span><\/label><div class=\"frm_opt_container\"><div class=\"frm_radio\" id=\"frm_radio_131-0\"><label  for=\"field_j4kv0-0\"><input type=\"radio\" name=\"item_meta[131]\" id=\"field_j4kv0-0\" value=\"Male\" data-invmsg=\"Gender is invalid\"   \/> Male<\/label><\/div><div class=\"frm_radio\" id=\"frm_radio_131-1\"><label  for=\"field_j4kv0-1\"><input type=\"radio\" name=\"item_meta[131]\" id=\"field_j4kv0-1\" value=\"Female\" data-invmsg=\"Gender is invalid\"   \/> Female<\/label><\/div><div class=\"frm_radio\" id=\"frm_radio_131-2\"><label  for=\"field_j4kv0-2\"><input type=\"radio\" name=\"item_meta[131]\" id=\"field_j4kv0-2\" value=\"Other\" data-invmsg=\"Gender is invalid\"   \/> Other<\/label><\/div><div class=\"frm_radio\" id=\"frm_radio_131-3\"><label  for=\"field_j4kv0-3\"><input type=\"radio\" name=\"item_meta[131]\" id=\"field_j4kv0-3\" value=\"Prefer not to say\" data-invmsg=\"Gender is invalid\"   \/> Prefer not to say<\/label><\/div><\/div><\/div><div id=\"frm_field_435_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\"><label for=\"field_kixe6\" class=\"frm_primary_label\">Which start date are you applying for? <span class=\"frm_required\">*<\/span><\/label><select name=\"item_meta[435]\" id=\"field_kixe6\"  data-reqmsg=\"Which start date are you applying for?  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Which start date are you applying for?  is invalid\" aria-invalid=\"false\"  ><option  value=\"August 2025 (Fall Semester)\">August 2025 (Fall Semester)<\/option><option  value=\"January 2026 (Spring Semester)\">January 2026 (Spring Semester)<\/option><\/select><\/div><div id=\"frm_field_132_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\"><label for=\"field_ufh72\" class=\"frm_primary_label\">Personal Statement<span class=\"frm_required\">*<\/span><\/label><input type=\"hidden\"  data-reqmsg=\"Personal Statement cannot be blank.\" data-invmsg=\"Personal Statement is invalid\" aria-invalid=\"false\"   name=\"item_meta[132]\"  data-reqmsg=\"Personal Statement cannot be blank.\"  value=\"\" data-frmfile=\"132\" \/><div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file132_dropzone\" role=\"group\"  aria-describedby=\"frm_desc_field_ufh72\"><div class=\"fallback\"><input type=\"file\" name=\"file132\" id=\"field_ufh72\" data-reqmsg=\"Personal Statement cannot be blank.\" data-invmsg=\"Personal Statement is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_clearfix \"><\/div><\/div><div class=\"dz-message needsclick\"><svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\"><path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path><\/svg><span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Personal Statement. Drop a file here or click to upload. Maximum file size: 22.53MB\">Drop a file here or click to upload<\/button><\/span><span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Personal Statement. Choose File. Maximum file size: 22.53MB\">Choose File<\/button><\/span><div class=\"frm_small_text\"><p>Maximum file size: 22.53MB<\/p><\/div><\/div><\/div><div id=\"frm_desc_field_ufh72\" class=\"frm_description\">Please submit a 1-2 page personal statement detailing why you have selected the Health Law Institute\u2019s Health Care Compliance Certificate Program, how the program will help you meet your career goals, and which areas are of most interest to you and why.<\/div><\/div><div id=\"frm_field_133_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\"><label for=\"field_dqs3v\" class=\"frm_primary_label\">Resume<span class=\"frm_required\">*<\/span><\/label><input type=\"hidden\"  data-reqmsg=\"Resume cannot be blank.\" data-invmsg=\"Resume is invalid\" aria-invalid=\"false\"   name=\"item_meta[133]\"  data-reqmsg=\"Resume cannot be blank.\"  value=\"\" data-frmfile=\"133\" \/><div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file133_dropzone\" role=\"group\"  aria-describedby=\"frm_desc_field_dqs3v\"><div class=\"fallback\"><input type=\"file\" name=\"file133\" id=\"field_dqs3v\" data-reqmsg=\"Resume cannot be blank.\" data-invmsg=\"Resume is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_clearfix \"><\/div><\/div><div class=\"dz-message needsclick\"><svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\"><path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path><\/svg><span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Resume. Drop a file here or click to upload. Maximum file size: 22.53MB\">Drop a file here or click to upload<\/button><\/span><span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Resume. Choose File. Maximum file size: 22.53MB\">Choose File<\/button><\/span><div class=\"frm_small_text\"><p>Maximum file size: 22.53MB<\/p><\/div><\/div><\/div><div id=\"frm_desc_field_dqs3v\" class=\"frm_description\">Please submit a resume highlighting your educational and work experience.<\/div><\/div><div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\"><label for=\"field_9rsyz\" class=\"frm_primary_label\">Letter of Recommendation<span class=\"frm_required\">*<\/span><\/label><input type=\"hidden\"  data-reqmsg=\"Letter of Recommendation cannot be blank.\" data-invmsg=\"Letter of Recommendation is invalid\" aria-invalid=\"false\"   name=\"item_meta[134]\"  data-reqmsg=\"Letter of Recommendation cannot be blank.\"  value=\"\" data-frmfile=\"134\" \/><div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file134_dropzone\" role=\"group\"  aria-describedby=\"frm_desc_field_9rsyz\"><div class=\"fallback\"><input type=\"file\" name=\"file134\" id=\"field_9rsyz\" data-reqmsg=\"Letter of Recommendation cannot be blank.\" data-invmsg=\"Letter of Recommendation is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_clearfix \"><\/div><\/div><div class=\"dz-message needsclick\"><svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\"><path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path><\/svg><span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Letter of Recommendation. Drop a file here or click to upload. Maximum file size: 22.53MB\">Drop a file here or click to upload<\/button><\/span><span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Letter of Recommendation. Choose File. Maximum file size: 22.53MB\">Choose File<\/button><\/span><div class=\"frm_small_text\"><p>Maximum file size: 22.53MB<\/p><\/div><\/div><\/div><div id=\"frm_desc_field_9rsyz\" class=\"frm_description\">Please submit one letter of recommendation from an employment supervisor or professor.<\/div><\/div><div id=\"frm_field_247_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\"><label class=\"frm_primary_label\">Official transcripts from all colleges and universities from which you have graduated must be submitted. Please mail your official transcripts to: Mitchell Hamline School of Law, Health Law Institute, 875 Summit Avenue, St. Paul, MN 55105. You can also have them emailed to healthlawinstitute@mitchellhamline.edu<span class=\"frm_required\">*<\/span><\/label><div class=\"frm_opt_container\"><div class=\"frm_radio\" id=\"frm_radio_247-0\"><label  for=\"field_xjeml-0\"><input type=\"radio\" name=\"item_meta[247]\" id=\"field_xjeml-0\" value=\"I will submit my official transcript(s) to Mitchell Hamline.\" data-reqmsg=\"Official transcripts from all colleges and universities from which you have graduated must be submitted. Please mail your official transcripts to: Mitchell Hamline School of Law, Health Law Institute, 875 Summit Avenue, St. Paul, MN 55105. You can also have them emailed to healthlawinstitute@mitchellhamline.edu cannot be blank.\" data-invmsg=\"Official transcripts from all colleges and universities from which you have graduated must be submitted. Please mail your official transcripts to: Mitchell Hamline School of Law, Health Law Institute, 875 Summit Avenue, St. Paul, MN 55105. You can also have them emailed to healthlawinstitute@mitchellhamline.edu is invalid\"   \/> I will submit my official transcript(s) to Mitchell Hamline.<\/label><\/div><\/div><\/div><div id=\"frm_field_136_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\"><label class=\"frm_primary_label\">Are you planning to take certificate courses under a consortium agreement?<span class=\"frm_required\">*<\/span><\/label><div class=\"frm_opt_container\"><div class=\"frm_radio\" id=\"frm_radio_136-0\"><label  for=\"field_ct5ur-0\"><input type=\"radio\" name=\"item_meta[136]\" id=\"field_ct5ur-0\" value=\"Yes\" data-reqmsg=\"Are you planning to take certificate courses under a consortium agreement? cannot be blank.\" data-invmsg=\"Are you planning to take certificate courses under a consortium agreement? is invalid\"   \/> Yes<\/label><\/div><div class=\"frm_radio\" id=\"frm_radio_136-1\"><label  for=\"field_ct5ur-1\"><input type=\"radio\" name=\"item_meta[136]\" id=\"field_ct5ur-1\" value=\"No\" data-reqmsg=\"Are you planning to take certificate courses under a consortium agreement? cannot be blank.\" data-invmsg=\"Are you planning to take certificate courses under a consortium agreement? is invalid\"   \/> No<\/label><\/div><\/div><\/div><div id=\"frm_field_138_container\" class=\"frm_form_field form-field  frm_top_container\"><label for=\"field_h3xag\" class=\"frm_primary_label\">What is the name of your home school? (if applicable)<span class=\"frm_required\"><\/span><\/label><input  type=\"text\" id=\"field_h3xag\" name=\"item_meta[138]\" value=\"\"  data-invmsg=\"What is the name of your home school? is invalid\" aria-invalid=\"false\"   \/><\/div><div id=\"frm_field_140_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\"><label class=\"frm_primary_label\">Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate?<span class=\"frm_required\">*<\/span><\/label><div class=\"frm_opt_container\"><div class=\"frm_radio\" id=\"frm_radio_140-0\"><label  for=\"field_ec98u-0\"><input type=\"radio\" name=\"item_meta[140]\" id=\"field_ec98u-0\" value=\"Yes\" data-reqmsg=\"Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate? cannot be blank.\" data-invmsg=\"Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate? is invalid\"   \/> Yes<\/label><\/div><div class=\"frm_radio\" id=\"frm_radio_140-1\"><label  for=\"field_ec98u-1\"><input type=\"radio\" name=\"item_meta[140]\" id=\"field_ec98u-1\" value=\"No\" data-reqmsg=\"Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate? cannot be blank.\" data-invmsg=\"Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate? is invalid\"   \/> No<\/label><\/div><div class=\"frm_radio\" id=\"frm_radio_140-2\"><label  for=\"field_ec98u-2\"><input type=\"radio\" name=\"item_meta[140]\" id=\"field_ec98u-2\" value=\"Not sure\" data-reqmsg=\"Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate? cannot be blank.\" data-invmsg=\"Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate? is invalid\"   \/> Not sure<\/label><\/div><\/div><\/div><div id=\"frm_field_141_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio frm_other_container\"><label class=\"frm_primary_label\">How did you hear about the Health Care Compliance Certificate Program?<span class=\"frm_required\">*<\/span><\/label><div class=\"frm_opt_container\"><div class=\"frm_checkbox\" id=\"frm_checkbox_141-0\"><label  for=\"field_z8pk5-0\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_z8pk5-0\" value=\"Mitchell Hamline Website\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   aria-required=\"true\"  \/> Mitchell Hamline Website<\/label><\/div><div class=\"frm_checkbox\" id=\"frm_checkbox_141-1\"><label  for=\"field_z8pk5-1\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_z8pk5-1\" value=\"Compliance Certification Board Website\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   \/> Compliance Certification Board Website<\/label><\/div><div class=\"frm_checkbox\" id=\"frm_checkbox_141-other_9\"><label  for=\"field_z8pk5-other_9\"><input type=\"checkbox\" name=\"item_meta[141][other_9]\" id=\"field_z8pk5-other_9\" value=\"Website Advertisement (please share which ad)\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   \/> Website Advertisement (please share which ad)<\/label><label for=\"field_z8pk5-other_9-otext\" class=\"frm_screen_reader frm_hidden\">Website Advertisement (please share which ad)<\/label><input type=\"text\" id=\"field_z8pk5-other_9-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][141][other_9]\" value=\"\" \/><\/div><div class=\"frm_checkbox\" id=\"frm_checkbox_141-5\"><label  for=\"field_z8pk5-5\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_z8pk5-5\" value=\"Word of Mouth\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   \/> Word of Mouth<\/label><\/div><div class=\"frm_checkbox\" id=\"frm_checkbox_141-2\"><label  for=\"field_z8pk5-2\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_z8pk5-2\" value=\"Brochure\/Postcard\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   \/> Brochure\/Postcard<\/label><\/div><div class=\"frm_checkbox\" id=\"frm_checkbox_141-6\"><label  for=\"field_z8pk5-6\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_z8pk5-6\" value=\"Employer\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   \/> Employer<\/label><\/div><div class=\"frm_checkbox\" id=\"frm_checkbox_141-7\"><label  for=\"field_z8pk5-7\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_z8pk5-7\" value=\"Conference Exhibit\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   \/> Conference Exhibit<\/label><\/div><div class=\"frm_checkbox\" id=\"frm_checkbox_141-other_8\"><label  for=\"field_z8pk5-other_8\"><input type=\"checkbox\" name=\"item_meta[141][other_8]\" id=\"field_z8pk5-other_8\" value=\"Other\"  data-reqmsg=\"How did you hear about the Health Care Compliance Certificate Program? cannot be blank.\" data-invmsg=\"How did you hear about the Health Care Compliance Certificate Program? is invalid\"   \/> Other<\/label><label for=\"field_z8pk5-other_8-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_z8pk5-other_8-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][141][other_8]\" value=\"\" \/><\/div><\/div><\/div><div id=\"frm_field_493_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\"><label for=\"field_914x8\" id=\"field_914x8_label\" class=\"frm_primary_label\">Applicants admitted to the program will be required to pay a non-refundable program deposit of $250 that will be applied to your first course tuition charge. Please acknowledge you understand this below by typing your name.<span class=\"frm_required\" aria-hidden=\"true\">*<\/span><\/label><input  type=\"text\" id=\"field_914x8\" name=\"item_meta[493]\" value=\"\"  data-reqmsg=\"Applicants admitted to the program will be required to pay a non-refundable program deposit of $250 that will be applied to your first course tuition charge. Please acknowledge you understand this below by typing your name. cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/><\/div><input type=\"hidden\" name=\"frm_page_order_10\" id=\"frm_page_order_10\" value=\"50\" \/><input  type=\"hidden\" name=\"item_meta[143]\" id=\"field_vx123-0\" value=\"\" \/><input  type=\"hidden\" name=\"item_meta[144]\" id=\"field_m2521-0\" value=\"\" \/><input  type=\"hidden\" name=\"item_meta[147]\" id=\"field_iavkf\" value=\"\" \/><input  type=\"hidden\" name=\"item_meta[148]\" id=\"field_z4bij\" value=\"\" \/><input type=\"hidden\" name=\"item_meta[446]\" id=\"field_o3s80\" value=\"\" \/><input  type=\"hidden\" name=\"item_meta[201]\" id=\"field_zeg0j\" value=\"\" \/><input type=\"hidden\" name=\"item_key\" value=\"\" \/><div id=\"frm_field_520_container\"><label for=\"field_nnjcd\" >If you are human, leave this field blank.<\/label><input  id=\"field_nnjcd\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[520]\" value=\"\"  \/><\/div><input name=\"frm_state\" type=\"hidden\" value=\"kUJE0Wr8y0nDjj5mtAGXACAoLXck4QDhy9NJWfwRP7kKdoiDdsUrdiBMRbL57RkO\" \/><div class=\"frm_submit\"><input type=\"submit\" value=\"The information requested on the next page is optional and will assist the School of Law in meeting federal reporting requirements. Thank you for your assistance.\"  formnovalidate=\"formnovalidate\" \/><img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/><\/div><\/div><\/fieldset><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p><a href=\"https:\/\/mitchellhamline.edu\/health-law-institute\/online-health-care-compliance-certificate-application\/\" class=\"more-link\">Online Health Care Compliance Certificate Application<\/a><\/p>\n","protected":false},"author":9008,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-1087","1":"page","2":"type-page","3":"status-publish","5":"entry"},"acf":[],"_links":{"self":[{"href":"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-json\/wp\/v2\/pages\/1087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-json\/wp\/v2\/users\/9008"}],"replies":[{"embeddable":true,"href":"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-json\/wp\/v2\/comments?post=1087"}],"version-history":[{"count":0,"href":"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-json\/wp\/v2\/pages\/1087\/revisions"}],"wp:attachment":[{"href":"https:\/\/mitchellhamline.edu\/health-law-institute\/wp-json\/wp\/v2\/media?parent=1087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}