{"id":70,"date":"2025-08-30T00:09:24","date_gmt":"2025-08-30T00:09:24","guid":{"rendered":"https:\/\/nhgsusqcounty.com\/?page_id=70"},"modified":"2025-09-21T21:05:33","modified_gmt":"2025-09-21T21:05:33","slug":"join","status":"publish","type":"page","link":"https:\/\/nhgsusqcounty.com\/?page_id=70","title":{"rendered":"Join Us"},"content":{"rendered":"\n<p class=\"has-text-align-center\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-89 forminator-design--basic  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-89\" data-uid=\"69e4e83a1e996\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-89\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-89 forminator-design--basic  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"89\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"basic\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69e4e83a1e996\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e4e83a1e996\" id=\"forminator-field-name-1_69e4e83a1e996-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69e4e83a1e996\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e4e83a1e996\" id=\"forminator-field-email-1_69e4e83a1e996-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69e4e83a1e996\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e4e83a1e996\" id=\"forminator-field-phone-1_69e4e83a1e996-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_69e4e83a1e996\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69e4e83a1e996\" id=\"forminator-field-text-1_69e4e83a1e996-label\" class=\"forminator-label\">Nursing License Number:<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69e4e83a1e996\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69e4e83a1e996\" id=\"forminator-field-number-2_69e4e83a1e996-label\" class=\"forminator-label\">Years of Nursing:<\/label><input name=\"number-2\" value=\"\" placeholder=\"\" id=\"forminator-field-number-2_69e4e83a1e996\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-89__field--select-1_69e4e83a1e996\" id=\"forminator-form-89__field--select-1_69e4e83a1e996-label\" class=\"forminator-label\">Active\/Retired?<\/label><select  id=\"forminator-form-89__field--select-1_69e4e83a1e996\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-89__field--select-1_69e4e83a1e996-label\"><option value=\"one\"  data-calculation=\"0\">Active<\/option><option value=\"two\"  data-calculation=\"0\">Retired<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Uniforms<\/label><div>\n<ul>\n<li>White knee length dresses (W) White nursing pants (M)<\/li>\n<li>White nursing shoes<\/li>\n<li>White stockings for women (W) and white undergarments<\/li>\n<li>Nurses Cap can be ordered thru Kayscaps.com. the agreed upon cap is item# 7223 (white cap with black stripe) for $24.35 + shipping<\/li>\n<li>Nurses Cape can be ordered through the National Nurses Honor Guard Coalition by emailing the coalition president at jmury581@gmail.com, cost is $64.90 and includes shipping<\/li>\n<li>Cape Closure will be a large eye and hook closure that the nurse will need to sew in themselves, these closures can be found on Amazon- *see Dritz covered eye and hook 767-1<\/li>\n<\/ul>\n<p><i>We look forward to you joining the Nurse Honor Guard of Susquehanna County.<\/i><\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12 \"><div class=\"forminator-captcha-left forminator-g-recaptcha\" data-theme=\"light\"  data-sitekey=\"6LeYossrAAAAADqAvAI4CWOXr9V2wW3si6XyNMIx\" data-size=\"normal\"><\/div> <\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit {font size: 160px;}\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"3c8393ea89\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F70\" \/><input type=\"hidden\" name=\"form_id\" value=\"89\"><input type=\"hidden\" name=\"page_id\" value=\"70\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/nhgsusqcounty.com\/?page_id=70\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-70","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=\/wp\/v2\/pages\/70","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=70"}],"version-history":[{"count":5,"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions"}],"predecessor-version":[{"id":175,"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions\/175"}],"wp:attachment":[{"href":"https:\/\/nhgsusqcounty.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=70"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}