{"id":16955,"date":"2025-06-01T00:27:51","date_gmt":"2025-06-01T07:27:51","guid":{"rendered":"https:\/\/renew.kasecca.org\/?page_id=16955"},"modified":"2025-06-01T00:27:51","modified_gmt":"2025-06-01T07:27:51","slug":"student_application","status":"publish","type":"page","link":"https:\/\/renew.kasecca.org\/en\/student_application\/","title":{"rendered":"\ud559\uc0dd \uc9c0\uc6d0\uc11c"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:150px;--awb-padding-bottom:50px;--awb-padding-top-medium:120px;--awb-padding-bottom-medium:72px;--awb-padding-top-small:100px;--awb-margin-top:-60px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-custom_color_11);--awb-background-image:url(&quot;https:\/\/renew.kasecca.org\/wp-content\/uploads\/2020\/07\/463-e1734298304932.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion-flex-column fusion-animated\" style=\"--awb-padding-left:92px;--awb-padding-left-medium:40px;--awb-padding-right-small:30px;--awb-padding-left-small:30px;--awb-bg-size:cover;--awb-width-large:47%;--awb-margin-top-large:0px;--awb-spacing-right-large:0%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:4.0851063829787%;--awb-width-medium:47%;--awb-order-medium:0;--awb-spacing-right-medium:0%;--awb-spacing-left-medium:4.0851063829787%;--awb-width-small:100%;--awb-order-small:1;--awb-spacing-right-small:1.92%;--awb-margin-bottom-small:0px;--awb-spacing-left-small:1.92%;\" data-animationtype=\"fadeInUp\" data-animationduration=\"1.3\" data-animationoffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:0px;--awb-font-size:48px;\"><h2 class=\"fusion-title-heading title-heading-left sm-text-align-center\" style=\"margin:0;font-size:1em;letter-spacing:var(--awb-typography1-letter-spacing);text-transform:var(--awb-typography1-text-transform);line-height:1.2;\">\ud559\uc0dd \uc9c0\uc6d0\uc11c<\/h2><\/div><div class=\"fusion-text fusion-text-1 fusion-no-small-visibility fusion-text-no-margin\" style=\"--awb-font-size:18px;--awb-line-height:1.7;--awb-letter-spacing:0px;--awb-text-transform:var(--awb-typography4-text-transform);--awb-text-color:var(--awb-color1);\"><p>Korean American Special Education Center<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:34.9931px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-margin-top-small:49.9931px;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-16763\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-form-border-color:var(--awb-color8);--awb-form-focus-border-color:hsla(var(--awb-color5-h),var(--awb-color5-s),calc(var(--awb-color5-l) - 17%),var(--awb-color5-a));--awb-form-focus-border-hover-color:hsla(var(--awb-color5-h),var(--awb-color5-s),calc(var(--awb-color5-l) - 17%),calc(var(--awb-color5-a) - 50%));\" data-form-id=\"16763\" data-config=\"{&quot;form_id&quot;:&quot;16763&quot;,&quot;form_post_id&quot;:&quot;16763&quot;,&quot;post_id&quot;:16955,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;field_labels&quot;:{&quot;program&quot;:&quot;Programs&quot;,&quot;name&quot;:&quot;Student&#039;s Legal Name&quot;,&quot;birth_date&quot;:&quot;Date of birth&quot;,&quot;gender&quot;:&quot;Gender&quot;,&quot;nickname&quot;:&quot;Student Nickname&quot;,&quot;grade&quot;:&quot;Grade&quot;,&quot;diagnosis&quot;:&quot;Diagnosis&quot;,&quot;allergy&quot;:&quot;Allergy&quot;,&quot;medical&quot;:&quot;Any other medical issues?&quot;,&quot;behavioral&quot;:&quot;Any behavioral issues?&quot;,&quot;school_program&quot;:&quot;What school program is your child a part of?&quot;,&quot;aba&quot;:&quot;Are you currently receiving ABA service? *&quot;,&quot;size&quot;:&quot;T-shirt size&quot;,&quot;parent_name&quot;:&quot;Legal Name&quot;,&quot;relationship&quot;:&quot;Relationship&quot;,&quot;phone_number&quot;:&quot;Phone Number&quot;,&quot;relationship_other&quot;:&quot;Other&quot;,&quot;email_address&quot;:&quot;Email Address&quot;,&quot;&quot;:&quot;&quot;},&quot;field_logics&quot;:{&quot;program&quot;:&quot;&quot;,&quot;name&quot;:&quot;&quot;,&quot;birth_date&quot;:&quot;&quot;,&quot;gender&quot;:&quot;&quot;,&quot;nickname&quot;:&quot;&quot;,&quot;grade&quot;:&quot;&quot;,&quot;diagnosis&quot;:&quot;&quot;,&quot;allergy&quot;:&quot;&quot;,&quot;medical&quot;:&quot;&quot;,&quot;behavioral&quot;:&quot;&quot;,&quot;school_program&quot;:&quot;&quot;,&quot;aba&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;,&quot;parent_name&quot;:&quot;&quot;,&quot;relationship&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;relationship_other&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;program&quot;:&quot;select&quot;,&quot;name&quot;:&quot;text&quot;,&quot;birth_date&quot;:&quot;date&quot;,&quot;gender&quot;:&quot;select&quot;,&quot;nickname&quot;:&quot;text&quot;,&quot;grade&quot;:&quot;phone_number&quot;,&quot;diagnosis&quot;:&quot;email&quot;,&quot;allergy&quot;:&quot;text&quot;,&quot;medical&quot;:&quot;text&quot;,&quot;behavioral&quot;:&quot;text&quot;,&quot;school_program&quot;:&quot;text&quot;,&quot;aba&quot;:&quot;radio&quot;,&quot;size&quot;:&quot;select&quot;,&quot;parent_name&quot;:&quot;text&quot;,&quot;relationship&quot;:&quot;select&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;relationship_other&quot;:&quot;text&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;&quot;:&quot;consent&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;submit_1&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/renew.kasecca.org\/en\/student_application\/\" method=\"post\" class=\"fusion-form fusion-form-16763\" data-trp-original-action=\"https:\/\/renew.kasecca.org\/en\/student_application\/\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_4 1_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:25%;--awb-order-medium:0;--awb-spacing-right-medium:7.68%;--awb-spacing-left-medium:7.68%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><label for=\"program\">Programs <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select tabindex=\"\" id=\"program\" name=\"program\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Inclusive Basketball\" >Inclusive Basketball<\/option><option value=\"Harmonia Ensemble\" >Harmonia Ensemble<\/option><option value=\"Mid-Program Registration\" >Mid-Program Registration<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewbox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2 fusion-text-no-margin\" style=\"--awb-font-size:20px;--awb-margin-bottom:5px;--awb-text-font-family:&quot;Roboto&quot;;--awb-text-font-style:normal;--awb-text-font-weight:500;\"><p>Student Information<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;flex-grow:1;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color6);border-color:var(--awb-color6);border-top-width:1px;\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"name\">Student&#039;s Legal Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"name\" id=\"name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><label for=\"birth_date\">Date of birth <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><input autocomplete=\"no\" type=\"date\" data-first-day=\"0\"  data-format=\"\" tabindex=\"\" id=\"birth_date\" name=\"birth_date\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\"\/><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><label for=\"gender\">Gender <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select tabindex=\"\" id=\"gender\" name=\"gender\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><option value=\"Prefer not to say\" >Prefer not to say<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewbox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0.576%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"nickname\">Student Nickname<\/label><\/div><input type=\"text\" name=\"nickname\" id=\"nickname\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"grade\">Grade <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon retail-phone\"><\/i><input type=\"tel\" name=\"grade\" id=\"grade\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"diagnosis\">Diagnosis <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon retail-envelope\"><\/i><input type=\"email\" name=\"diagnosis\" id=\"diagnosis\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"allergy\">Allergy<\/label><\/div><input type=\"text\" name=\"allergy\" id=\"allergy\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"medical\">Any other medical issues? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"medical\" id=\"medical\" value=\"Please be as specific as you can\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"behavioral\">Any behavioral issues? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"behavioral\" id=\"behavioral\" value=\"Please be as specific as you can\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"school_program\">What school program is your child a part of? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"school_program\" id=\"school_program\" value=\"Please be as specific as you can\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Are you currently receiving ABA service? * <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-aba-1-0\" type=\"radio\" value=\"Yes\" name=\"aba\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-aba-1-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-aba-1-1\" type=\"radio\" value=\"No\" name=\"aba\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-aba-1-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><label for=\"size\">T-shirt size <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select tabindex=\"\" id=\"size\" name=\"size\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Small\" >Small<\/option><option value=\"Medium\" >Medium<\/option><option value=\"Large\" >Large<\/option><option value=\"X-large\" >X-large<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewbox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:30px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3 fusion-text-no-margin\" style=\"--awb-font-size:20px;--awb-margin-bottom:5px;--awb-text-font-family:&quot;Roboto&quot;;--awb-text-font-style:normal;--awb-text-font-weight:500;\"><p>Parent \/ Guardian<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;flex-grow:1;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color6);border-color:var(--awb-color6);border-top-width:1px;\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"parent_name\">Legal Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"parent_name\" id=\"parent_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><label for=\"relationship\">Relationship <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select tabindex=\"\" id=\"relationship\" name=\"relationship\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Father\" >Father<\/option><option value=\"Mother\" >Mother<\/option><option value=\"Legal guardian\" >Legal guardian<\/option><option value=\"Other\" >Other<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewbox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">Phone Number<\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-square-alt fas\"><\/i><input type=\"tel\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"relationship_other\">Other<\/label><\/div><input type=\"text\" name=\"relationship_other\" id=\"relationship_other\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Email Address<\/label><\/div><input type=\"email\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4 fusion-text-no-margin\" style=\"--awb-margin-top:30px;--awb-margin-bottom:10px;\"><p>\ub098\ub294 \ud504\ub85c\uadf8\ub7a8\uc758 \ube44\uc6a9\uc774 KASEC \ud504\ub85c\uadf8\ub7a8 \uae30\uae08\uc73c\ub85c\ubd80\ud130 \ubcf4\uc870 \ubc1b\ub294\ub2e4\ub294 \uac83\uc744 \uc778\uc9c0\ud558\uace0 \uc218\ub77d\ud569\ub2c8\ub2e4.<br \/>\nI understand and accept that program fees are subsidized by KASEC program fund.<\/p>\n<ol>\n<li>Korean American special education center is not responsible for any injury or accidents during the services provided by kasec. *<\/li>\n<li>I verify this information is true to the best of my knowledge. Applications with falsified information will not be considered.*<\/li>\n<li>I fully authorize and grant the Korean American special education center and its authorized representatives has my permission to use my or my child\u2019s photograph publicly to promote the center.<\/li>\n<li>I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.*<\/li>\n<li>The registration fee is required for all qualified applications. This fee is not refundable and cannot be credited against any other charges.<\/li>\n<li>I have read all of kasec student policies &amp; behavior contract and understood them completely.*<\/li>\n<\/ol>\n<\/div>\n<div class=\"fusion-form-field fusion-form-consent-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"\" type=\"checkbox\" value=\"1\" name=\"\" class=\"fusion-form-input\"\/><label for=\"\">By checking this box you acknowledge that you have fully read, understood, and agreed with the Policies.<\/label><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color1);border-color:var(--awb-color1);border-top-width:21px;border-bottom-width:21px;\"><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"16763\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-default-span  form-form-submit button-default\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_gradient_top_color:var(--awb-color8);--button_gradient_bottom_color:var(--awb-color8);--button_gradient_top_color_hover:var(--awb-color7);--button_gradient_bottom_color_hover:var(--awb-color7);\" data-form-number=\"16763\" tabindex=\"\"><span class=\"fusion-button-text\">\bDonate<\/span><i class=\"fa-angle-right fas button-icon-right\" aria-hidden=\"true\"><\/i><\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div><\/div><\/div><\/div><\/div><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"give_campaign_id":0,"footnotes":""},"class_list":["post-16955","page","type-page","status-publish","hentry"],"acf":[],"campaignId":"","_links":{"self":[{"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/pages\/16955","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/comments?post=16955"}],"version-history":[{"count":3,"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/pages\/16955\/revisions"}],"predecessor-version":[{"id":16958,"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/pages\/16955\/revisions\/16958"}],"wp:attachment":[{"href":"https:\/\/renew.kasecca.org\/en\/wp-json\/wp\/v2\/media?parent=16955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}