[gravityform id="50" title="false" description="false"]
<script type="text/javascript">var gform;gform||(document.addEventListener("gform_main_scripts_loaded",function(){gform.scriptsLoaded=!0}),window.addEventListener("DOMContentLoaded",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener("DOMContentLoaded",o):document.addEventListener("gform_main_scripts_loaded",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook("action",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook("filter",o,n,r,t)},doAction:function(o){gform.doHook("action",o,arguments)},applyFilters:function(o){return gform.doHook("filter",o,arguments)},removeAction:function(o,n){gform.removeHook("action",o,n)},removeFilter:function(o,n,r){gform.removeHook("filter",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+"_"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){"function"!=typeof(t=o.callable)&&(t=window[t]),"action"==n?t.apply(null,r):r[0]=t.apply(null,r)})),"filter"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});</script>
<div class='gf_browser_unknown gform_wrapper gravity-theme' id='gform_wrapper_50' >
<div class='gform_heading'>
<p class='gform_required_legend'>"<span class="gfield_required gfield_required_asterisk">*</span>" indicates required fields</p>
</div><form method='post' enctype='multipart/form-data' id='gform_50' action='/category/employee-records/' novalidate>
<input type='hidden' class='gforms-pum' value='{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}' />
<div class='gform_body gform-body'><div id='gform_fields_50' class='gform_fields top_label form_sublabel_below description_below'><div id="field_50_4" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_50_4"><label class='gfield_label' for='input_50_4' >Work Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_4' id='input_50_4' type='email' value='' class='large' placeholder='Work Email*' aria-required="true" aria-invalid="false" />
</div></div><div id="field_50_1" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_50_1"><label class='gfield_label' for='input_50_1' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_50_1' type='text' value='' class='large' placeholder='First Name*' aria-required="true" aria-invalid="false" /> </div></div><div id="field_50_2" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_50_2"><label class='gfield_label' for='input_50_2' >Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_50_2' type='text' value='' class='large' placeholder='Last Name*' aria-required="true" aria-invalid="false" /> </div></div><div id="field_50_3" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_50_3"><label class='gfield_label' for='input_50_3' >Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_50_3' type='text' value='' class='large' placeholder='Company*' aria-required="true" aria-invalid="false" /> </div></div><div id="field_50_23" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_23"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_23' >Lead Source</label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_50_23' type='text' value='Google ORGANIC' class='medium' aria-invalid="false" /> </div></div><div id="field_50_11" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_11"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_11' >Web Form Page</label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_50_11' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_50_15" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_15"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_15' >Web Source</label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_50_15' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_50_14" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_14"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_14' >Web Medium</label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_50_14' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_50_13" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_13"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_13' >Web Campaign</label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_50_13' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_50_17" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_17"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_17' >Web Term</label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_50_17' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_50_12" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_12"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_12' >Web Content</label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_50_12' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_50_42" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_42"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_42' >LeadChannel</label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_50_42' type='text' value='Website Form Newsletter' class='large' aria-invalid="false" /> </div></div><div id="field_50_38" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_50_38"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_50_38' >Country</label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_50_38' type='text' value='United States' class='large' aria-invalid="false" /> </div></div><div id="field_50_44" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_50_44"><label class='gfield_label' for='input_50_44' >Email</label><div class='ginput_container'><input name='input_44' id='input_50_44' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_50_44'>This field is for validation purposes and should be left unchanged.</div></div></div></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_50' class='gform_button button' value='Subscribe' onclick='if(window["gf_submitting_50"]){return false;} if( !jQuery("#gform_50")[0].checkValidity || jQuery("#gform_50")[0].checkValidity()){window["gf_submitting_50"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_50"]){return false;} if( !jQuery("#gform_50")[0].checkValidity || jQuery("#gform_50")[0].checkValidity()){window["gf_submitting_50"]=true;} jQuery("#gform_50").trigger("submit",[true]); }' />
<input type='hidden' class='gform_hidden' name='is_submit_50' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='50' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_50' value='WyJbXSIsIjAxYjc1YzA4NDAxYzk0YjEyYTMxMWI1NzNiYmViNGJiIl0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_50' id='gform_target_page_number_50' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_50' id='gform_source_page_number_50' value='1' />
<input type='hidden' name='gform_field_values' value='' />
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="183"/><script>document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() );</script></p></form>
</div>
