<?xml version="1.0" encoding="UTF-8" standalone="yes"?><oembed><version><![CDATA[1.0]]></version><provider_name><![CDATA[Fiona Radić]]></provider_name><provider_url><![CDATA[https://fionaradic.wordpress.com]]></provider_url><author_name><![CDATA[Fiona Radic]]></author_name><author_url><![CDATA[https://fionaradic.wordpress.com/author/fionaradic/]]></author_url><title><![CDATA[Application Form for a Committee&nbsp;Position]]></title><type><![CDATA[link]]></type><html><![CDATA[<p>This form can be used if you wish to propose yourself for a role on your local party&#8217;s committee.</p>
<div id='contact-form-2341'>
<form action='https://fionaradic.wordpress.com/election-agent-public/application-form-committee/#contact-form-2341' method='post' class='contact-form commentsblock'>

<div class='grunion-field-wrap grunion-field-name-wrap'  >
<label
				for='g2341-fullname'
				class='grunion-field-label name'
				>Full Name<span>(required)</span></label>
<input
					type='text'
					name='g2341-fullname'
					id='g2341-fullname'
					value=''
					class='name' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2341-emailaddress'
				class='grunion-field-label text'
				>Email address<span>(required)</span></label>
<input
					type='text'
					name='g2341-emailaddress'
					id='g2341-emailaddress'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2341-phonenumber'
				class='grunion-field-label text'
				>Phone Number<span>(required)</span></label>
<input
					type='text'
					name='g2341-phonenumber'
					id='g2341-phonenumber'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-textarea-wrap'  >
<label
				for='contact-form-comment-g2341-address'
				class='grunion-field-label textarea'
				>Address<span>(required)</span></label>
<textarea
		                name='g2341-address'
		                id='contact-form-comment-g2341-address'
		                rows='20' class='textarea'  required aria-required='true'></textarea>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2341-postcode'
				class='grunion-field-label text'
				>Post Code<span>(required)</span></label>
<input
					type='text'
					name='g2341-postcode'
					id='g2341-postcode'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2341-firstchoiceofrole'
				class='grunion-field-label text'
				>First Choice of Role<span>(required)</span></label>
<input
					type='text'
					name='g2341-firstchoiceofrole'
					id='g2341-firstchoiceofrole'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2341-secondchoiceofrole'
				class='grunion-field-label text'
				>Second Choice of Role</label>
<input
					type='text'
					name='g2341-secondchoiceofrole'
					id='g2341-secondchoiceofrole'
					value=''
					class='text' 
					
				/>
	</div>

<div class='grunion-field-wrap grunion-field-select-wrap'  >
<label
				for='g2341-areyouagreenpartymemberandingoodstanding'
				class='grunion-field-label select'
				>Are you a Green Party Member and in good standing?<span>(required)</span></label>
	<select name='g2341-areyouagreenpartymemberandingoodstanding' id='g2341-areyouagreenpartymemberandingoodstanding' class='select' required aria-required='true'>
		<option value='Not joined yet'>Not joined yet</option>
		<option value='Member in grace'>Member in grace</option>
		<option value='Previously a member'>Previously a member</option>
		<option value='Yes and Yes'>Yes and Yes</option>
	</select>
	</div>

<div class='grunion-field-wrap grunion-field-textarea-wrap'  >
<label
				for='contact-form-comment-g2341-pleaseaddmoredetailshereoptional'
				class='grunion-field-label textarea'
				>Please add more details here (optional)</label>
<textarea
		                name='g2341-pleaseaddmoredetailshereoptional'
		                id='contact-form-comment-g2341-pleaseaddmoredetailshereoptional'
		                rows='20' class='textarea'  ></textarea>
	</div>
	<p class='contact-submit'>
		<button type='submit' class='pushbutton-wide'>Submit</button>		<input type='hidden' name='contact-form-id' value='2341' />
		<input type='hidden' name='action' value='grunion-contact-form' />
		<input type='hidden' name='contact-form-hash' value='fccbf0a74ae239453fa45b32ea008330fd67c284' />
	</p>
</form>
</div>
]]></html></oembed>