{"id":14,"date":"2014-02-18T02:43:09","date_gmt":"2014-02-18T02:43:09","guid":{"rendered":"http:\/\/localhost:8888\/clients\/KALFA\/wordpress\/?page_id=14"},"modified":"2022-10-12T19:37:59","modified_gmt":"2022-10-12T19:37:59","slug":"providers","status":"publish","type":"page","link":"https:\/\/kentuckyseniorliving.org\/providers\/","title":{"rendered":"Providers"},"content":{"rendered":"<h3 style=\"text-align: center;\">Are you a Senior Living Community, considering joining KSLA? Read below to see a list of benefits that all KSLA provider members enjoy.<\/h3>\n<h4 style=\"text-align: left;\"><b>TECHNICAL SUPPORT<\/b><\/h4>\n<p style=\"text-align: left;\">KSLA is available to answer your specific questions via timely telephone or e-mail communications.<\/p>\n<h4 style=\"text-align: left;\"><b>ADVOCACY SUPPORT<\/b><\/h4>\n<p style=\"text-align: left;\">KSLA is your industry\u2019s voice with lawmakers and government policy-makers! KALPAC, the Kentucky Assisted Living Political Action Committee, raises funds to support candidates who work to enhance the senior living industry.<\/p>\n<h4 style=\"text-align: left;\"><b>LEADERSHIP AND COMMITTEES<\/b><\/h4>\n<p style=\"text-align: left;\">KSLA offers a host of volunteer leadership and committee opportunities for its Provider members!<\/p>\n<h4 style=\"text-align: left;\"><b>CONSUMER REFERRALS<\/b><\/h4>\n<p style=\"text-align: left;\">KSLA refers interested consumers to you! These referrals are made via telephone, e-mail, or through KSLA\u2019s website.<\/p>\n<h4 style=\"text-align: left;\"><b>ANNUAL CONFERENCE &amp; EXHIBITION <\/b><\/h4>\n<p style=\"text-align: left;\">Held each spring, the <a href=\"https:\/\/kentuckyseniorliving.org\/wp-content\/uploads\/2021\/04\/Website-Teaser.png\" target=\"_blank\" rel=\"noopener\">KSLA Conference &amp; Exhibition<\/a> is a two-day event that provides the opportunity for industry professionals to participate in educational sessions, meet exhibitors, and network with peers.<\/p>\n<h4 style=\"text-align: left;\"><b>EDUCATIONAL OPPORTUNITIES<\/b><\/h4>\n<p style=\"text-align: left;\">KSLA offers several free-standing workshops throughout the year. These workshops focus on specific areas, providing information and training on industry trends, regulatory compliance, and innovative ideas and products. KSLA offers new educational opportunities every year.KSLA also provides access to webinars sponsored by <a href=\"http:\/\/www.argentum.org\" target=\"_blank\" rel=\"noopener noreferrer\">Argentum<\/a>, the leading national association for senior living.<\/p>\n<h4 style=\"text-align: left;\"><b>SPECIAL EVENTS<\/b><\/h4>\n<p style=\"text-align: left;\">KSLA members are able to participate in special events that are scheduled throughout the year. These events can be enjoyed by KSLA members, community residents and family members.<\/p>\n<h4 style=\"text-align: left;\"><b>WEEKLY E-BLAST NEWS<\/b><\/h4>\n<p style=\"text-align: left;\">KSLA will frequently update members via e-mail regarding top issues that are important to your business!<\/p>\n<h4 style=\"text-align: left;\"><b>WEBSITE LISTING and PROMOTION<\/b><\/h4>\n<p style=\"text-align: left;\">Each provider member receives a free listing on KSLA's website, including your logo, contact information and a link to your website. KSLA will also offer to its Provider members, free of charge, the opportunity to advertise events hosted by your community, as well as job openings at your community.<\/p>\n<h4 style=\"text-align: left;\"><b>READY TO JOIN?<\/b><\/h4>\n<p style=\"text-align: left;\"><b> <\/b>Becoming a KSLA provider member is easy! Simply complete the application below. We accept check and credit card payments.<\/p>\n<p>&nbsp;<\/p>\n<h3 style=\"text-align: center;\"><strong>Questions? Contact Rebecca Pfalzgraf, KSLA Executive Director, 502.938.5102 or Rebecca@KentuckySeniorLiving.org.<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p style=\"text-align: left;\"><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>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_3' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Application - Provider Member<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/14' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_2\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_2\"><label class='gfield_label' for='input_3_2' >Community 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_3_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\"><label class='gfield_label gfield_label_before_complex'  >Contact Person&#039;s Name &amp; Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_6' >Last<\/label>\n                                                <\/span>\n                            <span id='input_3_1_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_1.8' id='input_3_1_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_3_1_8' >Title<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_3_24\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_24\"><label class='gfield_label' for='input_3_24' >E-Mail Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_3_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_4\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_4\"><label class='gfield_label' for='input_3_4' >Office Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_3_4' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_22\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_22\"><label class='gfield_label' for='input_3_22' >Cell Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_22' id='input_3_22' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_23\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_23\"><label class='gfield_label' for='input_3_23' >Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_3_23' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_73\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_73\"><label class='gfield_label' for='input_3_73' >Community Website<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_73' id='input_3_73' type='text' value='' class='medium'    placeholder='http:\/\/' aria-required=\"true\" aria-invalid=\"false\"\/>\n                <\/div><\/li><li id=\"field_3_54\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_54\"><label class='gfield_label' for='input_3_54' >Please Upload Your Company Logo Here<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_54' id='input_3_54' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_54\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_3_54'>Accepted file types: jpg, png, Max. file size: 100 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_3_54'><\/div><\/div><\/li><li id=\"field_3_3\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\"><label class='gfield_label gfield_label_before_complex'  >Community Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_3_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_3_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_3_3_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_3_1' id='input_3_3_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_3_3_2_container' >\n                                        <input type='text' name='input_3.2' id='input_3_3_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_3_2' id='input_3_3_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_3_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_3_3_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_3_3' id='input_3_3_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_3_3_4_container' >\n                                        <select name='input_3.4' id='input_3_3_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_3_3_4' id='input_3_3_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_3_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_3_3_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_3_5' id='input_3_3_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_3.6' id='input_3_3_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_18\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_18\"><label class='gfield_label' for='input_3_18' >County In Which Community is Located<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_3_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_19\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_19\"><label class='gfield_label'  >Is This the Mailing Address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_19'>\n\t\t\t<li class='gchoice gchoice_3_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Yes'  id='choice_3_19_0'    \/>\n\t\t\t\t<label for='choice_3_19_0' id='label_3_19_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='No'  id='choice_3_19_1'    \/>\n\t\t\t\t<label for='choice_3_19_1' id='label_3_19_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_21\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_21\"><label class='gfield_label gfield_label_before_complex'  >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_3_21' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_3_21_1_container' >\n                                        <input type='text' name='input_21.1' id='input_3_21_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_21_1' id='input_3_21_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_3_21_2_container' >\n                                        <input type='text' name='input_21.2' id='input_3_21_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_21_2' id='input_3_21_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_3_21_3_container' >\n                                    <input type='text' name='input_21.3' id='input_3_21_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_21_3' id='input_3_21_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_3_21_4_container' >\n                                        <select name='input_21.4' id='input_3_21_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_3_21_4' id='input_3_21_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_3_21_5_container' >\n                                    <input type='text' name='input_21.5' id='input_3_21_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_21_5' id='input_3_21_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_21.6' id='input_3_21_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_26\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_26\"><label class='gfield_label gfield_label_before_complex'  >Owner&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_3_26'>\n                            \n                            <span id='input_3_26_3_container' class='name_first' >\n                                                    <input type='text' name='input_26.3' id='input_3_26_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_26_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_26_6_container' class='name_last' >\n                                                    <input type='text' name='input_26.6' id='input_3_26_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_26_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_27\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_27\"><label class='gfield_label gfield_label_before_complex'  >Owner&#039;s Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_3_27' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_3_27_1_container' >\n                                        <input type='text' name='input_27.1' id='input_3_27_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_27_1' id='input_3_27_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_3_27_2_container' >\n                                        <input type='text' name='input_27.2' id='input_3_27_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_27_2' id='input_3_27_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_3_27_3_container' >\n                                    <input type='text' name='input_27.3' id='input_3_27_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_27_3' id='input_3_27_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_3_27_4_container' >\n                                        <select name='input_27.4' id='input_3_27_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_3_27_4' id='input_3_27_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_3_27_5_container' >\n                                    <input type='text' name='input_27.5' id='input_3_27_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_27_5' id='input_3_27_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_27.6' id='input_3_27_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_28\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_28\"><label class='gfield_label' for='input_3_28' >Owner&#039;s Office Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_28' id='input_3_28' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_30\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_30\"><label class='gfield_label' for='input_3_30' >Owner&#039;s Cell Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_30' id='input_3_30' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_31\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_31\"><label class='gfield_label' for='input_3_31' >Owner&#039;s Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_31' id='input_3_31' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_29\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_29\"><label class='gfield_label' for='input_3_29' >Owner&#039;s E-Mail Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_29' id='input_3_29' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_45\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_45\"><label class='gfield_label'  >Is Your Community Currently Under Construction or Not Yet Open?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_45'>\n\t\t\t<li class='gchoice gchoice_3_45_0'>\n\t\t\t\t<input name='input_45' type='radio' value='Yes'  id='choice_3_45_0'    \/>\n\t\t\t\t<label for='choice_3_45_0' id='label_3_45_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_45_1'>\n\t\t\t\t<input name='input_45' type='radio' value='No'  id='choice_3_45_1'    \/>\n\t\t\t\t<label for='choice_3_45_1' id='label_3_45_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_74\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_74\"><label class='gfield_label' for='input_3_74' >What is Your Anticipated Opening Date?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_74' id='input_3_74' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_74_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_3_74_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_74' class='gform_hidden' value='https:\/\/kentuckyseniorliving.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_65\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_65\"><label class='gfield_label' for='input_3_65' >Upon Completion, How Many Assisted Living Units will Your Community Have?<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_3_65' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_77\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_77\"><label class='gfield_label' for='input_3_77' >How Many of These Assisted Living Units will be in a Secured  Memory Care Unit?<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_3_77' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_67\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_67\"><label class='gfield_label' for='input_3_67' >Upon Completion, How Many Independent Living Apartments will Your Community Have?<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_3_67' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_32\"  class=\"gfield gfield_price gfield_price_3_32 gfield_product_3_32 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_32\"><label class='gfield_label gfield_label_before_complex' for='input_3_32_1' >Annual Dues - Under Construction<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_32.1' value='Annual Dues - Under Construction' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_3_32' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_32.2' id='ginput_base_price_3_32' class='gform_hidden' value='$250.00' aria-label='Annual Dues - Under Construction Price' aria-describedby=\"gfield_description_3_32\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_32.3' value='1' class='ginput_quantity_3_32 gform_hidden' \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_3_32'>KSLA Annual Dues Investment for Assisted Living Community Living Units, Personal Care Home Beds, or Independent Living Apartments that are currently under construction or not yet in operation. This amount will be applied to your Dues Investment once in operation. <\/div><\/li><li id=\"field_3_49\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_49\"><label class='gfield_label'  >Does Your Community Have Assisted Living Units?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_49'>\n\t\t\t<li class='gchoice gchoice_3_49_0'>\n\t\t\t\t<input name='input_49' type='radio' value='Yes'  id='choice_3_49_0'    \/>\n\t\t\t\t<label for='choice_3_49_0' id='label_3_49_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_49_1'>\n\t\t\t\t<input name='input_49' type='radio' value='No'  id='choice_3_49_1'    \/>\n\t\t\t\t<label for='choice_3_49_1' id='label_3_49_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_48\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_48\"><label class='gfield_label' for='input_3_48' >How Many Assisted Living Units are there in your Community?<\/label><div class='ginput_container ginput_container_number'><input name='input_48' id='input_3_48' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_3_70\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_70\"><label class='gfield_label' for='input_3_70' >How Many of These Assisted Living Units Are Memory Care Units?<\/label><div class='ginput_container ginput_container_number'><input name='input_70' id='input_3_70' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_3_36\"  class=\"gfield gfield_price gfield_price_3_36 gfield_product_3_36 field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_36\"><label class='gfield_label gfield_label_before_complex' for='input_3_36_1' >Annual Assisted Living Dues Investment for Communities with 1-12 Living Units<\/label><div class='gfield_description' id='gfield_description_3_36'>If there are 12 Living Units or fewer, the minimum dues are $300 per year.<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_36.1' value='Annual Assisted Living Dues Investment for Communities with 1-12 Living Units' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_3_36' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_36.2' id='ginput_base_price_3_36' class='gform_hidden' value='$300.00' aria-label='Annual Assisted Living Dues Investment for Communities with 1-12 Living Units Price' aria-describedby=\"gfield_description_3_36\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_36.3' value='1' class='ginput_quantity_3_36 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_3_39\"  class=\"gfield gfield_price gfield_price_3_39 gfield_product_3_39 field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_39\"><label class='gfield_label gfield_label_before_complex' for='input_3_39_1' >Annual Dues Investment for Assisted Living Communities with 13-99 Living Units<\/label><div class='gfield_description' id='gfield_description_3_39'>Dues for communities with 13-99 Living Units are $24 per Living Unit per year.<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_39.1' value='Annual Dues Investment for Assisted Living Communities with 13-99 Living Units' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_3_39'>$24.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_39.2' id='ginput_base_price_3_39' class='gform_hidden' value='$24.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Quantity:<\/span> <input type='text' name='input_39.3' value='' id='input_3_39_1' class='ginput_quantity' size='10'    aria-label=\"Quantity Annual Dues Investment for Assisted Living Communities with 13-99 Living Units\" aria-describedby=\"gfield_description_3_39\" \/>\n\t\t\t\t<\/div><\/li><li id=\"field_3_46\"  class=\"gfield gfield_price gfield_price_3_46 gfield_product_3_46 field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_46\"><label class='gfield_label gfield_label_before_complex' for='input_3_46_1' >Annual Assisted Living Dues Investment for Communities with 100+ Living Units<\/label><div class='gfield_description' id='gfield_description_3_46'>If there are 100 Living Units or more, the maximum dues are $2,400 per year. <\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_46.1' value='Annual Assisted Living Dues Investment for Communities with 100+ Living Units' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_3_46' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_46.2' id='ginput_base_price_3_46' class='gform_hidden' value='$2,400.00' aria-label='Annual Assisted Living Dues Investment for Communities with 100+ Living Units Price' aria-describedby=\"gfield_description_3_46\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_46.3' value='1' class='ginput_quantity_3_46 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_3_52\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_52\"><label class='gfield_label'  >Does Your Community Have Independent Living Living Apartments?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_52'>\n\t\t\t<li class='gchoice gchoice_3_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Yes'  id='choice_3_52_0'    \/>\n\t\t\t\t<label for='choice_3_52_0' id='label_3_52_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='No'  id='choice_3_52_1'    \/>\n\t\t\t\t<label for='choice_3_52_1' id='label_3_52_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_53\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_53\"><label class='gfield_label' for='input_3_53' >How Many Independent Living Apartments are there in your Community?<\/label><div class='ginput_container ginput_container_number'><input name='input_53' id='input_3_53' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_3_42\"  class=\"gfield gfield_price gfield_price_3_42 gfield_product_3_42 field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_42\"><label class='gfield_label gfield_label_before_complex' for='input_3_42_1' >Annual Dues Investment for Communities with 1-50 Independent Living Apartments<\/label><div class='gfield_description' id='gfield_description_3_42'>Annual Dues for Independent Living Apartments are $12 per Independent Living Apartment, up to 50 Independent Living Apartments.<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_42.1' value='Annual Dues Investment for Communities with 1-50 Independent Living Apartments' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_3_42'>$12.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_42.2' id='ginput_base_price_3_42' class='gform_hidden' value='$12.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Quantity:<\/span> <input type='text' name='input_42.3' value='' id='input_3_42_1' class='ginput_quantity' size='10'    aria-label=\"Quantity Annual Dues Investment for Communities with 1-50 Independent Living Apartments\" aria-describedby=\"gfield_description_3_42\" \/>\n\t\t\t\t<\/div><\/li><li id=\"field_3_43\"  class=\"gfield gfield_price gfield_price_3_43 gfield_product_3_43 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_43\"><label class='gfield_label gfield_label_before_complex' for='input_3_43_1' >Annual Dues Investment for Communities with 51+ Independent Living Apartments<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_43.1' value='Annual Dues Investment for Communities with 51+ Independent Living Apartments' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_3_43' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_43.2' id='ginput_base_price_3_43' class='gform_hidden' value='$600.00' aria-label='Annual Dues Investment for Communities with 51+ Independent Living Apartments Price' aria-describedby=\"gfield_description_3_43\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_43.3' value='1' class='ginput_quantity_3_43 gform_hidden' \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_3_43'>The Annual 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