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shown\",\"type\":\"control_captcha\"},null,{\"name\":\"ifRenting82\",\"qid\":\"82\",\"subLabel\":\"Day(s) I want to rent and general start and finish hours you&#039;d like to work during these day(s)\",\"text\":\"If renting a day(s), please advise preferred day(s) for use.\",\"type\":\"control_textarea\"}]);}, 20); \n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"https:\/\/submit.jotform.co\/submit\/70638163228861\/\" method=\"post\" name=\"form_70638163228861\" id=\"70638163228861\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"70638163228861\" \/>\n  <div class=\"form-all\">\n    <ul class=\"form-section page-section\">\n      <li id=\"cid_43\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group \">\n          <div class=\"header-text httal htvam\">\n            <h2 id=\"header_43\" class=\"form-header\" data-component=\"header\">\n              Expression of Interest\n            <\/h2>\n    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      <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"last_56\" name=\"q56_name[last]\" class=\"form-textbox validate[required]\" size=\"15\" value=\"\" data-component=\"last\" required=\"\" \/>\n              <label class=\"form-sub-label\" for=\"last_56\" id=\"sublabel_last\" style=\"min-height:13px;\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_63\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_63\" for=\"input_63\">\n          Business Name\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_63\" class=\"form-input jf-required\">\n          <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n            <input type=\"text\" id=\"input_63\" name=\"q63_businessName\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" size=\"20\" value=\"\" data-component=\"textbox\" required=\"\" \/>\n            <label class=\"form-sub-label\" for=\"input_63\" style=\"min-height:13px;\"> Registered Business Name <\/label>\n          <\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_71\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_71\" for=\"input_71\"> Website Address <\/label>\n        <div id=\"cid_71\" class=\"form-input\">\n          <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n            <input type=\"text\" id=\"input_71\" name=\"q71_websiteAddress\" data-type=\"input-textbox\" class=\"form-textbox\" size=\"20\" value=\"\" data-component=\"textbox\" \/>\n            <label class=\"form-sub-label\" for=\"input_71\" style=\"min-height:13px;\"> Website address <\/label>\n          <\/span>\n    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data-type=\"control_email\" id=\"id_55\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_55\" for=\"input_55\">\n          E-mail Address\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_55\" class=\"form-input jf-required\">\n          <input type=\"email\" id=\"input_55\" name=\"q55_emailAddress\" class=\"form-textbox validate[required, Email]\" size=\"30\" value=\"\" placeholder=\"ex: myname@example.com\" data-component=\"email\" required=\"\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_datetime\" id=\"id_60\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_60\" for=\"day_60\"> Rental required from (approx) <\/label>\n        <div id=\"cid_60\" class=\"form-input\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"currentDate form-textbox validate[limitDate]\" id=\"day_60\" name=\"q60_rentalRequired60[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"14\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_60\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_60\" name=\"q60_rentalRequired60[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"02\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_60\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_60\" name=\"q60_rentalRequired60[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"2018\" \/>\n              <label class=\"form-sub-label\" for=\"year_60\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_60_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_60_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_checkbox\" id=\"id_40\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_40\" for=\"input_40_0\">\n          Rental Required: \u00a0(Please provide details of your ideal)\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_40\" class=\"form-input jf-required\">\n          <div class=\"form-single-column\" data-component=\"checkbox\">\n            <span class=\"form-checkbox-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_40_0\" name=\"q40_rentalRequired[]\" value=\"Full Time (Exclusive) Tue-Sat\" required=\"\" \/>\n              <label id=\"label_input_40_0\" for=\"input_40_0\"> Full Time (Exclusive) Tue-Sat <\/label>\n            <\/span>\n            <span class=\"form-checkbox-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox 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data-type=\"control_dropdown\" id=\"id_62\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_62\" for=\"input_62\">\n          How long have you been practicing?\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_62\" class=\"form-input jf-required\">\n          <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n            <select class=\"form-dropdown validate[required]\" id=\"input_62\" name=\"q62_howLong62\" style=\"width:150px;\" data-component=\"dropdown\" required=\"\">\n              <option value=\"\">  <\/option>\n              <option value=\"Less than 1 year\"> Less than 1 year <\/option>\n              <option value=\"1 - 2 years\"> 1 - 2 years <\/option>\n              <option value=\"2 years or more\"> 2 years or more <\/option>\n            <\/select>\n            <label class=\"form-sub-label\" for=\"input_62\" style=\"min-height:13px;\"> Years in practice <\/label>\n          <\/span>\n        <\/div>\n      <\/li>\n      <li id=\"cid_79\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\">\n            <button id=\"form-pagebreak-back_79\" type=\"button\" class=\"form-pagebreak-back \" data-component=\"pagebreak-back\">\n              Back\n            <\/button>\n          <\/div>\n          <div class=\"form-pagebreak-next-container\">\n            <button id=\"form-pagebreak-next_79\" type=\"button\" class=\"form-pagebreak-next \" data-component=\"pagebreak-next\">\n              Next\n            <\/button>\n          <\/div>\n          <div style=\"clear:both;\" class=\"pageInfo form-sub-label\" id=\"pageInfo_79\">\n          <\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" style=\"display:none;\">\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_77\">\n        <div id=\"cid_77\" class=\"form-input-wide\">\n          <div id=\"text_77\" class=\"form-html\" data-component=\"text\">\n            <h1>\n              <span style=\"font-size: 12pt; color: #0000ff;\">\n                <strong>A little more about you :)<\/strong>\n              <\/span>\n            <\/h1>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_66\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_66\" for=\"input_66\"> Please List Any other modalities you are Qualified in and will be using in the room <\/label>\n        <div id=\"cid_66\" class=\"form-input\">\n          <textarea id=\"input_66\" class=\"form-textarea\" name=\"q66_pleaseList\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_67\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_67\" for=\"input_67\"> What type of clients do you see\/specialise in? <\/label>\n        <div id=\"cid_67\" class=\"form-input\">\n          <textarea id=\"input_67\" class=\"form-textarea\" name=\"q67_whatType67\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_68\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_68\" for=\"input_68\"> What is it about the advertisement, our location and or business that has you interested in joining our team? (In short why us?) <\/label>\n        <div id=\"cid_68\" class=\"form-input\">\n          <textarea id=\"input_68\" class=\"form-textarea\" name=\"q68_whatIs68\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_69\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_69\" for=\"input_69\"> Are you currently renting a room elsewhere?What is your main reason for looking elsewhere? Are you prepared to offer them as a reference? <\/label>\n        <div id=\"cid_69\" class=\"form-input\">\n          <textarea id=\"input_69\" class=\"form-textarea\" name=\"q69_areYou69\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_70\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_70\" for=\"input_70\"> Special Requirements: Do you require anything special or particular in the room? (The room currently has a desk, 2 x straight back chairs and a bookcase). For example a fixed telephone line, for Hicaps or calls, internet access, supply your own furniture etc. <\/label>\n        <div id=\"cid_70\" class=\"form-input\">\n          <textarea id=\"input_70\" class=\"form-textarea\" name=\"q70_specialRequirements\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_73\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_73\" for=\"input_73\"> Ideal Rental Price Range (weekly or daily ) <\/label>\n        <div id=\"cid_73\" class=\"form-input\">\n          <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n            <input type=\"text\" id=\"input_73\" name=\"q73_idealRental\" data-type=\"input-textbox\" class=\"form-textbox\" size=\"20\" value=\"\" data-component=\"textbox\" \/>\n            <label class=\"form-sub-label\" for=\"input_73\" style=\"min-height:13px;\"> example: $280-$350 per week or per day $ <\/label>\n          <\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_18\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_18\" for=\"input_18\">\n          Are you Qualified to Practice (Copies of Qualifications will be required)\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_18\" class=\"form-input jf-required\">\n          <div class=\"form-single-column\" data-component=\"radio\">\n            <span class=\"form-radio-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_18_0\" name=\"q18_areYou18\" value=\"No\" required=\"\" \/>\n              <label id=\"label_input_18_0\" for=\"input_18_0\"> No <\/label>\n            <\/span>\n            <span class=\"form-radio-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_18_1\" name=\"q18_areYou18\" value=\"Yes\" required=\"\" \/>\n              <label id=\"label_input_18_1\" for=\"input_18_1\"> Yes <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_58\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_58\" for=\"input_58\">\n          Are you willing to provide a professional reference that we may contact?\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_58\" class=\"form-input jf-required\">\n          <div class=\"form-single-column\" data-component=\"radio\">\n            <span class=\"form-radio-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_58_0\" name=\"q58_areYou58\" value=\"No\" required=\"\" \/>\n              <label id=\"label_input_58_0\" for=\"input_58_0\"> No <\/label>\n            <\/span>\n            <span class=\"form-radio-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_58_1\" name=\"q58_areYou58\" value=\"Yes\" required=\"\" \/>\n              <label id=\"label_input_58_1\" for=\"input_58_1\"> Yes <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_78\">\n        <div id=\"cid_78\" class=\"form-input-wide\">\n          <div id=\"text_78\" class=\"form-html\" data-component=\"text\">\n            <p>You're almost Done....<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li id=\"cid_46\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\">\n            <button id=\"form-pagebreak-back_46\" type=\"button\" class=\"form-pagebreak-back \" data-component=\"pagebreak-back\">\n              Back\n            <\/button>\n          <\/div>\n          <div class=\"form-pagebreak-next-container\">\n            <button id=\"form-pagebreak-next_46\" type=\"button\" class=\"form-pagebreak-next \" data-component=\"pagebreak-next\">\n              Next\n            <\/button>\n          <\/div>\n          <div style=\"clear:both;\" class=\"pageInfo form-sub-label\" id=\"pageInfo_46\">\n          <\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" style=\"display:none;\">\n      <li id=\"cid_49\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group \">\n          <div class=\"header-text httal htvam\">\n            <h3 id=\"header_49\" class=\"form-header\" data-component=\"header\">\n              What Happens next:\n            <\/h3>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_74\">\n        <div id=\"cid_74\" class=\"form-input-wide\">\n          <div id=\"text_74\" class=\"form-html\" data-component=\"text\">\n            <p>The next step:<\/p>\n            <p>Once your submission is received, if it looks like a good fit, we will be in touch to book in a time for you to come and have a look at the room and have a quick chat.<\/p>\n            <p>It\u2019s important to mention a couple of things up front.<\/p>\n            <p>None of our rooms are completely soundproof. The room(s) available is quiet and private, however there can on ocassion be some muffled noise transfer from reception and the hallway.<\/p>\n            <p>The centre is NOT suitable for practitoners who require a sink within room.<\/p>\n            <p>The centre is open from Tuesday through Friday 8am-730pm and Saturday 8am-5pm, weekly rental is for these 5 days. Hours may be negotiated. (Sunday and Monday the centre is closed).<\/p>\n            <p>The building is smoke free. We where possible keep the centre fragrance free.<\/p>\n            <p>We do not have disabled access ramp at entry or disabled toilet facilities.<\/p>\n            <p>Front window signage is available for successful full-time sub-let (and if you would like it, will be charged in addition to first months\u2019 rent.)<\/p>\n            <p>Looking forward to hearing about you!<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_75\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_75\" for=\"input_75\"> Is there anything else you would like to share? <\/label>\n        <div id=\"cid_75\" class=\"form-input\">\n          <textarea id=\"input_75\" class=\"form-textarea\" name=\"q75_isThere\" cols=\"40\" rows=\"6\" data-component=\"textarea\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_captcha\" id=\"id_80\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_80\" for=\"input_80\">\n          Enter the message as it's shown\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_80\" class=\"form-input jf-required\">\n          <div class=\"form-captcha\" data-component=\"captcha\">\n            <label for=\"input_80\"> <img alt=\"Captcha - Reload if not displayed\" id=\"input_80_captcha\" class=\"form-captcha-image\" style=\"background:url(https:\/\/cdn.jotfor.ms\/images\/loader-big.gif) no-repeat center;\" src=\"https:\/\/cdn.jotfor.ms\/images\/blank.gif\" width=\"150\" height=\"41\" \/> <\/label>\n            <div style=\"white-space:nowrap;\">\n              <input type=\"text\" id=\"input_80\" class=\"form-textbox validate[required]\" name=\"captcha\" style=\"width:130px;\" required=\"\" \/>\n              <img src=\"https:\/\/cdn.jotfor.ms\/images\/reload.png\" alt=\"Reload\" style=\"cursor:pointer;vertical-align:middle;\" id=\"input_80_reload\" \/>\n              <input type=\"hidden\" name=\"captcha_id\" id=\"input_80_captcha_id\" value=\"0\" \/>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_52\">\n        <div id=\"cid_52\" class=\"form-input-wide\">\n          <div style=\"margin-left:156px;\" class=\"form-buttons-wrapper\">\n            <button id=\"input_52\" type=\"submit\" class=\"form-submit-button\" data-component=\"button\">\n              Submit Form\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <script>\n  JotForm.showJotFormPowered = \"0\";\n  <\/script>\n  <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"70638163228861\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"70638163228861-70638163228861\";\n  <\/script>\n<\/form><\/body>\n<\/html>\n","Expression of Interest ",Array,0);(function(){window.handleIFrameMessage=function(e){if(!e.data||!e.data.split)return;var args=e.data.split(":");var iframe=document.getElementById("70638163228861");if(!iframe){return};switch(args[0]){case"scrollIntoView":if(!("nojump"in FrameBuilder.get)){iframe.scrollIntoView();}
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