{"id":39771,"date":"2026-09-23T22:00:15","date_gmt":"2026-09-23T22:00:15","guid":{"rendered":"https:\/\/www.cceb.org\/?page_id=39771"},"modified":"2026-10-13T17:15:44","modified_gmt":"2026-10-13T17:15:44","slug":"inquiry-form","status":"publish","type":"page","link":"https:\/\/www.cceb.org\/ru\/inquiry-form\/","title":{"rendered":"Inquiry Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in 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enctype='multipart\/form-data'  id='gform_1'  action='\/ru\/wp-json\/wp\/v2\/pages\/39771' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u041e\u0431\u044f\u0437\u0430\u0442\u0435\u043b\u044c\u043d\u043e)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name 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'>\u0424\u0430\u043c\u0438\u043b\u0438\u044f<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u041e\u0431\u044f\u0437\u0430\u0442\u0435\u043b\u044c\u043d\u043e)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_1_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u041e\u0431\u044f\u0437\u0430\u0442\u0435\u043b\u044c\u043d\u043e)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_1_4' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'><span class='gform-field-label__text'>County of Residence<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u041e\u0431\u044f\u0437\u0430\u0442\u0435\u043b\u044c\u043d\u043e)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_1_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Alameda' >Alameda County<\/option><option value='Contra Costa' >Contra Costa County<\/option><\/select><\/div><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'><span class='gform-field-label__text'>How did you hear about us?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u041e\u0431\u044f\u0437\u0430\u0442\u0435\u043b\u044c\u043d\u043e)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Another service provider' >Another service provider<\/option><option value='CCEB employee' >CCEB employee<\/option><option value='Church bulletin' >Church bulletin<\/option><option value='Court appointed' >Court appointed<\/option><option value='Event or community outreach' >Event or community outreach<\/option><option value='Friend or relative' >Friend or relative<\/option><option value='Google \/ online search' >Google \/ online search<\/option><option value='News' >News<\/option><option value='Parish' >Parish<\/option><option value='Social media' >Social media<\/option><option value='The Catholic Voice' >The 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class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Requested Services<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u041e\u0431\u044f\u0437\u0430\u0442\u0435\u043b\u044c\u043d\u043e)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_8'><div class='gchoice gchoice_1_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Critical Family Needs'  id='choice_1_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_8_1' id='label_1_8_1' class='gform-field-label gform-field-label--type-inline'>Housing 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