{"id":1047,"date":"2021-09-01T21:36:26","date_gmt":"2021-09-01T21:36:26","guid":{"rendered":"https:\/\/www.cdlacademy.net\/?page_id=1047"},"modified":"2021-09-01T21:36:26","modified_gmt":"2021-09-01T21:36:26","slug":"instructor-application","status":"publish","type":"page","link":"https:\/\/www.cdlacademy.net\/es\/instructor-solicitud\/","title":{"rendered":"Solicitud de instructor"},"content":{"rendered":"<p>\u00bfEst\u00e1 buscando una nueva y emocionante carrera? Siempre estamos buscando instructores calificados para unirse a nuestro equipo. Si usted es un h\u00e1bil conductor de CDL Clase A y est\u00e1 buscando transmitir sus conocimientos y experiencia a la pr\u00f3xima generaci\u00f3n de conductores de camiones, complete el siguiente formulario y aplique como instructor con CDL Academy<\/p>\n<hr \/>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_9_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form\" id=\"form_instructor367dd738e\" action=\"\"  >\n<div class=\"frm_form_fields\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Solicitud de instructor<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"9\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_9\" id=\"frm_hide_fields_9\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"instructor367dd738e\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_9\" name=\"frm_submit_entry_9\" value=\"a23d6338f3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/1047\/\" \/><div id=\"frm_field_349_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_2c4m2\" id=\"field_2c4m2_label\" class=\"frm_primary_label\">\u00bfEn qu\u00e9 lugar est\u00e1 solicitando el puesto?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[349]\" id=\"field_2c4m2\"  data-reqmsg=\"Which location are you applying for? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Which location are you applying for? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Fort Smith\">Fort Smith<\/option><option  value=\"Little Rock\">Little Rock<\/option><option  value=\"Searcy\">Searcy<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_137_container\" class=\"frm_form_field frm_section_heading form-field\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Informaci\u00f3n del solicitante<\/h3>\r\n\r\n\r\n<div id=\"frm_field_138_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_5byhn8790c51da1\" id=\"field_5byhn8790c51da1_label\" class=\"frm_primary_label\">Nombre\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5byhn8790c51da1\" name=\"item_meta[138]\" value=\"\"  data-sectionid=\"137\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_204_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_khn2x\" id=\"field_khn2x_label\" class=\"frm_primary_label\">Segundo nombre\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_khn2x\" name=\"item_meta[204]\" value=\"\"  data-sectionid=\"137\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_6qaxyfacebdd20d\" id=\"field_6qaxyfacebdd20d_label\" class=\"frm_primary_label\">Apellido\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6qaxyfacebdd20d\" name=\"item_meta[139]\" value=\"\"  data-sectionid=\"137\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_140_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_jv20w64bbb13ab9\" id=\"field_jv20w64bbb13ab9_label\" class=\"frm_primary_label\">Direcci\u00f3n de correo electr\u00f3nico\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jv20w64bbb13ab9\" name=\"item_meta[140]\" value=\"\"  data-sectionid=\"137\" data-reqmsg=\"E-Mail Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_141_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_g7g6h930d736448\" id=\"field_g7g6h930d736448_label\" class=\"frm_primary_label\">Tel\u00e9fono\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_g7g6h930d736448\" name=\"item_meta[141]\" value=\"\"  data-sectionid=\"137\" data-frmmask=\"(999)999-9999\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_142_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_n0r5x9ffa85f4b8\" id=\"field_n0r5x9ffa85f4b8_label\" class=\"frm_primary_label\">N\u00famero de la Seguridad Social\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_n0r5x9ffa85f4b8\" name=\"item_meta[142]\" value=\"\"  data-sectionid=\"137\" data-frmmask=\"999-99-9999\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d-\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_143_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_jugay0ead8cc130\" id=\"field_jugay0ead8cc130_label\" class=\"frm_primary_label\">Fecha de nacimiento\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jugay0ead8cc130\" name=\"item_meta[143]\" value=\"\"  data-sectionid=\"137\" data-reqmsg=\"Date of Birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_144_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_86vc1cd01cf6be2\" id=\"field_86vc1cd01cf6be2_label\" class=\"frm_primary_label\">N\u00famero de licencia de conducir\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_86vc1cd01cf6be2\" name=\"item_meta[144]\" value=\"\"  data-sectionid=\"137\" data-reqmsg=\"Drivers License Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_145_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_h7gc7a37b00ced7\" id=\"field_h7gc7a37b00ced7_label\" class=\"frm_primary_label\">Nombre del contacto de emergencia\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_h7gc7a37b00ced7\" name=\"item_meta[145]\" value=\"\"  data-sectionid=\"137\" data-reqmsg=\"Emergency Contact Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_146_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_8qhpc704a947158\" id=\"field_8qhpc704a947158_label\" class=\"frm_primary_label\">N\u00famero de tel\u00e9fono de contacto en caso de emergencia\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_8qhpc704a947158\" name=\"item_meta[146]\" value=\"\"  data-sectionid=\"137\" data-reqmsg=\"Emergency Contact Telephone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_150_container\" class=\"frm_form_field frm_section_heading form-field\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Direcci\u00f3n del solicitante<\/h3>\r\n\r\n\r\n<div id=\"frm_field_151_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm10\">\r\n    <div  id=\"field_tofkifc74e1160a_label\" class=\"frm_primary_label\">Direcci\u00f3n\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_tofkifc74e1160a_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_151-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_tofkifc74e1160a_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_tofkifc74e1160a_line1\" value=\"\" name=\"item_meta[151][line1]\"  data-sectionid=\"150\" data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_151-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_tofkifc74e1160a_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_tofkifc74e1160a_line2\" value=\"\" name=\"item_meta[151][line2]\"  data-sectionid=\"150\" data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_151-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_tofkifc74e1160a_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_tofkifc74e1160a_city\" value=\"\" name=\"item_meta[151][city]\"  data-sectionid=\"150\" data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_151-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_tofkifc74e1160a_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t\t<select name=\"item_meta[151][state]\" id=\"field_tofkifc74e1160a_state\"  data-sectionid=\"150\" data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/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\">Distrito de Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Haw\u00e1i<\/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\">Luisiana<\/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\">Nuevo Hampshire<\/option><option  value=\"New Jersey\">Nueva Jersey<\/option><option  value=\"New Mexico\">Nuevo M\u00e9xico<\/option><option  value=\"New York\">Nueva York<\/option><option  value=\"North Carolina\">Carolina del Norte<\/option><option  value=\"North Dakota\">Dakota del Norte<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oreg\u00f3n<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">Carolina del Sur<\/option><option  value=\"South Dakota\">Dakota del Sur<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">Virginia Occidental<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_151-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_tofkifc74e1160a_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_tofkifc74e1160a_zip\" value=\"\" name=\"item_meta[151][zip]\"  data-sectionid=\"150\" data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_205_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\n    <label for=\"field_z7mbn\" id=\"field_z7mbn_label\" class=\"frm_primary_label\">\u00bfHa vivido en esta direcci\u00f3n durante los \u00faltimos tres (3) a\u00f1os?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[205]\" id=\"field_z7mbn\"  data-reqmsg=\"Have you lived at this address for the past three (3) years? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Have you lived at this address for the past three (3) years? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    <div class=\"frm_description\" id=\"frm_desc_field_z7mbn\">Si no es as\u00ed, indique la direcci\u00f3n anterior a continuaci\u00f3n<\/div>\n    \n<\/div>\n<div id=\"frm_field_206_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <div  id=\"field_xh0e1_label\" class=\"frm_primary_label\">Direcci\u00f3n\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_xh0e1_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_206-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_xh0e1_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_xh0e1_line1\" value=\"\" name=\"item_meta[206][line1]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_206-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_xh0e1_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_xh0e1_line2\" value=\"\" name=\"item_meta[206][line2]\"  data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_206-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_xh0e1_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_xh0e1_city\" value=\"\" name=\"item_meta[206][city]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_206-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xh0e1_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_xh0e1_state\" value=\"\" name=\"item_meta[206][state]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_206-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xh0e1_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_xh0e1_zip\" value=\"\" name=\"item_meta[206][zip]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_206-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_xh0e1_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[206][country]\" id=\"field_xh0e1_country\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_208_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <div  id=\"field_3jsjh_label\" class=\"frm_primary_label\">Direcci\u00f3n\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_3jsjh_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_208-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_3jsjh_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_3jsjh_line1\" value=\"\" name=\"item_meta[208][line1]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_208-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_3jsjh_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_3jsjh_line2\" value=\"\" name=\"item_meta[208][line2]\"  data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_208-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_3jsjh_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_3jsjh_city\" value=\"\" name=\"item_meta[208][city]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_208-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_3jsjh_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_3jsjh_state\" value=\"\" name=\"item_meta[208][state]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_208-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_3jsjh_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_3jsjh_zip\" value=\"\" name=\"item_meta[208][zip]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_208-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_3jsjh_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[208][country]\" id=\"field_3jsjh_country\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_207_container\" class=\"frm_form_field form-field  frm_top_container frm_first\">\n    <div  id=\"field_vzmky_label\" class=\"frm_primary_label\">Direcci\u00f3n\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_vzmky_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_207-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_vzmky_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_vzmky_line1\" value=\"\" name=\"item_meta[207][line1]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_207-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_vzmky_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_vzmky_line2\" value=\"\" name=\"item_meta[207][line2]\"  data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_207-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_vzmky_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_vzmky_city\" value=\"\" name=\"item_meta[207][city]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_207-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_vzmky_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_vzmky_state\" value=\"\" name=\"item_meta[207][state]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_207-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_vzmky_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_vzmky_zip\" value=\"\" name=\"item_meta[207][zip]\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_207-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_vzmky_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[207][country]\" id=\"field_vzmky_country\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_155_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Informaci\u00f3n sobre el empleo<\/h3>\r\n\r\n\r\n<div id=\"frm_field_211_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\n    <label for=\"field_5qlo7\" id=\"field_5qlo7_label\" class=\"frm_primary_label\">Fecha disponible para empezar\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_5qlo7\" name=\"item_meta[211]\" value=\"\"  data-sectionid=\"155\" maxlength=\"10\" data-reqmsg=\"Date Available to Start cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_212_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\n    <label for=\"field_aho24\" id=\"field_aho24_label\" class=\"frm_primary_label\">Disponibilidad\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[212]\" id=\"field_aho24\"  data-sectionid=\"155\" data-invmsg=\"Availability is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Full Time\">A tiempo completo<\/option><option  value=\"Part Time\">A tiempo parcial<\/option><option  value=\"Either Full Time or Part Time\">A tiempo completo o a tiempo parcial<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_213_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\n    <label for=\"field_nei73\" id=\"field_nei73_label\" class=\"frm_primary_label\">\u00bfQui\u00e9n le recomend\u00f3? (Si es el caso)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_nei73\" name=\"item_meta[213]\" value=\"\"  data-sectionid=\"155\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_156_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_d85a3306a1f7e03\" id=\"field_d85a3306a1f7e03_label\" class=\"frm_primary_label\">Situaci\u00f3n laboral actual\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[156]\" id=\"field_d85a3306a1f7e03\"  data-sectionid=\"155\" data-reqmsg=\"Current Employment Status cannot be blank.\" aria-required=\"true\" data-invmsg=\"Current Employment Status is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Employed\">Empleado<\/option><option  value=\"Retired\">Retirado<\/option><option  value=\"Self Employed\">Aut\u00f3nomos<\/option><option  value=\"1099\">1099<\/option><option  value=\"Military\">Militar<\/option><option  value=\"Student\">Estudiante<\/option><option  value=\"Unemployed\">Desempleado<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_157_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_2fyma3861ee9ed9\" id=\"field_2fyma3861ee9ed9_label\" class=\"frm_primary_label\">Empleador actual \/ anterior\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2fyma3861ee9ed9\" name=\"item_meta[157]\" value=\"\"  data-sectionid=\"155\" data-reqmsg=\"Current \/ Previous Employer cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_158_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_el45w1499256d89\" id=\"field_el45w1499256d89_label\" class=\"frm_primary_label\">Cargo en el empleador\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_el45w1499256d89\" name=\"item_meta[158]\" value=\"\"  data-sectionid=\"155\" data-reqmsg=\"Position at Employer cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_159_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_re8zq52d3b196ae\" id=\"field_re8zq52d3b196ae_label\" class=\"frm_primary_label\">Tel\u00e9fono del trabajo\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_re8zq52d3b196ae\" name=\"item_meta[159]\" value=\"\"  data-sectionid=\"155\" data-frmmask=\"(999)999-9999\" data-reqmsg=\"Work Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_160_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_641xg37e22e2bc4\" id=\"field_641xg37e22e2bc4_label\" class=\"frm_primary_label\">A\u00f1os en la empresa actual\/anterior\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_641xg37e22e2bc4\" name=\"item_meta[160]\" value=\"\"  data-sectionid=\"155\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_161_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_euo0c86a1574adc\" id=\"field_euo0c86a1574adc_label\" class=\"frm_primary_label\">Meses en la empresa actual\/anterior\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_euo0c86a1574adc\" name=\"item_meta[161]\" value=\"\"  data-sectionid=\"155\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_162_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_le2c9be1b08920e\" id=\"field_le2c9be1b08920e_label\" class=\"frm_primary_label\">Ingresos\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_le2c9be1b08920e\" name=\"item_meta[162]\" value=\"\"  data-sectionid=\"155\" data-reqmsg=\"Income cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_163_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_55sp7814be57529\" id=\"field_55sp7814be57529_label\" class=\"frm_primary_label\">Ingresos percibidos por:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[163]\" id=\"field_55sp7814be57529\"  data-sectionid=\"155\" data-reqmsg=\"Income Received Per: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Income Received Per: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Per Week\">Por semana<\/option><option  value=\"Per Month\">Por mes<\/option><option  value=\"Per Year\">Por a\u00f1o<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_214_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Informaci\u00f3n sobre educaci\u00f3n<\/h3>\n\n\n<div id=\"frm_field_216_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_vn8qz\" id=\"field_vn8qz_label\" class=\"frm_primary_label\">\u00bfTienes un diploma de secundaria o el equivalente al GED?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[216]\" id=\"field_vn8qz\"  data-sectionid=\"214\" data-reqmsg=\"Do you have a high school diploma or GED equivalent? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Do you have a high school diploma or GED equivalent? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_218_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\n    <label for=\"field_yz8l1\" id=\"field_yz8l1_label\" class=\"frm_primary_label\">\u00daltima escuela a la que asisti\u00f3\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_yz8l1\" name=\"item_meta[218]\" value=\"\"  data-sectionid=\"214\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_217_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\n    <label for=\"field_8sfx1\" id=\"field_8sfx1_label\" class=\"frm_primary_label\">Universidad\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[217]\" id=\"field_8sfx1\"  data-sectionid=\"214\" data-reqmsg=\"College cannot be blank.\" aria-required=\"true\" data-invmsg=\"College is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"None\">Ninguno<\/option><option  value=\"Some College\">Algunas universidades<\/option><option  value=\"Associates Degree\">T\u00edtulo de Asociado<\/option><option  value=\"Bachelors Degree\">Licenciatura<\/option><option  value=\"Masters Degree\">M\u00e1steres<\/option><option  value=\"Doctorate\">Doctorado<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_219_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\n    <div  id=\"field_3djas_label\" class=\"frm_primary_label\">\u00daltima escuela a la que asisti\u00f3 Direcci\u00f3n\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_3djas_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\t\u00daltima escuela a la que asisti\u00f3 Direcci\u00f3n<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_219-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_3djas_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\t\u00daltima escuela a la que asisti\u00f3 Direcci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_3djas_line1\" value=\"\" name=\"item_meta[219][line1]\"  data-sectionid=\"214\" data-invmsg=\"Last School Attended Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_219-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_3djas_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\t\u00daltima escuela a la que asisti\u00f3 Direcci\u00f3n\t<\/label>\n\t\t<input type=\"text\" id=\"field_3djas_line2\" value=\"\" name=\"item_meta[219][line2]\"  data-sectionid=\"214\" data-invmsg=\"Last School Attended Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_219-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_3djas_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_3djas_city\" value=\"\" name=\"item_meta[219][city]\"  data-sectionid=\"214\" data-invmsg=\"Last School Attended Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_219-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_3djas_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_3djas_state\" value=\"\" name=\"item_meta[219][state]\"  data-sectionid=\"214\" data-invmsg=\"Last School Attended Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_219-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_3djas_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_3djas_zip\" value=\"\" name=\"item_meta[219][zip]\"  data-sectionid=\"214\" data-invmsg=\"Last School Attended Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_219-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_3djas_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[219][country]\" id=\"field_3djas_country\"  data-sectionid=\"214\" data-invmsg=\"Last School Attended Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_220_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Experiencia militar<\/h3>\n\n\n<div id=\"frm_field_232_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_t7wtl\" id=\"field_t7wtl_label\" class=\"frm_primary_label\">\u00bfHa servido alguna vez en las Fuerzas Armadas de Estados Unidos?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[232]\" id=\"field_t7wtl\"  data-sectionid=\"220\" data-reqmsg=\"Have you ever served in the U.S. Armed Forces? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Have you ever served in the U.S. Armed Forces? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_233_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_ixzng\" id=\"field_ixzng_label\" class=\"frm_primary_label\">\u00bfQu\u00e9 rama?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[233]\" id=\"field_ixzng\"  data-sectionid=\"220\" data-invmsg=\"What Branch? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Army\">Ej\u00e9rcito<\/option><option  value=\"Navy\">Marina<\/option><option  value=\"Marine Corps\">Cuerpo de Marines<\/option><option  value=\"Air Force\">Fuerza A\u00e9rea<\/option><option  value=\"Coast Guard\">Guardacostas<\/option><option  value=\"Space Force\">Fuerza Espacial<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_234_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\n    <label for=\"field_3bizu\" id=\"field_3bizu_label\" class=\"frm_primary_label\">\u00bfAlguna formaci\u00f3n\/experiencia militar relevante relacionada con este puesto?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_3bizu\" name=\"item_meta[234]\" value=\"\"  data-sectionid=\"220\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_235_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\n    <label for=\"field_zn5qb\" id=\"field_zn5qb_label\" class=\"frm_primary_label\">\u00bfEst\u00e1 sirviendo actualmente en una unidad de la Reserva o de la Guardia Nacional?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[235]\" id=\"field_zn5qb\"  data-sectionid=\"220\" data-invmsg=\"Are you currently serving in a Reserve or National Guard unit? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes, Reserve\">S\u00ed, Reserva<\/option><option  value=\"Yes, National Guard\">S\u00ed, la Guardia Nacional<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_222_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Informaci\u00f3n sobre la licencia<\/h3>\n\n\n<div id=\"frm_field_236_container\" class=\"frm_form_field  frm_html_container form-field\">Ninguna persona que opere un veh\u00edculo motorizado comercial podr\u00e1 tener en ning\u00fan momento m\u00e1s de una licencia de conducir (49 CFR 383.21). Certifico que no tengo m\u00e1s de una licencia de conducir para veh\u00edculos motorizados, cuya informaci\u00f3n se indica a continuaci\u00f3n. Incluya todas las licencias de los \u00faltimos 3 a\u00f1os; adjunte hojas adicionales si es necesario<\/div>\n<div id=\"frm_field_242_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_81aur\" id=\"field_81aur_label\" class=\"frm_primary_label\">N\u00famero de licencia de conducir\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_81aur\" name=\"item_meta[242]\" value=\"\"  data-sectionid=\"222\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_237_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\n    <label for=\"field_98szp\" id=\"field_98szp_label\" class=\"frm_primary_label\">Estado del permiso de conducir\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_98szp\" name=\"item_meta[237]\" value=\"\"  data-sectionid=\"222\" data-reqmsg=\"Drivers License State cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_239_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_snsy8\" id=\"field_snsy8_label\" class=\"frm_primary_label\">Tipo \/ Clase de licencia de conducir\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_snsy8\" name=\"item_meta[239]\" value=\"\"  data-sectionid=\"222\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_240_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\n    <label for=\"field_qnnoc\" id=\"field_qnnoc_label\" class=\"frm_primary_label\">Avales\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_qnnoc\" name=\"item_meta[240]\" value=\"\"  data-sectionid=\"222\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_241_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\n    <label for=\"field_o734t\" id=\"field_o734t_label\" class=\"frm_primary_label\">Fecha de caducidad\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_o734t\" name=\"item_meta[241]\" value=\"\"  data-sectionid=\"222\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_250_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\n    <label for=\"field_sqs8u\" id=\"field_sqs8u_label\" class=\"frm_primary_label\">\u00bfHa tenido alguna otra licencia CDL anteriormente?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[250]\" id=\"field_sqs8u\"  data-sectionid=\"222\" data-invmsg=\"Have you held any other CDL Licenses previously? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_243_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_6s50x\" id=\"field_6s50x_label\" class=\"frm_primary_label\">N\u00famero de licencia de conducir anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_6s50x\" name=\"item_meta[243]\" value=\"\"  data-sectionid=\"222\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_244_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\n    <label for=\"field_n8qlk\" id=\"field_n8qlk_label\" class=\"frm_primary_label\">Estado del permiso de conducir anterior\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_n8qlk\" name=\"item_meta[244]\" value=\"\"  data-sectionid=\"222\" data-reqmsg=\"Previous Drivers License State cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_245_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_tx9t9\" id=\"field_tx9t9_label\" class=\"frm_primary_label\">Tipo \/ Clase de licencia de conducir anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_tx9t9\" name=\"item_meta[245]\" value=\"\"  data-sectionid=\"222\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_246_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\n    <label for=\"field_xflst\" id=\"field_xflst_label\" class=\"frm_primary_label\">Fecha de caducidad anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_xflst\" name=\"item_meta[246]\" value=\"\"  data-sectionid=\"222\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_247_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\n    <label for=\"field_jqci2\" id=\"field_jqci2_label\" class=\"frm_primary_label\">Apoyos anteriores\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_jqci2\" name=\"item_meta[247]\" value=\"\"  data-sectionid=\"222\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_224_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Experiencia de conducci\u00f3n<\/h3>\n\n\n<div id=\"frm_field_255_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\n    <label for=\"field_vh9f3\" id=\"field_vh9f3_label\" class=\"frm_primary_label\">Cami\u00f3n recto (Por favor, indique los detalles del equipo y durante cu\u00e1nto tiempo)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_vh9f3\" name=\"item_meta[255]\" value=\"\"  data-sectionid=\"224\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_251_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\n    <label for=\"field_tv8t1\" id=\"field_tv8t1_label\" class=\"frm_primary_label\">Remolque de tractor (Por favor, indique los detalles del equipo y por cu\u00e1nto tiempo)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_tv8t1\" name=\"item_meta[251]\" value=\"\"  data-sectionid=\"224\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_252_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\n    <label for=\"field_npcts\" id=\"field_npcts_label\" class=\"frm_primary_label\">Dos remolques (Por favor, indique los detalles del equipo y por cu\u00e1nto tiempo)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_npcts\" name=\"item_meta[252]\" value=\"\"  data-sectionid=\"224\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_253_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\n    <label for=\"field_9eb3n\" id=\"field_9eb3n_label\" class=\"frm_primary_label\">Cisterna (Por favor, indique los detalles del equipo y por cu\u00e1nto tiempo)\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_9eb3n\" name=\"item_meta[253]\" value=\"\"  data-sectionid=\"224\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_254_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\n    <label for=\"field_do14\" id=\"field_do14_label\" class=\"frm_primary_label\">Otros (Por favor, indique los detalles del equipo y durante cu\u00e1nto tiempo) \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_do14\" name=\"item_meta[254]\" value=\"\"  data-sectionid=\"224\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_226_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Registro de accidentes de los \u00faltimos tres (3) a\u00f1os<\/h3>\n\n\n<div id=\"frm_field_258_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\n    <label for=\"field_awrti\" id=\"field_awrti_label\" class=\"frm_primary_label\">\u00bfHa tenido alg\u00fan accidente de tr\u00e1fico en los \u00faltimos tres (3) a\u00f1os?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[258]\" id=\"field_awrti\"  data-sectionid=\"226\" data-reqmsg=\"Have you had any traffic accidents in the past three (3) years? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Have you had any traffic accidents in the past three (3) years? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_257_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_r6she\" id=\"field_r6she_label\" class=\"frm_primary_label\">Por favor, indique las fechas, la naturaleza del accidente (choque frontal, choque por detr\u00e1s, vuelco, etc.) y si hubo muertes, lesiones o derrames de productos qu\u00edmicos\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <textarea name=\"item_meta[257]\" id=\"field_r6she\" rows=\"5\"  data-sectionid=\"226\" data-invmsg=\"Please list Dates, Nature of Accident (Head-on, rear-end, upset, etc.,) and if there were any fatalaties, injuries or chemical spills is invalid\" aria-invalid=\"false\"  ><\/textarea>\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_228_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Condenas e infracciones de tr\u00e1fico de los \u00faltimos tres (3) a\u00f1os<\/h3>\n\n\n<div id=\"frm_field_259_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\n    <label for=\"field_48uwg\" id=\"field_48uwg_label\" class=\"frm_primary_label\">\u00bfHa tenido alguna condena o infracci\u00f3n de tr\u00e1fico en los \u00faltimos tres (3) a\u00f1os?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[259]\" id=\"field_48uwg\"  data-sectionid=\"228\" data-reqmsg=\"Have you had any traffic convictions or violations in the past three (3) years? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Have you had any traffic convictions or violations in the past three (3) years? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_260_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_8gihm\" id=\"field_8gihm_label\" class=\"frm_primary_label\">Por favor, indique las fechas, el tipo de infracci\u00f3n, el estado de la infracci\u00f3n y las sanciones recibidas (incluyendo la p\u00e9rdida de la fianza, la garant\u00eda y los puntos).\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <textarea name=\"item_meta[260]\" id=\"field_8gihm\" rows=\"5\"  data-sectionid=\"228\" data-invmsg=\"Please list Dates, Violation type, State of Violation and any Penalties received (including Forfeited bond, collateral and or points) is invalid\" aria-invalid=\"false\"  ><\/textarea>\n    \n    \n<\/div>\n<div id=\"frm_field_262_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\n    <label for=\"field_9rwwn\" id=\"field_9rwwn_label\" class=\"frm_primary_label\">\u00bfLe han denegado alguna vez la licencia, el permiso o el privilegio de conducir un veh\u00edculo de motor? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[262]\" id=\"field_9rwwn\"  data-sectionid=\"228\" data-invmsg=\"Have you ever been denied a license, permit, or privilege to operate a motor vehicle?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_266_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_h5jhd\" id=\"field_h5jhd_label\" class=\"frm_primary_label\">En caso afirmativo, explique\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_h5jhd\" name=\"item_meta[266]\" value=\"\"  data-sectionid=\"228\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_263_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\n    <label for=\"field_2j904\" id=\"field_2j904_label\" class=\"frm_primary_label\">\u00bfLe han suspendido o revocado alguna vez alguna licencia, permiso o privilegio? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[263]\" id=\"field_2j904\"  data-sectionid=\"228\" data-invmsg=\"Has any license, permit, or privilege you have held ever been suspended or revoked?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_265_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_qb6yc\" id=\"field_qb6yc_label\" class=\"frm_primary_label\">En caso afirmativo, explique\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_qb6yc\" name=\"item_meta[265]\" value=\"\"  data-sectionid=\"228\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_230_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Historial de empleo<\/h3>\n\n\n<div id=\"frm_field_261_container\" class=\"frm_form_field  frm10 frm_html_container form-field\">El Reglamento Federal de Seguridad de Autotransportes (49 CFR 391.21) exige que todos los solicitantes que deseen conducir un veh\u00edculo comercial indiquen todos los empleos de los \u00faltimos tres (3) a\u00f1os. Adem\u00e1s, si ha conducido un veh\u00edculo comercial anteriormente, debe proporcionar el historial de empleo de otros siete (7) a\u00f1os (para un total de diez (10) a\u00f1os). Deber\u00e1 explicarse cualquier intervalo de empleo superior a un (1) mes.<br \/>\nEmpiece por el \u00faltimo puesto o el actual, incluyendo cualquier experiencia militar, y trabaje hacia atr\u00e1s (adjunte hojas separadas si es necesario). Debe indicar la direcci\u00f3n postal completa, incluyendo el n\u00famero de la calle, la ciudad, el estado y el c\u00f3digo postal; y completar toda la dem\u00e1s informaci\u00f3n.\n<\/div>\n<div id=\"frm_field_324_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm10\">\n    <label for=\"field_2afz9\" id=\"field_2afz9_label\" class=\"frm_primary_label\">\u00bfEn cu\u00e1ntas empresas ha trabajado en los \u00faltimos tres (3) a\u00f1os?\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[324]\" id=\"field_2afz9\"  data-sectionid=\"230\" data-reqmsg=\"How many companies have you been employed with in the past three (3) years? cannot be blank.\" aria-required=\"true\" data-invmsg=\"How many companies have you been employed with in the past three (3) years? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"One\">Una<\/option><option  value=\"Two\">Dos<\/option><option  value=\"Three\">Tres<\/option><option  value=\"Four\">Cuatro<\/option><option  value=\"Five\">Cinco<\/option><option  value=\"Six\">Seis<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_267_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_bib9z\" id=\"field_bib9z_label\" class=\"frm_primary_label\">Nombre del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_bib9z\" name=\"item_meta[267]\" value=\"\"  data-sectionid=\"230\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_268_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_bad8s\" id=\"field_bad8s_label\" class=\"frm_primary_label\">Tel\u00e9fono del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"tel\" id=\"field_bad8s\" name=\"item_meta[268]\" value=\"\"  data-sectionid=\"230\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_269_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <div  id=\"field_jd383_label\" class=\"frm_primary_label\">Direcci\u00f3n del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_jd383_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n del empleador anterior<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_269-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_jd383_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_jd383_line1\" value=\"\" name=\"item_meta[269][line1]\"  data-sectionid=\"230\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_269-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_jd383_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_jd383_line2\" value=\"\" name=\"item_meta[269][line2]\"  data-sectionid=\"230\" data-invmsg=\"Previous Employer Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_269-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_jd383_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_jd383_city\" value=\"\" name=\"item_meta[269][city]\"  data-sectionid=\"230\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_269-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_jd383_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_jd383_state\" value=\"\" name=\"item_meta[269][state]\"  data-sectionid=\"230\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_269-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_jd383_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_jd383_zip\" value=\"\" name=\"item_meta[269][zip]\"  data-sectionid=\"230\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_269-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_jd383_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[269][country]\" id=\"field_jd383_country\"  data-sectionid=\"230\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_271_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_65vn5\" id=\"field_65vn5_label\" class=\"frm_primary_label\">Empleado desde la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_65vn5\" name=\"item_meta[271]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_273_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_coid7\" id=\"field_coid7_label\" class=\"frm_primary_label\">Empleado hasta la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_coid7\" name=\"item_meta[273]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_276_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_epy6f\" id=\"field_epy6f_label\" class=\"frm_primary_label\">\u00bfRaz\u00f3n de la salida?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_epy6f\" name=\"item_meta[276]\" value=\"\"  data-sectionid=\"230\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_270_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_xkmay\" id=\"field_xkmay_label\" class=\"frm_primary_label\">Cargo que ocupa\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_xkmay\" name=\"item_meta[270]\" value=\"\"  data-sectionid=\"230\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_277_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_sbmsr\" id=\"field_sbmsr_label\" class=\"frm_primary_label\">Salario\/compensaci\u00f3n para este puesto\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_sbmsr\" name=\"item_meta[277]\" value=\"\"  data-sectionid=\"230\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_274_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_507gu\" id=\"field_507gu_label\" class=\"frm_primary_label\">Mientras estuvo empleado aqu\u00ed, \u00bfestaba sujeto a las Regulaciones Federales de Seguridad de los Transportistas\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[274]\" id=\"field_507gu\"  data-sectionid=\"230\" data-invmsg=\"While employed here, were you subject to the Federal Motor Carrier Safety Regulations is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_275_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_mo9hv\" id=\"field_mo9hv_label\" class=\"frm_primary_label\">\u00bfFue el trabajo designado como una funci\u00f3n sensible a la seguridad en cualquier modalidad regulada por el Departamento de Transporte sujeta a pruebas de alcohol y sustancias controladas, tal y como exige el 49 CFR, parte 40? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[275]\" id=\"field_mo9hv\"  data-sectionid=\"230\" data-invmsg=\"Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_281_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Historial de empleo - Segundo empleador m\u00e1s reciente<\/h3>\n\n\n<div id=\"frm_field_283_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\n    <label for=\"field_zedtx\" id=\"field_zedtx_label\" class=\"frm_primary_label\">Nombre del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_zedtx\" name=\"item_meta[283]\" value=\"\"  data-sectionid=\"281\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_284_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_c3xhw\" id=\"field_c3xhw_label\" class=\"frm_primary_label\">Tel\u00e9fono del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"tel\" id=\"field_c3xhw\" name=\"item_meta[284]\" value=\"\"  data-sectionid=\"281\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_285_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <div  id=\"field_biljr_label\" class=\"frm_primary_label\">Direcci\u00f3n del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_biljr_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n del empleador anterior<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_285-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_biljr_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_biljr_line1\" value=\"\" name=\"item_meta[285][line1]\"  data-sectionid=\"281\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_285-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_biljr_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_biljr_line2\" value=\"\" name=\"item_meta[285][line2]\"  data-sectionid=\"281\" data-invmsg=\"Previous Employer Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_285-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_biljr_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_biljr_city\" value=\"\" name=\"item_meta[285][city]\"  data-sectionid=\"281\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_285-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_biljr_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_biljr_state\" value=\"\" name=\"item_meta[285][state]\"  data-sectionid=\"281\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_285-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_biljr_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_biljr_zip\" value=\"\" name=\"item_meta[285][zip]\"  data-sectionid=\"281\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_285-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_biljr_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[285][country]\" id=\"field_biljr_country\"  data-sectionid=\"281\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_286_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_7w49p\" id=\"field_7w49p_label\" class=\"frm_primary_label\">Empleado desde la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_7w49p\" name=\"item_meta[286]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_287_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_x5hm6\" id=\"field_x5hm6_label\" class=\"frm_primary_label\">Empleado hasta la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_x5hm6\" name=\"item_meta[287]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_288_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_fnzom\" id=\"field_fnzom_label\" class=\"frm_primary_label\">\u00bfRaz\u00f3n de la salida?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_fnzom\" name=\"item_meta[288]\" value=\"\"  data-sectionid=\"281\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_289_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_549mu\" id=\"field_549mu_label\" class=\"frm_primary_label\">Cargo que ocupa\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_549mu\" name=\"item_meta[289]\" value=\"\"  data-sectionid=\"281\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_290_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_j3o43\" id=\"field_j3o43_label\" class=\"frm_primary_label\">Salario\/compensaci\u00f3n para este puesto\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_j3o43\" name=\"item_meta[290]\" value=\"\"  data-sectionid=\"281\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_291_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_1lsw1\" id=\"field_1lsw1_label\" class=\"frm_primary_label\">Mientras estuvo empleado aqu\u00ed, \u00bfestaba sujeto a las Regulaciones Federales de Seguridad de los Transportistas\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[291]\" id=\"field_1lsw1\"  data-sectionid=\"281\" data-invmsg=\"While employed here, were you subject to the Federal Motor Carrier Safety Regulations is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_292_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\n    <label for=\"field_ntqls\" id=\"field_ntqls_label\" class=\"frm_primary_label\">\u00bfFue el trabajo designado como una funci\u00f3n sensible a la seguridad en cualquier modalidad regulada por el Departamento de Transporte sujeta a pruebas de alcohol y sustancias controladas, tal y como exige el 49 CFR, parte 40? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[292]\" id=\"field_ntqls\"  data-sectionid=\"281\" data-invmsg=\"Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_306_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Historial de empleo - Tercer empleador m\u00e1s reciente<\/h3>\n\n\n<div id=\"frm_field_307_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_swugj\" id=\"field_swugj_label\" class=\"frm_primary_label\">Nombre del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_swugj\" name=\"item_meta[307]\" value=\"\"  data-sectionid=\"306\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_308_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_g1fvv\" id=\"field_g1fvv_label\" class=\"frm_primary_label\">Tel\u00e9fono del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"tel\" id=\"field_g1fvv\" name=\"item_meta[308]\" value=\"\"  data-sectionid=\"306\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_309_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <div  id=\"field_90nq_label\" class=\"frm_primary_label\">Direcci\u00f3n del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_90nq_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n del empleador anterior<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_309-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_90nq_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_90nq_line1\" value=\"\" name=\"item_meta[309][line1]\"  data-sectionid=\"306\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_309-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_90nq_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_90nq_line2\" value=\"\" name=\"item_meta[309][line2]\"  data-sectionid=\"306\" data-invmsg=\"Previous Employer Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_309-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_90nq_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_90nq_city\" value=\"\" name=\"item_meta[309][city]\"  data-sectionid=\"306\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_309-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_90nq_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_90nq_state\" value=\"\" name=\"item_meta[309][state]\"  data-sectionid=\"306\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_309-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_90nq_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_90nq_zip\" value=\"\" name=\"item_meta[309][zip]\"  data-sectionid=\"306\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_309-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_90nq_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[309][country]\" id=\"field_90nq_country\"  data-sectionid=\"306\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_310_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_n4ig0\" id=\"field_n4ig0_label\" class=\"frm_primary_label\">Empleado desde la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_n4ig0\" name=\"item_meta[310]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_311_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_idq3m\" id=\"field_idq3m_label\" class=\"frm_primary_label\">Empleado hasta la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_idq3m\" name=\"item_meta[311]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_312_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_dibb1\" id=\"field_dibb1_label\" class=\"frm_primary_label\">\u00bfRaz\u00f3n de la salida?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_dibb1\" name=\"item_meta[312]\" value=\"\"  data-sectionid=\"306\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_313_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_f1bih\" id=\"field_f1bih_label\" class=\"frm_primary_label\">Cargo que ocupa\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_f1bih\" name=\"item_meta[313]\" value=\"\"  data-sectionid=\"306\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_314_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_iov6k\" id=\"field_iov6k_label\" class=\"frm_primary_label\">Salario\/compensaci\u00f3n para este puesto\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_iov6k\" name=\"item_meta[314]\" value=\"\"  data-sectionid=\"306\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_315_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_akv0w\" id=\"field_akv0w_label\" class=\"frm_primary_label\">Mientras estuvo empleado aqu\u00ed, \u00bfestaba sujeto a las Regulaciones Federales de Seguridad de los Transportistas\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[315]\" id=\"field_akv0w\"  data-sectionid=\"306\" data-invmsg=\"While employed here, were you subject to the Federal Motor Carrier Safety Regulations is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_316_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_6hfhz\" id=\"field_6hfhz_label\" class=\"frm_primary_label\">\u00bfFue el trabajo designado como una funci\u00f3n sensible a la seguridad en cualquier modalidad regulada por el Departamento de Transporte sujeta a pruebas de alcohol y sustancias controladas, tal y como exige el 49 CFR, parte 40? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[316]\" id=\"field_6hfhz\"  data-sectionid=\"306\" data-invmsg=\"Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_294_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Historial de empleo - Cuarto empleador m\u00e1s reciente<\/h3>\n\n\n<div id=\"frm_field_295_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_40lnc\" id=\"field_40lnc_label\" class=\"frm_primary_label\">Nombre del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_40lnc\" name=\"item_meta[295]\" value=\"\"  data-sectionid=\"294\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_296_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_tsi8\" id=\"field_tsi8_label\" class=\"frm_primary_label\">Tel\u00e9fono del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"tel\" id=\"field_tsi8\" name=\"item_meta[296]\" value=\"\"  data-sectionid=\"294\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_297_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <div  id=\"field_55spk_label\" class=\"frm_primary_label\">Direcci\u00f3n del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_55spk_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n del empleador anterior<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_297-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_55spk_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_55spk_line1\" value=\"\" name=\"item_meta[297][line1]\"  data-sectionid=\"294\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_297-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_55spk_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_55spk_line2\" value=\"\" name=\"item_meta[297][line2]\"  data-sectionid=\"294\" data-invmsg=\"Previous Employer Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_297-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_55spk_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_55spk_city\" value=\"\" name=\"item_meta[297][city]\"  data-sectionid=\"294\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_297-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_55spk_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_55spk_state\" value=\"\" name=\"item_meta[297][state]\"  data-sectionid=\"294\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_297-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_55spk_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_55spk_zip\" value=\"\" name=\"item_meta[297][zip]\"  data-sectionid=\"294\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_297-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_55spk_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[297][country]\" id=\"field_55spk_country\"  data-sectionid=\"294\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_298_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_cbl66\" id=\"field_cbl66_label\" class=\"frm_primary_label\">Empleado desde la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_cbl66\" name=\"item_meta[298]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_299_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_wzjt2\" id=\"field_wzjt2_label\" class=\"frm_primary_label\">Empleado hasta la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_wzjt2\" name=\"item_meta[299]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_300_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_lzwk0\" id=\"field_lzwk0_label\" class=\"frm_primary_label\">\u00bfRaz\u00f3n de la salida?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_lzwk0\" name=\"item_meta[300]\" value=\"\"  data-sectionid=\"294\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_301_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_5pdwp\" id=\"field_5pdwp_label\" class=\"frm_primary_label\">Cargo que ocupa\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_5pdwp\" name=\"item_meta[301]\" value=\"\"  data-sectionid=\"294\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_302_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_rvqyw\" id=\"field_rvqyw_label\" class=\"frm_primary_label\">Salario\/compensaci\u00f3n para este puesto\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_rvqyw\" name=\"item_meta[302]\" value=\"\"  data-sectionid=\"294\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_303_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_knuwg\" id=\"field_knuwg_label\" class=\"frm_primary_label\">Mientras estuvo empleado aqu\u00ed, \u00bfestaba sujeto a las Regulaciones Federales de Seguridad de los Transportistas\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[303]\" id=\"field_knuwg\"  data-sectionid=\"294\" data-invmsg=\"While employed here, were you subject to the Federal Motor Carrier Safety Regulations is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_304_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_2vymp\" id=\"field_2vymp_label\" class=\"frm_primary_label\">\u00bfFue el trabajo designado como una funci\u00f3n sensible a la seguridad en cualquier modalidad regulada por el Departamento de Transporte sujeta a pruebas de alcohol y sustancias controladas, tal y como exige el 49 CFR, parte 40? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[304]\" id=\"field_2vymp\"  data-sectionid=\"294\" data-invmsg=\"Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_337_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Historial de empleo - Quinto empleador m\u00e1s reciente<\/h3>\n\n\n<div id=\"frm_field_338_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_xzs5d\" id=\"field_xzs5d_label\" class=\"frm_primary_label\">Nombre del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_xzs5d\" name=\"item_meta[338]\" value=\"\"  data-sectionid=\"337\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_339_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_ghwe3\" id=\"field_ghwe3_label\" class=\"frm_primary_label\">Tel\u00e9fono del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"tel\" id=\"field_ghwe3\" name=\"item_meta[339]\" value=\"\"  data-sectionid=\"337\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_340_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <div  id=\"field_1gl0q_label\" class=\"frm_primary_label\">Direcci\u00f3n del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_1gl0q_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n del empleador anterior<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_340-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_1gl0q_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_1gl0q_line1\" value=\"\" name=\"item_meta[340][line1]\"  data-sectionid=\"337\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_340-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_1gl0q_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_1gl0q_line2\" value=\"\" name=\"item_meta[340][line2]\"  data-sectionid=\"337\" data-invmsg=\"Previous Employer Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_340-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_1gl0q_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_1gl0q_city\" value=\"\" name=\"item_meta[340][city]\"  data-sectionid=\"337\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_340-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_1gl0q_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_1gl0q_state\" value=\"\" name=\"item_meta[340][state]\"  data-sectionid=\"337\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_340-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_1gl0q_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_1gl0q_zip\" value=\"\" name=\"item_meta[340][zip]\"  data-sectionid=\"337\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_340-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_1gl0q_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[340][country]\" id=\"field_1gl0q_country\"  data-sectionid=\"337\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_341_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_34pcm\" id=\"field_34pcm_label\" class=\"frm_primary_label\">Empleado desde la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_34pcm\" name=\"item_meta[341]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_342_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_a70v5\" id=\"field_a70v5_label\" class=\"frm_primary_label\">Empleado hasta la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_a70v5\" name=\"item_meta[342]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_343_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_2d042\" id=\"field_2d042_label\" class=\"frm_primary_label\">\u00bfRaz\u00f3n de la salida?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_2d042\" name=\"item_meta[343]\" value=\"\"  data-sectionid=\"337\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_344_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_3ca8g\" id=\"field_3ca8g_label\" class=\"frm_primary_label\">Cargo que ocupa\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_3ca8g\" name=\"item_meta[344]\" value=\"\"  data-sectionid=\"337\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_345_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_7ubpk\" id=\"field_7ubpk_label\" class=\"frm_primary_label\">Salario\/compensaci\u00f3n para este puesto\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_7ubpk\" name=\"item_meta[345]\" value=\"\"  data-sectionid=\"337\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_346_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_jwa8g\" id=\"field_jwa8g_label\" class=\"frm_primary_label\">Mientras estuvo empleado aqu\u00ed, \u00bfestaba sujeto a las Regulaciones Federales de Seguridad de los Transportistas\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[346]\" id=\"field_jwa8g\"  data-sectionid=\"337\" data-invmsg=\"While employed here, were you subject to the Federal Motor Carrier Safety Regulations is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_347_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_22dgq\" id=\"field_22dgq_label\" class=\"frm_primary_label\">\u00bfFue el trabajo designado como una funci\u00f3n sensible a la seguridad en cualquier modalidad regulada por el Departamento de Transporte sujeta a pruebas de alcohol y sustancias controladas, tal y como exige el 49 CFR, parte 40? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[347]\" id=\"field_22dgq\"  data-sectionid=\"337\" data-invmsg=\"Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_325_container\" class=\"frm_form_field frm_section_heading form-field  frm_first\">\n<h3 class=\"frm_pos_top frm_section_spacing\">Historial de empleo - Sexto empleador m\u00e1s reciente<\/h3>\n\n\n<div id=\"frm_field_326_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_pbe9a\" id=\"field_pbe9a_label\" class=\"frm_primary_label\">Nombre del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_pbe9a\" name=\"item_meta[326]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_327_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_q64jr\" id=\"field_q64jr_label\" class=\"frm_primary_label\">Tel\u00e9fono del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"tel\" id=\"field_q64jr\" name=\"item_meta[327]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_328_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <div  id=\"field_2tikk_label\" class=\"frm_primary_label\">Direcci\u00f3n del empleador anterior\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/div>\n    <fieldset aria-labelledby=\"field_2tikk_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDirecci\u00f3n del empleador anterior<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_328-line1_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_2tikk_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_2tikk_line1\" value=\"\" name=\"item_meta[328][line1]\"  data-sectionid=\"325\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_328-line2_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_2tikk_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDirecci\u00f3n del empleador anterior\t<\/label>\n\t\t<input type=\"text\" id=\"field_2tikk_line2\" value=\"\" name=\"item_meta[328][line2]\"  data-sectionid=\"325\" data-invmsg=\"Previous Employer Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_328-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_2tikk_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCiudad\t<\/label>\n\t\t<input type=\"text\" id=\"field_2tikk_city\" value=\"\" name=\"item_meta[328][city]\"  data-sectionid=\"325\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ciudad<\/div><\/div>\n<div id=\"frm_field_328-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_2tikk_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tEstado\/Provincia\t<\/label>\n\t\t<input type=\"text\" id=\"field_2tikk_state\" value=\"\" name=\"item_meta[328][state]\"  data-sectionid=\"325\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">Estado\/Provincia<\/div><\/div>\n<div id=\"frm_field_328-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_2tikk_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tC\u00f3digo postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_2tikk_zip\" value=\"\" name=\"item_meta[328][zip]\"  data-sectionid=\"325\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">C\u00f3digo postal<\/div><\/div>\n<div id=\"frm_field_328-country_container\" class=\"frm_form_field form-field\">\n\t<label for=\"field_2tikk_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPa\u00eds\t<\/label>\n\t\t\t<select name=\"item_meta[328][country]\" id=\"field_2tikk_country\"  data-sectionid=\"325\" data-invmsg=\"Previous Employer Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\">Afganist\u00e1n<\/option><option  value=\"Aland Islands\">Islas Aland<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Argelia<\/option><option  value=\"American Samoa\">Samoa Americana<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguila<\/option><option  value=\"Antarctica\">Ant\u00e1rtida<\/option><option  value=\"Antigua and Barbuda\">Antigua y Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrein<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Bielorrusia<\/option><option  value=\"Belgium\">B\u00e9lgica<\/option><option  value=\"Belize\">Belice<\/option><option  value=\"Benin\">Ben\u00edn<\/option><option  value=\"Bermuda\">Bermudas<\/option><option  value=\"Bhutan\">But\u00e1n<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Isla de Bouvet<\/option><option  value=\"Brazil\">Brasil<\/option><option  value=\"British Indian Ocean Territory\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">Costa de Marfil<\/option><option  value=\"Cambodia\">Camboya<\/option><option  value=\"Cameroon\">Camer\u00fan<\/option><option  value=\"Canada\">Canad\u00e1<\/option><option  value=\"Cape Verde\">Cabo Verde<\/option><option  value=\"Cayman Islands\">Islas Caim\u00e1n<\/option><option  value=\"Central African Republic\">Rep\u00fablica Centroafricana<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Isla de Navidad<\/option><option  value=\"Cocos (Keeling) Islands\">Islas Cocos (Keeling)<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Islas Cook<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Chipre<\/option><option  value=\"Czech Republic\">Rep\u00fablica Checa<\/option><option  value=\"Denmark\">Dinamarca<\/option><option  value=\"Djibouti\">Yibuti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Rep\u00fablica Dominicana<\/option><option  value=\"East Timor\">Timor Oriental<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Guinea Ecuatorial<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Etiop\u00eda<\/option><option  value=\"Falkland Islands (Malvinas)\">Islas Malvinas (Falkland Islands)<\/option><option  value=\"Faroe Islands\">Islas Feroe<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finlandia<\/option><option  value=\"France\">Francia<\/option><option  value=\"French Guiana\">Guayana Francesa<\/option><option  value=\"French Polynesia\">Polinesia Francesa<\/option><option  value=\"French Southern Territories\">Territorios Australes Franceses<\/option><option  value=\"Gabon\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Alemania<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Grecia<\/option><option  value=\"Greenland\">Groenlandia<\/option><option  value=\"Grenada\">Granada<\/option><option  value=\"Guadeloupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Hait\u00ed<\/option><option  value=\"Heard Island and McDonald Islands\">Isla Heard e Islas McDonald<\/option><option  value=\"Holy See\">Santa Sede<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungr\u00eda<\/option><option  value=\"Iceland\">Islandia<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Ir\u00e1n<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Irlanda<\/option><option  value=\"Isle of Man\">Isla de Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordania<\/option><option  value=\"Kazakhstan\">Kazajist\u00e1n<\/option><option  value=\"Kenya\">Kenia<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kirguist\u00e1n<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Letonia<\/option><option  value=\"Lebanon\">L\u00edbano<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lituania<\/option><option  value=\"Luxembourg\">Luxemburgo<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malasia<\/option><option  value=\"Maldives\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Islas Marshall<\/option><option  value=\"Martinique\">Martinica<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauricio<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">M\u00e9xico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldavia<\/option><option  value=\"Monaco\">M\u00f3naco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Marruecos<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Pa\u00edses Bajos<\/option><option  value=\"New Caledonia\">Nueva Caledonia<\/option><option  value=\"New Zealand\">Nueva Zelanda<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">N\u00edger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Isla de Norfolk<\/option><option  value=\"North Korea\">Corea del Norte<\/option><option  value=\"Northern Mariana Islands\">Islas Marianas del Norte<\/option><option  value=\"Norway\">Noruega<\/option><option  value=\"Oman\">Om\u00e1n<\/option><option  value=\"Pakistan\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestina<\/option><option  value=\"Panama\">Panam\u00e1<\/option><option  value=\"Papua New Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Per\u00fa<\/option><option  value=\"Philippines\">Filipinas<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reuni\u00f3n<\/option><option  value=\"Romania\">Ruman\u00eda<\/option><option  value=\"Russia\">Rusia<\/option><option  value=\"Rwanda\">Ruanda<\/option><option  value=\"Saint Barthelemy\">San Bartolom\u00e9<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">San Crist\u00f3bal y Nieves<\/option><option  value=\"Saint Lucia\">Santa Luc\u00eda<\/option><option  value=\"Saint Martin (French part)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"Saint Pierre and Miquelon\">San Pedro y Miquel\u00f3n<\/option><option  value=\"Saint Vincent and the Grenadines\">San Vicente y las Granadinas<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saudi Arabia\">Arabia Saud\u00ed<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leona<\/option><option  value=\"Singapore\">Singapur<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (parte holandesa)<\/option><option  value=\"Slovakia\">Eslovaquia<\/option><option  value=\"Slovenia\">Eslovenia<\/option><option  value=\"Solomon Islands\">Islas Salom\u00f3n<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">Sud\u00e1frica<\/option><option  value=\"South Georgia and the South Sandwich Islands\">Georgia del Sur y las Islas Sandwich del Sur<\/option><option  value=\"South Korea\">Corea del Sur<\/option><option  value=\"South Sudan\">Sud\u00e1n del Sur<\/option><option  value=\"Spain\">Espa\u00f1a<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sud\u00e1n<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Swaziland\">Suazilandia<\/option><option  value=\"Sweden\">Suecia<\/option><option  value=\"Switzerland\">Suiza<\/option><option  value=\"Syria\">Siria<\/option><option  value=\"Taiwan\">Taiw\u00e1n<\/option><option  value=\"Tajikistan\">Tayikist\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Tailandia<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad y Tobago<\/option><option  value=\"Tunisia\">T\u00fanez<\/option><option  value=\"Turkey\">Turqu\u00eda<\/option><option  value=\"Turkmenistan\">Turkmenist\u00e1n<\/option><option  value=\"Turks and Caicos Islands\">Islas Turcas y Caicos<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ucrania<\/option><option  value=\"United Arab Emirates\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"United Kingdom\">Reino Unido<\/option><option  value=\"United States\">Estados Unidos<\/option><option  value=\"United States Minor Outlying Islands\">Islas menores de Estados Unidos<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Ciudad del Vaticano<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Virgin Islands, U.S.\">Islas V\u00edrgenes, EE.UU.<\/option><option  value=\"Wallis and Futuna\">Wallis y Futuna<\/option><option  value=\"Western Sahara\">Sahara Occidental<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pa\u00eds<\/div><\/div>\n<\/div>\n<\/fieldset>\n\n    \n    \n<\/div>\n<div id=\"frm_field_329_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_sqjkr\" id=\"field_sqjkr_label\" class=\"frm_primary_label\">Empleado desde la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_sqjkr\" name=\"item_meta[329]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_330_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_p45i2\" id=\"field_p45i2_label\" class=\"frm_primary_label\">Empleado hasta la fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_p45i2\" name=\"item_meta[330]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_331_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_x2619\" id=\"field_x2619_label\" class=\"frm_primary_label\">\u00bfRaz\u00f3n de la salida?\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_x2619\" name=\"item_meta[331]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_332_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_xnlq1\" id=\"field_xnlq1_label\" class=\"frm_primary_label\">Cargo que ocupa\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_xnlq1\" name=\"item_meta[332]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_333_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\n    <label for=\"field_7idip\" id=\"field_7idip_label\" class=\"frm_primary_label\">Salario\/compensaci\u00f3n para este puesto\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_7idip\" name=\"item_meta[333]\" value=\"\"  data-sectionid=\"325\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_334_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_5zili\" id=\"field_5zili_label\" class=\"frm_primary_label\">Mientras estuvo empleado aqu\u00ed, \u00bfestaba sujeto a las Regulaciones Federales de Seguridad de los Transportistas\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[334]\" id=\"field_5zili\"  data-sectionid=\"325\" data-invmsg=\"While employed here, were you subject to the Federal Motor Carrier Safety Regulations is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_335_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_2d1i5\" id=\"field_2d1i5_label\" class=\"frm_primary_label\">\u00bfFue el trabajo designado como una funci\u00f3n sensible a la seguridad en cualquier modalidad regulada por el Departamento de Transporte sujeta a pruebas de alcohol y sustancias controladas, tal y como exige el 49 CFR, parte 40? \n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[335]\" id=\"field_2d1i5\"  data-sectionid=\"325\" data-invmsg=\"Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">S\u00ed<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<\/div>\n<div id=\"frm_field_318_container\" class=\"frm_form_field frm_section_heading form-field\">\n<h3 class=\"frm_pos_top frm_section_spacing\">PARA SER LE\u00cdDO Y FIRMADO POR EL SOLICITANTE<\/h3>\n\n\n<div id=\"frm_field_320_container\" class=\"frm_form_field  frm10 frm_html_container form-field\">\n<p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>Autorizo a ustedes a realizar investigaciones (incluyendo el contacto con empleadores actuales y anteriores) sobre mi historial personal, laboral, financiero y m\u00e9dico, y otros asuntos relacionados que puedan ser necesarios para llegar a una decisi\u00f3n de empleo. Por la presente libero a los empleadores, escuelas, proveedores de atenci\u00f3n m\u00e9dica y otras personas de toda responsabilidad al responder a las consultas y divulgar informaci\u00f3n en relaci\u00f3n con mi solicitud.<\/p>\n<p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>En caso de ser contratado, entiendo que la informaci\u00f3n falsa o enga\u00f1osa dada en mi solicitud o en la(s) entrevista(s) puede dar lugar al despido. Tambi\u00e9n entiendo que estoy obligado a cumplir con todas las normas y reglamentos de la empresa.<\/p>\n<p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>Entiendo que la informaci\u00f3n que proporciono con respecto a mis empleadores actuales y\/o anteriores puede ser utilizada, y que dichos empleadores ser\u00e1n contactados con el prop\u00f3sito de investigar mi historial de desempe\u00f1o en materia de seguridad, tal como lo requiere el 49 CFR 391.23. Entiendo que tengo derecho a:<\/p>\n<p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:.5in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>- Revisar la informaci\u00f3n proporcionada por los empleadores actuales\/anteriores;<\/p>\n<p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:.5in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>- Que los empleadores anteriores corrijan los errores en la informaci\u00f3n, y que esos empleadores anteriores vuelvan a enviar la informaci\u00f3n corregida al futuro empleador; y<\/p>\n<p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:.5in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>- Tener una declaraci\u00f3n de refutaci\u00f3n adjunta a la informaci\u00f3n supuestamente err\u00f3nea, si el empleador o empleadores anteriores y yo no podemos ponernos de acuerdo sobre la exactitud de la informaci\u00f3n.<\/p>\n<p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>Esto certifica que complet\u00e9 esta solicitud, y que todas las entradas en ella y la informaci\u00f3n en ella son verdaderas y completas a mi leal saber y entender. Nota: Un transportista puede requerir que un solicitante proporcione m\u00e1s informaci\u00f3n que la requerida por los Reglamentos Federales de Seguridad del Transportista.<\/p>\n<\/div>\n<div id=\"frm_field_323_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\n    <label for=\"field_jiao4\" id=\"field_jiao4_label\" class=\"frm_primary_label\">Firma\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    \n    \n    \n<\/div>\n<div id=\"frm_field_322_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_1sgmb\" id=\"field_1sgmb_label\" class=\"frm_primary_label\">Nombre en letra de molde\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_1sgmb\" name=\"item_meta[322]\" value=\"\"  data-sectionid=\"318\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_321_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\n    <label for=\"field_gjjv6\" id=\"field_gjjv6_label\" class=\"frm_primary_label\">Fecha\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_gjjv6\" name=\"item_meta[321]\" value=\"\"  data-sectionid=\"318\" maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__6539f6eb8af1c\">\n\t\t\t\t<label for=\"frm_email_9\" >\n\t\t\t\t\tSi eres humano, deja este campo en blanco.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_9\" type=\"text\" class=\"frm_verify\" name=\"frm__6539f6eb8af1c\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"+l\/Gq+7Y2NmYtCdpsusXxiY7YmrKlJOjQ2oZYc+eOHA=\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Enviar<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u00bfEst\u00e1 buscando una nueva y emocionante carrera? Siempre estamos buscando instructores calificados para unirse a nuestro equipo. Si usted es un h\u00e1bil conductor de CDL Clase A y est\u00e1 buscando transmitir sus conocimientos y experiencia a la pr\u00f3xima generaci\u00f3n de conductores de camiones, complete el siguiente formulario y aplique como instructor con CDL Academy<\/p>","protected":false},"author":1,"featured_media":887,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v19.0 (Yoast SEO v20.12) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CDL Academy Enrollment Application - CDL Academy Network<\/title>\n<meta name=\"description\" content=\"Enrolling in a driver education course is an investment in yourself. We do this one-on-one to guide you through the application process.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cdlacademy.net\/es\/instructor-solicitud\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Instructor Application\" \/>\n<meta property=\"og:description\" content=\"Enrolling in a driver education course is an investment in yourself. We do this one-on-one to guide you through the application process.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cdlacademy.net\/es\/instructor-solicitud\/\" \/>\n<meta property=\"og:site_name\" content=\"CDL Academy Network\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/cdlacademynetwork\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.cdlacademy.net\/wp-content\/uploads\/2021\/05\/CDL-Academy-Preview.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"314\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@cdl_academy\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.cdlacademy.net\/instructor-application\/\",\"url\":\"https:\/\/www.cdlacademy.net\/instructor-application\/\",\"name\":\"CDL Academy Enrollment Application - CDL Academy Network\",\"isPartOf\":{\"@id\":\"https:\/\/www.cdlacademy.net\/#website\"},\"datePublished\":\"2021-09-01T21:36:26+00:00\",\"dateModified\":\"2021-09-01T21:36:26+00:00\",\"description\":\"Enrolling in a driver education course is an investment in yourself. We do this one-on-one to guide you through the application process.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.cdlacademy.net\/instructor-application\/#breadcrumb\"},\"inLanguage\":\"es-MX\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.cdlacademy.net\/instructor-application\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.cdlacademy.net\/instructor-application\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.cdlacademy.net\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Instructor Application\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.cdlacademy.net\/#website\",\"url\":\"https:\/\/www.cdlacademy.net\/\",\"name\":\"CDL Academy Network\",\"description\":\"Become a Professional Truck Driver\",\"publisher\":{\"@id\":\"https:\/\/www.cdlacademy.net\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.cdlacademy.net\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"es-MX\"},{\"@type\":[\"Organization\",\"Place\"],\"@id\":\"https:\/\/www.cdlacademy.net\/#organization\",\"name\":\"CDL Academy, LLC.\",\"url\":\"https:\/\/www.cdlacademy.net\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-MX\",\"@id\":\"https:\/\/www.cdlacademy.net\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.cdlacademy.net\/wp-content\/uploads\/2020\/11\/CDL-Academy-Logo.png\",\"contentUrl\":\"https:\/\/www.cdlacademy.net\/wp-content\/uploads\/2020\/11\/CDL-Academy-Logo.png\",\"width\":1500,\"height\":1500,\"caption\":\"CDL Academy, LLC.\"},\"image\":{\"@id\":\"https:\/\/www.cdlacademy.net\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/cdlacademynetwork\",\"https:\/\/twitter.com\/cdl_academy\",\"https:\/\/www.instagram.com\/cdl__academy\"],\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.cdlacademy.net\/instructor-application\/\"}}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"CDL Academy Enrollment Application - CDL Academy Network","description":"Enrolling in a driver education course is an investment in yourself. We do this one-on-one to guide you through the application process.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.cdlacademy.net\/es\/instructor-solicitud\/","og_locale":"es_MX","og_type":"article","og_title":"Instructor Application","og_description":"Enrolling in a driver education course is an investment in yourself. We do this one-on-one to guide you through the application process.","og_url":"https:\/\/www.cdlacademy.net\/es\/instructor-solicitud\/","og_site_name":"CDL Academy Network","article_publisher":"https:\/\/www.facebook.com\/cdlacademynetwork","og_image":[{"width":600,"height":314,"url":"https:\/\/www.cdlacademy.net\/wp-content\/uploads\/2021\/05\/CDL-Academy-Preview.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_site":"@cdl_academy","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.cdlacademy.net\/instructor-application\/","url":"https:\/\/www.cdlacademy.net\/instructor-application\/","name":"CDL Academy Enrollment Application - CDL Academy Network","isPartOf":{"@id":"https:\/\/www.cdlacademy.net\/#website"},"datePublished":"2021-09-01T21:36:26+00:00","dateModified":"2021-09-01T21:36:26+00:00","description":"Enrolling in a driver education course is an investment in yourself. We do this one-on-one to guide you through the application process.","breadcrumb":{"@id":"https:\/\/www.cdlacademy.net\/instructor-application\/#breadcrumb"},"inLanguage":"es-MX","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.cdlacademy.net\/instructor-application\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.cdlacademy.net\/instructor-application\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.cdlacademy.net\/"},{"@type":"ListItem","position":2,"name":"Instructor Application"}]},{"@type":"WebSite","@id":"https:\/\/www.cdlacademy.net\/#website","url":"https:\/\/www.cdlacademy.net\/","name":"CDL Academy Network","description":"Become a Professional Truck Driver","publisher":{"@id":"https:\/\/www.cdlacademy.net\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.cdlacademy.net\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"es-MX"},{"@type":["Organization","Place"],"@id":"https:\/\/www.cdlacademy.net\/#organization","name":"CDL Academy, LLC.","url":"https:\/\/www.cdlacademy.net\/","logo":{"@type":"ImageObject","inLanguage":"es-MX","@id":"https:\/\/www.cdlacademy.net\/#\/schema\/logo\/image\/","url":"https:\/\/www.cdlacademy.net\/wp-content\/uploads\/2020\/11\/CDL-Academy-Logo.png","contentUrl":"https:\/\/www.cdlacademy.net\/wp-content\/uploads\/2020\/11\/CDL-Academy-Logo.png","width":1500,"height":1500,"caption":"CDL Academy, LLC."},"image":{"@id":"https:\/\/www.cdlacademy.net\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/cdlacademynetwork","https:\/\/twitter.com\/cdl_academy","https:\/\/www.instagram.com\/cdl__academy"],"mainEntityOfPage":{"@id":"https:\/\/www.cdlacademy.net\/instructor-application\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/pages\/1047"}],"collection":[{"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/comments?post=1047"}],"version-history":[{"count":0,"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/pages\/1047\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/media\/887"}],"wp:attachment":[{"href":"https:\/\/www.cdlacademy.net\/es\/wp-json\/wp\/v2\/media?parent=1047"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}