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[contact-form to=’mei.kuo@elci.us’ subject=’Summer IE or SSF’][contact-field label=’First Name’ type=’name’ required=’1’/][contact-field label=’Last Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Date of Birth’ type=’text’ required=’1’/][contact-field label=’Nationality’ type=’text’ required=’1’/][contact-field label=’Programs’ type=’select’ required=’1′ options=’Intensive English Program %26amp; Test Preparation,Super Summer Flex,Homestay And Volunteer America,Head Start to High Schoo,Not Decided’/][contact-field label=’Start Dates’ type=’select’ required=’1′ options=’Jul 31 (2017),Aug 28 (2017),Sep 25 (2017),Oct 23 (2017),Nov 20 (2017),Jan 8 (2018),Feb 5 (2018),Mar 5 (2018),Apr 2 (2018),Apr 30 (2018),May 29 (2018),Jul 2 (2018),Jul 30 (2018),Sep 4 (2018)’/][/contact-form]