ma.sped.ndnu.edu Open in urlscan Pro
34.192.164.164  Public Scan

URL: https://ma.sped.ndnu.edu/
Submission: On May 14 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

<form novalidate="" class="form-root ng-untouched ng-pristine ng-invalid">
  <div class="lum-df-layout-row">
    <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
          <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
              class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-1 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
              <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-1 mdc-text-field--filled">
                <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-1 ng-star-inserted"></div><!---->
                <div class="mat-mdc-form-field-flex ng-tns-c3736059725-1"><!----><!----><!---->
                  <div class="mat-mdc-form-field-infix ng-tns-c3736059725-1"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-1 mdc-floating-label--float-above ng-star-inserted"
                      id="mat-mdc-form-field-label-0" for="mat-input-0"><mat-label class="ng-tns-c3736059725-1"><span>* First Name</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
                      class="mat-mdc-input-element ng-tns-c3736059725-1 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="given-name"
                      aria-describedby="mat-mdc-hint-0" id="mat-input-0" aria-invalid="false" aria-required="false"></div><!----><!---->
                </div>
                <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-1 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
              </div>
              <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-1 mat-mdc-form-field-subscript-dynamic-size">
                <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                    class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-1" id="mat-mdc-hint-0"><span><span></span></span><!----></mat-hint>
                  <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-1"></div>
                </div><!----><!---->
              </div>
            </mat-form-field></div>
        </lum-df-input><!----></div>
    </div><!----><!----><!----><!---->
    <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
          <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
              class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-2 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
              <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-2 mdc-text-field--filled">
                <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-2 ng-star-inserted"></div><!---->
                <div class="mat-mdc-form-field-flex ng-tns-c3736059725-2"><!----><!----><!---->
                  <div class="mat-mdc-form-field-infix ng-tns-c3736059725-2"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-2 mdc-floating-label--float-above ng-star-inserted"
                      id="mat-mdc-form-field-label-2" for="mat-input-1"><mat-label class="ng-tns-c3736059725-2"><span>* Last Name</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
                      class="mat-mdc-input-element ng-tns-c3736059725-2 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="family-name"
                      aria-describedby="mat-mdc-hint-1" id="mat-input-1" aria-invalid="false" aria-required="false"></div><!----><!---->
                </div>
                <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-2 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
              </div>
              <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-2 mat-mdc-form-field-subscript-dynamic-size">
                <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                    class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-2" id="mat-mdc-hint-1"><span><span></span></span><!----></mat-hint>
                  <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-2"></div>
                </div><!----><!---->
              </div>
            </mat-form-field></div>
        </lum-df-input><!----></div>
    </div><!----><!----><!----><!---->
    <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-email class="ng-star-inserted">
          <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
              class="mat-mdc-form-field lum-mat-component lum-df-form-email-field ng-tns-c3736059725-3 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
              <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-3 mdc-text-field--filled">
                <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-3 ng-star-inserted"></div><!---->
                <div class="mat-mdc-form-field-flex ng-tns-c3736059725-3"><!----><!----><!---->
                  <div class="mat-mdc-form-field-infix ng-tns-c3736059725-3"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-3 mdc-floating-label--float-above ng-star-inserted"
                      id="mat-mdc-form-field-label-4" for="mat-input-2"><mat-label class="ng-tns-c3736059725-3"><span>* Email</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="email"
                      class="mat-mdc-input-element ng-tns-c3736059725-3 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="email"
                      aria-describedby="mat-mdc-hint-2" id="mat-input-2" aria-invalid="false" aria-required="false"></div><!----><!---->
                </div>
                <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-3 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
              </div>
              <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-3 mat-mdc-form-field-subscript-dynamic-size">
                <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                    class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-3" id="mat-mdc-hint-2"><span><span></span></span><!----></mat-hint>
                  <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-3"></div>
                </div><!----><!---->
              </div>
            </mat-form-field><!----></div>
        </lum-df-email><!----></div>
    </div><!----><!----><!----><!---->
    <div class="lum-df-grid-item lum-df-field-full lum-df-is-group ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-phone class="ng-star-inserted"><lum-df-group>
            <div class="ng-untouched ng-pristine ng-invalid ng-star-inserted">
              <div class="group-control ng-untouched ng-pristine ng-invalid"><!---->
                <div class="lum-df-layout-row">
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="" hidden="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-radio class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid">
                          <p class="lum-df-label">Type</p><mat-radio-group role="radiogroup" class="mat-mdc-radio-group lum-mat-component ng-untouched ng-pristine ng-valid">
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-2">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-2-input" name="mat-radio-group-0" value="home" tabindex="-1">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-2-input"> Home </label>
                                </div>
                              </mat-radio-button></div>
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent mat-mdc-radio-checked" id="mat-radio-3">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-3-input" name="mat-radio-group-0" value="cell" tabindex="0">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-3-input"> Cell </label>
                                </div>
                              </mat-radio-button></div><!---->
                          </mat-radio-group>
                          <div class="mat-hint lum-df-mat-hint"><span><span></span></span><!----></div>
                        </div>
                      </lum-df-radio><!----></div>
                  </div><!----><!----><!----><!---->
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="" hidden="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-select class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
                            class="mat-mdc-form-field ng-tns-c3736059725-7 mat-mdc-form-field-type-mat-select mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
                            <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-7 mdc-text-field--filled">
                              <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-7 ng-star-inserted"></div><!---->
                              <div class="mat-mdc-form-field-flex ng-tns-c3736059725-7"><!----><!----><!---->
                                <div class="mat-mdc-form-field-infix ng-tns-c3736059725-7"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-7 mdc-floating-label--float-above ng-star-inserted"
                                    id="mat-mdc-form-field-label-12"><mat-label class="ng-tns-c3736059725-7"><span>Country Alpha 2</span></mat-label><!----></label><!----><!----><!----><mat-select role="combobox" aria-autocomplete="none"
                                    aria-haspopup="listbox" panelclass="lum-df-select-panel" class="mat-mdc-select lum-mat-component ng-tns-c1771602899-8 ng-tns-c3736059725-7 mat-mdc-select-empty ng-untouched ng-pristine ng-valid ng-star-inserted"
                                    aria-labelledby="mat-mdc-form-field-label-12 mat-select-value-1" aria-describedby="mat-mdc-hint-6" id="mat-select-0" tabindex="0" aria-expanded="false" aria-required="false" aria-disabled="false"
                                    aria-invalid="false">
                                    <div cdk-overlay-origin="" class="mat-mdc-select-trigger ng-tns-c1771602899-8">
                                      <div class="mat-mdc-select-value ng-tns-c1771602899-8" id="mat-select-value-1"><span class="mat-mdc-select-placeholder mat-mdc-select-min-line ng-tns-c1771602899-8 ng-star-inserted"></span><!----><!----></div>
                                      <div class="mat-mdc-select-arrow-wrapper ng-tns-c1771602899-8">
                                        <div class="mat-mdc-select-arrow ng-tns-c1771602899-8"><svg viewBox="0 0 24 24" width="24px" height="24px" focusable="false" aria-hidden="true" class="ng-tns-c1771602899-8">
                                            <path d="M7 10l5 5 5-5z" class="ng-tns-c1771602899-8"></path>
                                          </svg></div>
                                      </div>
                                    </div><!---->
                                  </mat-select></div><!----><!---->
                              </div>
                              <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-7 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
                            </div>
                            <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-7 mat-mdc-form-field-subscript-dynamic-size">
                              <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-7 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                                  class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align ng-tns-c3736059725-7" id="mat-mdc-hint-6"><span class="lum-df-hint-wrapper"><span></span></span><!----></mat-hint>
                                <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-7"></div>
                              </div><!----><!---->
                            </div>
                          </mat-form-field></div>
                      </lum-df-select><!----></div>
                  </div><!----><!----><!----><!---->
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-select class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
                            class="mat-mdc-form-field ng-tns-c3736059725-9 mat-mdc-form-field-type-mat-select mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
                            <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-9 mdc-text-field--filled">
                              <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-9 ng-star-inserted"></div><!---->
                              <div class="mat-mdc-form-field-flex ng-tns-c3736059725-9"><!----><!----><!---->
                                <div class="mat-mdc-form-field-infix ng-tns-c3736059725-9"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-9 mdc-floating-label--float-above ng-star-inserted"
                                    id="mat-mdc-form-field-label-14"><mat-label class="ng-tns-c3736059725-9"><span>* Phone Country Code</span></mat-label><!----></label><!----><!----><!----><mat-select role="combobox" aria-autocomplete="none"
                                    aria-haspopup="listbox" panelclass="lum-df-select-panel" class="mat-mdc-select lum-mat-component ng-tns-c1771602899-10 ng-tns-c3736059725-9 mat-mdc-select-empty ng-untouched ng-pristine ng-invalid ng-star-inserted"
                                    aria-labelledby="mat-mdc-form-field-label-14 mat-select-value-3" aria-describedby="mat-mdc-hint-7" id="mat-select-2" tabindex="0" aria-expanded="false" aria-required="false" aria-disabled="false"
                                    aria-invalid="false">
                                    <div cdk-overlay-origin="" class="mat-mdc-select-trigger ng-tns-c1771602899-10">
                                      <div class="mat-mdc-select-value ng-tns-c1771602899-10" id="mat-select-value-3"><span class="mat-mdc-select-placeholder mat-mdc-select-min-line ng-tns-c1771602899-10 ng-star-inserted"></span><!----><!----></div>
                                      <div class="mat-mdc-select-arrow-wrapper ng-tns-c1771602899-10">
                                        <div class="mat-mdc-select-arrow ng-tns-c1771602899-10"><svg viewBox="0 0 24 24" width="24px" height="24px" focusable="false" aria-hidden="true" class="ng-tns-c1771602899-10">
                                            <path d="M7 10l5 5 5-5z" class="ng-tns-c1771602899-10"></path>
                                          </svg></div>
                                      </div>
                                    </div><!---->
                                  </mat-select></div><!----><!---->
                              </div>
                              <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-9 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
                            </div>
                            <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-9 mat-mdc-form-field-subscript-dynamic-size">
                              <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-9 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                                  class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align ng-tns-c3736059725-9" id="mat-mdc-hint-7"><span class="lum-df-hint-wrapper"><span></span></span><!----></mat-hint>
                                <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-9"></div>
                              </div><!----><!---->
                            </div>
                          </mat-form-field></div>
                      </lum-df-select><!----></div>
                  </div><!----><!----><!----><!---->
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-phone-number class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
                            class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-15 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
                            <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-15 mdc-text-field--filled">
                              <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-15 ng-star-inserted"></div><!---->
                              <div class="mat-mdc-form-field-flex ng-tns-c3736059725-15"><!----><!----><!---->
                                <div class="mat-mdc-form-field-infix ng-tns-c3736059725-15"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-15 mdc-floating-label--float-above ng-star-inserted"
                                    id="mat-mdc-form-field-label-20" for="mat-input-6"><mat-label class="ng-tns-c3736059725-15"><span>* Phone Number</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
                                    class="mat-mdc-input-element ng-tns-c3736059725-15 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="off"
                                    aria-describedby="mat-mdc-hint-10" id="mat-input-6" aria-invalid="false" aria-required="false"></div><!----><!---->
                              </div>
                              <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-15 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
                            </div>
                            <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-15 mat-mdc-form-field-subscript-dynamic-size">
                              <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-15 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                                  class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-15" id="mat-mdc-hint-10"><span><span></span></span><!----></mat-hint>
                                <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-15"></div>
                              </div><!----><!---->
                            </div>
                          </mat-form-field></div>
                      </lum-df-phone-number><!----></div>
                  </div><!----><!----><!----><!---->
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="" hidden="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-radio class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid">
                          <p class="lum-df-label">This number can receive SMS/Text messages and I opt-in to receive SMS messages.</p><mat-radio-group role="radiogroup" class="mat-mdc-radio-group lum-mat-component ng-untouched ng-pristine ng-valid">
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-8">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-8-input" name="mat-radio-group-6" value="true" tabindex="0">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-8-input"> Yes </label>
                                </div>
                              </mat-radio-button></div>
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-9">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-9-input" name="mat-radio-group-6" value="false" tabindex="0">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-9-input"> No </label>
                                </div>
                              </mat-radio-button></div><!---->
                          </mat-radio-group>
                          <div class="mat-hint lum-df-mat-hint"><span><span>
                                <p>You must opt-in in order to receive SMS messages. Messaging frequency varies. You may opt-out at any time. Standard messaging rates may apply.</p>
                              </span></span><!----></div>
                        </div>
                      </lum-df-radio><!----></div>
                  </div><!----><!----><!----><!---->
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="" hidden="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-radio class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid">
                          <p class="lum-df-label">This number can receive WhatsApp messages and I opt-in to receive WhatsApp messages.</p><mat-radio-group role="radiogroup"
                            class="mat-mdc-radio-group lum-mat-component ng-untouched ng-pristine ng-valid">
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-11">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-11-input" name="mat-radio-group-9" value="true" tabindex="0">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-11-input"> Yes </label>
                                </div>
                              </mat-radio-button></div>
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-12">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-12-input" name="mat-radio-group-9" value="false" tabindex="0">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-12-input"> No </label>
                                </div>
                              </mat-radio-button></div><!---->
                          </mat-radio-group>
                          <div class="mat-hint lum-df-mat-hint"><span><span>
                                <p>Messaging frequency varies. You may opt-out at any time.</p>
                              </span></span><!----></div>
                        </div>
                      </lum-df-radio><!----></div>
                  </div><!----><!----><!----><!----><!---->
                </div>
              </div>
            </div><!---->
          </lum-df-group></lum-df-phone><!----></div>
    </div><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!---->
  </div>
  <div _ngcontent-page451-c1601022266=""><button _ngcontent-page451-c1601022266="" editable="formButton" elmpgbtn="" type="submit" elmrecaptchatrigger=""
      class="form-submit-btn elm-pg-solid elm-pg-small elm-pg-hard-rounded elm-pg-editable ng-star-inserted" _nghost-page451-c3452234490="" aria-label="Submit"
      style="background-color: rgb(0, 50, 99); color: white; border-color: rgb(0, 50, 99);"><span _ngcontent-page451-c3452234490="" class="label"> Submit <!----></span></button><elm-recaptcha class="ng-star-inserted">
      <div class="grecaptcha-badge" data-style="bottomright"
        style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
        <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-4qer83biejvq" frameborder="0" scrolling="no"
            sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
            src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lez3AUbAAAAAA9NQxf-DQ1W7HLX9kUEk24Wxnyg&amp;co=aHR0cHM6Ly9tYS5zcGVkLm5kbnUuZWR1OjQ0Mw..&amp;hl=de&amp;v=vjbW55W42X033PfTdVf6Ft4q&amp;size=invisible&amp;cb=7zuapm7l83g9"></iframe>
        </div>
        <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
          style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
      </div>
    </elm-recaptcha><elm-recaptcha-branding _nghost-page451-c2188208088="" class="elm-recaptcha-branding light ng-star-inserted">
      <p _ngcontent-page451-c2188208088=""> This site is protected by reCAPTCHA and the Google <a _ngcontent-page451-c2188208088="" href="https://policies.google.com/privacy">Privacy Policy</a> and
        <a _ngcontent-page451-c2188208088="" href="https://policies.google.com/terms">Terms of Service</a> apply. </p>
    </elm-recaptcha-branding><!----><!----><!----><!----></div>
</form>

<form novalidate="" class="form-root ng-untouched ng-pristine ng-invalid">
  <div class="lum-df-layout-row">
    <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
          <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
              class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-4 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
              <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-4 mdc-text-field--filled">
                <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-4 ng-star-inserted"></div><!---->
                <div class="mat-mdc-form-field-flex ng-tns-c3736059725-4"><!----><!----><!---->
                  <div class="mat-mdc-form-field-infix ng-tns-c3736059725-4"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-4 mdc-floating-label--float-above ng-star-inserted"
                      id="mat-mdc-form-field-label-6" for="mat-input-3"><mat-label class="ng-tns-c3736059725-4"><span>* First Name</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
                      class="mat-mdc-input-element ng-tns-c3736059725-4 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="given-name"
                      aria-describedby="mat-mdc-hint-3" id="mat-input-3" aria-invalid="false" aria-required="false"></div><!----><!---->
                </div>
                <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-4 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
              </div>
              <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-4 mat-mdc-form-field-subscript-dynamic-size">
                <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                    class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-4" id="mat-mdc-hint-3"><span><span></span></span><!----></mat-hint>
                  <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-4"></div>
                </div><!----><!---->
              </div>
            </mat-form-field></div>
        </lum-df-input><!----></div>
    </div><!----><!----><!----><!---->
    <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
          <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
              class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-5 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
              <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-5 mdc-text-field--filled">
                <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-5 ng-star-inserted"></div><!---->
                <div class="mat-mdc-form-field-flex ng-tns-c3736059725-5"><!----><!----><!---->
                  <div class="mat-mdc-form-field-infix ng-tns-c3736059725-5"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-5 mdc-floating-label--float-above ng-star-inserted"
                      id="mat-mdc-form-field-label-8" for="mat-input-4"><mat-label class="ng-tns-c3736059725-5"><span>* Last Name</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
                      class="mat-mdc-input-element ng-tns-c3736059725-5 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="family-name"
                      aria-describedby="mat-mdc-hint-4" id="mat-input-4" aria-invalid="false" aria-required="false"></div><!----><!---->
                </div>
                <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-5 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
              </div>
              <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-5 mat-mdc-form-field-subscript-dynamic-size">
                <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                    class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-5" id="mat-mdc-hint-4"><span><span></span></span><!----></mat-hint>
                  <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-5"></div>
                </div><!----><!---->
              </div>
            </mat-form-field></div>
        </lum-df-input><!----></div>
    </div><!----><!----><!----><!---->
    <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-email class="ng-star-inserted">
          <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
              class="mat-mdc-form-field lum-mat-component lum-df-form-email-field ng-tns-c3736059725-6 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
              <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-6 mdc-text-field--filled">
                <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-6 ng-star-inserted"></div><!---->
                <div class="mat-mdc-form-field-flex ng-tns-c3736059725-6"><!----><!----><!---->
                  <div class="mat-mdc-form-field-infix ng-tns-c3736059725-6"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-6 mdc-floating-label--float-above ng-star-inserted"
                      id="mat-mdc-form-field-label-10" for="mat-input-5"><mat-label class="ng-tns-c3736059725-6"><span>* Email</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="email"
                      class="mat-mdc-input-element ng-tns-c3736059725-6 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="email"
                      aria-describedby="mat-mdc-hint-5" id="mat-input-5" aria-invalid="false" aria-required="false"></div><!----><!---->
                </div>
                <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-6 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
              </div>
              <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-6 mat-mdc-form-field-subscript-dynamic-size">
                <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-6 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                    class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-6" id="mat-mdc-hint-5"><span><span></span></span><!----></mat-hint>
                  <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-6"></div>
                </div><!----><!---->
              </div>
            </mat-form-field><!----></div>
        </lum-df-email><!----></div>
    </div><!----><!----><!----><!---->
    <div class="lum-df-grid-item lum-df-field-full lum-df-is-group ng-star-inserted" _nghost-page451-c1119639063="">
      <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-phone class="ng-star-inserted"><lum-df-group>
            <div class="ng-untouched ng-pristine ng-invalid ng-star-inserted">
              <div class="group-control ng-untouched ng-pristine ng-invalid"><!---->
                <div class="lum-df-layout-row">
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="" hidden="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-radio class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid">
                          <p class="lum-df-label">Type</p><mat-radio-group role="radiogroup" class="mat-mdc-radio-group lum-mat-component ng-untouched ng-pristine ng-valid">
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-5">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-5-input" name="mat-radio-group-3" value="home" tabindex="-1">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-5-input"> Home </label>
                                </div>
                              </mat-radio-button></div>
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent mat-mdc-radio-checked" id="mat-radio-6">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-6-input" name="mat-radio-group-3" value="cell" tabindex="0">
                                    <div class="mdc-radio__background">
                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-6-input"> Cell </label>
                                </div>
                              </mat-radio-button></div><!---->
                          </mat-radio-group>
                          <div class="mat-hint lum-df-mat-hint"><span><span></span></span><!----></div>
                        </div>
                      </lum-df-radio><!----></div>
                  </div><!----><!----><!----><!---->
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="" hidden="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-select class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
                            class="mat-mdc-form-field ng-tns-c3736059725-11 mat-mdc-form-field-type-mat-select mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
                            <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-11 mdc-text-field--filled">
                              <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-11 ng-star-inserted"></div><!---->
                              <div class="mat-mdc-form-field-flex ng-tns-c3736059725-11"><!----><!----><!---->
                                <div class="mat-mdc-form-field-infix ng-tns-c3736059725-11"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-11 mdc-floating-label--float-above ng-star-inserted"
                                    id="mat-mdc-form-field-label-16"><mat-label class="ng-tns-c3736059725-11"><span>Country Alpha 2</span></mat-label><!----></label><!----><!----><!----><mat-select role="combobox" aria-autocomplete="none"
                                    aria-haspopup="listbox" panelclass="lum-df-select-panel" class="mat-mdc-select lum-mat-component ng-tns-c1771602899-12 ng-tns-c3736059725-11 mat-mdc-select-empty ng-untouched ng-pristine ng-valid ng-star-inserted"
                                    aria-labelledby="mat-mdc-form-field-label-16 mat-select-value-5" aria-describedby="mat-mdc-hint-8" id="mat-select-4" tabindex="0" aria-expanded="false" aria-required="false" aria-disabled="false"
                                    aria-invalid="false">
                                    <div cdk-overlay-origin="" class="mat-mdc-select-trigger ng-tns-c1771602899-12">
                                      <div class="mat-mdc-select-value ng-tns-c1771602899-12" id="mat-select-value-5"><span class="mat-mdc-select-placeholder mat-mdc-select-min-line ng-tns-c1771602899-12 ng-star-inserted"></span><!----><!----></div>
                                      <div class="mat-mdc-select-arrow-wrapper ng-tns-c1771602899-12">
                                        <div class="mat-mdc-select-arrow ng-tns-c1771602899-12"><svg viewBox="0 0 24 24" width="24px" height="24px" focusable="false" aria-hidden="true" class="ng-tns-c1771602899-12">
                                            <path d="M7 10l5 5 5-5z" class="ng-tns-c1771602899-12"></path>
                                          </svg></div>
                                      </div>
                                    </div><!---->
                                  </mat-select></div><!----><!---->
                              </div>
                              <div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-11 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
                            </div>
                            <div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-11 mat-mdc-form-field-subscript-dynamic-size">
                              <div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-11 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
                                  class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align ng-tns-c3736059725-11" id="mat-mdc-hint-8"><span class="lum-df-hint-wrapper"><span></span></span><!----></mat-hint>
                                <div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-11"></div>
                              </div><!----><!---->
                            </div>
                          </mat-form-field></div>
                      </lum-df-select><!----></div>
                  </div><!----><!----><!----><!---->
                  <div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
                    <div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-select class="ng-star-inserted">
                        <div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
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                            <div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-13 mdc-text-field--filled">
                              <div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-13 ng-star-inserted"></div><!---->
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                                    id="mat-mdc-form-field-label-18"><mat-label class="ng-tns-c3736059725-13"><span>* Phone Country Code</span></mat-label><!----></label><!----><!----><!----><mat-select role="combobox" aria-autocomplete="none"
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                                    id="mat-mdc-form-field-label-22" for="mat-input-7"><mat-label class="ng-tns-c3736059725-16"><span>* Phone Number</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
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                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-14">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
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                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-14-input"> Yes </label>
                                </div>
                              </mat-radio-button></div>
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-15">
                                <div mat-internal-form-field="" class="mdc-form-field mat-internal-form-field">
                                  <div class="mdc-radio">
                                    <div class="mat-mdc-radio-touch-target"></div><input type="radio" class="mdc-radio__native-control" id="mat-radio-15-input" name="mat-radio-group-12" value="false" tabindex="0">
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                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
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                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-15-input"> No </label>
                                </div>
                              </mat-radio-button></div><!---->
                          </mat-radio-group>
                          <div class="mat-hint lum-df-mat-hint"><span><span>
                                <p>You must opt-in in order to receive SMS messages. Messaging frequency varies. You may opt-out at any time. Standard messaging rates may apply.</p>
                              </span></span><!----></div>
                        </div>
                      </lum-df-radio><!----></div>
                  </div><!----><!----><!----><!---->
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                        <div class="ng-untouched ng-pristine ng-invalid">
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                            class="mat-mdc-radio-group lum-mat-component ng-untouched ng-pristine ng-valid">
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-17">
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                                      <div class="mdc-radio__outer-circle"></div>
                                      <div class="mdc-radio__inner-circle"></div>
                                    </div>
                                    <div mat-ripple="" class="mat-ripple mat-radio-ripple mat-mdc-focus-indicator">
                                      <div class="mat-ripple-element mat-radio-persistent-ripple"></div>
                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-17-input"> Yes </label>
                                </div>
                              </mat-radio-button></div>
                            <div class="lum-df-radio-button-wrap ng-star-inserted"><mat-radio-button class="mat-mdc-radio-button mat-accent" id="mat-radio-18">
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                                      <div class="mdc-radio__inner-circle"></div>
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                                    </div>
                                  </div><label class="mdc-label" for="mat-radio-18-input"> No </label>
                                </div>
                              </mat-radio-button></div><!---->
                          </mat-radio-group>
                          <div class="mat-hint lum-df-mat-hint"><span><span>
                                <p>Messaging frequency varies. You may opt-out at any time.</p>
                              </span></span><!----></div>
                        </div>
                      </lum-df-radio><!----></div>
                  </div><!----><!----><!----><!----><!---->
                </div>
              </div>
            </div><!---->
          </lum-df-group></lum-df-phone><!----></div>
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MASTER OF ARTS IN SPECIAL EDUCATION

(MA SPED)

ELEVATE YOUR IMPACT IN THE FIELD OF EDUCATION WITH THE MASTER OF ARTS IN SPECIAL
EDUCATION (MA SPED) AT NOTRE DAME DE NAMUR UNIVERSITY. THIS DYNAMIC PROGRAM IS
TAILORED FOR EDUCATORS DEDICATED TO ADVANCING THEIR EXPERTISE IN SUPPORTING
DIVERSE LEARNING NEEDS. BY INTEGRATING CUTTING-EDGE STRATEGIES AND RESEARCH, OUR
MA SPED PROGRAM PREPARES YOU TO MAKE SIGNIFICANT CONTRIBUTIONS TO THE LIVES OF
STUDENTS WITH SPECIAL NEEDS. JOIN US AND TRANSFORM YOUR PASSION FOR INCLUSIVE
EDUCATION INTO PROFOUND PROFESSIONAL ACHIEVEMENTS.

Jumpstart Your Career By Speaking To Our Admissions Counselors



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* Phone Number



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LAUNCHING LIVES OF PURPOSE

--------------------------------------------------------------------------------



Notre Dame de Namur University has long been recognized for the excellence of
our programs in education. Presently, the NDNU education department offers two
education specialist credentials: mild/moderate support needs/extensive support
needs. Both provide the option to add the master of arts in special education.
Many of our alumni are active teachers and administrators in San Mateo County
and throughout the peninsula. Personalized attention and individualized advising
for students, field-oriented programs, and successful placement of credential
graduates have characterized the teacher education program since its inception
in 1953.




ADVANCED SPECIAL ED CREDENTIALS

--------------------------------------------------------------------------------



NDNU’s Education Specialist Credential with a Master of Arts in Special
Education prepares students to teach in special education settings in public and
private schools, K-12 and up to age 22. Mild/Moderate credential holders teach
students in resource specialist programs, special day classes for learning
disabilities, and some full inclusion students. Moderate/Severe credential
holders will be able to teach students whose needs are more severe.




TAKE THE NEXT STEP

READY TO TRANSFORM YOUR FUTURE WITH NOTRE DAME DE NAMUR UNIVERSITY? DON'T WAIT,
APPLY NOW AND START YOUR JOURNEY TOWARDS ACADEMIC EXCELLENCE AND PERSONAL
GROWTH.

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DISTINCTIONS OF THE
NDNU M.A. SPED

--------------------------------------------------------------------------------




STUDENTS COMPLETE THE 44-UNIT CREDENTIAL AND ADD THE MA IN SPECIAL EDUCATION BY
TAKING ONE 3-UNIT CAPSTONE COURSE.






GENERAL EDUCATION TEACHERS CAN ADD THE SPECIAL EDUCATION CREDENTIAL WITH A
MASTER’S DEGREE BY TAKING 30 UNITS.






SCHOOL OF EDUCATION FACULTY BRING DIVERSE ACADEMIC AND PRACTICAL EXPERTISE
TEACHERS AND ADMINISTRATORS IN PUBLIC AND PRIVATE SCHOOLS INTO THEIR ADVISING
AND INSTRUCTION.




LEARN, GROW, AND SUCCEED IN OUR THRIVING ACADEMIC COMMUNITY

EXPERIENCE A UNIQUE BLEND OF DIVERSE ACADEMIC PROGRAMS AND A VIBRANT COMMUNITY
LIFE. LET'S SHAPE YOUR FUTURE TOGETHER.

Learn More


GRADUATE PROGRAMS THAT TRANSFORM CAREERS




FOUNDATIONS

 * Psychological and developmental  foundations
 * Sociological and multicultural foundations
 * Foundations for teaching English language learners
 * Health education


ADMISSIONS REQUIREMENTS

 * Verification of meeting California basic educational skills requirements or
   submission of transcripts for review by Credential Analyst
 * Verification of meeting California subject matter requirement or submission
   of transcripts for review by Credential Analyst
 * Statement of Intent describing your interest, experience, link to our
   mission, qualifies you bring to the program







COURSES

 * Program Management; Counseling in Special Education; Clinical Assessment;
   Technology in Special Education; 2 semesters of student/intern teaching
   seminar
 * Curriculum and instruction courses; all candidates
 * Reading/Language arts: primary grades; Reading / Language Arts: upper grades
 * Curriculum and instruction courses: mild/moderate credential
 * Elementary mathematics; elementary science; elementary social science;
   curriculum modifications: mild/moderate
 * Curriculum and instruction courses: moderate/severe
 * Teaching students with motor, sensory, & health needs; core curriculum access
   for students with severe disabilities; curriculum modifications:
   moderate/severe


PROGRAM REQUIREMENTS

 * CTC Certificate of Clearance (fingerprint clearance)
 * Provide a copy of negative tb test result within last 2 years
 * Provide verification of meeting the U.S. Constitution requirement by exam,
   course work, or CSU degree
 * Complete CPR training for infant, child, and adult
 * Personal interview with program director



REQUEST MORE INFORMATION

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* Last Name


* Email



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* Phone Country Code



* Phone Number



This number can receive SMS/Text messages and I opt-in to receive SMS messages.


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No

You must opt-in in order to receive SMS messages. Messaging frequency varies.
You may opt-out at any time. Standard messaging rates may apply.

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messages.


Yes

No

Messaging frequency varies. You may opt-out at any time.

Submit


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Notre Dame de Namur University

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