secure.acceptiva.com
Open in
urlscan Pro
107.154.80.240
Public Scan
Submitted URL: https://bit.ly/ColloquiaOnlineviaZoom
Effective URL: https://secure.acceptiva.com/?cst=qLD4K9
Submission: On December 08 via manual from US — Scanned from DE
Effective URL: https://secure.acceptiva.com/?cst=qLD4K9
Submission: On December 08 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST ?cst=qLD4K9
<form id="payform" action="?cst=qLD4K9" method="post" onsubmit="return check_form(this)">
<input type="hidden" id="page_id_str" name="page_id_str" value="qLD4K9">
<input type="hidden" id="confirm" name="confirm" value="true">
<input type="hidden" id="payment_type" name="payment_type" value="">
<input type="hidden" id="tm" name="tm" value="">
<fieldset>
<div id="banner">
<a href="http://sjvcenter.org/"><img class="banner_img" src="https://secure.acceptiva.com/assets/img/_headers/q/qLD4K9.png?ver=1597095318"></a>
</div>
<div class="fieldsetinside">
<div id="section-1" data-section-link-id="1" class="crumbs section noprint">
<ul>
<li><a class="active"><span>STEP ONE</span><br>ENTER INFO</a></li>
<li><a><span>STEP TWO</span><br>CONFIRMATION</a></li>
<li><a><span>STEP THREE</span><br>RECEIPT</a></li>
</ul>
</div>
<div style="color: red; text-align: center;">
<div name="error_page"></div>
</div>
<div id="section-31" data-section-link-id="31" class="section editable pgraph">
<div align="CENTER"><span style="font-size: 18px; font-weight: bold; color: #2e74b5;">COLLOQUIA FOR WOMEN RELIGIOUS LEADERSHIP<br></span></div>
<div align="CENTER"><span style="font-size: 18px; font-weight: bold; color: #2e74b5;">VIA ZOOM</span></div>
<div align="CENTER"><span style="font-size: 18px; font-weight: bold; color: #2e74b5;">Bi-Monthly</span></div>
<div align="CENTER">
<div align="CENTER"><span style="font-size: 18px; font-weight: bold; color: #2e74b5;">First Thursday of the month</span></div>
<span style="font-size: 18px; font-weight: bold; color: #2e74b5;">2:00pm EASTERN </span>
</div>
<div align="CENTER"><span style="font-size: 18px; font-weight: bold; color: #2e74b5;">SEE DATES AND DETAILS BELOW</span></div>
<p>The Saint John Vianney Center provides a bi-monthly Colloquia via Zoom for Women Religious Leadership. Topics and presenters will be listed as we firm them up. <br><br>You may register for any of the programs. There is no charge.
Please register up to 48 hours prior to the program. The Zoom instructions will be sent to you prior to the presentation.</p>
<p>The start time is 2:00 pm Eastern and will run one hour which includes Q & A. Be sure to set your calendar reminder for the time zone you are in. We look forward to seeing you!</p>
</div>
<div style="clear: both;"></div>
<div id="section-32" data-section-link-id="32" class="section editable">
<div class="heading">Dates, Topics, and Speakers:</div>
<div name="error_32"></div>
<div class="section-pwp checkbox">
<div id="section-32-item-52" data-section-link-id="32" data-item-link-id="52" class="item pickwprice"><input type="hidden" name="items[32][52][amount]" value="">
<label for="items_32_52_checked"><span name="error_32_52"></span><span style="text-decoration: line-through;">October 5, 2023</span> <span style="color: red;">CLOSED</span></label>
<div class="input">
<input type="checkbox" id="items_32_52_checked" name="items[32][checked][52]" value="52" class="form-control" style="float: left; height: unset; width: unset;" disabled="">
<span></span>
</div>
<div class="comment">Topic: Cognitive Impairment Part III; Q & A</div>
</div>
<div id="section-32-item-56" data-section-link-id="32" data-item-link-id="56" class="item pickwprice"><input type="hidden" name="items[32][56][amount]" value="">
<label for="items_32_56_checked"><span name="error_32_56"></span><span style="text-decoration: line-through;">December 7, 2023</span> <span style="color: red;">CLOSED</span></label>
<div class="input">
<input type="checkbox" id="items_32_56_checked" name="items[32][checked][56]" value="56" class="form-control" style="float: left; height: unset; width: unset;" disabled="">
<span></span>
</div>
<div class="comment">Topic: Addictions; Speaker: Gerard O'Connor</div>
</div>
<div id="section-32-item-57" data-section-link-id="32" data-item-link-id="57" class="item pickwprice">
<label for="items_32_57_checked"><span name="error_32_57"></span>February 1, 2024</label>
<div class="input">
<input type="checkbox" id="items_32_57_checked" name="items[32][checked][57]" value="57" class="form-control" style="float: left; height: unset; width: unset;">
<span></span>
</div>
<div class="comment">Topic: Loneliness & Isolation: Mercedes McCann, RSM, Ph.D.</div>
</div>
<div id="section-32-item-58" data-section-link-id="32" data-item-link-id="58" class="item pickwprice">
<label for="items_32_58_checked"><span name="error_32_58"></span>April 4, 2024</label>
<div class="input">
<input type="checkbox" id="items_32_58_checked" name="items[32][checked][58]" value="58" class="form-control" style="float: left; height: unset; width: unset;">
<span></span>
</div>
<div class="comment">Topic: Spirituality of Hope: Mercedes McCann, RSM, Ph.D.</div>
</div>
<div id="section-32-item-59" data-section-link-id="32" data-item-link-id="59" class="item pickwprice">
<label for="items_32_59_checked"><span name="error_32_59"></span>June 6, 2024</label>
<div class="input">
<input type="checkbox" id="items_32_59_checked" name="items[32][checked][59]" value="59" class="form-control" style="float: left; height: unset; width: unset;">
<span></span>
</div>
<div class="comment">Topic: Burnout: Don Marks, Psy.D.</div>
</div>
<div id="section-32-item-60" data-section-link-id="32" data-item-link-id="60" class="item pickwprice">
<label for="items_32_60_checked"><span name="error_32_60"></span>August 1, 2024</label>
<div class="input">
<input type="checkbox" id="items_32_60_checked" name="items[32][checked][60]" value="60" class="form-control" style="float: left; height: unset; width: unset;">
<span></span>
</div>
<div class="comment">Topic: Depression</div>
</div>
<div id="section-32-item-61" data-section-link-id="32" data-item-link-id="61" class="item pickwprice">
<label for="items_32_61_checked"><span name="error_32_61"></span>October 3, 2024</label>
<div class="input">
<input type="checkbox" id="items_32_61_checked" name="items[32][checked][61]" value="61" class="form-control" style="float: left; height: unset; width: unset;">
<span></span>
</div>
<div class="comment">Topic: Grief & Loss</div>
</div>
<div id="section-32-item-62" data-section-link-id="32" data-item-link-id="62" class="item pickwprice">
<label for="items_32_62_checked"><span name="error_32_62"></span>December 5, 2024</label>
<div class="input">
<input type="checkbox" id="items_32_62_checked" name="items[32][checked][62]" value="62" class="form-control" style="float: left; height: unset; width: unset;">
<span></span>
</div>
<div class="comment">Topic: Difficult Personalities</div>
</div>
<div style="clear: both;"></div>
</div>
</div>
<div style="clear: both;"></div>
</div>
</fieldset>
<fieldset class="default-field">
<div class="fieldsetinside">
<div id="field-52" data-field-link-id="52" class="fieldrow editable heading group0 set0">Registrant Information</div>
<div id="field-157" data-field-link-id="157" class="fieldrow editable group0 set0">
<div class="label"><label for="prefix">Prefix:</label></div>
<div class="input"><input type="text" id="prefix" name="prefix" value="" class="form-control"></div>
</div>
<div id="field-21" data-field-link-id="21" class="fieldrow editable group0 set0">
<div class="label"><label for="payer_fname">First Name:<span class="required"> *</span></label></div>
<div class="input"><input type="text" id="payer_fname" name="payer_fname" value="" maxlength="30" class="form-control default-field required-if-shown required payer windows1252"></div>
</div>
<div id="field-22" data-field-link-id="22" class="fieldrow editable group0 set0">
<div class="label"><label for="payer_lname">Last Name:<span class="required"> *</span></label></div>
<div class="input"><input type="text" id="payer_lname" name="payer_lname" value="" maxlength="35" class="form-control default-field required-if-shown required payer windows1252"></div>
</div>
<div id="field-160" data-field-link-id="160" class="fieldrow editable group0 set0">
<div class="label"><label for="title">Religious Community<span class="required"> *</span></label></div>
<div class="input"><input type="text" id="title" name="title" value="" class="form-control required-if-shown required"></div>
</div>
<div id="field-159" data-field-link-id="159" class="fieldrow editable group0 set0">
<div class="label"><label for="religiouscommunity">Leadership Title<span class="required"> *</span></label></div>
<div class="input"><input type="text" id="religiouscommunity" name="religiouscommunity" value="" class="form-control required-if-shown required"></div>
</div>
<div id="field-161" data-field-link-id="161" class="fieldrow editable group0 set0">
<div class="label"><label for="streetaddress">Street Address:<span class="required"> *</span></label></div>
<div class="input"><input type="text" id="streetaddress" name="streetaddress" value="" class="form-control required-if-shown required"></div>
</div>
<div id="field-162" data-field-link-id="162" class="fieldrow editable group0 set0">
<div class="label"><label for="citystatezip">City:<span class="required"> *</span></label></div>
<div class="input"><input type="text" id="citystatezip" name="citystatezip" value="" class="form-control required-if-shown required"></div>
</div>
<div id="field-163" data-field-link-id="163" class="fieldrow editable group0 set0">
<div class="label"><label for="registrantstate"><span id="state_prompt">State:</span><span class="required"> *</span></label></div>
<div class="input">
<input type="text" id="registrantstate" name="registrantstate" value="" class="form-control required-if-shown required">
</div>
</div>
<div id="field-164" data-field-link-id="164" class="fieldrow editable group0 set0">
<div class="label"><label for="registrantzipcode">Zip Code:<span class="required"> *</span></label></div>
<div class="input"><input type="text" id="registrantzipcode" name="registrantzipcode" value="" class="form-control required-if-shown required windows1252"></div>
</div>
<div id="field-50" data-field-link-id="50" class="fieldrow editable group0 set0">
<div class="label"><label for="payer_phone">Telephone:<span class="required"> *</span></label></div>
<div class="input"><input type="tel" id="payer_phone" name="payer_phone" value="" onkeypress="prevent_nonphone_input(event)" maxlength="32" class="form-control default-field required-if-shown required payer windows1252"></div>
</div>
<div id="field-29" data-field-link-id="29" class="fieldrow editable group0 set0">
<div class="label"><label for="payer_email">E-mail:<span class="required"> *</span></label></div>
<div class="input"><input type="email" id="payer_email" name="payer_email" value="" class="form-control default-field required-if-shown required payer format_email windows1252"><span class="comment">A confirmation will be e-mailed to this
address.</span></div>
</div>
</div>
</fieldset>
<fieldset>
<div class="fieldsetinside">
<div class="submit"><button type="submit" id="proceed_button" class="submit_button">Proceed to Confirmation</button></div>
<div>
<span id="siteseal" style="float: left; padding-top: 3%;">
<script async="" type="text/javascript" src="https://seal.godaddy.com/getSeal?sealID=jeWZS6Yv5OVs1wHCstOjaWhOmx2gx5MjC25t2cR0bf373LinVzcCvk2Z486G"></script>
</span>
<img src="assets/img/acceptiva-logo-transparent.png" alt="Powered by Acceptiva" style="float: right; margin-bottom: 0; max-height: 38px; max-width: 138px; padding-top: 2%;">
</div>
</div>
</fieldset>
</form>Text Content
Looks like you're using Safari! To complete your transaction you'll need to open the form in a new tab. Click the button below to continue. * STEP ONE ENTER INFO * STEP TWO CONFIRMATION * STEP THREE RECEIPT COLLOQUIA FOR WOMEN RELIGIOUS LEADERSHIP VIA ZOOM Bi-Monthly First Thursday of the month 2:00pm EASTERN SEE DATES AND DETAILS BELOW The Saint John Vianney Center provides a bi-monthly Colloquia via Zoom for Women Religious Leadership. Topics and presenters will be listed as we firm them up. You may register for any of the programs. There is no charge. Please register up to 48 hours prior to the program. The Zoom instructions will be sent to you prior to the presentation. The start time is 2:00 pm Eastern and will run one hour which includes Q & A. Be sure to set your calendar reminder for the time zone you are in. We look forward to seeing you! Dates, Topics, and Speakers: October 5, 2023 CLOSED Topic: Cognitive Impairment Part III; Q & A December 7, 2023 CLOSED Topic: Addictions; Speaker: Gerard O'Connor February 1, 2024 Topic: Loneliness & Isolation: Mercedes McCann, RSM, Ph.D. April 4, 2024 Topic: Spirituality of Hope: Mercedes McCann, RSM, Ph.D. June 6, 2024 Topic: Burnout: Don Marks, Psy.D. August 1, 2024 Topic: Depression October 3, 2024 Topic: Grief & Loss December 5, 2024 Topic: Difficult Personalities Registrant Information Prefix: First Name: * Last Name: * Religious Community * Leadership Title * Street Address: * City: * State: * Zip Code: * Telephone: * E-mail: * A confirmation will be e-mailed to this address. Proceed to Confirmation Copyright © 2004 - 2023, Acceptiva. All rights reserved.