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Submitted URL: https://supportrequest.selfdesign.org/
Effective URL: https://support.selfdesign.org/
Submission: On September 11 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://support.selfdesign.org/
Submission: On September 11 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 1 forms found in the DOM
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<form id="wpforms-form-6" class="wpforms-validate wpforms-form" data-formid="6" method="post" enctype="multipart/form-data" action="/?wpforms_form_id=6" data-token="e4888ed5b11ec0cae03eaedc46d0eff3" novalidate="novalidate"><noscript
class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
<div class="wpforms-field-container">
<div id="wpforms-6-field_2-container" class="wpforms-field wpforms-field-html" data-field-id="2">
<div id="wpforms-6-field_2">
<h3>Directions</h3>
<p>Please enter contact information so we are able to communicate back with you.</p>
<p>
</p>
<p><strong>If you are entering this ticket on behalf of some one else, please put in their contact information and let us know in the details.</strong></p>
</div>
</div>
<div id="wpforms-6-field_1-container" class="wpforms-field wpforms-field-email" data-field-id="1"><label class="wpforms-field-label" for="wpforms-6-field_1">Email Address <span class="wpforms-required-label">*</span></label>
<div class="wpforms-field-row wpforms-field-medium">
<div class="wpforms-field-row-block wpforms-one-half wpforms-first"><input type="email" id="wpforms-6-field_1" class="wpforms-field-required wpforms-field-email-primary" name="wpforms[fields][1][primary]" required=""><label
for="wpforms-6-field_1" class="wpforms-field-sublabel after ">Email</label></div>
<div class="wpforms-field-row-block wpforms-one-half"><input type="email" id="wpforms-6-field_1-secondary" class="wpforms-field-email-secondary wpforms-field-required" data-rule-confirm="#wpforms-6-field_1"
name="wpforms[fields][1][secondary]" required=""><label for="wpforms-6-field_1-secondary" class="wpforms-field-sublabel after ">Confirm Email</label></div>
</div>
</div>
<div id="wpforms-6-field_3-container" class="wpforms-field wpforms-field-name" data-field-id="3"><label class="wpforms-field-label" for="wpforms-6-field_3">Name <span class="wpforms-required-label">*</span></label>
<div class="wpforms-field-row wpforms-field-medium">
<div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-6-field_3" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][3][first]" required=""><label for="wpforms-6-field_3"
class="wpforms-field-sublabel after ">First</label></div>
<div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-6-field_3-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][3][last]" required=""><label for="wpforms-6-field_3-last"
class="wpforms-field-sublabel after ">Last</label></div>
</div>
</div>
<div id="wpforms-6-field_4-container" class="wpforms-field wpforms-field-phone wpforms-one-third wpforms-first" data-field-id="4"><label class="wpforms-field-label" for="wpforms-6-field_4">Phone</label><input type="tel" id="wpforms-6-field_4"
class="wpforms-field-large wpforms-masked-input" data-inputmask="'mask': '(999) 999-9999'" data-rule-us-phone-field="true" name="wpforms[fields][4]" inputmode="text"></div>
<div id="wpforms-6-field_5-container" class="wpforms-field wpforms-field-number wpforms-one-fourth" data-field-id="5"><label class="wpforms-field-label" for="wpforms-6-field_5">Extension</label><input type="number" pattern="\d*"
id="wpforms-6-field_5" class="wpforms-field-medium" name="wpforms[fields][5]"></div>
<div id="wpforms-6-field_8-container" class="wpforms-field wpforms-field-checkbox" data-field-id="8"><label class="wpforms-field-label" for="wpforms-6-field_8">Role <span class="wpforms-required-label">*</span></label>
<ul id="wpforms-6-field_8" class="wpforms-field-required">
<li class="choice-1 depth-1"><input type="checkbox" id="wpforms-6-field_8_1" name="wpforms[fields][8][]" value="Learner" required=""><label class="wpforms-field-label-inline" for="wpforms-6-field_8_1">Learner</label></li>
<li class="choice-2 depth-1"><input type="checkbox" id="wpforms-6-field_8_2" name="wpforms[fields][8][]" value="Parent/Guardian" required=""><label class="wpforms-field-label-inline" for="wpforms-6-field_8_2">Parent/Guardian</label></li>
<li class="choice-3 depth-1"><input type="checkbox" id="wpforms-6-field_8_3" name="wpforms[fields][8][]" value="Educator" required=""><label class="wpforms-field-label-inline" for="wpforms-6-field_8_3">Educator</label></li>
<li class="choice-4 depth-1"><input type="checkbox" id="wpforms-6-field_8_4" name="wpforms[fields][8][]" value="SEA/SP" required=""><label class="wpforms-field-label-inline" for="wpforms-6-field_8_4">SEA/SP</label></li>
<li class="choice-9 depth-1"><input type="checkbox" id="wpforms-6-field_8_9" name="wpforms[fields][8][]" value="Other" required=""><label class="wpforms-field-label-inline" for="wpforms-6-field_8_9">Other</label></li>
</ul>
</div>
<div id="wpforms-6-field_7-container" class="wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic" data-field-id="7"><label class="wpforms-field-label" for="wpforms-6-field_7">Help Topic <span
class="wpforms-required-label">*</span></label><select id="wpforms-6-field_7" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][7]" required="required">
<option value="" class="placeholder" disabled="" selected="selected">- Select Topic -</option>
<option value="Technical Support">Technical Support</option>
<option value="General Information">General Information</option>
<option value="Human Relations">Human Relations</option>
<option value="Privacy">Privacy</option>
<option value="Policies">Policies</option>
<option value="Subscriptions">Subscriptions</option>
<option value="Registration - Enrolment - Records Request">Registration - Enrolment - Records Request</option>
<option value="LRS & SE Grant Funding">LRS & SE Grant Funding</option>
<option value="CAT Team (Educators Only)">CAT Team (Educators Only)</option>
<option value="Educator Assist (Educators Only)">Educator Assist (Educators Only)</option>
</select></div>
<div id="wpforms-6-field_9-container" class="wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-hide" data-field-id="9" style="display:none;">
<div id="wpforms-6-field_9">
<h3>Technical Support</h3>
</div>
</div>
<div id="wpforms-6-field_16-container" class="wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-hide" data-field-id="16" style="display:none;">
<div id="wpforms-6-field_16">
<h3>HR Form</h3>
<p>Please select the topic that most closely matches your inquiry.</p>
</div>
</div>
<div id="wpforms-6-field_17-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-field-select-style-classic wpforms-conditional-hide" data-field-id="17" style="display:none;"><label class="wpforms-field-label"
for="wpforms-6-field_17">HR Topics <span class="wpforms-required-label">*</span></label><select id="wpforms-6-field_17" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][17]" required="required">
<option value="" class="placeholder" disabled="" selected="selected">- Select Topic -</option>
<option value="Contract Services">Contract Services</option>
<option value="Worksafe BC & OK Alone">Worksafe BC & OK Alone</option>
</select></div>
<div id="wpforms-6-field_12-container" class="wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-hide" data-field-id="12" style="display:none;">
<div id="wpforms-6-field_12">
<h2>Ticket Details</h2>
<p>Please give as much detail as possible so we can best assist you.</p>
<p>Any screenshots included should be of your full browser window. You can find directions for taking screenshots in our <a href="https://supportrequest.selfdesign.org/kb/index.php" target="_blank">Knowledgebase articles</a>.</p>
</div>
</div>
<div id="wpforms-6-field_13-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide" data-field-id="13" style="display:none;"><label class="wpforms-field-label" for="wpforms-6-field_13">Issue <span
class="wpforms-required-label">*</span></label><input type="text" id="wpforms-6-field_13" class="wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled" data-form-id="6" data-field-id="13" data-text-limit="60"
name="wpforms[fields][13]" maxlength="60" required="">
<div class="wpforms-field-limit-text" id="wpforms-field-limit-text-6-13">0 of 60 max characters.</div>
</div>
<div id="wpforms-6-field_14-container" class="wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-hide" data-field-id="14" style="display:none;"><label class="wpforms-field-label" for="wpforms-6-field_14">Issue
Details (Describe the issue here)</label><textarea id="wpforms-6-field_14" class="wpforms-field-medium" name="wpforms[fields][14]"></textarea></div>
<div id="wpforms-6-field_15-container" class="wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-hide" data-field-id="15" style="display:none;"><label class="wpforms-field-label" for="wpforms-6-field_15">File
Upload (eg. screeenshots)</label>
<div class="wpforms-uploader dz-clickable" data-field-id="15" data-form-id="6" data-input-name="wpforms_6_15" data-extensions="jpg,docx,doc,pdf,png" data-max-size="5497558138880" data-max-file-number="5" data-post-max-size="2147483648"
data-max-parallel-uploads="4" data-parallel-uploads="true" data-file-chunk-size="2097152">
<div class="dz-message">
<svg viewBox="0 0 1024 1024" focusable="false" class="" data-icon="inbox" width="50px" height="50px" fill="#B1B1B1" aria-hidden="true">
<path
d="M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z">
</path>
</svg>
<span class="modern-title"> Click or drag files to this area to upload. </span>
<span class="modern-hint"> You can upload up to 5 files. </span>
</div>
</div>
<input type="text" class="dropzone-input" style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;"
id="wpforms-6-field_15" name="wpforms_6_15">
<div class="wpforms-field-description">Please upload your document/file (Allowed file types .jpg .png .pdf .doc .docx. Max size 5MB.) </div>
</div>
<div id="wpforms-6-field_18-container" class="wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-hide" data-field-id="18" style="display:none;">
<div id="wpforms-6-field_18">
<h2>CAT Form</h2>
<br>
<p>Please DO NOT submit your CAT request via this site.</p>
<p>Instead, <a href="https://docs.google.com/forms/d/e/1FAIpQLSeQJayr1vsD6OVKn84GuYPC6ZWJrvdoJV9Nd0HZcppFQ5NnDQ/viewform" target="blank">click here to submit your CAT Form</a>.</p>
</div>
</div>
<div id="wpforms-6-field_19-container" class="wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-hide" data-field-id="19" style="display:none;">
<div id="wpforms-6-field_19">
<h2>Educator Assist Form</h2>
<br>
<p>Please DO NOT submit your Educator Assist ~ Documentation & Support request via this site.</p>
<p>Instead, <a href="https://docs.google.com/forms/d/e/1FAIpQLScAQh5bpCiaUu12KiHDohpM1Kf27s5aQwm5LHZI81i29whDpg/viewform" target="blank">click here to submit your Educator Assist ~ Documentation & Support Form</a>.</p>
</div>
</div>
</div>
<div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="6"><input type="hidden" name="wpforms[author]" value="1"><input type="hidden" name="wpforms[post_id]" value="2"><button type="submit" name="wpforms[submit]"
class="wpforms-submit " id="wpforms-submit-6" value="wpforms-submit" aria-live="assertive" data-alt-text="Sending..." data-submit-text="Submit Ticket">Submit Ticket</button></div>
</form>Text Content
Skip to content SUPPORT REQUEST Please enable JavaScript in your browser to complete this form. DIRECTIONS Please enter contact information so we are able to communicate back with you. If you are entering this ticket on behalf of some one else, please put in their contact information and let us know in the details. Email Address * Email Confirm Email Name * First Last Phone Extension Role * * Learner * Parent/Guardian * Educator * SEA/SP * Other Help Topic *- Select Topic -Technical SupportGeneral InformationHuman RelationsPrivacyPoliciesSubscriptionsRegistration - Enrolment - Records RequestLRS & SE Grant FundingCAT Team (Educators Only)Educator Assist (Educators Only) TECHNICAL SUPPORT HR FORM Please select the topic that most closely matches your inquiry. HR Topics *- Select Topic -Contract ServicesWorksafe BC & OK Alone TICKET DETAILS Please give as much detail as possible so we can best assist you. Any screenshots included should be of your full browser window. You can find directions for taking screenshots in our Knowledgebase articles. Issue * 0 of 60 max characters. Issue Details (Describe the issue here) File Upload (eg. screeenshots) Click or drag files to this area to upload. You can upload up to 5 files. Please upload your document/file (Allowed file types .jpg .png .pdf .doc .docx. Max size 5MB.) CAT FORM Please DO NOT submit your CAT request via this site. Instead, click here to submit your CAT Form. EDUCATOR ASSIST FORM Please DO NOT submit your Educator Assist ~ Documentation & Support request via this site. Instead, click here to submit your Educator Assist ~ Documentation & Support Form. Submit Ticket © 2021 SelfDesign Learning Foundation. All rights reserved. | Privacy Statement