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Submitted URL: https://edu.degreelink.org/
Effective URL: https://edu.degreelink.org/a/-/e_social001?sk=h5mil&dpc_source=132&PI=&redirect=true&referrer=
Submission: On April 24 via manual from US — Scanned from DE
Effective URL: https://edu.degreelink.org/a/-/e_social001?sk=h5mil&dpc_source=132&PI=&redirect=true&referrer=
Submission: On April 24 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: form1 — POST /forms/form.jsp
<form name="form1" id="form1" method="post" action="/forms/form.jsp" onsubmit="return validatePageOneForm(this);" novalidate="novalidate" style="display: block; visibility: visible;">
<div id="container_qGroup" style="display: block; visibility: visible;">
<div class="qGroup" id="qGroup_0" style="display: block; min-height: auto;">
<div class="qGroupWrapInner">
<div id="div_DDI_EDUCATION_01" class="goNext outerDivClass container_question" style="">
<div id="innerDiv_3_1" class="innerDivClass innerDiv1 form-link1 pages">
<span class="form-link label_typical">What is your current education level?</span>
<div class="container_input group_radio">
<ul class="form-link1">
<li>
<label for="eduLevelb"><input type="radio" class="page2Input fcValidRequired" value="highschool" id="eduLevelb" name="DDI_EDUCATION_01"><span></span>High School Diploma or GED</label>
</li>
<li>
<label for="eduLevelc"><input type="radio" class="page2Input fcValidRequired" value="0-23 college credits" id="eduLevelc" name="DDI_EDUCATION_01"><span></span>Some College (1-29 credits)</label>
</li>
<li>
<label for="eduLeveld"><input type="radio" class="page2Input fcValidRequired" value="24-47 college credits" id="eduLeveld" name="DDI_EDUCATION_01"><span></span>Some College (30-59 credits)</label>
</li>
<li>
<label for="eduLevele"><input type="radio" class="page2Input fcValidRequired" value="associates" id="eduLevele" name="DDI_EDUCATION_01"><span></span>Associates Degree or 60+ Credits</label>
</li>
<li>
<label for="eduLevelf"><input type="radio" class="page2Input fcValidRequired" value="bachelors" id="eduLevelf" name="DDI_EDUCATION_01"><span></span>Bachelor's Degree</label>
</li>
<li>
<label for="eduLevelg"><input type="radio" class="page2Input fcValidRequired" value="masters" id="eduLevelg" name="DDI_EDUCATION_01"><span></span>Master's Degree</label>
</li>
<li>
<label for="eduLevelh"><input type="radio" class="page2Input fcValidRequired" value="doctorate" id="eduLevelh" name="DDI_EDUCATION_01"><span></span>Doctorate</label>
</li>
<li>
<label for="eduLevela"><input type="radio" class="page2Input fcValidRequired" value="none" id="eduLevela" name="DDI_EDUCATION_01"><span></span>No High School Diploma</label>
</li>
</ul>
</div>
</div><!-- /innerDiv1 -->
</div>
</div>
</div>
<div class="qGroup" id="qGroup_1" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div class="form-group container_question" id="div_DDI_GRADYEAR_01" style="">
<label class="label_typical">When did you graduate from high school or earn your GED?</label>
<select class="form-control fcValidRequired" id="DDI_GRADYEAR_01" name="DDI_GRADYEAR_01">
<option value="">-Please Select One-</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979 or earlier</option>
<option value="9999">No diploma or GED</option>
</select>
</div>
</div>
</div>
<div class="qGroup" id="qGroup_2" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div id="div_DDI_CAMPUS_TYPE_01" class="goNext outerDivClass container_question" style="">
<div id="innerDiv_11_0" class="innerDivClass innerDiv1 form-link1 pages">
<span class="form-link label_typical">Which classroom experience are you interested in?</span>
<div class="container_input input_select">
<select id="DDI_CAMPUS_TYPE_01" class="form-control fcValidRequired" name="DDI_CAMPUS_TYPE_01">
<option value="" selected="">Please select one</option>
<option value="both">Both Online and Campus</option>
<option value="online science">Online</option>
<option value="campus">Nearby Campus</option>
</select>
</div>
</div><!-- /innerDiv1 -->
<br>
</div>
</div>
</div>
<div class="qGroup" id="qGroup_3" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div id="div_DDI_START_PERIOD_01" class="container_question" style="">
<span class="form-link label_typical">When you would like to begin classes?</span>
<div class="container_input input_text">
<select id="DDI_START_PERIOD_01" class="form-control fcValidRequired" name="DDI_START_PERIOD_01">
<option value="" selected="">- Please Select One -</option>
<option value="<1 months">Immediately</option>
<option value="1-3 months">1-3 Months</option>
<option value="4-6 months">4-6 Months</option>
</select>
</div>
</div>
</div>
</div>
<div class="qGroup" id="qGroup_4" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div id="div_DDI_YEAR_BIRTH_01" class="goNext outerDivClass container_question" style="">
<span class="form-link label_typical">What year were you born?</span>
<div class="container_input input_select">
<select id="DDI_YEAR_BIRTH_01" class="form-control fcValidRequired" name="DDI_YEAR_BIRTH_01">
<option value="" selected="">Please Select One</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
</select>
</div>
</div>
</div>
</div>
<div class="qGroup" id="qGroup_5" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div class="form-group container_question" id="div_FIRSTNAME_01" style="">
<label class="label_typical" for="FIRSTNAME_01">What is your Name?</label>
<input type="text" class="form-control fcValidRequired" id="FIRSTNAME_01" placeholder="First Name" name="FIRSTNAME_01">
</div>
<div class="form-group container_question" id="div_LASTNAME_01" style="">
<!--<label class="label_typical" for="LASTNAME_01">Last Name</label>-->
<input type="text" class="form-control fcValidRequired" id="LASTNAME_01" placeholder="Last Name" name="LASTNAME_01">
</div>
</div>
</div>
<div class="qGroup" id="qGroup_6" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div class="form-group container_question" id="div_ZIP_01" style="">
<label class="label_typical" for="ZIP_01">What is your Zip Code?</label>
<input class="form-control numbersonly fcValidRequired" id="ZIP_01" pattern="[0-9]*" type="tel" maxlength="5" autocomplete="off" placeholder="Zip Code" name="ZIP_01">
</div>
</div>
</div>
<div class="qGroup" id="qGroup_7" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div class="form-group container_question" id="div_ADDRESS1_01" style="">
<label for="ADDRESS1_01" class="label_typical">What is your street address?</label>
<!-- ERROR_MSG_ADDRESS1_01 -->
<input type="text" class="form-control fcValidRequired" id="ADDRESS1_01" placeholder="Enter Street Address" name="ADDRESS1_01">
</div>
</div>
</div>
<div class="qGroup" id="qGroup_8" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div class="form-group container_question" id="div_EMAIL_01" style="">
<label class="label_typical" for="EMAIL_01">What is your Email?</label>
<input type="text" class="form-control fcValidRequired" id="EMAIL_01" maxlength="60" size="20" placeholder="Email" name="EMAIL_01">
</div>
</div>
</div>
<div class="qGroup" id="qGroup_9" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div class="form-group container_question" id="div_PHONE_DAY_FULL_01" style="">
<label for="PHONE_DAY_FULL_01" class="form-link label_typical">What is your phone number?</label>
<!-- ERROR_MSG_PHONE_DAY_FULL_01 -->
<input type="tel" class="form-control fcValidRequired" id="PHONE_DAY_FULL_01" placeholder="" pattern="[0-9]*" maxlength="10" name="PHONE_DAY_FULL_01">
</div>
<div class="form-group container_question" id="div_DDI_TCPA_LANGUAGE_PREMATCH_CHECKED" style=""><input type="hidden" id="leadid_tcpa_disclosure" value="1" name="DDI_TCPA_LANGUAGE_PREMATCH_CHECKED" class="fcValidRequired"> <label
for="leadid_tcpa_disclosure">Electronic Signature. I understand that clicking Continue constitutes my consent and is the legal equivalent of my manual signature. I also understand that I am not required to provide my consent as a
condition of purchasing any goods or services. I understand my consent may be withdrawn at any time. <br> <br>Authorization. By clicking Continue, I authorize (and understand authorization is not required as a condition of purchase): (1)
edu.degreelink.org to use and share my information in accordance with its Terms of Service and Privacy Policy, including to forward the information I have provided to matching schools or other business partners who purchase leads from
this website to identify potential customers who may be interested in their products or services; (2) edu.degreelink.org, and such Education Bridge or other business partners to contact me via email at the email address provided; and (3)
edu.degreelink.org or Education Bridge to contact me via telephone or mobile device (including SMS and MMS) (standard fees apply) using an automatic telephone dialing system or pre-recorded message at the telephone number provided, even
if I am listed on any federal, state, association or company Do Not Call or email opt-out registry. Please note that the information you have provided to us may be supplemented with additional information obtained from other
sources.</label></div>
</div>
</div>
<div class="qGroup" id="qGroup_10" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div id="div_USCITIZEN_01" class="goNext outerDivClass container_question" style="">
<span class="form-link label_typical">Are you a U.S. citizen?</span>
<div class="container_input group_radio">
<ul class="form-link1">
<li>
<label for="USCITIZEN_01_YES"><input type="radio" class="page2Input fcValidRequired" value="YES" id="USCITIZEN_01_YES" name="USCITIZEN_01"><span></span>Yes</label>
</li>
<li>
<label for="USCITIZEN_01_NO"><input type="radio" class="page2Input fcValidRequired" value="NO" id="USCITIZEN_01_NO" name="USCITIZEN_01"><span></span>No</label>
</li>
</ul>
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</div>
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<div class="qGroup" id="qGroup_11" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div id="ddi_DDI_MILITARYAFFILIATE_01" class="goNext outerDivClass container_question" style="">
<span class="form-link label_typical">Are you affiliated with the U.S. military?</span>
<div class="container_input group_radio">
<ul class="form-link1">
<li>
<label for="DDI_MILITARYAFFILIATE_01_YES"><input type="radio" class="page2Input fcValidRequired" value="Yes" id="DDI_MILITARYAFFILIATE_01_YES" name="DDI_MILITARYAFFILIATE_01"><span></span>Yes</label>
</li>
<li>
<label for="DDI_MILITARYAFFILIATE_01_NO"><input type="radio" class="page2Input fcValidRequired" value="No" id="DDI_MILITARYAFFILIATE_01_NO" name="DDI_MILITARYAFFILIATE_01"><span></span>No</label>
</li>
</ul>
</div>
</div>
</div>
</div>
<div class="qGroup" id="qGroup_12" style="display: none; min-height: auto;">
<div class="qGroupWrapInner">
<div class="form-group container_question has-feedback has-success noDisplay noValidate" id="div_DDI_MILITARYBRANCH_01" style="">
<span class="form-link label_typical">What is your U.S. military affiliation?</span>
<select class="form-control fcValidRequired" id="DDI_MILITARYBRANCH_01" name="DDI_MILITARYBRANCH_01">
<option value="">- Please Select One -</option>
<option value="No" selected="">None</option>
<option value="AF-Veteran">Veteran</option>
<option value="AF-Reg">Active duty</option>
<option value="AF-Res">Reserve</option>
<option value="AF-ResSp">Spouse</option>
<option value="DOD-Civ-GS">Civilian</option>
</select>
<span for="DDI_MILITARYBRANCH_01" class="error help-block"></span>
</div>
</div>
</div>
</div>
<!-- START_OF_FORM_ABOVE -->
<div class="error_message_main"><!-- ERROR_MSG_MAIN --></div>
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<div class="form-group container_question" id="div_DDI_AOS_01" style="display: none;">
<label class="label_typical">Area of Interest</label>
<select class="form-control" id="DDI_AOS_01_DROPDOWN" name="DDI_AOS_01">
<option value="psychology" selected="">Psychology</option>
</select>
</div>
<div class="container_submitButton form-submit text-center" style="display: none;">
<button type="submit" class="btn btn-primary btn-lg btSubmit">Continue</button>
</div>
<input type="hidden" name="DDI_AGE_01" value="31">
<input type="hidden" id="DDI_DOB_DAY_01" name="DDI_DOB_DAY_01">
<input type="hidden" name="WEB_LANDING_URL_01" value="https://edu.degreelink.org/a/-/e_social001?sk=h5mil">
<input type="hidden" name="WEB_INITIATING_URL_01" value="https://www.dropbox.com/scl/fi/o7ea4xeq8y9iyny0o4up9/Psychupdate.png?rlkey=twwwtgyowzh9z5hj1ajs4phqz&dl=0">
<input type="hidden" id="country_usa" value="USA" name="COUNTRY_01">
<input type="hidden" value="h5mil" name="DDI_XLM_SK_01">
<input type="hidden" value="WMI-905" name="DDI_XLM_WMI_01">
<input type="hidden" value="1" name="DDI_PREMATCH_ON_SUBMIT">
<input type="hidden" name="DDI_SUB_AOS_01_SELECTED">
<input type="hidden" id="leadid_token" name="leadid_token" value="3100DCBB-7980-2777-951A-38461577D7B8">
<input type="hidden" id="ABANDON_OFFER_COUNT" name="ABANDON_OFFER_COUNT">
<input type="hidden" id="AOS_MAPPING"
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<input type="hidden" id="USER_BROWSER_EVENTS_AUTOSAVE_IDLE_TIME" value="60000" name="USER_BROWSER_EVENTS_AUTOSAVE_IDLE_TIME">
<input type="hidden" id="USER_BROWSER_EVENTS_AUTOSAVE_PAGE_NUMBER" value="1" name="USER_BROWSER_EVENTS_AUTOSAVE_PAGE_NUMBER">
<input type="hidden" name="XLCWS_USER_SCORE_01">
<input type="hidden" name="XLCWS_PHONE_DIAL_01">
<input type="hidden" name="XLCWS_PHONE_PREM_01">
<input type="hidden" name="XLCWS_ADDR_DPV_01">
<input type="hidden" name="XLCWS_ADDR_PREM_01">
<input type="hidden" name="XLCWS_DPV_NO_UNIT_01">
<input type="hidden" name="XLCWS_PHONE_MOBILE_01">
<input type="hidden" name="XLCWS_ADDR_SCORE_RAW_01">
<input type="hidden" name="XLCWS_PHONE_SCORE_RAW_01">
<input type="hidden" name="XLCWS_EMAIL_SCORE_RAW_01">
<input type="hidden" value="false" name="XLCWS_DO_VALIDATION">
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