iadmin.pariconnect.com Open in urlscan Pro
67.216.167.237  Public Scan

Form analysis
2 forms found in the DOM

<form id="sys_AjaxReqVerificationForm"><input name="__RequestVerificationToken" type="hidden"
    value="f0FWMrC58yfew82hCl05s9Ob1_XiuuKQWd2NwwtTg5bJQPkm3GlQ89RypQ-g36CQjm2uZVlDLvJ2502sjPPlmIAvbuIO7RUjlTBRW6hivf5-r-14jLsyPGBm6bVHHlR_FuFQodb-HiHoRu97YmX5NA2"></form>

#

<form id="DemoForm" action="#" novalidate="novalidate">
  <div class="COPPAValidationError alert alert-warning mt-2" style="display:none;"> The Children's Online Privacy Protection Act of 1998 (COPPA) provides for certain protections and safeguards when children under the age of 13 are self reporting
    personal information via the Internet. Therefore, PARiConnect does not provide for the use of the selected self-report form because this child is less than 13 years old. </div>
  <div class="pic-demo-intro pt-2">
    <p>You are about to begin the assessment. If you cannot complete the assessment in a single session, exit by closing the browser window. To continue an emailed assessment at a later time, click on the emailed link.</p>
    <p class="font-weight-bold">Please review the following information for accuracy:</p>
  </div>
  <input id="TestForm" name="TestForm" type="hidden" value="Parent" data-info-idx="0">
  <input id="Examiner" name="Examiner" type="hidden" value="" data-info-idx="3">
  <input id="Description" name="Description" type="hidden" value="" data-info-idx="4">
  <input id="HowWellKnown" name="HowWellKnown" type="hidden" value="" data-info-idx="9">
  <input id="HowLongKnown" name="HowLongKnown" type="hidden" value="" data-info-idx="10">
  <input id="EducationalSeries" name="EducationalSeries" type="hidden" value="" data-info-idx="11">
  <div class="row">
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="FirstName">First Name*</label><input id="FirstName" name="FirstName" type="text" class=" form-control disabled" disabled="disabled" value="Jackson" data-val="true" aria-required="true"
        data-val-required="First Name is required!" data-val-regex="First Name is limited to 50 alphanumeric characters!" data-val-regex-pattern="^(|[a-zA-Z0-9][a-zA-Z0-9 ]{0,49})$" data-demo-idx="0"><span id="FirstName-error"
        data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
    </div>
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="LastName">Last Name*</label><input id="LastName" name="LastName" type="text" class=" form-control disabled" disabled="disabled" value="Kommers" data-val="true" aria-required="true"
        data-val-required="Last Name is required!" data-val-regex="Last Name is limited to 50 alphanumeric characters!" data-val-regex-pattern="^(|[a-zA-Z0-9][a-zA-Z0-9 ]{0,49})$" data-demo-idx="1"><span id="LastName-error" data-valmsg-for="LastName"
        data-valmsg-replace="true"></span>
    </div>
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="ID">ID Number*</label><input id="ID" name="ID" type="text" class=" form-control disabled" disabled="disabled" value="0121" data-val="true" aria-required="true" data-val-required="ID Number is required!"
        data-demo-idx="2"><span id="ID-error" data-valmsg-for="ID" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="row">
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="DOB">Birthdate</label><input id="DOB" name="DOB" type="text" class=" form-control disabled" disabled="disabled" value="1/21/2017" placeholder="mm/dd/yyyy" data-val="true"
        data-val-date="Birthdate must be a valid date (mm/dd/yyyy)!" data-val-past-date="Please enter a date in the past." data-demo-idx="3"><span id="DOB-error" data-valmsg-for="DOB" data-valmsg-replace="true"></span>
    </div>
    <div class="form-group col-sm-6">
      <label class="form-control-label" for="Gender">Gender*</label>
      <div class="pic-radio-list pic-inline">
        <div class="pic-radio-choice"><input id="Gender_0" name="Gender" type="radio" value="1" disabled="disabled" class=" disabled" data-demo-idx="4" data-val="true" aria-required="true" data-val-required="Gender is required!"><label
            class="pic-radio-label disabled" for="Gender_0">Female</label></div>
        <div class="pic-radio-choice"><input id="Gender_1" name="Gender" type="radio" value="2" checked="checked" disabled="disabled" class=" disabled" data-demo-idx="4"><label class="pic-radio-label disabled" for="Gender_1">Male</label></div>
      </div><span id="Gender-error" data-valmsg-for="Gender" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="row">
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="TestDate">Test Date*</label><input id="TestDate" name="TestDate" type="text" class=" form-control disabled" disabled="disabled" value="08/03/2023" placeholder="mm/dd/yyyy" data-val="true"
        aria-required="true" data-val-date="Test Date must be a valid date (mm/dd/yyyy)!" data-val-required="Test Date is required!" data-info-idx="1"><span id="TestDate-error" data-valmsg-for="TestDate" data-valmsg-replace="true"></span>
    </div>
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="Age">Age*</label><input id="Age" name="Age" type="text" class=" form-control disabled" disabled="disabled" value="6" placeholder="??" data-val="true" aria-required="true"
        data-val-digits="Age must be only digits!" data-val-required="Age is required!" data-val-range="Enter a valid Age (5-18)!" data-val-range-min="5" data-val-range-max="18" data-info-idx="2"><span id="Age-error" data-valmsg-for="Age"
        data-valmsg-replace="true"></span>
    </div>
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="Grade">Grade</label><select id="Grade" name="Grade" class="form-control" data-info-idx="5">
        <option value="0" selected="selected">Not Specified</option>
        <option value="1">Pre-K</option>
        <option value="2">Kindergarten</option>
        <option value="3">1st</option>
        <option value="4">2nd</option>
        <option value="5">3rd</option>
        <option value="6">4th</option>
        <option value="7">5th</option>
        <option value="8">6th</option>
        <option value="9">7th</option>
        <option value="10">8th</option>
        <option value="11">9th</option>
        <option value="12">10th</option>
        <option value="13">11th</option>
        <option value="14">12th</option>
        <option value="15">College</option>
      </select>
    </div>
  </div>
  <div class="row">
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="RaterName">Rater Name</label><input id="RaterName" name="RaterName" type="text" class=" form-control" value="" data-val="true" data-val-regex="Rater Name is limited to 50 alphanumeric characters!"
        data-val-regex-pattern="^(|[a-zA-Z0-9][a-zA-Z0-9 ]{0,49})$" data-info-idx="6"><span id="RaterName-error" data-valmsg-for="RaterName" data-valmsg-replace="true"></span>
    </div>
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="Relationship">Relationship to Child</label><select id="Relationship" name="Relationship" class="form-control" data-info-idx="7">
        <option value="Not Specified" selected="selected">Not Specified</option>
        <option value="Parent">Parent</option>
        <option value="Guardian">Guardian</option>
        <option value="Other">Other</option>
      </select>
    </div>
    <div class="form-group col-sm-4">
      <label class="form-control-label" for="RelationshipDesc">Relationship Description</label><input id="RelationshipDesc" name="RelationshipDesc" type="text" class=" form-control" value="" data-val="true"
        data-val-regex="Relationship Description is limited to 20 alphanumeric characters!" data-val-regex-pattern="^(|[a-zA-Z0-9][a-zA-Z0-9 ]{0,19})$" data-info-idx="8"><span id="RelationshipDesc-error" data-valmsg-for="RelationshipDesc"
        data-valmsg-replace="true"></span>
    </div>
  </div>
  <div>
    <p class="pic-warning-msg">If any of this information is <b>incorrect</b>, please close the browser and contact the person/organization that assigned this assessment.</p>
    <p class="pic-copyright-msg">The following screen content is the property of PAR Inc. Any unauthorized copying of these screens is a violation of US copyright law.</p>
  </div>
  <div class="text-right mt-2">
    <button id="CancelBtn" type="button" onclick="Demo.onCancel();" class="btn btn-secondary">CANCEL</button>
    <button id="SubmitBtn" type="button" onclick="Demo.onSubmit();" class="btn btn-primary">CONTINUE</button>
  </div>
</form>

Text Content

We value your privacy

We use cookies to allow you to make full use of our website, analyze website
traffic, personalize your experience, and show more relevant ads. By clicking
“Accept,” you agree to our use of cookies in accordance with our Privacy Policy.
You can change your preferences at any time by clicking “Manage Cookies.”

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We use cookies to help you navigate efficiently and perform certain functions.
You will find detailed information about all cookies under each consent category
below.

The cookies that are categorized as "Necessary" are stored on your browser as
they are essential for enabling the basic functionalities of the site. ... Show
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NecessaryAlways Active

Necessary cookies are required to enable the basic features of this site, such
as providing secure log-in or adjusting your consent preferences. These cookies
do not store any personally identifiable data.

 * Cookie
   .AspNetCore.Session
 * Duration
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 * Description
   
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   browser until the session has ended.

 * Cookie
   .AspNetCore.Antiforgery.Acuuc_eKBCU
 * Duration
   session
 * Description
   
   Anti-Forgery Token used to prevent Cross-Site-Scripting attacks on the
   PARiConnect application.

 * Cookie
   cookieyes-consent
 * Duration
   1 Year
 * Description
   
   Remembers the user's cookie preferences on subsequent visits. It does not
   collect any personal information about the user, and lasts 1 year.

 * Cookie
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 * Duration
   session
 * Description
   
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   authenticated during their session.

 * Cookie
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 * Duration
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 * Description
   
   Used by our application to track the user's session. This cookie remains in
   browser until the session has ended.

 * Cookie
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 * Duration
   past
 * Description
   
   Cookie used as part of our Authentication scheme to track PARiConnect users
   with multiple accounts.

 * Cookie
   .AspNetCore.AccountSetup
 * Duration
   past
 * Description
   
   Cookie used as part of our Authentication scheme to track if the PARiConnect
   Account has been set up.

 * Cookie
   .AspNetCore.UsePolicy
 * Duration
   past
 * Description
   
   Cookie temporarily used as part of our Authentication scheme to track if the
   PARiConnect Account has accepted Privacy Policy/Terms and Conditions.

 * Cookie
   __ReqPicAdminVerToken
 * Duration
   session
 * Description
   
   Anti-Forgery Token used to prevent Cross-Site-Scripting attacks on the
   PARiConnect Assessment Administration application.

Functional


Functional cookies help perform certain functionalities like sharing the content
of the website on social media platforms, collecting feedback, and other
third-party features.

 * Cookie
   _pendo_accountId.
 * Duration
   100 days
 * Description
   
   The Pendo Agent uses this cookie to identify and record the visitor’s Account
   ID that will be used in Pendo like Guide delivery and analytics.

 * Cookie
   _pendo_visitorId.
 * Duration
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 * Description
   
   The Pendo agent uses this cookie to identify and record the visitor
   information so the information is used in Pendo analytics and Guide
   delivery. 

 * Cookie
   log-enabled
 * Duration
   Session
 * Description
   
   The agent uses this cookie to record additional details for troubleshooting
   purposes.
   
   (We typically don't have logging enabled in Production accounts.)

 * Cookie
   _pendo_launcher-closed.
 * Duration
   10 Days
 * Description
   
   The Pendo agent uses this cookie to identify and record the visitor
   information. Then, the information is used in Pendo analytics and Guide
   delivery. 

 * Cookie
   debug-enabled
 * Duration
   Session
 * Description
   
   For Pendo, written to and read from when the function
   pendo.isDebuggingEnabled() is triggered, which gets information from this
   cookie, is used in several places (like log.js, guides.js, and exports.js.)

 * Cookie
   _pendo_meta.
 * Duration
   100 Days
 * Description
   
   For Pendo, written to and read from in the Pendo agent. This cookie stores a
   hash of the current metadata so that Pendo can see when it's changed and
   update it.

 * Cookie
   _pendo_lastStepAdvanced.
 * Duration
   10 Seconds
 * Description
   
   For Pendo, written to and read from in the Pendo agent. This cookie, along
   with "latestDismissedAutoAt" and "finalDismissedAutoAt," are short-term
   cookies (~10 seconds) that keep guides from showing again after they've been
   dismissed.

 * Cookie
   _pendo_latestDismissedAutoAt.
 * Duration
   10 Seconds
 * Description
   
   Written to and read from in the Pendo agent. This cookie, along with
   "lastStepAdvanced" and "finalDismissedAutoAt," are short-term cookies (~10
   seconds) that keep guides from showing again after they've been dismissed.

 * Cookie
   _pendo_finalDismissedAutoAt.
 * Duration
   10 Seconds
 * Description
   
   Written to and read from in the Pendo agent. This cookie, along with
   "lastStepAdvanced" and "latestDismissedAutoAt," are short-term cookies (~10
   seconds) that keep guides from showing again after they've been dismissed.

 * Cookie
   active-contexts
 * Duration
   100 Days
 * Description
   
   Read from and written to in the Pendo agent based on what is and isn't logged
   to the console.

 * Cookie
   _pendo_feedback_ping_sent.
 * Duration
   60 Minutes
 * Description
   
   The Pendo agent will write information about the user (or visitor) like name,
   value, etc. when a ping is successful.  
   
   Written when we send a ping for a user, there is then a 5 minute timer which
   checks to see if the cookie has expired, if it has we send another ping. A
   feedback ping includes information about the user, their name, value etc.

 * Cookie
   _pendo_receptive_ping_sent.
 * Duration
   N/A (Permanent)
 * Description
   
   For Pendo, the response of a ping includes a notification count. Pendo writes
   this to a cookie so that it is persisted across refreshes, It’s deleted when
   the user opens feedback.

 * Cookie
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   1 Day
 * Description
   
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 * Cookie
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 * Duration
   30 Days
 * Description
   
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 * Duration
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   6 Months
 * Description
   
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 * Cookie
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   6 Months
 * Description
   
   YouTube - Prevents malicious sites from acting on behalf of the user, and
   ensures that requests are made by the user.

Analytics


Analytical cookies are used to understand how visitors interact with the
website. These cookies help provide information on metrics such as the number of
visitors, bounce rate, traffic source, etc.

 * Cookie
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 * Duration
   1 day
 * Description
   
   This cookie is used by Google Analytics to store information about how
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 * Duration
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 * Description
   
   This cookie is used by Google Analytics to count unique visitors and page
   views.

 * Cookie
   _gat
 * Duration
   1 minute
 * Description
   
   This cookie is used by Google Analytics to throttle bots and automated
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Performance

Performance cookies are used to understand and analyze the key performance
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the visitors.

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Advertisement

Advertisement cookies are used to provide visitors with customized
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Others

Other uncategorized cookies are those that are being analyzed and have not been
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MESSAGE

×
(content)
Ok
The Children's Online Privacy Protection Act of 1998 (COPPA) provides for
certain protections and safeguards when children under the age of 13 are self
reporting personal information via the Internet. Therefore, PARiConnect does not
provide for the use of the selected self-report form because this child is less
than 13 years old.

You are about to begin the assessment. If you cannot complete the assessment in
a single session, exit by closing the browser window. To continue an emailed
assessment at a later time, click on the emailed link.

Please review the following information for accuracy:

First Name*
Last Name*
ID Number*
Birthdate
Gender*
Female
Male
Test Date*
Age*
GradeNot
SpecifiedPre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thCollege
Rater Name
Relationship to ChildNot SpecifiedParentGuardianOther
Relationship Description

If any of this information is incorrect, please close the browser and contact
the person/organization that assigned this assessment.

The following screen content is the property of PAR Inc. Any unauthorized
copying of these screens is a violation of US copyright law.

CANCEL CONTINUE

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

© 2012-2023 by PAR, Inc. All rights reserved. (N)
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