employer.chemistryjobs.acs.org Open in urlscan Pro
18.239.50.27  Public Scan

Form analysis
2 forms found in the DOM

POST /login/

<form method="post" action="/login/" class="cf">
  <fieldset class="cf">
    <legend>Sign in</legend>
    <input type="hidden" name="PipelinedPage" value="~/company/add-user/">
    <input type="hidden" name="PipelinedQueryString" value="">
    <div class="field">
      <label for="inpUsername">Email address<span class="field__indicator field__indicator--is-required"><i data-icon="*" class="icon-after"></i></span></label>
      <input type="email" id="inpUsername" name="Username" value="" required="" autocomplete="email">
    </div>
    <div class="field">
      <label for="inpPassword">Password<span class="field__indicator field__indicator--is-required"><i data-icon="*" class="icon-after"></i></span></label>
      <input type="password" id="inpPassword" name="Password" value="" required="" autocomplete="off">
    </div>
    <div class="field float-right">
      <input type="submit" value="Sign in" class="button button--brand">
    </div>
  </fieldset>
  <p class="float-right no-margin"><a href="/account-forgotten-password/" class="js-lightbox">Forgotten password?</a></p>
</form>

POST /callback-request/

<form method="post" action="/callback-request/">
  <fieldset class="cf grid">
    <div class="field grid-item one-fifth portable-one-whole palm-one-whole">
      <label for="firstName" class="hidden">First name<span class="field__indicator field__indicator--is-required"><i data-icon="*" class="icon-after"></i></span></label>
      <input type="text" id="firstName" placeholder="First Name" name="FirstName" value="" required="" autocomplete="off">
    </div>
    <div class="field grid-item one-fifth portable-one-whole palm-one-whole">
      <label for="lastName" class="hidden">Last name<span class="field__indicator field__indicator--is-required"><i data-icon="*" class="icon-after"></i></span></label>
      <input type="text" id="lastName" placeholder="Last Name" name="LastName" value="" required="" autocomplete="off">
    </div>
    <div class="field grid-item one-fifth portable-one-whole palm-one-whole">
      <label for="company" class="hidden">Company<span class="field__indicator field__indicator--is-required"><i data-icon="*" class="icon-after"></i></span></label>
      <input type="text" id="company" placeholder="Company" name="Company" value="" required="" autocomplete="off">
    </div>
    <div class="field grid-item one-fifth portable-one-whole palm-one-whole">
      <label for="telNumber" class="hidden">Email<span class="field__indicator field__indicator--is-required"><i data-icon="*" class="icon-after"></i></span></label>
      <input type="email" id="telNumber" placeholder="Email" name="TelephoneNumber" value="" required="" autocomplete="off">
    </div>
    <input type="hidden" name="PipelinedPage" value="~/">
    <input type="hidden" name="PipelinedQueryString" value="">
    <div class="field grid-item one-fifth portable-one-whole palm-one-whole">
      <input type="submit" value="Inquire Today" class="button button--brand">
    </div>
  </fieldset>
</form>

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