chooseyoureducation.com Open in urlscan Pro
2606:4700:3033::6815:4a87  Public Scan

URL: https://chooseyoureducation.com/
Submission: On April 26 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /flow?uid=5a0460e4-e8ff-4990-bcdf-967a22049573

<form id="formSubmit" action="/flow?uid=5a0460e4-e8ff-4990-bcdf-967a22049573" method="POST" data-effect="" data-effect-duration="">
  <div id="f1" class="dynamic-form form-step form1 form1-1">
    <div class="row row-spacing" data-row-id="1">
      <div id="col-field-cf_area_of_studies" class="col select-area-of-studies x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">What is your desired area of study?</label>
        <div id="cf_area_of_studies" class="path-dynamic-field path-cf-checkbox path-form-field-with-feedback-control">
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_0">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_0" value="art-design">
              <span>Art &amp; Design</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_1">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_1" value="business">
              <span>Business</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_2">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_2" value="computers-technology">
              <span>Computers &amp; Technology</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_3">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_3" value="education-teaching">
              <span>Education &amp; Teaching</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_4">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_4" value="engineering">
              <span>Engineering</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_5">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_5" value="health-medical">
              <span>Health &amp; Medical</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_6">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_6" value="law-criminal-justice">
              <span>Law &amp; Criminal Justice</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_7">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_7" value="liberal-arts-humanities">
              <span>Liberal Arts &amp; Humanities</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_8">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_8" value="nursing">
              <span>Nursing</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_9">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_9" value="science-math">
              <span>Science &amp; Math</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_10">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_10" value="social-science">
              <span>Social Science</span>
            </label>
          </div>
          <div class="cf_check">
            <label class="cf_check__label" for="cf_area_of_studies_11">
              <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="cf_area_of_studies_11" value="trade-technical">
              <span>Trade &amp; Technical</span>
            </label>
          </div>
        </div>
        <span id="cf_area_of_studies-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_area_of_studies').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#cf_area_of_studies-error-feedback')
            var container = this
            var elemOptions = {}
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('cf_area_of_studies')
            evt.detail.setFieldOptions(
              '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%3D%3D'
              )
            evt.detail.overrideOnChangeListener(function() {})
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(container),
                show: renders.hideParentFieldForm(container, false),
                populate: {
                  prepopulate_with: function(value) {
                    if (value) value.split(',').forEach(function(key) {
                      var elem = elemOptions[key]
                      if (elem) elem.checked = true
                    })
                  },
                  populate_options: renders.fillHTMLOptions(container, 'cf_area_of_studies', function(option, id) {
                    return `
                <div class="cf_check">
                  <label class="cf_check__label" for="${id}">
                    <input class="cf_check__input cf_check_multiple path-dynamic-field " type="checkbox" data-custom="cf_area_of_studies" name="cf_area_of_studies" id="${id}" value="${option.value}">
                    <span>${option.label}</span>
                  </label>
                </div>`
                  }, function(option, elem) {
                    elemOptions[option.value] = elem
                    return evt.detail.listener(function(e, getValue) {
                      getValue(function(value) {
                        if (e.target.checked) return value ? value.split(',').concat(option.value).join(',') : option.value
                        else return (value || '').split(',').filter(function(d) {
                          return d !== option.value
                        }).join(',')
                      })
                    })
                  }, ``, ``)
                },
                validation: renders.fillFeedbackMessage(feedbackElem),
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="2">
      <div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
        <div id="path-field-html-1-2-1" class="path-dynamic-field">
          <p>We will collect your contact information to respond to your requests for information and provide you with educational matching services. As a result, you may be matched to one or more sponsored schools from which we receive compensation.
            Compensation may impact where Sponsored Schools appear on our websites. We use cookies and other tracking technologies to collect your personal information in order to gauge online activity on our website, measure the effectiveness of
            online services, applications, and tools. For more information, see our <a href="/privacy-policy">privacy policy.</a></p>
        </div>
        <script>
          document.querySelector('#path-field-html-1-2-1').addEventListener('path-dynamic-field-register', function(evt) {
            var elem = this
            elem.fieldContent = elem.innerHTML
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillMergetagsHTML(elem)
                },
              }
            })
          })
        </script>
      </div>
    </div>
  </div>
  <div id="f2" class="dynamic-form form-step form2 form1-2 hidden">
    <div class="row row-spacing" data-row-id="1">
      <div id="col-field-cf_education_level_id" class="col select-education-level x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">What is the highest level of education you have achieved?</label>
        <div id="cf_education_level_id" class="path-dynamic-field path-form-field-with-feedback-control path-cf-radio">
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_0">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_0" value="education-level-no-high-school-diploma">
              <span>No High School Diploma</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_1">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_1" value="education-level-high-school-diploma">
              <span>High School Diploma</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_2">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_2" value="education-level-ged">
              <span>GED</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_3">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_3" value="education-level-some-college-1-29-credits">
              <span>Some College (1-29 credits)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_4">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_4" value="education-level-some-college-30-59-credits">
              <span>Some College (30-59 credits)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_5">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_5" value="education-level-some-college-60-credits">
              <span>Some College (60+ credits)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_6">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_6" value="education-level-associates-degree">
              <span>Associates Degree</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_7">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_7" value="education-level-masters-degree">
              <span>Masters Degree</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_8">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_8" value="education-level-doctorates-phd">
              <span>Doctorates/PhD</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_education_level_id_9">
              <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="cf_education_level_id_9" value="education-level-bachelors-degree">
              <span>Bachelors Degree</span>
            </label>
          </div>
        </div>
        <span id="cf_education_level_id-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_education_level_id').addEventListener('path-dynamic-field-register', function(evt) {
            var container = this
            var elemOptions = {}
            var feedbackElem = document.querySelector('#cf_education_level_id-error-feedback')
            evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOm51bGx9LCJ2aXNpYmlsaXR5IjpudWxsLCJ2YWxpZGF0aW9ucyI6bnVsbH0%3D')
            evt.detail.assignToState('cf_education_level_id')
            evt.detail.overrideOnChangeListener(function() {})
            evt.detail.setFieldOptions(
              '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%3D%3D'
              )
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(container),
                show: renders.hideParentFieldForm(container, false),
                validation: renders.fillFeedbackMessage(feedbackElem),
                populate: {
                  prepopulate_with: function(key) {
                    var elem = elemOptions[key]
                    if (elem) elem.checked = true
                  },
                  populate_options: renders.fillHTMLOptions(container, 'cf_education_level_id', function(option, id) {
                    return `
                <div class="cf_radio">
                  <label class="cf_radio__label" for="${id}">
                    <input class="cf_radio__input " type="radio" data-custom="cf_education_level_id" name="cf_education_level_id" id="${id}" value="${option.value}">
                    <span>${option.label}</span>
                  </label>
                </div>`
                  }, function(option, elem) {
                    elemOptions[option.value] = elem
                    return evt.detail.listener(function(e, getValue) {
                      getValue(function(value) {
                        return e.target.checked ? option.value : value
                      })
                    })
                  }, ``, ``)
                },
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="2">
      <div id="col-field-cf_grad_year" class="col select-select-year form-field-col" data-col-id="1" data-autohide="">
        <label class="label">What year did you obtain your high school diploma or GED?</label>
        <select id="cf_grad_year" data-custom="cf_grad_year" name="cf_grad_year" title="What year did you obtain your high school diploma or GED?" class="path-form-field-with-feedback path-dynamic-field ">
          <option value=""> Select Option </option>
          <option value="1960">1960</option>
          <option value="1961">1961</option>
          <option value="1962">1962</option>
          <option value="1963">1963</option>
          <option value="1964">1964</option>
          <option value="1965">1965</option>
          <option value="1966">1966</option>
          <option value="1967">1967</option>
          <option value="1968">1968</option>
          <option value="1969">1969</option>
          <option value="1970">1970</option>
          <option value="1971">1971</option>
          <option value="1972">1972</option>
          <option value="1973">1973</option>
          <option value="1974">1974</option>
          <option value="1975">1975</option>
          <option value="1976">1976</option>
          <option value="1977">1977</option>
          <option value="1978">1978</option>
          <option value="1979">1979</option>
          <option value="1980">1980</option>
          <option value="1981">1981</option>
          <option value="1982">1982</option>
          <option value="1983">1983</option>
          <option value="1984">1984</option>
          <option value="1985">1985</option>
          <option value="1986">1986</option>
          <option value="1987">1987</option>
          <option value="1988">1988</option>
          <option value="1989">1989</option>
          <option value="1990">1990</option>
          <option value="1991">1991</option>
          <option value="1992">1992</option>
          <option value="1993">1993</option>
          <option value="1994">1994</option>
          <option value="1995">1995</option>
          <option value="1996">1996</option>
          <option value="1997">1997</option>
          <option value="1998">1998</option>
          <option value="1999">1999</option>
          <option value="2000">2000</option>
          <option value="2001">2001</option>
          <option value="2002">2002</option>
          <option value="2003">2003</option>
          <option value="2004">2004</option>
          <option value="2005">2005</option>
          <option value="2006">2006</option>
          <option value="2007">2007</option>
          <option value="2008">2008</option>
          <option value="2009">2009</option>
          <option value="2010">2010</option>
          <option value="2011">2011</option>
          <option value="2012">2012</option>
          <option value="2013">2013</option>
          <option value="2014">2014</option>
          <option value="2015">2015</option>
          <option value="2016">2016</option>
          <option value="2017">2017</option>
          <option value="2018">2018</option>
          <option value="2019">2019</option>
          <option value="2020">2020</option>
          <option value="2021">2021</option>
          <option value="2022">2022</option>
          <option value="2023">2023</option>
          <option value="2024">2024</option>
        </select>
        <span id="cf_grad_year-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_grad_year').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#cf_grad_year-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.overrideOnChangeListener(function() {
              elem.addEventListener('change', evt.detail.listener(function(evt, setValue) {
                setValue(evt.target.value)
              }))
            })
            evt.detail.setFieldOptions(
              '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%3D'
              )
            evt.detail.assignToState('cf_grad_year')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Select Option
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="3">
      <div id="col-field-cf_rn_license" class="col select-registered-nurse form-field-col" data-col-id="1" data-autohide="false">
        <label class="label">Do you have a current, unrestricted RN, LPN, or LVN license?</label>
        <select id="cf_rn_license" data-custom="cf_rn_license" name="cf_rn_license" title="Do you have a current, unrestricted RN, LPN, or LVN license?" class="path-form-field-with-feedback path-dynamic-field ">
          <option value=""> Select Option </option>
          <option value="registered-nurse-yes">Yes</option>
          <option value="registered-nurse-no">No</option>
        </select>
        <span id="cf_rn_license-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_rn_license').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#cf_rn_license-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOm51bGx9LCJ2aXNpYmlsaXR5Ijp7InR5cGUiOiJoaWRlIiwiYWN0aW9ucyI6W10sImF1dG9oaWRlIjpmYWxzZX0sInZhbGlkYXRpb25zIjpudWxsfQ%3D%3D')
            evt.detail.overrideOnChangeListener(function() {
              elem.addEventListener('change', evt.detail.listener(function(evt, setValue) {
                setValue(evt.target.value)
              }))
            })
            evt.detail.setFieldOptions('W3sibGFiZWwiOiJZZXMiLCJ2YWx1ZSI6InJlZ2lzdGVyZWQtbnVyc2UteWVzIn0seyJsYWJlbCI6Ik5vIiwidmFsdWUiOiJyZWdpc3RlcmVkLW51cnNlLW5vIn1d')
            evt.detail.assignToState('cf_rn_license')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Select Option
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="4">
      <div id="col-field-cf_teaching_license" class="col select-teaching-license form-field-col hidden" data-col-id="1" data-autohide="true">
        <label class="label">[select] Teaching License (hide and default to NO)</label>
        <select id="cf_teaching_license" data-custom="cf_teaching_license" name="cf_teaching_license" title="[select] Teaching License (hide and default to NO)" class="path-form-field-with-feedback path-dynamic-field ">
          <option value=""> Select Option </option>
          <option value="teaching-license-yes">Yes</option>
          <option value="teaching-license-no">No</option>
        </select>
        <span id="cf_teaching_license-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_teaching_license').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#cf_teaching_license-error-feedback')
            var elem = this
            evt.detail.setControls(
              'eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbeyJ0eXBlIjoicHJlcG9wdWxhdGVfd2l0aCIsInJ1bGVzIjp7Imdyb3VwcyI6W10sImNvbmRpdGlvbiI6Im5vbmUifSwidmFsdWUiOiJ0ZWFjaGluZy1saWNlbnNlLW5vIn1dLCJwbGFjZWhvbGRlciI6bnVsbH0sInZpc2liaWxpdHkiOnsidHlwZSI6ImhpZGUiLCJhY3Rpb25zIjpbeyJydWxlcyI6eyJncm91cHMiOltdLCJjb25kaXRpb24iOiJub25lIn19XSwiYXV0b2hpZGUiOnRydWV9LCJ2YWxpZGF0aW9ucyI6bnVsbH0%3D'
              )
            evt.detail.overrideOnChangeListener(function() {
              elem.addEventListener('change', evt.detail.listener(function(evt, setValue) {
                setValue(evt.target.value)
              }))
            })
            evt.detail.setFieldOptions('W3sibGFiZWwiOiJZZXMiLCJ2YWx1ZSI6InRlYWNoaW5nLWxpY2Vuc2UteWVzIn0seyJsYWJlbCI6Ik5vIiwidmFsdWUiOiJ0ZWFjaGluZy1saWNlbnNlLW5vIn1d')
            evt.detail.assignToState('cf_teaching_license')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Select Option
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="5">
      <div id="col-field-cf_enrolled_status" class="col select-enrolled-in-college form-field-col hidden" data-col-id="1" data-autohide="true">
        <label class="label">[select] Enrolled in College (hide and default to NO)</label>
        <select id="cf_enrolled_status" data-custom="cf_enrolled_status" name="cf_enrolled_status" title="[select] Enrolled in College (hide and default to NO)" class="path-form-field-with-feedback path-dynamic-field ">
          <option value=""> Select Option </option>
          <option value="enrolled-status-yes">Yes</option>
          <option value="enrolled-status-no">No</option>
        </select>
        <span id="cf_enrolled_status-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_enrolled_status').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#cf_enrolled_status-error-feedback')
            var elem = this
            evt.detail.setControls(
              'eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbeyJ0eXBlIjoicHJlcG9wdWxhdGVfd2l0aCIsInJ1bGVzIjp7Imdyb3VwcyI6W10sImNvbmRpdGlvbiI6Im5vbmUifSwidmFsdWUiOiJlbnJvbGxlZC1zdGF0dXMtbm8ifV0sInBsYWNlaG9sZGVyIjpudWxsfSwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOlt7InJ1bGVzIjp7Imdyb3VwcyI6W10sImNvbmRpdGlvbiI6Im5vbmUifX1dLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjpudWxsfQ%3D%3D'
              )
            evt.detail.overrideOnChangeListener(function() {
              elem.addEventListener('change', evt.detail.listener(function(evt, setValue) {
                setValue(evt.target.value)
              }))
            })
            evt.detail.setFieldOptions('W3sibGFiZWwiOiJZZXMiLCJ2YWx1ZSI6ImVucm9sbGVkLXN0YXR1cy15ZXMifSx7ImxhYmVsIjoiTm8iLCJ2YWx1ZSI6ImVucm9sbGVkLXN0YXR1cy1ubyJ9XQ%3D%3D')
            evt.detail.assignToState('cf_enrolled_status')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Select Option
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="6">
      <div id="col-field-previous_step_button" class="col previous-step-button form-field-col-ignored" data-col-id="1" data-autohide="">
        <button class="form-back-button path-form-previous-step-button " type="button" id="previous-step-button">
          <i class="uil uil-arrow-left"></i>
          <span>BACK</span>
        </button>
      </div>
    </div>
  </div>
  <div id="f3" class="dynamic-form form-step form3 form1-3 hidden">
    <div class="row row-spacing" data-row-id="1">
      <div id="col-field-previous_step_button" class="col previous-step-button form-field-col-ignored" data-col-id="1" data-autohide="">
        <button class="form-back-button path-form-previous-step-button " type="button" id="previous-step-button">
          <i class="uil uil-arrow-left"></i>
          <span>BACK</span>
        </button>
      </div>
    </div>
  </div>
  <div id="f4" class="dynamic-form form-step form4 form1-4 hidden">
    <div class="row row-spacing" data-row-id="1">
      <div id="col-field-dob" class="col date-of-birth form-field-col" data-col-id="1" data-autohide="">
        <label class="label">What year were you born?</label>
        <div class="row path-form-field-with-feedback-control">
          <div class="col">
            <select id="dob_month" name="dob_month" title="Dob Month" autocomplete="bday-month" class="path-dynamic-field required">
              <option value=""> Month </option>
              <option value="01">Jan</option>
              <option value="02">Feb</option>
              <option value="03">Mar</option>
              <option value="04">Apr</option>
              <option value="05">May</option>
              <option value="06">Jun</option>
              <option value="07">Jul</option>
              <option value="08">Aug</option>
              <option value="09">Sep</option>
              <option value="10">Oct</option>
              <option value="11">Nov</option>
              <option value="12">Dec</option>
            </select>
          </div>
          <div class="col">
            <select id="dob_day" name="dob_day" title="Dob Day" autocomplete="bday-day" class="path-dynamic-field required">
              <option value=""> Day </option>
              <option value="01">01</option>
              <option value="02">02</option>
              <option value="03">03</option>
              <option value="04">04</option>
              <option value="05">05</option>
              <option value="06">06</option>
              <option value="07">07</option>
              <option value="08">08</option>
              <option value="09">09</option>
              <option value="10">10</option>
              <option value="11">11</option>
              <option value="12">12</option>
              <option value="13">13</option>
              <option value="14">14</option>
              <option value="15">15</option>
              <option value="16">16</option>
              <option value="17">17</option>
              <option value="18">18</option>
              <option value="19">19</option>
              <option value="20">20</option>
              <option value="21">21</option>
              <option value="22">22</option>
              <option value="23">23</option>
              <option value="24">24</option>
              <option value="25">25</option>
              <option value="26">26</option>
              <option value="27">27</option>
              <option value="28">28</option>
              <option value="29">29</option>
              <option value="30">30</option>
              <option value="31">31</option>
            </select>
          </div>
          <div class="col">
            <select id="dob_year" name="dob_year" title="Dob Year" autocomplete="bday-year" class="path-dynamic-field required">
              <option value=""> Year </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</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>
              <option value="1945">1945</option>
              <option value="1944">1944</option>
              <option value="1943">1943</option>
              <option value="1942">1942</option>
              <option value="1941">1941</option>
              <option value="1940">1940</option>
              <option value="1939">1939</option>
              <option value="1938">1938</option>
              <option value="1937">1937</option>
              <option value="1936">1936</option>
              <option value="1935">1935</option>
              <option value="1934">1934</option>
              <option value="1933">1933</option>
              <option value="1932">1932</option>
              <option value="1931">1931</option>
              <option value="1930">1930</option>
              <option value="1929">1929</option>
              <option value="1928">1928</option>
              <option value="1927">1927</option>
              <option value="1926">1926</option>
              <option value="1925">1925</option>
              <option value="1924">1924</option>
            </select>
          </div>
        </div>
        <span id="dobmessage" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          var feedbackElem = document.querySelector('#dobmessage')
          document.querySelector('#dob_day').addEventListener('path-dynamic-field-register', function(evt) {
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
            evt.detail.assignToState('dob_day', evt.detail.effects.age)
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Day
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
          document.querySelector('#dob_year').addEventListener('path-dynamic-field-register', function(evt) {
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
            evt.detail.assignToState('age')
            evt.detail.assignToState('dob_year', evt.detail.effects.age)
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Year
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
          document.querySelector('#dob_month').addEventListener('path-dynamic-field-register', function(evt) {
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
            evt.detail.assignToState('dob_month', evt.detail.effects.age)
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Month
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="2">
      <div id="col-field-cf_us_citizen" class="col select-us-citizen x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">Are you a U.S. Citizen?</label>
        <div id="cf_us_citizen" class="path-dynamic-field path-form-field-with-feedback-control path-cf-radio">
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_us_citizen_0">
              <input class="cf_radio__input " type="radio" data-custom="cf_us_citizen" name="cf_us_citizen" id="cf_us_citizen_0" value="citizenship-yes">
              <span>Yes</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_us_citizen_1">
              <input class="cf_radio__input " type="radio" data-custom="cf_us_citizen" name="cf_us_citizen" id="cf_us_citizen_1" value="citizenship-no">
              <span>No</span>
            </label>
          </div>
        </div>
        <span id="cf_us_citizen-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_us_citizen').addEventListener('path-dynamic-field-register', function(evt) {
            var container = this
            var elemOptions = {}
            var feedbackElem = document.querySelector('#cf_us_citizen-error-feedback')
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('cf_us_citizen')
            evt.detail.overrideOnChangeListener(function() {})
            evt.detail.setFieldOptions('W3sibGFiZWwiOiJZZXMiLCJ2YWx1ZSI6ImNpdGl6ZW5zaGlwLXllcyJ9LHsibGFiZWwiOiJObyIsInZhbHVlIjoiY2l0aXplbnNoaXAtbm8ifV0%3D')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(container),
                show: renders.hideParentFieldForm(container, false),
                validation: renders.fillFeedbackMessage(feedbackElem),
                populate: {
                  prepopulate_with: function(key) {
                    var elem = elemOptions[key]
                    if (elem) elem.checked = true
                  },
                  populate_options: renders.fillHTMLOptions(container, 'cf_us_citizen', function(option, id) {
                    return `
                <div class="cf_radio">
                  <label class="cf_radio__label" for="${id}">
                    <input class="cf_radio__input " type="radio" data-custom="cf_us_citizen" name="cf_us_citizen" id="${id}" value="${option.value}">
                    <span>${option.label}</span>
                  </label>
                </div>`
                  }, function(option, elem) {
                    elemOptions[option.value] = elem
                    return evt.detail.listener(function(e, getValue) {
                      getValue(function(value) {
                        return e.target.checked ? option.value : value
                      })
                    })
                  }, ``, ``)
                },
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="3">
      <div id="col-field-cf_military_type" class="col select-millitary-affiliation mt-3 x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">Please select your military status:</label>
        <div id="cf_military_type" class="path-dynamic-field path-form-field-with-feedback-control path-cf-radio">
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_0">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_0" value="military-no-military-affiliation">
              <span>No Military Affiliation</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_1">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_1" value="military-af-active-duty-ad">
              <span>AF - Active Duty (AD)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_2">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_2" value="military-af-selective-reserve-sr">
              <span>AF - Selective Reserve (SR)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_3">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_3" value="military-af-spouse-of-ad-or-sr">
              <span>AF - Spouse of AD or SR</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_4">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_4" value="military-af-veteran">
              <span>AF - Veteran</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_5">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_5" value="military-af-civilian">
              <span>AF - Civilian</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_6">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_6" value="military-ar-active-duty-ad">
              <span>AR - Active Duty (AD)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_7">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_7" value="military-ar-selective-reserve-sr">
              <span>AR - Selective Reserve (SR)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_8">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_8" value="military-ar-spouse-of-ad-or-sr">
              <span>AR - Spouse of AD or SR</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_9">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_9" value="military-ar-veteran">
              <span>AR - Veteran</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_10">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_10" value="military-ar-civilian">
              <span>AR - Civilian</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_11">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_11" value="military-cg-active-duty-ad">
              <span>CG - Active Duty (AD)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_12">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_12" value="military-cg-selective-reserve-sr">
              <span>CG - Selective Reserve (SR)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_13">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_13" value="military-cg-spouse-of-ad-or-sr">
              <span>CG - Spouse of AD or SR</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_14">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_14" value="military-cg-veteran">
              <span>CG - Veteran</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_15">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_15" value="military-cg-civilian">
              <span>CG - Civilian</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_16">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_16" value="military-mc-active-duty-ad">
              <span>MC - Active Duty (AD)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_17">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_17" value="military-mc-selective-reserve-sr">
              <span>MC - Selective Reserve (SR)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_18">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_18" value="military-mc-spouse-of-ad-or-sr">
              <span>MC - Spouse of AD or SR</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_19">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_19" value="military-mc-veteran">
              <span>MC - Veteran</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_20">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_20" value="military-mc-civilian">
              <span>MC - Civilian</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_21">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_21" value="military-nv-active-duty-ad">
              <span>NV - Active Duty (AD)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_22">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_22" value="military-nv-selective-reserve-sr">
              <span>NV - Selective Reserve (SR)</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_23">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_23" value="military-nv-spouse-of-ad-or-sr">
              <span>NV - Spouse of AD or SR</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_24">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_24" value="military-nv-veteran">
              <span>NV - Veteran</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_military_type_25">
              <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="cf_military_type_25" value="military-nv-civilian">
              <span>NV - Civilian</span>
            </label>
          </div>
        </div>
        <span id="cf_military_type-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_military_type').addEventListener('path-dynamic-field-register', function(evt) {
            var container = this
            var elemOptions = {}
            var feedbackElem = document.querySelector('#cf_military_type-error-feedback')
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('cf_military_type')
            evt.detail.overrideOnChangeListener(function() {})
            evt.detail.setFieldOptions(
              '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%3D%3D'
              )
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(container),
                show: renders.hideParentFieldForm(container, false),
                validation: renders.fillFeedbackMessage(feedbackElem),
                populate: {
                  prepopulate_with: function(key) {
                    var elem = elemOptions[key]
                    if (elem) elem.checked = true
                  },
                  populate_options: renders.fillHTMLOptions(container, 'cf_military_type', function(option, id) {
                    return `
                <div class="cf_radio">
                  <label class="cf_radio__label" for="${id}">
                    <input class="cf_radio__input " type="radio" data-custom="cf_military_type" name="cf_military_type" id="${id}" value="${option.value}">
                    <span>${option.label}</span>
                  </label>
                </div>`
                  }, function(option, elem) {
                    elemOptions[option.value] = elem
                    return evt.detail.listener(function(e, getValue) {
                      getValue(function(value) {
                        return e.target.checked ? option.value : value
                      })
                    })
                  }, ``, ``)
                },
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="4">
      <div id="col-field-previous_step_button" class="col previous-step-button form-field-col-ignored" data-col-id="1" data-autohide="">
        <button class="form-back-button path-form-previous-step-button " type="button" id="previous-step-button">
          <i class="uil uil-arrow-left"></i>
          <span>BACK</span>
        </button>
      </div>
    </div>
  </div>
  <div id="f5" class="dynamic-form form-step form5 form1-5 hidden">
    <div class="row row-spacing" data-row-id="1">
      <div id="col-field-cf_start_date" class="col select-start-date x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">When would you like to start:</label>
        <div id="cf_start_date" class="path-dynamic-field path-form-field-with-feedback-control path-cf-radio">
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_start_date_0">
              <input class="cf_radio__input required" type="radio" data-custom="cf_start_date" name="cf_start_date" id="cf_start_date_0" value="desired-start-date-immediately">
              <span>Immediately</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_start_date_1">
              <input class="cf_radio__input required" type="radio" data-custom="cf_start_date" name="cf_start_date" id="cf_start_date_1" value="desired-start-date-1-3-months">
              <span>1-3 Months</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_start_date_2">
              <input class="cf_radio__input required" type="radio" data-custom="cf_start_date" name="cf_start_date" id="cf_start_date_2" value="desired-start-date-4-6-months">
              <span>4-6 Months</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_start_date_3">
              <input class="cf_radio__input required" type="radio" data-custom="cf_start_date" name="cf_start_date" id="cf_start_date_3" value="desired-start-date-7-12-months">
              <span>7-12 Months</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_start_date_4">
              <input class="cf_radio__input required" type="radio" data-custom="cf_start_date" name="cf_start_date" id="cf_start_date_4" value="desired-start-date-more-than-1-year">
              <span>More than 1 Year</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_start_date_5">
              <input class="cf_radio__input required" type="radio" data-custom="cf_start_date" name="cf_start_date" id="cf_start_date_5" value="desired-start-date-not-sure">
              <span>Not Sure</span>
            </label>
          </div>
        </div>
        <span id="cf_start_date-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_start_date').addEventListener('path-dynamic-field-register', function(evt) {
            var container = this
            var elemOptions = {}
            var feedbackElem = document.querySelector('#cf_start_date-error-feedback')
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
            evt.detail.assignToState('cf_start_date')
            evt.detail.overrideOnChangeListener(function() {})
            evt.detail.setFieldOptions(
              'W3sibGFiZWwiOiJJbW1lZGlhdGVseSIsInZhbHVlIjoiZGVzaXJlZC1zdGFydC1kYXRlLWltbWVkaWF0ZWx5In0seyJsYWJlbCI6IjEtMyBNb250aHMiLCJ2YWx1ZSI6ImRlc2lyZWQtc3RhcnQtZGF0ZS0xLTMtbW9udGhzIn0seyJsYWJlbCI6IjQtNiBNb250aHMiLCJ2YWx1ZSI6ImRlc2lyZWQtc3RhcnQtZGF0ZS00LTYtbW9udGhzIn0seyJsYWJlbCI6IjctMTIgTW9udGhzIiwidmFsdWUiOiJkZXNpcmVkLXN0YXJ0LWRhdGUtNy0xMi1tb250aHMifSx7ImxhYmVsIjoiTW9yZSB0aGFuIDEgWWVhciIsInZhbHVlIjoiZGVzaXJlZC1zdGFydC1kYXRlLW1vcmUtdGhhbi0xLXllYXIifSx7ImxhYmVsIjoiTm90IFN1cmUiLCJ2YWx1ZSI6ImRlc2lyZWQtc3RhcnQtZGF0ZS1ub3Qtc3VyZSJ9XQ%3D%3D'
              )
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(container),
                show: renders.hideParentFieldForm(container, false),
                validation: renders.fillFeedbackMessage(feedbackElem),
                populate: {
                  prepopulate_with: function(key) {
                    var elem = elemOptions[key]
                    if (elem) elem.checked = true
                  },
                  populate_options: renders.fillHTMLOptions(container, 'cf_start_date', function(option, id) {
                    return `
                <div class="cf_radio">
                  <label class="cf_radio__label" for="${id}">
                    <input class="cf_radio__input required" type="radio" data-custom="cf_start_date" name="cf_start_date" id="${id}" value="${option.value}">
                    <span>${option.label}</span>
                  </label>
                </div>`
                  }, function(option, elem) {
                    elemOptions[option.value] = elem
                    return evt.detail.listener(function(e, getValue) {
                      getValue(function(value) {
                        return e.target.checked ? option.value : value
                      })
                    })
                  }, ``, ``)
                },
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="2">
      <div id="col-field-cf_besttime_contact" class="col select-best-time-to-contact x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">Best Time to Contact</label>
        <div id="cf_besttime_contact" class="path-dynamic-field path-form-field-with-feedback-control path-cf-radio">
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_besttime_contact_0">
              <input class="cf_radio__input " type="radio" data-custom="cf_besttime_contact" name="cf_besttime_contact" id="cf_besttime_contact_0" value="best-time-to-contact-anytime">
              <span>Anytime</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_besttime_contact_1">
              <input class="cf_radio__input " type="radio" data-custom="cf_besttime_contact" name="cf_besttime_contact" id="cf_besttime_contact_1" value="best-time-to-contact-morning">
              <span>Morning</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_besttime_contact_2">
              <input class="cf_radio__input " type="radio" data-custom="cf_besttime_contact" name="cf_besttime_contact" id="cf_besttime_contact_2" value="best-time-to-contact-afternoon">
              <span>Afternoon</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_besttime_contact_3">
              <input class="cf_radio__input " type="radio" data-custom="cf_besttime_contact" name="cf_besttime_contact" id="cf_besttime_contact_3" value="best-time-to-contact-evening">
              <span>Evening</span>
            </label>
          </div>
        </div>
        <span id="cf_besttime_contact-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_besttime_contact').addEventListener('path-dynamic-field-register', function(evt) {
            var container = this
            var elemOptions = {}
            var feedbackElem = document.querySelector('#cf_besttime_contact-error-feedback')
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('cf_besttime_contact')
            evt.detail.overrideOnChangeListener(function() {})
            evt.detail.setFieldOptions(
              'W3sibGFiZWwiOiJBbnl0aW1lIiwidmFsdWUiOiJiZXN0LXRpbWUtdG8tY29udGFjdC1hbnl0aW1lIn0seyJsYWJlbCI6Ik1vcm5pbmciLCJ2YWx1ZSI6ImJlc3QtdGltZS10by1jb250YWN0LW1vcm5pbmcifSx7ImxhYmVsIjoiQWZ0ZXJub29uIiwidmFsdWUiOiJiZXN0LXRpbWUtdG8tY29udGFjdC1hZnRlcm5vb24ifSx7ImxhYmVsIjoiRXZlbmluZyIsInZhbHVlIjoiYmVzdC10aW1lLXRvLWNvbnRhY3QtZXZlbmluZyJ9XQ%3D%3D'
              )
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(container),
                show: renders.hideParentFieldForm(container, false),
                validation: renders.fillFeedbackMessage(feedbackElem),
                populate: {
                  prepopulate_with: function(key) {
                    var elem = elemOptions[key]
                    if (elem) elem.checked = true
                  },
                  populate_options: renders.fillHTMLOptions(container, 'cf_besttime_contact', function(option, id) {
                    return `
                <div class="cf_radio">
                  <label class="cf_radio__label" for="${id}">
                    <input class="cf_radio__input " type="radio" data-custom="cf_besttime_contact" name="cf_besttime_contact" id="${id}" value="${option.value}">
                    <span>${option.label}</span>
                  </label>
                </div>`
                  }, function(option, elem) {
                    elemOptions[option.value] = elem
                    return evt.detail.listener(function(e, getValue) {
                      getValue(function(value) {
                        return e.target.checked ? option.value : value
                      })
                    })
                  }, ``, ``)
                },
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="3">
      <div id="col-field-cf_level_interest" class="col select-level-of-interest form-field-col" data-col-id="1" data-autohide="">
        <label class="label">On a scale of 1 to 10 with 10 being the highest, how motivated are you to enroll in school?</label>
        <select id="cf_level_interest" data-custom="cf_level_interest" name="cf_level_interest" title="On a scale of 1 to 10 with 10 being the highest, how motivated are you to enroll in school?"
          class="path-form-field-with-feedback path-dynamic-field required">
          <option value=""> Select Option </option>
          <option value="level-of-interest-1">1</option>
          <option value="level-of-interest-2">2</option>
          <option value="level-of-interest-3">3</option>
          <option value="level-of-interest-4">4</option>
          <option value="level-of-interest-5">5</option>
          <option value="level-of-interest-6">6</option>
          <option value="level-of-interest-7">7</option>
          <option value="level-of-interest-8">8</option>
          <option value="level-of-interest-9">9</option>
          <option value="level-of-interest-10">10</option>
        </select>
        <span id="cf_level_interest-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_level_interest').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#cf_level_interest-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
            evt.detail.overrideOnChangeListener(function() {
              elem.addEventListener('change', evt.detail.listener(function(evt, setValue) {
                setValue(evt.target.value)
              }))
            })
            evt.detail.setFieldOptions(
              '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%3D'
              )
            evt.detail.assignToState('cf_level_interest')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Select Option
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="4">
      <div id="col-field-cf_internet_pc" class="col select-internet-connection x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">Do you own a PC with unrestricted reliable internet access?</label>
        <div id="cf_internet_pc" class="path-dynamic-field path-form-field-with-feedback-control path-cf-radio">
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_internet_pc_0">
              <input class="cf_radio__input required" type="radio" data-custom="cf_internet_pc" name="cf_internet_pc" id="cf_internet_pc_0" value="computer-with-internet-yes">
              <span>Yes</span>
            </label>
          </div>
          <div class="cf_radio">
            <label class="cf_radio__label" for="cf_internet_pc_1">
              <input class="cf_radio__input required" type="radio" data-custom="cf_internet_pc" name="cf_internet_pc" id="cf_internet_pc_1" value="computer-with-internet-no">
              <span>No</span>
            </label>
          </div>
        </div>
        <span id="cf_internet_pc-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_internet_pc').addEventListener('path-dynamic-field-register', function(evt) {
            var container = this
            var elemOptions = {}
            var feedbackElem = document.querySelector('#cf_internet_pc-error-feedback')
            evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOm51bGx9LCJ2aXNpYmlsaXR5IjpudWxsLCJ2YWxpZGF0aW9ucyI6eyJhY3Rpb25zIjpbXSwicmVxdWlyZWQiOnRydWV9fQ%3D%3D')
            evt.detail.assignToState('cf_internet_pc')
            evt.detail.overrideOnChangeListener(function() {})
            evt.detail.setFieldOptions('W3sibGFiZWwiOiJZZXMiLCJ2YWx1ZSI6ImNvbXB1dGVyLXdpdGgtaW50ZXJuZXQteWVzIn0seyJsYWJlbCI6Ik5vIiwidmFsdWUiOiJjb21wdXRlci13aXRoLWludGVybmV0LW5vIn1d')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(container),
                show: renders.hideParentFieldForm(container, false),
                validation: renders.fillFeedbackMessage(feedbackElem),
                populate: {
                  prepopulate_with: function(key) {
                    var elem = elemOptions[key]
                    if (elem) elem.checked = true
                  },
                  populate_options: renders.fillHTMLOptions(container, 'cf_internet_pc', function(option, id) {
                    return `
                <div class="cf_radio">
                  <label class="cf_radio__label" for="${id}">
                    <input class="cf_radio__input required" type="radio" data-custom="cf_internet_pc" name="cf_internet_pc" id="${id}" value="${option.value}">
                    <span>${option.label}</span>
                  </label>
                </div>`
                  }, function(option, elem) {
                    elemOptions[option.value] = elem
                    return evt.detail.listener(function(e, getValue) {
                      getValue(function(value) {
                        return e.target.checked ? option.value : value
                      })
                    })
                  }, ``, ``)
                },
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="5">
      <div id="col-field-cf_school_type" class="col select-school-type form-field-col" data-col-id="1" data-autohide="">
        <label class="label">Do you prefer online or campus?</label>
        <select id="cf_school_type" data-custom="cf_school_type" name="cf_school_type" title="Do you prefer online or campus?" class="path-form-field-with-feedback path-dynamic-field required">
          <option value=""> Select Option </option>
          <option value="1">Online</option>
          <option value="2">Campus</option>
          <option value="3">Both</option>
        </select>
        <span id="cf_school_type-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#cf_school_type').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#cf_school_type-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
            evt.detail.overrideOnChangeListener(function() {
              elem.addEventListener('change', evt.detail.listener(function(evt, setValue) {
                setValue(evt.target.value)
              }))
            })
            evt.detail.setFieldOptions('W3sibGFiZWwiOiJPbmxpbmUiLCJ2YWx1ZSI6IjEifSx7ImxhYmVsIjoiQ2FtcHVzIiwidmFsdWUiOiIyIn0seyJsYWJlbCI6IkJvdGgiLCJ2YWx1ZSI6IjMifV0%3D')
            evt.detail.assignToState('cf_school_type')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Select Option
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="6">
      <div id="col-field-previous_step_button" class="col previous-step-button form-field-col-ignored" data-col-id="1" data-autohide="">
        <button class="form-back-button path-form-previous-step-button " type="button" id="previous-step-button">
          <i class="uil uil-arrow-left"></i>
          <span>BACK</span>
        </button>
      </div>
    </div>
  </div>
  <div id="f6" class="dynamic-form form-step form6 form1-6 hidden">
    <div class="row row-spacing" data-row-id="1">
      <div id="col-field-gender" class="col gender x-2 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">What is your gender?</label>
        <div class="path-form-field-with-feedback">
          <label for="gender_m_radio">
            <input id="gender_m_radio" class="path-dynamic-field " type="radio" data-custom="gender" name="gender" value="M">
            <span>Male</span>
          </label>
          <label for="gender_f_radio">
            <input id="gender_f_radio" class="path-dynamic-field " type="radio" data-custom="gender" name="gender" value="F">
            <span>Female</span>
          </label>
        </div>
        <span id="gender-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          (function() {
            var feedbackElem = document.querySelector('#gender-error-feedback')
            var configure = function(evt, type, elem) {
              evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
              evt.detail.assignToState('gender')
              evt.detail.overrideOnChangeListener(function() {
                elem.addEventListener('click', evt.detail.listener(function(evt, setValue) {
                  if (evt.target.checked) setValue(type)
                }))
              })
              evt.detail.render(function(renders) {
                return {
                  hide: renders.hideParentFieldForm(elem),
                  show: renders.hideParentFieldForm(elem, false),
                  populate: {
                    prepopulate_with: function(value) {
                      if (value === type) elem.checked = value
                    }
                  },
                  validation: renders.fillFeedbackMessage(feedbackElem)
                }
              })
            }
            document.querySelector('#gender_m_radio').addEventListener('path-dynamic-field-register', function(evt) {
              configure(evt, 'M', this)
            })
            document.querySelector('#gender_f_radio').addEventListener('path-dynamic-field-register', function(evt) {
              configure(evt, 'F', this)
            })
          })()
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="2">
      <div id="col-field-first_name" class="col first-name form-field-col" data-col-id="1" data-autohide="">
        <label class="label">First Name</label>
        <input id="first_name" type="text" name="first_name" class="path-form-field-with-feedback path-dynamic-field " title="First Name" value="">
        <span id="first_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#first_name').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#first_name-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('first_name')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
      <div id="col-field-last_name" class="col last-name form-field-col" data-col-id="2" data-autohide="">
        <label class="label">Last Name</label>
        <input id="last_name" type="text" name="last_name" class="path-form-field-with-feedback path-dynamic-field " title="Last Name" value="">
        <span id="last_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#last_name').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#last_name-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('last_name')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="3">
      <div id="col-field-phone" class="col phone form-field-col" data-col-id="1" data-autohide="">
        <label class="label">Mobile Phone</label>
        <input id="phone" type="tel" name="phone" title="Phone" data-session-verification="-1" value="" class="path-dynamic-field path-form-field-with-feedback " pattern="[0-9]*" inputmode="numeric" autocomplete="tel-national">
        <span id="phone-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-phone"></span>
        <script>
          document.querySelector('#phone').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#phone-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('phone')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillInputPhone(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="4">
      <div id="col-field-email" class="col e-mail-required form-field-col" data-col-id="1" data-autohide="">
        <label class="label">E-mail</label>
        <input id="email" list="email_domains" type="email" name="email" class="path-form-field-with-feedback path-dynamic-field required" title="Email" data-session-verification="-1" value="">
        <span id="emailmessage" class="invalid-feedback hidden path-form-feedback"></span>
        <datalist id="email_domains"></datalist>
        <script>
          document.querySelector('#email').addEventListener('path-dynamic-field-register', function(evt) {
            var domains = ["gmail.com", "yahoo.com", "hotmail.com", "aol.com", "hotmail.co.uk", "hotmail.fr", "msn.com", "yahoo.fr", "wanadoo.fr", "orange.fr", "comcast.net", "yahoo.co.uk", "yahoo.co.in", "live.com", "rediffmail.com", "free.fr",
              "gmx.de", "web.de", "yandex.ru", "ymail.com", "libero.it", "outlook.com", "uol.com", "bol.com", "mail.ru", "cox.net", "hotmail.it", "sbcglobal.net", "sfr.fr", "live.fr", "verizon.net", "live.co.uk", "googlemail.com", "yahoo.es",
              "ig.com", "live.nl", "bigpond.com", "terra.com", "yahoo.it", "neuf.fr", "yahoo.de", "alice.it", "rocketmail.com", "att.net", "laposte.net", "facebook.com", "bellsouth.net", "yahoo.in", "hotmail.es", "charter.net", "yahoo.ca",
              "yahoo.com.au", "rambler.ru", "hotmail.de", "tiscali.it", "shaw.ca", "yahoo.co.jp", "sky.com"
            ]
            var feedbackElem = document.querySelector('#emailmessage')
            var emailDomains = document.querySelector('#email_domains')
            var elem = this
            evt.detail.overrideOnChangeListener(function() {
              elem.addEventListener('input', evt.detail.listener(function(evt, setValue) {
                var value = evt.target.value
                setValue(value)
                var split = value.split('@')
                var username = split[0]
                var domain = split[1]
                var regex = domain && new RegExp('@' + domain)
                emailDomains.innerHTML = ''
                domains.forEach(function(domain) {
                  if (regex && regex.test('@' + domain) && username + '@' + domain !== value) {
                    var option = emailDomains.appendChild(document.createElement('option'))
                    option.setAttribute('value', username + '@' + domain)
                  }
                })
              }))
            })
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('test')
            evt.detail.assignToState('email', evt.detail.effects.test)
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="5">
      <div id="col-field-previous_step_button" class="col previous-step-button form-field-col-ignored" data-col-id="1" data-autohide="">
        <button class="form-back-button path-form-previous-step-button " type="button" id="previous-step-button">
          <i class="uil uil-arrow-left"></i>
          <span>BACK</span>
        </button>
      </div>
    </div>
  </div>
  <div id="f7" class="dynamic-form form-step form7 form1-7 hidden">
    <div class="row row-spacing" data-row-id="1">
      <div id="col-field-address1" class="col-8 address-1 form-field-col" data-col-id="1" data-autohide="">
        <label class="label">Address</label>
        <input id="addressform" type="text" name="addressform" title="Address" value="" class="path-dynamic-field path-form-field-with-feedback " autocomplete="address-line1">
        <span id="address1-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-postal"></span>
        <input id="address1" type="hidden" name="address1" title="Address" value="">
        <script>
          document.querySelector('#addressform').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#address1-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('address1')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
      <div id="col-field-address2" class="col address-2 form-field-col" data-col-id="2" data-autohide="">
        <label class="label">Address 2</label>
        <input id="address2" type="text" name="address2" value="" class="path-form-field-with-feedback path-dynamic-field " autocomplete="address-line2">
        <span id="address2-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#address2').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#address2-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('address2')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="2">
      <div id="col-field-city" class="col city form-field-col" data-col-id="1" data-autohide="">
        <label class="label">City</label>
        <input id="city" type="text" name="city" title="City" value="" class="path-form-field-with-feedback path-dynamic-field " autocomplete="address-level2">
        <span id="city-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#city').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#city-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('city')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="3">
      <div id="col-field-state" class="col state form-field-col" data-col-id="1" data-autohide="">
        <label class="label">State</label>
        <select id="state" name="state" title="State" class="path-form-field-with-feedback path-dynamic-field " value="" datavalue="">
          <option value=""> Select State </option>
          <option value="AL">Alabama</option>
          <option value="AK">Alaska</option>
          <option value="AZ">Arizona</option>
          <option value="AR">Arkansas</option>
          <option value="CA">California</option>
          <option value="CO">Colorado</option>
          <option value="CT">Connecticut</option>
          <option value="DE">Delaware</option>
          <option value="DC">District Of Columbia</option>
          <option value="FL">Florida</option>
          <option value="GA">Georgia</option>
          <option value="HI">Hawaii</option>
          <option value="ID">Idaho</option>
          <option value="IL">Illinois</option>
          <option value="IN">Indiana</option>
          <option value="IA">Iowa</option>
          <option value="KS">Kansas</option>
          <option value="KY">Kentucky</option>
          <option value="LA">Louisiana</option>
          <option value="ME">Maine</option>
          <option value="MD">Maryland</option>
          <option value="MA">Massachusetts</option>
          <option value="MI">Michigan</option>
          <option value="MN">Minnesota</option>
          <option value="MS">Mississippi</option>
          <option value="MO">Missouri</option>
          <option value="MT">Montana</option>
          <option value="NE">Nebraska</option>
          <option value="NV">Nevada</option>
          <option value="NH">New Hampshire</option>
          <option value="NJ">New Jersey</option>
          <option value="NM">New Mexico</option>
          <option value="NY">New York</option>
          <option value="NC">North Carolina</option>
          <option value="ND">North Dakota</option>
          <option value="OH">Ohio</option>
          <option value="OK">Oklahoma</option>
          <option value="OR">Oregon</option>
          <option value="PA">Pennsylvania</option>
          <option value="RI">Rhode Island</option>
          <option value="SC">South Carolina</option>
          <option value="SD">South Dakota</option>
          <option value="TN">Tennessee</option>
          <option value="TX">Texas</option>
          <option value="UT">Utah</option>
          <option value="VT">Vermont</option>
          <option value="VA">Virginia</option>
          <option value="WA">Washington</option>
          <option value="WV">West Virginia</option>
          <option value="WI">Wisconsin</option>
          <option value="WY">Wyoming</option>
        </select>
        <span id="state-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#state').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#state-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('state')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  populate_options: renders.fillSelectOptions(elem, `
                Select State
          `),
                  prepopulate_with: renders.fillInput(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
          })
        </script>
      </div>
      <div id="col-field-zip" class="col-4 zip-code form-field-col" data-col-id="2" data-autohide="">
        <label class="label">Zip Code</label>
        <input id="zip" type="text" name="zip" title="Zipcode" maxlength="5" data-session-verification="-1" value="" class="path-form-field-with-feedback  path-dynamic-field" pattern="[0-9]*" inputmode="numeric" autocomplete="postal-code">
        <span id="zip-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
        <script>
          document.querySelector('#zip').addEventListener('path-dynamic-field-register', function(evt) {
            var feedbackElem = document.querySelector('#zip-error-feedback')
            var elem = this
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.assignToState('zip')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillZip(elem)
                },
                validation: renders.fillFeedbackMessage(feedbackElem)
              }
            })
            $(elem).change()
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="4">
      <div id="col-field-registration_consent" class="col registration-consent form-field-col" data-col-id="1" data-autohide="false">
        <div class="terms termschk">
          <input type="checkbox" class="chkbox path-dynamic-field" id="chkterms" name="chkterms">
          <label class="term-label terms-label--checkbox" for="chkterms"> By checking this box, you give your consent to be contacted on behalf of ChooseYourEducation.com and any selected schools by email and/or at the telephone number(s) provided
            with automated technology, pre-recorded messages, and/or pre-recorded voices, including your wireless number if provided. This consent is not required as a condition to purchase a good or services. Msg and data rates may apply. </label>
          <script>
            document.querySelector('#chkterms').addEventListener('path-dynamic-field-register', function(evt) {
              var elem = this
              evt.detail.assignToState('registrationConsent', function(value) {
                elem.dispatchEvent(new CustomEvent('path-event-registration-consent-changed'))
                return elem.checked
              })
            })
          </script>
        </div>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="5">
      <div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
        <div id="path-field-html-7-5-1" class="path-dynamic-field">
          <p><b>To opt-out of having your personal information collected, <a href="/opt-out">click here</a>.</b></p>
        </div>
        <script>
          document.querySelector('#path-field-html-7-5-1').addEventListener('path-dynamic-field-register', function(evt) {
            var elem = this
            elem.fieldContent = elem.innerHTML
            evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
            evt.detail.render(function(renders) {
              return {
                hide: renders.hideParentFieldForm(elem),
                show: renders.hideParentFieldForm(elem, false),
                populate: {
                  prepopulate_with: renders.fillMergetagsHTML(elem)
                },
              }
            })
          })
        </script>
      </div>
    </div>
    <div class="row row-spacing" data-row-id="6">
      <div id="col-field-previous_step_button" class="col previous-step-button form-field-col-ignored" data-col-id="1" data-autohide="">
        <button class="form-back-button path-form-previous-step-button " type="button" id="previous-step-button">
          <i class="uil uil-arrow-left"></i>
          <span>BACK</span>
        </button>
      </div>
    </div>
  </div>
  <div class="form-row">
    <div class="x-12 col-mobile center">
      <button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
        <span>Continue</span>
        <i class="fa fa-spinner fa-spin"></i>
      </button>
    </div>
  </div>
  <div class="hidden">
    <input type="hidden" id="numForms" name="numForms" value="7">
    <input type="hidden" id="tcpaStep" name="tcpaStep" value="-1">
    <input type="hidden" id="registrationStep" name="registrationStep" value="-1">
    <input type="hidden" id="currentForm" name="currentForm" value="1">
    <input type="hidden" id="uid" name="uid" value="5a0460e4-e8ff-4990-bcdf-967a22049573">
    <input type="hidden" id="tcpaconsent" name="tcpaconsent" value="">
    <input type="hidden" id="consent" name="consent" value="">
    <input type="hidden" id="pathAid" name="pathAid" value="9275">
    <input type="hidden" id="pathPid" name="pathPid" value="2988">
    <input type="hidden" id="pathSid1" name="pathSid1" value="">
    <input type="hidden" id="registrationCheck" name="registrationCheck" value="false">
    <input type="hidden" id="addressCheck" name="addressCheck" value="false">
    <input type="hidden" id="fraudCheck" name="fraudCheck" value="false">
    <input type="hidden" id="emailValid" name="emailValid" value="false">
    <input type="hidden" id="addressValid" name="addressValid" value="false">
    <input type="hidden" name="origin" value="submit">
    <input type="hidden" id="haddress1" value="">
    <input type="hidden" id="haddress2" value="">
    <input type="hidden" id="hcity" value="">
    <input type="hidden" id="hstate" value="">
    <input type="hidden" id="hzipcode" value="">
    <div id="pixel"></div>
    <script type="text/javascript">
      (function() {
        var field = 'xxTrustedFormCertUrl';
        var provideReferrer = false;
        var invertFieldSensitivity = false;
        var tf = document.createElement('script');
        tf.type = 'text/javascript';
        tf.async = true;
        tf.src = 'http' + ('https:' == document.location.protocol ? 's' : '') + '://api.trustedform.com/trustedform.js?provide_referrer=' + escape(provideReferrer) + '&field=' + escape(field) + '&l=' + new Date().getTime() + Math.random() +
          '&invert_field_sensitivity=' + invertFieldSensitivity;
        var s = document.getElementsByTagName('script')[0];
        s.parentNode.insertBefore(tf, s);
      })();
    </script>
    <noscript>
      <img src="http://api.trustedform.com/ns.gif">
    </noscript>
    <input id="leadid_token" name="universal_leadid" type="hidden" value="43C46E81-F7EE-1DD8-91B2-6B60D0850CA1">
  </div>
  <input type="hidden" name="xxTrustedFormToken" id="xxTrustedFormToken_0" value="https://cert.trustedform.com/02f3b072615e21c3dc67d3967280327142afdc89"><input type="hidden" name="xxTrustedFormCertUrl" id="xxTrustedFormCertUrl_0"
    value="https://cert.trustedform.com/02f3b072615e21c3dc67d3967280327142afdc89"><input type="hidden" name="xxTrustedFormPingUrl" id="xxTrustedFormPingUrl_0"
    value="https://ping.trustedform.com/0.nmp7oObj2K_vTPieyEokdf_294VYxAm8DCtt84tYF91EJQEWYLPldwE4tG3VWtGkV-lbol0S.Cg0KA4I2NJG79Hnmrmxksg.-QgbVbwVNMd_oAOcDqK5uQ">
</form>

Text Content

YOUR LIFE...
YOUR EDUCATION...
YOUR CHOICE...

SPONSORED SCHOOLS

Step 1 of 7

20%
What is your desired area of study?
Art & Design
Business
Computers & Technology
Education & Teaching
Engineering
Health & Medical
Law & Criminal Justice
Liberal Arts & Humanities
Nursing
Science & Math
Social Science
Trade & Technical

We will collect your contact information to respond to your requests for
information and provide you with educational matching services. As a result, you
may be matched to one or more sponsored schools from which we receive
compensation. Compensation may impact where Sponsored Schools appear on our
websites. We use cookies and other tracking technologies to collect your
personal information in order to gauge online activity on our website, measure
the effectiveness of online services, applications, and tools. For more
information, see our privacy policy.

What is the highest level of education you have achieved?
No High School Diploma
High School Diploma
GED
Some College (1-29 credits)
Some College (30-59 credits)
Some College (60+ credits)
Associates Degree
Masters Degree
Doctorates/PhD
Bachelors Degree
What year did you obtain your high school diploma or GED? Select Option
19601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024
Do you have a current, unrestricted RN, LPN, or LVN license? Select Option YesNo
[select] Teaching License (hide and default to NO) Select Option YesNo
[select] Enrolled in College (hide and default to NO) Select Option YesNo
BACK
BACK
What year were you born?
Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
26 27 28 29 30 31
Year
20062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924
Are you a U.S. Citizen?
Yes
No
Please select your military status:
No Military Affiliation
AF - Active Duty (AD)
AF - Selective Reserve (SR)
AF - Spouse of AD or SR
AF - Veteran
AF - Civilian
AR - Active Duty (AD)
AR - Selective Reserve (SR)
AR - Spouse of AD or SR
AR - Veteran
AR - Civilian
CG - Active Duty (AD)
CG - Selective Reserve (SR)
CG - Spouse of AD or SR
CG - Veteran
CG - Civilian
MC - Active Duty (AD)
MC - Selective Reserve (SR)
MC - Spouse of AD or SR
MC - Veteran
MC - Civilian
NV - Active Duty (AD)
NV - Selective Reserve (SR)
NV - Spouse of AD or SR
NV - Veteran
NV - Civilian
BACK
When would you like to start:
Immediately
1-3 Months
4-6 Months
7-12 Months
More than 1 Year
Not Sure
Best Time to Contact
Anytime
Morning
Afternoon
Evening
On a scale of 1 to 10 with 10 being the highest, how motivated are you to enroll
in school? Select Option 12345678910
Do you own a PC with unrestricted reliable internet access?
Yes
No
Do you prefer online or campus? Select Option OnlineCampusBoth
BACK
What is your gender?
Male Female
First Name
Last Name
Mobile Phone
E-mail
BACK
Address
Address 2
City
State Select State Alabama Alaska Arizona Arkansas California Colorado
Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois
Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan
Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey
New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon
Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah
Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
By checking this box, you give your consent to be contacted on behalf of
ChooseYourEducation.com and any selected schools by email and/or at the
telephone number(s) provided with automated technology, pre-recorded messages,
and/or pre-recorded voices, including your wireless number if provided. This
consent is not required as a condition to purchase a good or services. Msg and
data rates may apply.

To opt-out of having your personal information collected, click here.

BACK
Continue




FEATURED ARTICLES:


A THREE-PART PLAN PROMISES TO CANCEL $10,000 OF STUDENT DEBT




TEACHING AND LEARNING AFTER COVID-19




GOING BACK TO SCHOOL AS AN ADULT IN 5 EASY STEPS




FACING YOUR FEARS OF RETURNING TO SCHOOL AS AN ADULT



SPONSORED MEANING EXPLAINED

ChooseYourEducation.com receives compensation for the featured schools on our
websites (see 'Sponsored Schools' or 'Sponsored Listings' or 'Sponsored
Results'). So what does this mean for you? Compensation may impact where the
Sponsored Schools appear on our websites, including whether they appear as a
match through our education matching services tool, the order in which they
appear in a listing, and/or their ranking.

Okay
5 East Main St. Suite 24B, Denville, NJ 07834


USEFUL LINKS

 * Disclosure
 * FAQ
 * Privacy Policy
 * About Us
 * Unsubscribe
 * Do Not Sell My Information


FOLLOW US



©2024 ChooseYourEducation. All logos are property of their respective owners.