acnvirtual.org Open in urlscan Pro
207.211.47.185  Public Scan

Submitted URL: https://acnvirtual.org/
Effective URL: https://acnvirtual.org/landing.htm
Submission: On July 24 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: enrollmentFormPOST /landing.htm

<form id="enrollmentForm" name="enrollmentForm" novalidate="true" action="/landing.htm" method="POST" autocomplete="off"><input type="hidden" id="csrfToken" name="csrfToken" value="fLAhRH9wSIthgHxYQ7MyqQvx">
  <div class="enrollmentFormContent">
    <div id="nameFields" class="enrollmentFieldRow">
      <div class="has-float-label smaller ">
        <input id="firstName" name="firstName" class="nameField float_input firstOnly botton-border-only" placeholder="First Name*" aria-label="Required Field First Name" required="true" value="" maxlength="255" autocomplete="off">
        <label for="firstName">First Name*</label>
      </div>
      <div class="has-float-label">
        <input id="middleInitial" name="middleInitial" class="nameField float_input middleInitial" placeholder="MI" aria-label="Required Field Middle Name" required="false" value="" maxlength="1" autocomplete="off">
        <label for="middleInitial">MI</label>
      </div>
      <div class="has-float-label lastOnlyContainer smaller">
        <input id="lastName" name="lastName" class="nameField float_input lastOnly  botton-border-only" placeholder="Last Name*" aria-label="Required Field Last Name" required="true" value="" maxlength="255" autocomplete="off">
        <label for="lastName">Last Name*</label>
      </div>
    </div>
    <div class="clearFix"></div>
    <div id="nameErrors">
      <div aria-atomic="true" class="form_error_container">
        <div class="error" id="firstName.errors" style="display: none;"></div>
      </div>
      <div aria-atomic="true" class="form_error_container">
        <div class="error" id="middleInitial.errors" style="display: none;"></div>
      </div>
      <div aria-atomic="true" class="form_error_container">
        <div class="error" id="lastName.errors" style="display: none;"></div>
      </div>
    </div>
    <div id="emailFields" class="enrollmentFieldRow">
      <div class="has-float-label">
        <input id="emailAddress" name="emailAddress" class="fullWidth botton-border-only float_input" placeholder="Email*" required="true" value="" autocomplete="off">
        <label for="emailAddress">Email*</label>
        <div>
          <div aria-atomic="true" class="form_error_container">
            <div class="error" id="emailAddress.errors" style="display: none;"></div>
          </div>
        </div>
      </div>
      <div class="has-float-label">
        <input id="emailAddress2" name="emailAddress2" class="fullWidth botton-border-only float_input" placeholder="Confirm Email*" required="true" value="" autocomplete="off">
        <label for="emailAddress2">Confirm Email*</label>
        <div>
          <div aria-atomic="true" class="form_error_container">
            <div class="error" id="emailAddress2.errors" style="display: none;"></div>
          </div>
        </div>
      </div>
    </div>
    <div id="passwordField" class="enrollmentFieldRow">
      <div class="has-float-label">
        <input name="password1" type="password" placeholder="Password*" id="password1" class="float_input fullWidth botton-border-only" aria-describedby="validationCriteria" required="true">
        <label for="emailAddress2">Password*</label>
      </div>
      <div id="failedPwdReq" class="error hideme"> Password does not meet requirements </div>
    </div>
    <div id="disclaimerField">
      <input id="disclaimerIds" name="disclaimerIds" type="hidden" value="aZGDfJGKMAfVGFCdbANaSGfZfbMASSHYfMWPRARIKWRQBAETIKKbGbSWSLIWNeYZLZHeRQJYABHeC">
      <input type="checkbox" name="disclaimerAccept" id="disclaimerAccept" aria-label="Checkbox i agree to these Terms of Use." required="">
      <label class="modernLabel14" id="disclaimerPromptLabel"> I agree to the following:</label>
      <a class="modernLabel14 link" id="tosLink" href="#">
									Terms of Use*
								</a>
      <div>
        <div aria-atomic="true" class="form_error_container">
          <div class="error" id="disclaimerAccept.errors" style="display: none;"></div>
        </div>
      </div>
    </div>
  </div>
  <div>
    <button id="submitBtn" class="wcagGreen greenCtBtn flatBtn xlargeCtBtn dijitButton bigSplashButton" type="submit" dojoattachevent="ondijitclick:_onClick" dojoattachpoint="focusNode,titleNode" widgetid="submitBtn" style="user-select: none;">
      <span class="iconRel">
        <span class="dijitInline iconNode dijitNoIcon" dojoattachpoint="iconNode"></span>
        <span class="dijitButtonText" dojoattachpoint="containerNode"> Sign Up </span>
      </span>
    </button>
  </div>
  <div class="loginLinkContainer">
    <a tabindex="0" href="https://acnvirtual.org/loginConsumer.htm" class="link loginLink">
							I already have an account,&nbsp;Log In
						</a>
  </div>
</form>

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